Sample records for plans include additional

  1. 33 CFR 154.1125 - Additional response plan requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Prince William Sound, Alaska § 154.1125 Additional response plan requirements. (a) The owner or operator of a TAPAA facility shall include the following information in the Prince William Sound appendix to... for personnel, including local residents and fishermen, from the following locations in Prince William...

  2. Your Medicare Benefits

    MedlinePlus

    ... health plans include all Medicare Advantage Plans, Medicare Cost Plans, and Demonstration/Pilot Programs. PACE plans can be offered by public or private entities and provide Part D and other benefits in addition to Part A and Part B ...

  3. 40 CFR 62.14590 - What should I include in my waste management plan?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... in my waste management plan? A waste management plan must include consideration of the reduction or separation of waste-stream elements such as paper, cardboard, plastics, glass, batteries, or metals; or the... waste management measures already in place, the costs of additional measures, the emissions reductions...

  4. 40 CFR 60.2901 - What should I include in my waste management plan?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... management plan must include consideration of the reduction or separation of waste-stream elements such as paper, cardboard, plastics, glass, batteries, or metals; or the use of recyclable materials. The plan... place, the costs of additional measures, the emissions reductions expected to be achieved, and any other...

  5. 4. FLOOR PLAN AND SECTIONS, ADDITION TO POWER HOUSE. United ...

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

    4. FLOOR PLAN AND SECTIONS, ADDITION TO POWER HOUSE. United Engineering Company Ltd., Alameda Shipyard. Also includes plot plan at 1 inch to 100 feet. John Hudspeth, architect, foot of Main Street, Alameda, California. Sheet 3. Plan no. 10,548. Scale 1/4 inch and h inch to the foot. April 30, 1945, last revised 6/22/45. pencil on vellum - United Engineering Company Shipyard, Boiler House, 2900 Main Street, Alameda, Alameda County, CA

  6. 10 CFR 603.885 - Updated program plans and budgets.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... program plans and budgets. In addition to reports on progress to date, a TIA may include a provision requiring the recipient to annually prepare an updated technical plan for future conduct of the research...

  7. ME/CFS in Children: Fact Sheet for Parents/Guardians

    MedlinePlus

    ... Additional services could include an Individualized Education Plan (IEP) or a 504 Plan. A 504 plan lists ... disability and how the school can help. An IEP is a legal document that tells the school ...

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

    Barbee, D; McCarthy, A; Galavis, P

    Purpose: Errors found during initial physics plan checks frequently require replanning and reprinting, resulting decreased departmental efficiency. Additionally, errors may be missed during physics checks, resulting in potential treatment errors or interruption. This work presents a process control created using the Eclipse Scripting API (ESAPI) enabling dosimetrists and physicists to detect potential errors in the Eclipse treatment planning system prior to performing any plan approvals or printing. Methods: Potential failure modes for five categories were generated based on available ESAPI (v11) patient object properties: Images, Contours, Plans, Beams, and Dose. An Eclipse script plugin (PlanCheck) was written in C# tomore » check errors most frequently observed clinically in each of the categories. The PlanCheck algorithms were devised to check technical aspects of plans, such as deliverability (e.g. minimum EDW MUs), in addition to ensuring that policy and procedures relating to planning were being followed. The effect on clinical workflow efficiency was measured by tracking the plan document error rate and plan revision/retirement rates in the Aria database over monthly intervals. Results: The number of potential failure modes the PlanCheck script is currently capable of checking for in the following categories: Images (6), Contours (7), Plans (8), Beams (17), and Dose (4). Prior to implementation of the PlanCheck plugin, the observed error rates in errored plan documents and revised/retired plans in the Aria database was 20% and 22%, respectively. Error rates were seen to decrease gradually over time as adoption of the script improved. Conclusion: A process control created using the Eclipse scripting API enabled plan checks to occur within the planning system, resulting in reduction in error rates and improved efficiency. Future work includes: initiating full FMEA for planning workflow, extending categories to include additional checks outside of ESAPI via Aria database queries, and eventual automated plan checks.« less

  9. Alternative sample sizes for verification dose experiments and dose audits

    NASA Astrophysics Data System (ADS)

    Taylor, W. A.; Hansen, J. M.

    1999-01-01

    ISO 11137 (1995), "Sterilization of Health Care Products—Requirements for Validation and Routine Control—Radiation Sterilization", provides sampling plans for performing initial verification dose experiments and quarterly dose audits. Alternative sampling plans are presented which provide equivalent protection. These sampling plans can significantly reduce the cost of testing. These alternative sampling plans have been included in a draft ISO Technical Report (type 2). This paper examines the rational behind the proposed alternative sampling plans. The protection provided by the current verification and audit sampling plans is first examined. Then methods for identifying equivalent plans are highlighted. Finally, methods for comparing the cost associated with the different plans are provided. This paper includes additional guidance for selecting between the original and alternative sampling plans not included in the technical report.

  10. Formulation of consumables management models: Consumables flight planning worksheet update. [space shuttles

    NASA Technical Reports Server (NTRS)

    Newman, C. M.

    1977-01-01

    The updated consumables flight planning worksheet (CFPWS) is documented. The update includes: (1) additional consumables: ECLSS ammonia, APU propellant, HYD water; (2) additional on orbit activity for development flight instrumentation (DFI); (3) updated use factors for all consumables; and (4) sources and derivations of the use factors.

  11. Sampling and Analysis Plan for U.S. Department of Energy Office of Legacy Management Sites

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

    None

    2012-10-24

    This plan incorporates U.S. Department of Energy (DOE) Office of Legacy Management (LM) standard operating procedures (SOPs) into environmental monitoring activities and will be implemented at all sites managed by LM. This document provides detailed procedures for the field sampling teams so that samples are collected in a consistent and technically defensible manner. Site-specific plans (e.g., long-term surveillance and maintenance plans, environmental monitoring plans) document background information and establish the basis for sampling and monitoring activities. Information will be included in site-specific tabbed sections to this plan, which identify sample locations, sample frequencies, types of samples, field measurements, and associatedmore » analytes for each site. Additionally, within each tabbed section, program directives will be included, when developed, to establish additional site-specific requirements to modify or clarify requirements in this plan as they apply to the corresponding site. A flowchart detailing project tasks required to accomplish routine sampling is displayed in Figure 1. LM environmental procedures are contained in the Environmental Procedures Catalog (LMS/PRO/S04325), which incorporates American Society for Testing and Materials (ASTM), DOE, and U.S. Environmental Protection Agency (EPA) guidance. Specific procedures used for groundwater and surface water monitoring are included in Appendix A. If other environmental media are monitored, SOPs used for air, soil/sediment, and biota monitoring can be found in the site-specific tabbed sections in Appendix D or in site-specific documents. The procedures in the Environmental Procedures Catalog are intended as general guidance and require additional detail from planning documents in order to be complete; the following sections fulfill that function and specify additional procedural requirements to form SOPs. Routine revision of this Sampling and Analysis Plan will be conducted annually at the beginning of each fiscal year when attachments in Appendix D, including program directives and sampling location/analytical tables, will be reviewed by project personnel and updated. The sampling location/analytical tables in Appendix D, however, may have interim updates according to project direction that are not reflected in this plan. Deviations from location/analytical tables in Appendix D prior to sampling will be documented in project correspondence (e.g., startup letters). If significant changes to other aspects of this plan are required before the annual update, then the plan will be revised as needed.« less

  12. PREP: Portal for Readiness Exercises & Planning v. 1.0

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

    Noel, Todd; Le, Tam; McNeil, Carrie

    2016-10-28

    The software includes a web-based template for recording actions taken during emergency preparedness exercises and planning workshops. In addition, a virtual outbreak prevention simulation exercise is also included. Both tools interact with a server which records user decisions and communications.

  13. 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

  14. 7 CFR 25.400 - Reporting.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... actions which have been taken in accordance with the strategic plan. In addition to these reports, such... other than those expressly included in the strategic plan should also be noted in order to provide an understanding of where the community stands with respect to implementation of the strategic plan. Furthermore...

  15. 77 FR 22376 - Airport Improvement Program (AIP) Grant Assurances

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    .... Additionally, the FAA is amending paragraph (a) of Sponsor Assurance 29, Airport Layout Plan, to require that... be depicted on the airport layout plan (ALP). This includes all residential and commercial through... the statutory grant assurance relating to airport layout plans to provide that a sponsor does not have...

  16. Planning, Conducting, and Documenting Data Analysis for Program Improvement

    ERIC Educational Resources Information Center

    Winer, Abby; Taylor, Cornelia; Derrington, Taletha; Lucas, Anne

    2015-01-01

    This 2015 document was developed to help technical assistance (TA) providers and state staff define and limit the scope of data analysis for program improvement efforts, including the State Systemic Improvement Plan (SSIP); develop a plan for data analysis; document alternative hypotheses and additional analyses as they are generated; and…

  17. OCCUPATIONAL EDUCATION--PLANNING AND PROGRAMMING. VOLUME TWO.

    ERIC Educational Resources Information Center

    KOTZ, ARNOLD

    ADDITIONAL POSITION PAPERS BASED ON INFORMATION GATHERED IN THE RECONNAISSANCE SURVEYS OF PLANNING AND PROGRAMING IN OCCUPATIONAL EDUCATION, REPORTED IN VOLUME ONE (VT 005 041), ARE PRESENTED. PART IV, CONCERNED WITH PROGRAM STRUCTURE AND BUDGETING AND THEIR RELATION TO THE PLANNING PROCESS, INCLUDES THE PAPERS--(1) "CURRENT POLICIES AND…

  18. Planning as an Iterative Process

    NASA Technical Reports Server (NTRS)

    Smith, David E.

    2012-01-01

    Activity planning for missions such as the Mars Exploration Rover mission presents many technical challenges, including oversubscription, consideration of time, concurrency, resources, preferences, and uncertainty. These challenges have all been addressed by the research community to varying degrees, but significant technical hurdles still remain. In addition, the integration of these capabilities into a single planning engine remains largely unaddressed. However, I argue that there is a deeper set of issues that needs to be considered namely the integration of planning into an iterative process that begins before the goals, objectives, and preferences are fully defined. This introduces a number of technical challenges for planning, including the ability to more naturally specify and utilize constraints on the planning process, the ability to generate multiple qualitatively different plans, and the ability to provide deep explanation of plans.

  19. 48 CFR 352.270-1 - Accessibility of meetings, conferences, and seminars to persons with disabilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) The Contractor agrees as follows: (a) Planning. The Contractor shall develop a plan to assure that any... planning the meeting, conference, or seminar, shall include in all announcements and other materials... device for the deaf (TDD). (2) The Contractor shall provide, at no additional cost to the individual...

  20. 78 FR 27184 - Notice of Reopening of Public Comment Period-Proposed Directives for Forest Service Land...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... Period--Proposed Directives for Forest Service Land Management Planning AGENCY: Forest Service, USDA... comment period for the proposed directive regarding land management planning for an additional 15 days... identify your comments by including ``RIN 0596-AD06'' or ``planning directives'' on the cover sheet or the...

  1. Plan well, plan often

    Treesearch

    Bill Block

    2013-01-01

    This issue includes an invited paper by Courtney Schultz and her colleagues commenting on the application of the newly adopted U.S. Forest Service Planning Rule (hereafter, the rule) for wildlife. The rule is basically implementing language to interpret the spirit and intent of the National Forest Management Act (NFMA) of 1976. Laws such as NFMA require additional...

  2. 10 CFR 603.885 - Updated program plans and budgets.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Updated program plans and budgets. 603.885 Section 603.885... program plans and budgets. In addition to reports on progress to date, a TIA may include a provision... effort and a revised budget if there is a significant change from the initial budget. ...

  3. Vehicle management and mission planning systems with shuttle applications

    NASA Technical Reports Server (NTRS)

    1972-01-01

    A preliminary definition of a concept for an automated system is presented that will support the effective management and planning of space shuttle operations. It is called the Vehicle Management and Mission Planning System (VMMPS). In addition to defining the system and its functions, some of the software requirements of the system are identified and a phased and evolutionary method is recommended for software design, development, and implementation. The concept is composed of eight software subsystems supervised by an executive system. These subsystems are mission design and analysis, flight scheduler, launch operations, vehicle operations, payload support operations, crew support, information management, and flight operations support. In addition to presenting the proposed system, a discussion of the evolutionary software development philosophy that the Mission Planning and Analysis Division (MPAD) would propose to use in developing the required supporting software is included. A preliminary software development schedule is also included.

  4. On Being a Master Planner - A Step by Step Guide. From a Nationwide Study of Environmental Education Planning.

    ERIC Educational Resources Information Center

    Rocchio, Richard; Lee, Eve

    This guide demonstrates a new way of utilizing the planning process within a social movement context in view of developing a state master plan for environmental education. In addition the book serves as a guide to realistic planning, including models, definitions, and examples. The guide contains five parts: Part One - The background, Part Two -…

  5. Power Plant Retirements: Trends and Possible Drivers

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

    Mills, Andrew D.; Wiser, Ryan H.; Seel, Joachim

    This paper synthesizes available data on historical and planned power plant retirements. Specifically, we present data on historical generation capacity additions and retirements over time, and the types of plants recently retired and planned for retirement. We then present data on the age of plants that have recently retired or that have plans to retire. We also review the characteristics of plants that recently retired or plan to retire vs. those that continue to operate, focusing on plant size, age, heat rate, and SO 2 emissions. Finally, we show the level of recent thermal plant retirements on a regional basismore » and correlate those data with a subset of possible factors that may be contributing to retirement decisions. This basic data synthesis cannot be used to precisely estimate the relative magnitude of retirement drivers. Nor do we explore every possible driver for retirement decisions. Moreover, future retirement decisions may be influenced by different factors than those that have affected past decisions. Nonetheless, it is clear that recently retired plants are relatively old, and that plants with stated planned retirement dates are—on average—no younger. We observe that retired plants are smaller, older, less efficient, and more polluting than operating plants. Based on simple correlation graphics, the strongest predictors of regional retirement differences appear to include SO 2 emissions rates (for coal), planning reserve margins (for all thermal units), variations in load growth or contraction (for all thermal units), and the age of older thermal plans (for all thermal units). Additional apparent predictors of regional retirements include the ratio of coal to gas prices and delivered natural gas prices. Other factors appear to have played lesser roles, including the penetration variable renewable energy (VRE), recent non-VRE capacity additions, and whether the region hosts an ISO/RTO.« less

  6. Resource Allocation Planning Helper (RALPH): Lessons learned

    NASA Technical Reports Server (NTRS)

    Durham, Ralph; Reilly, Norman B.; Springer, Joe B.

    1990-01-01

    The current task of Resource Allocation Process includes the planning and apportionment of JPL's Ground Data System composed of the Deep Space Network and Mission Control and Computing Center facilities. The addition of the data driven, rule based planning system, RALPH, has expanded the planning horizon from 8 weeks to 10 years and has resulted in large labor savings. Use of the system has also resulted in important improvements in science return through enhanced resource utilization. In addition, RALPH has been instrumental in supporting rapid turn around for an increased volume of special what if studies. The status of RALPH is briefly reviewed and important lessons learned from the creation of an highly functional design team are focused on through an evolutionary design and implementation period in which an AI shell was selected, prototyped, and ultimately abandoned, and through the fundamental changes to the very process that spawned the tool kit. Principal topics include proper integration of software tools within the planning environment, transition from prototype to delivered to delivered software, changes in the planning methodology as a result of evolving software capabilities and creation of the ability to develop and process generic requirements to allow planning flexibility.

  7. Potential impacts of global warming on water resources in southern California.

    PubMed

    Beuhler, M

    2003-01-01

    Global warming will have a significant impact on water resources within the 20 to 90-year planning period of many water projects. Arid and semi-arid regions such as Southern California are especially vulnerable to anticipated negative impacts of global warming on water resources. Long-range water facility planning must consider global climate change in the recommended mix of new facilities needed to meet future water requirements. The generally accepted impacts of global warming include temperature, rising sea levels, more frequent and severe floods and droughts, and a shift from snowfall to rain. Precipitation changes are more difficult to predict. For Southern California, these impacts will be especially severe on surface water supplies. Additionally, rising sea levels will exacerbate salt-water intrusion into freshwater and impact the quality of surface water supplies. Integrated water resources planning is emerging as a tool to develop water supplies and demand management strategies that are less vulnerable to the impacts of global warming. These tools include water conservation, conjunctive use of surface and groundwater and desalination of brackish water and possibly seawater. Additionally, planning for future water needs should include explicit consideration of the potential range of global warming impacts through techniques such as scenario planning.

  8. Risk selection into consumer-directed health plans: an analysis of family choices within large employers.

    PubMed

    McDevitt, Roland D; Haviland, Amelia M; Lore, Ryan; Laudenberger, Laura; Eisenberg, Matthew; Sood, Neeraj

    2014-04-01

    To identify the degree of selection into consumer-directed health plans (CDHPs) versus traditional plans over time, and factors that influence choice and temper risk selection. Sixteen large employers offering both CDHP and traditional plans during the 2004–2007 period, more than 200,000 families. We model CDHP choice with logistic regression; predictors include risk scores, in addition to family, choice setting, and plan characteristics. Additional models stratify by account type or single enrollee versus family. Risk scores, family characteristics, and enrollment decisions are derived from medical claims and enrollment files. Interviews with human resources executives provide additional data. CDHP risk scores were 74 percent of traditional plan scores in the first year, and this difference declined over time. Employer contributions to accounts and employee premium savings fostered CDHP enrollment and reduced risk selection. Having to make an active choice of plan increased CDHP enrollment but also increased risk selection. Risk selection was greater for singles than families and did not differ between HRA and HSA-based CDHPs. Risk selection was not severe and it was well managed. Employers have effective methods to encourage CDHP enrollment and temper selection against traditional plans.

  9. Orthorectified High Resolution Multispectral Imagery for Application to Change Detection and Analysis

    NASA Technical Reports Server (NTRS)

    Benkelman, Cody A.

    1997-01-01

    The project team has outlined several technical objectives which will allow the companies to improve on their current capabilities. These include modifications to the imaging system, enabling it to operate more cost effectively and with greater ease of use, automation of the post-processing software to mosaic and orthorectify the image scenes collected, and the addition of radiometric calibration to greatly aid in the ability to perform accurate change detection. Business objectives include fine tuning of the market plan plus specification of future product requirements, expansion of sales activities (including identification of necessary additional resources required to meet stated revenue objectives), development of a product distribution plan, and implementation of a world wide sales effort.

  10. Theory of Planned Behavior including self-stigma and perceived barriers explain help-seeking behavior for sexual problems in Iranian women suffering from epilepsy.

    PubMed

    Lin, Chung-Ying; Oveisi, Sonia; Burri, Andrea; Pakpour, Amir H

    2017-03-01

    To apply the Theory of Planned Behavior (TPB) and the two additional concepts self-stigma and perceived barriers to the help-seeking behavior for sexual problems in women with epilepsy. In this 18-month follow-up study, TPB elements, including attitude, subjective norm, perceived behavioral control, and behavioral intention along with self-stigma and perceived barriers in seeking help for sexual problems were assessed in n=818 women with epilepsy (94.0% aged ≤40years). The basic TPB model (model 1) and the TPB model additionally including self-stigma and perceived barriers (Model 2) were analyzed using structural equation modeling (SEM). Both SEM models showed satisfactory model fits. According to model, attitude, subjective norms, perceived behavioral control, and intention explained 63.1% of the variance in help-seeking behavior. Variance was slightly higher (64.5%) when including self-stigma and perceived barriers (model 2). In addition, the fit indices of the models were better highlighting the importance of self-stigma and perceived barriers in help-seeking behavior for sexual problems. Theory of Planned Behavior is useful in explaining help-seeking behavior for sexual problems in women with epilepsy. Self-stigma and perceived barriers are additional factors that should be considered in future interventions aiming to adopt TPB to improve help-seeking behavior for sexual problems. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. National Risk Management Research Laboratory Strategic plan and Implementation - Overview

    EPA Science Inventory

    This publication provides an overview of the strategic plan recently developed by the National Risk Management Research Laboratory (NRMRL). It includes a description of NRMRL's mission and goals and their alignment with Agency goals. Additionally, the overview contains a brief se...

  12. Research and Planning for Higher Education.

    ERIC Educational Resources Information Center

    Fenske, Robert H., Ed.; Staskey, Paul J., Ed.

    Forty-four papers are collected in this volume and categorized: invited papers on research and planning for higher education; organizational analysis; finance and resource allocation; program and outcomes analysis; modeling; evaluation; and studies of faculty and students. Abstracts of additional papers are included. (MSE)

  13. Organizational downsizing: a review of literature for planning and research.

    PubMed

    Davis, Jullet A; Savage, Grant; Stewart, R Thomas

    2003-01-01

    The use of downsizing as management's strategic response to environmental and institutional changes is prevalent in all U.S. industries, including healthcare. The popular and research literature is inundated with reports on companies undergoing various stages of restructuring, which often include one or more staff reductions. This article provides a review of downsizing literature published from 1985 to 2002. Although the findings and conclusions of these articles are generally inconsistent, the prevailing opinion is that for downsizing to be successful, effective planning must occur long before, during, and after downsizing. Additionally, a downsizing plan should be included in the strategic management plan of all organizations, regardless of whether they plan to downsize or not. By including such a plan, the organization will be better prepared to begin the staff-reduction process should it be forced to do so in response to environmental changes. Finally, providing ample support and protection for staff is key to the organization's recovery and growth. The lessons provided in this literature review should assist healthcare managers in deciding how to plan and structure potential staff reductions.

  14. Should family planning include STD services?

    PubMed

    Finger, W R

    1994-05-01

    Recent reviews suggest that the addition of programs aimed at preventing and controlling sexually transmitted diseases (STDs), specifically human immunodeficiency virus (HIV), to existing family planning programs does not necessarily dilute overall program effectiveness. In Colombia, Mexico, and Jamaica, where condom distribution and/or information to prevent HIV transmission was integrated into the activities of family planning field workers, no negative effect on the image of condoms as a pregnancy prevention method was observed and there was a great demand on the part of family planning clients for information about acquired immunodeficiency syndrome (AIDS). In Brazil, family planning staff are receiving training in HIV risk assessment and the counseling of women in partner negotiation skills. However, steps must be taken to reach men since it is their high-risk behavior that puts most women at risk of HIV. Both separate STD clinics for men and condom social marketing projects have yielded promising results. Obstacles to the addition of STD services to family planning programs include the need to treat male partners as well as female clients, a shortage of diagnostic tools and antibiotics for treatment, and the fact that the majority of women with STDs are asymptomatic. Indicative of the increased attention being given this approach, however, is the recent release of guidelines by the US Agency for International Development Office of Population on how family planning programs should approach integration. Suggested activities include condom promotion, behavior change, counseling, information, contraceptive development, and selected efforts at STD treatment.

  15. 7 CFR 762.148 - Bankruptcy.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... it appears additional recoveries are likely. (6) Monitor confirmed plans under chapters 11, 12 and 13... documentation for the loss claim, and any additional information requested by the Agency, including..., the lender may submit a revised estimated loss claim to obtain payment of the additional amount owed...

  16. 7 CFR 762.148 - Bankruptcy.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... it appears additional recoveries are likely. (6) Monitor confirmed plans under chapters 11, 12 and 13... documentation for the loss claim, and any additional information requested by the Agency, including..., the lender may submit a revised estimated loss claim to obtain payment of the additional amount owed...

  17. 7 CFR 762.148 - Bankruptcy.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... it appears additional recoveries are likely. (6) Monitor confirmed plans under chapters 11, 12 and 13... documentation for the loss claim, and any additional information requested by the Agency, including..., the lender may submit a revised estimated loss claim to obtain payment of the additional amount owed...

  18. The Principal as Technology Leader.

    ERIC Educational Resources Information Center

    Creighton, Theodore

    This book explores the complexities of change and implementation of technology in schools. It looks at current research while providing guidelines to development and planning, and includes sample technology plans. In addition, the book highlights instructional leadership and curriculum, the digital divide between needs and availability, needs…

  19. 47 CFR 52.13 - North American Numbering Plan Administrator.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... North American Numbering Plan Administrator (NANPA) shall be an independent and impartial non-government... section. It shall assign and administer NANP resources in an efficient, effective, fair, unbiased, and non... additional functions, including but not limited to: (1) Ensuring the efficient and effective administration...

  20. 47 CFR 52.13 - North American Numbering Plan Administrator.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... North American Numbering Plan Administrator (NANPA) shall be an independent and impartial non-government... section. It shall assign and administer NANP resources in an efficient, effective, fair, unbiased, and non... additional functions, including but not limited to: (1) Ensuring the efficient and effective administration...

  1. 47 CFR 52.13 - North American Numbering Plan Administrator.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... North American Numbering Plan Administrator (NANPA) shall be an independent and impartial non-government... section. It shall assign and administer NANP resources in an efficient, effective, fair, unbiased, and non... additional functions, including but not limited to: (1) Ensuring the efficient and effective administration...

  2. 47 CFR 52.13 - North American Numbering Plan Administrator.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... North American Numbering Plan Administrator (NANPA) shall be an independent and impartial non-government... section. It shall assign and administer NANP resources in an efficient, effective, fair, unbiased, and non... additional functions, including but not limited to: (1) Ensuring the efficient and effective administration...

  3. The role of family planning communications--an agent of reinforcement or change.

    PubMed

    Chen, E C

    1981-12-01

    Results are presented of a multiple classification analysis of responses to a 1972 KAP survey in Taiwan of 2013 married women aged 18-34 designed to determine whether family planning communication is primarily a reinforcement agent or a change agent. 2 types of independent variables, social demographic variables including age, number of children, residence, education, employment status, and duration of marriage; and social climate variables including ever receiving family planning information from mass media and ever discussing family planning with others, were used. KAP levels, the dependent variables, were measured by 2 variables each: awareness of effective methods and awareness of government supply of contraceptives for knowledge, wish for additional children and approve of 2-child family for attitude, and never use contraception and neither want children nor use contraception for practice. Social demographic and attitudinal variables were found to be the critical ones, while social climate and knowledge variables had only negligible effects on various stages of family planning adoption, indicating that family planning communications functioned primarily as a reinforcement agent. The effects of social demographic variables were prominent in all stages of contraceptive adoption. Examination of effects of individual variables on various stages of family planning adoption still supported the argument that family planning communications played a reinforcement role. Family planning communications functioned well in diffusing family planning knowledge and accessibility, but social demographic variables and desire for additional children were the most decisive influences on use of contraception.

  4. The Oklahoma bombing. Lessons learned.

    PubMed

    Anteau, C M; Williams, L A

    1997-06-01

    The Oklahoma City bombing experience in April of 1995 provided a unique opportunity to test the effectiveness of an existing disaster plan. The critical care nurses at Columbia Presbyterian Hospital learned valuable lessons about managing intense activity, equipment and supplies, staffing resources, and visitor issues. The degree to which the bombing affected the emotional state of personnel was unanticipated, and leaders learned that critical stress management interventions should be included in every emergency preparedness plan. Additionally, recommendations include using runners for communication; assigning specific roles (supplies, staffing, triage); keeping additional staff in reserve for shift relief; ensuring ample hospital staff members are available to coordinate visitors and media; and setting up record systems to preserve continuity. The unique lessons learned as a result of this terrorist attack can be used by other critical care nurses to understand and refine disaster plans.

  5. Risk Selection into Consumer-Directed Health Plans: An Analysis of Family Choices within Large Employers

    PubMed Central

    McDevitt, Roland D; Haviland, Amelia M; Lore, Ryan; Laudenberger, Laura; Eisenberg, Matthew; Sood, Neeraj

    2014-01-01

    Objective To identify the degree of selection into consumer-directed health plans (CDHPs) versus traditional plans over time, and factors that influence choice and temper risk selection. Data Sources/Study Setting Sixteen large employers offering both CDHP and traditional plans during the 2004–2007 period, more than 200,000 families. Study Design We model CDHP choice with logistic regression; predictors include risk scores, in addition to family, choice setting, and plan characteristics. Additional models stratify by account type or single enrollee versus family. Data Collection/Extraction Methods Risk scores, family characteristics, and enrollment decisions are derived from medical claims and enrollment files. Interviews with human resources executives provide additional data. Principal Findings CDHP risk scores were 74 percent of traditional plan scores in the first year, and this difference declined over time. Employer contributions to accounts and employee premium savings fostered CDHP enrollment and reduced risk selection. Having to make an active choice of plan increased CDHP enrollment but also increased risk selection. Risk selection was greater for singles than families and did not differ between HRA and HSA-based CDHPs. Conclusions Risk selection was not severe and it was well managed. Employers have effective methods to encourage CDHP enrollment and temper selection against traditional plans. PMID:24800305

  6. A short guide to giving bad news.

    PubMed

    Mitchell, Jeffrey T

    2008-01-01

    Approaching an individual or a family with bad news, but without an appropriate plan to present the information in a structured manner, is almost a guarantee of greater emotional pain and disruption for the recipients of the news. Crisis interveners must develop a strategic plan for the announcement of bad news. That plan should entail a lead-up phase, a transmission phase, and a followup phase. The lead-up phase encompasses the gathering of accurate, verifiable information and the clear identification of the targets of the information. The transmission phase includes immediate preparation for the presentation of the information, the actual announcement, and the presentation of additional details as questions arise. The follow-up phase includes a range of supportive interventions to assist people in the immediate crisis reaction. It also includes a system of referrals for people who might benefit from additional professional care. This article provides practical guidelines for providing bad news to the loved ones of injured, ill, or deceased people.

  7. Agricultural Resources: Program Planning Guide: Volume 6.

    ERIC Educational Resources Information Center

    German, Carl; And Others

    The program planning guide for agricultural resources was written to assist Applied Biological and Agricultural Occupations (ABAO) teachers in enriching existing programs and/or to provide the basis for expansion of offerings to include additional materials for the cluster areas of forests, recreation, soil, wildlife, and other agricultural…

  8. Forestry: Program Planning Guide: Volume 7.

    ERIC Educational Resources Information Center

    Roth, Paul L.; And Others

    The program planning guide for forestry was written to assist Applied Biological and Agricultural Occupations (ABAO) teachers in enriching existing programs and/or to provide the basis for expansion of offerings to include additional materials for the cluster areas of forests, forest protection, logging, wood utilization, recreation, and special…

  9. Human Capital: Further Actions Needed to Enhance DOD’s Civilian Strategic Workforce Plan

    DTIC Science & Technology

    2010-09-27

    requirement to identify any incentives needed to attract and retain qualified senior leaders— including offering benefits to senior leaders that are...comparable to the benefits provided to general officers. Additionally, DOD’s workforce plan addresses the requirement to identify steps that the...including compensation and benefit enhancements, such as restoration of locality pay and guaranteed cost of living increases, which are necessary

  10. Agricultural Production: Program Planning Guide: Volume 1.

    ERIC Educational Resources Information Center

    Rich, William; Wood, Eugene

    The program planning guide for agricultural production was written to assist Applied Biological and Agricultural Occupations (ABAO) teachers in enriching existing programs and/or to provide the basis for expansion of offerings to include additional materials for the cluster areas of animal science, plant science, farm mechanics, and farm business…

  11. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the following: (1) Applicant's current and prospective traffic base, including by commodity and... prospective traffic base; (3) System-wide plans to maintain equipment and rights-of-way at current or improved... flow projections; (e) Contingency plans for termination of the project before completion, if necessary...

  12. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the following: (1) Applicant's current and prospective traffic base, including by commodity and... prospective traffic base; (3) System-wide plans to maintain equipment and rights-of-way at current or improved... flow projections; (e) Contingency plans for termination of the project before completion, if necessary...

  13. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the following: (1) Applicant's current and prospective traffic base, including by commodity and... prospective traffic base; (3) System-wide plans to maintain equipment and rights-of-way at current or improved... flow projections; (e) Contingency plans for termination of the project before completion, if necessary...

  14. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the following: (1) Applicant's current and prospective traffic base, including by commodity and... prospective traffic base; (3) System-wide plans to maintain equipment and rights-of-way at current or improved... flow projections; (e) Contingency plans for termination of the project before completion, if necessary...

  15. Agricultural Supplies and Services. Program Planning Guide: Volume 2.

    ERIC Educational Resources Information Center

    Welton, Richard; Marks, Michael

    The program planning guide for agricultural supplies and services was written to assist Applied Biological and Agricultural Occupations (ABAO) teachers in enriching existing programs and/or to provide the basis for expansion of offerings to include additional materials for the cluster areas of agricultural chemicals, feeds, seeds, fertilizers, and…

  16. Comprehensive College Plan for 2002-2003.

    ERIC Educational Resources Information Center

    San Antonio Coll., TX.

    This plan for San Antonio College (SAC) (Texas), a college of the Alamo Community College District (ACCD), offers vision and mission statements for both ACCD and SAC. In addition, it details the Institutional Effectiveness process and philosophy for SAC. The document also includes SAC strategic goals and initiatives, and unit strategic objectives,…

  17. Agricultural Mechanics: Program Planning Guide: Volume 3.

    ERIC Educational Resources Information Center

    Bristol, Benton K.

    The program planning guide for agricultural mechanics was written to assist Applied Biological and Agricultural Occupations (ABAO) teachers in enriching existing programs and/or to provide the basis for expansion of offerings to include additional materials for the cluster areas of agricultural power and machinery, structural and conveniences,…

  18. Safety Factors in Educational Facilities. An Annotated Reference List.

    ERIC Educational Resources Information Center

    Wakefield, Howard E.

    Abstracts and descriptor terms are presented for 26 selected references with safety orientation. Included in addition to several general planning handbooks are topics related to--(1) stairways, (2) air structures, (3) site planning, (4) lighting, (5) bidding practice, (6) physically handicapped, (7) laboratory design, (8) mobile classrooms, (9)…

  19. Quality-assurance and data management plan for groundwater activities by the U.S. Geological Survey in Kansas, 2014

    USGS Publications Warehouse

    Putnam, James E.; Hansen, Cristi V.

    2014-01-01

    As the Nation’s principle earth-science information agency, the U.S. Geological Survey (USGS) is depended on to collect data of the highest quality. This document is a quality-assurance plan for groundwater activities (GWQAP) of the Kansas Water Science Center. The purpose of this GWQAP is to establish a minimum set of guidelines and practices to be used by the Kansas Water Science Center to ensure quality in groundwater activities. Included within these practices are the assignment of responsibilities for implementing quality-assurance activities in the Kansas Water Science Center and establishment of review procedures needed to ensure the technical quality and reliability of the groundwater products. In addition, this GWQAP is intended to complement quality-assurance plans for surface-water and water-quality activities and similar plans for the Kansas Water Science Center and general project activities throughout the USGS. This document provides the framework for collecting, analyzing, and reporting groundwater data that are quality assured and quality controlled. This GWQAP presents policies directing the collection, processing, analysis, storage, review, and publication of groundwater data. In addition, policies related to organizational responsibilities, training, project planning, and safety are presented. These policies and practices pertain to all groundwater activities conducted by the Kansas Water Science Center, including data-collection programs, interpretive and research projects. This report also includes the data management plan that describes the progression of data management from data collection to archiving and publication.

  20. Evaluating the Content of Individualized Education Programs and 504 Plans of Young Adolescents with Attention Deficit/Hyperactivity Disorder

    PubMed Central

    Spiel, Craig F.; Evans, Steven W.; Langberg, Joshua M.

    2014-01-01

    The purpose of this study was to evaluate the degree with which Individualized Education Programs (IEPs) and 504 Plans prepared for middle school students with Attention Deficit/Hyperactivity Disorder (ADHD) conformed to best practices and included evidence-based services. Specifically, we examined the problem areas identified in the statement of students’ present level of academic achievement and functional performance (PLAAFP) and targeted in the students’ measurable annual goals and objectives (MAGOs). In addition, we compared services to lists of recommended services provided by the U.S. Department of Education (ED) and reviews of evidence-based practices. Participants were 97 middle school students with ADHD, 61.9% with an IEP and 38.1% with a 504 Plan. Most (85%) IEP PLAAFP statements described nonacademic/behavior problems, but less than half had MAGOs targeting these areas of need. Services listed on IEPs and Section 504 Plans were frequently consistent with ED recommendations, but had little to no research supporting their effectiveness. In addition, services with evidence supporting benefit to students with ADHD were rarely included on IEPs or 504 Plans. Implications for special education policy and future directions are discussed. PMID:25485467

  1. PrEFiNe Plan: Strategic plan for Fabry diseases in Nephrology.

    PubMed

    Del Pino, M D; Ortiz, A; Torra, R; Hernandez, D

    2016-01-01

    Renal failure is one of the main causes of death in patients with Fabry disease (FD). Due to the low prevalence of FD, delayed diagnosis and misdiagnosis, often the correct diagnosis is made when organ damage is already present. Early recognition of the disease would allow the prevention of severe complications and the premature death of patients with FD. We present here the PrEFiNE project, which includes a wide spectrum of activities with the aim of improve knowledge and diagnosis of FD. The project is sponsored by Shire Iberia (http://shireiberica.com/) From January 2016 to the end of 2017 several activities will be carried out, starting with a survey to evaluate current FD knowledge among nephrologists; in addition some studies to assess prevalence of this disease will be performed. One study will include patients receiving dialysis, another study will cover kidney transplant patients, and a pilot study in chronic kidney disease in stage 3-5 predialysis. Also planned is a pharmacoeconomic study to focus on burden of FD. At the same time medical education activities will be conducted both on line and on site. Plan for dissemination will include medical publications and diffusion to media. PrEFiNE Project will finish with the publication of a compilation book on FD in Nephrology including all planned activities and proposing recommendations based on results and detected unmet needs. PrEfiNE Plan will be coordinated by severa scientific committees, one at national level and 10 other regionals comittees, tha will be responsible to ensure the maximum scientific quality of proposed activities. An advisory board will supervise the project. PrEfiNE project will evaluate an action plan focused on improving FD knowledge to make necessary recommendations for an early recognition of the disease. In addition will generate a plan to improve previously undetected needs. Copyright © 2016 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.

  2. Exploring Crisis Management in U.S. Small Businesses

    NASA Astrophysics Data System (ADS)

    Williams, Jon

    As a critical infrastructure, the US electricity grid supplies electricity to 340 million people within eight separate regions. The power infrastructure is vulnerable to many types of disasters capable of severing supplies of electricity. The impact on the employees and communities when small- and medium-size enterprises are shut down due to disasters can be severe. The purpose of the quantitative comparative study was to explore small- and medium-size enterprises crisis management strategies in the case of power infrastructure vulnerabilities. Perceptions of small business leaders were probed about crisis management planning relevant to three secondary factors: prior experience of crises, threat perceptions, and planning self-efficacy. Participants completed an adapted questionnaire instrument based on a five-point Likert scale for six sub-factors including resilience through planning, financial impact, operational crisis management, the perfect storm, the aftermath of survival, and atrophy. The instrument also measured three additional factors to include, prior experience of crises, threat perceptions, and planning self-efficacy, across seven types of crises. The results of this study indicated that of the 276 respondents, 104 had no crisis plans, but 172 did have crisis plans. Of those who had implemented crisis plans, 19% had specific provisions to address power outages or attacks on the electrical grid. Of the respondents who had not planned for power outages nor experienced significant losses of power, a statistically significant number acknowledged an external threat to their business. The majority of respondents indicated that long-term planning was related to resilience; however, the migration of crisis understanding into the planning process or implementation was not implemented. This heightened awareness of potential crises without the corresponding development and implementation of mitigation crisis plans requires additional research to understand drivers effecting the decision making process with crisis managers.

  3. 77 FR 50085 - Rookery Bay, FL and Kachemak Bay, AK National Estuarine Research Reserve Management Plan Revisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-20

    ... priority issues including climate change and harvested species, such as salmon and shellfish. The reserve... land use changes affecting freshwater inflow, loss of native biodiversity, lack of public awareness and... change events. Since the last management plan, the reserve has constructed additional exhibits and a...

  4. Efficient concepts for large erectable space structures

    NASA Technical Reports Server (NTRS)

    Card, M. F.; Bush, H. G.; Heard, W. L., Jr.; Mikulas, M. M., Jr.

    1978-01-01

    The status of Langley Research Center development of the nestable column concept is reviewed including results of member and truss component tests, and planned assembly studies. In addition, more recent studies of alternative member concepts are presented. Preliminary results on relative efficiency of several types of truss-type columns are compared and future test plans discussed.

  5. 77 FR 54602 - Notice of Intent To Conduct Affirmatively Furthering Fair Housing Demonstration in Baltimore, MD...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ... available in mixed-income, integrated communities. In addition, HUD will require that this new affordable... fair housing marketing plan satisfactory to HUD for both the market-rate units and the units that will... (a satisfactory affirmative fair housing marketing plan must include marketing of affordable units to...

  6. 77 FR 8892 - Detailed Planning To Consider Additional Land Protection on the Missouri River From Fort Randall...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... governments, and the public of our intentions and to obtain suggestions and information on the scope of issues to include in the environmental documents. Special mailings, newspaper articles, and other media... information necessary to complete detailed planning and prepare associated documents under the National...

  7. Implementation of mental health parity: lessons from california.

    PubMed

    Rosenbach, Margo L; Lake, Timothy K; Williams, Susan R; Buck, Jeffrey A

    2009-12-01

    This article reports the experiences of health plans, providers, and consumers with California's mental health parity law and discusses implications for implementation of the 2008 federal parity law. This study used a multimodal data collection approach to assess the first five years of California's parity implementation (from 2000 to 2005). Telephone interviews were conducted with 68 state-level stakeholders, and in-person interviews were conducted with 77 community-based stakeholders. Six focus groups included 52 providers, and six included 32 consumers. A semistructured interview protocol was used. Interview notes and transcripts were coded to facilitate analysis. Health plans eliminated differential benefit limits and cost-sharing requirements for certain mental disorders to comply with the law, and they used managed care to control costs. In response to concerns about access to and quality of care, the state expanded oversight of health plans, issuing access-to-care regulations and conducting focused studies. California's parity law applied to a limited list of psychiatric diagnoses. Health plan executives said they spent considerable resources clarifying which diagnoses were covered at parity levels and concluded that the limited diagnosis list was unnecessary with managed care. Providers indicated that the diagnosis list had unintended consequences, including incentives to assign a more severe diagnosis that would be covered at parity levels, rather than a less severe diagnosis that would not be covered at such levels. The lack of consumer knowledge about parity was widely acknowledged, and consumers in the focus groups requested additional information about parity. Experiences in California suggest that implementation of the 2008 federal parity law should include monitoring health plan performance related to access and quality, in addition to monitoring coverage and costs; examining the breadth of diagnoses covered by health plans; and mounting a campaign to educate consumers about their insurance benefits.

  8. 13 CFR 124.704 - What additional management and technical assistance is reserved exclusively for concerns eligible...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... eligible to receive 8(a) contracts, including: (a) Assistance to develop comprehensive business plans with... Participant's growth and development, including loan packaging; and (c) Assistance in obtaining equity and...

  9. High School Science Technology Additions, Midland Public Schools.

    ERIC Educational Resources Information Center

    Design Cost Data, 2001

    2001-01-01

    Discusses design goals, space requirements, and need for mobile furniture and "imagination stations" at Michigan's Midland Public High School science technology addition. Describes the architectural design, costs, and specifications. Includes floor plans, general description, photos and a list of consultants, manufacturers, and suppliers…

  10. Deferred Maintenance Program Handbook.

    ERIC Educational Resources Information Center

    California State Dept. of General Services, Sacramento. Office of Public School Construction.

    This handbook provides process information on California's Deferred Maintenance Program, including a description of the administering body of law. Chapters discuss the program's process on the topics of basic/additional apportionment, fund release (basic/additional and critical hardship), the Deferred Maintenance Five-Year Plan, district deposit,…

  11. 45 CFR 156.285 - Additional standards specific to SHOP.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Section 156.285 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES Qualified Health Plan Minimum Certification Standards § 156.285 Additional standards...

  12. 45 CFR 156.285 - Additional standards specific to SHOP.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Section 156.285 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES Qualified Health Plan Minimum Certification Standards § 156.285 Additional standards...

  13. 45 CFR 156.285 - Additional standards specific to SHOP.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Section 156.285 Public Welfare Department of Health and Human Services REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES Qualified Health Plan Minimum Certification Standards § 156.285 Additional standards...

  14. In Second Year Of Marketplaces, New Entrants, ACA 'Co-Ops,' And Medicaid Plans Restrain Average Premium Growth Rates.

    PubMed

    Gabel, Jon R; Whitmore, Heidi; Green, Matthew; Stromberg, Sam T; Weinstein, Daniel S; Oran, Rebecca

    2015-12-01

    Premiums for health insurance plans offered through the federally facilitated and state-based Marketplaces remained steady or increased only modestly from 2014 to 2015. We used data from the Marketplaces, state insurance departments, and insurer websites to examine patterns of premium pricing and the factors behind these patterns. Our data came from 2,964 unique plans offered in 2014 and 4,153 unique plans offered in 2015 in forty-nine states and the District of Columbia. Using descriptive and multivariate analysis, we found that the addition of a carrier in a rating area lowered average premiums for the two lowest-cost silver plans and the lowest-cost bronze plan by 2.2 percent. When all plans in a rating area were included, an additional carrier was associated with an average decline in premiums of 1.4 percent. Plans in the Consumer Operated and Oriented Plan Program and Medicaid managed care plans had lower premiums and average premium increases than national commercial and Blue Cross and Blue Shield plans. On average, premiums fell by an appreciably larger amount for catastrophic and bronze plans than for gold plans, and premiums for platinum plans increased. This trend of low premium increases overall is unlikely to continue, however, as insurers are faced with mounting medical claims. Project HOPE—The People-to-People Health Foundation, Inc.

  15. The future of hydropower planning modeling

    NASA Astrophysics Data System (ADS)

    Haas, J.; Zuñiga, D.; Nowak, W.; Olivares, M. A.; Castelletti, A.; Thilmant, A.

    2017-12-01

    Planning the investment and operation of hydropower plants with optimization tools dates back to the 1970s. The focus used to be solely on the provision of energy. However, advances in computational capacity and solving algorithms, dynamic markets, expansion of renewable sources, and a better understanding of hydropower environmental impacts have recently led to the development of novel planning approaches. In this work, we provide a review, systematization, and trend analysis of these approaches. Further, through interviews with experts, we outline the future of hydropower planning modeling and identify the gaps towards it. We classified the found models along environmental, economic, multipurpose and technical criteria. Environmental interactions include hydropeaking mitigation, water quality protection and limiting greenhouse gas emissions from reservoirs. Economic and regulatory criteria consider uncertainties of fossil fuel prices and relicensing of water rights and power purchase agreements. Multipurpose considerations account for irrigation, tourism, flood protection and drinking water. Recently included technical details account for sedimentation in reservoirs and variable efficiencies of turbines. Additional operational considerations relate to hydrological aspects such as dynamic reservoir inflows, water losses, and climate change. Although many of the above criteria have been addressed in detail on a project-to-project basis, models remain overly simplistic for planning large power fleets. Future hydropower planning tools are expected to improve the representation of the water-energy nexus, including environmental and multipurpose criteria. Further, they will concentrate on identifying new sources of operational flexibility (e.g. through installing additional turbines and pumps) for integrating renewable energy. The operational detail will increase, potentially emphasizing variable efficiencies, storage capacity losses due to sedimentation, and the timing of inflows (which are becoming more variable under climate change). Finally, the relicensing of existing operations and planning new installations are subject to deep uncertainties that need to be captured.

  16. 76 FR 18583 - Draft Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... drug-related crime, violence, and disease. In addition to its leadership role in developing and..., reduce drug-related crime, violence, and disease. In addition to its leadership role in developing and... communications plan, including new media, for regularly communicating with and requesting input from American...

  17. 75 FR 56653 - Suspension of Preparation of Environmental Impact Statement for the George Bush Intercontinental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ... development needs for the airport. HAS has determined that reevaluation of the Airport Master Plan (AMP.... Based on the results of the AMP, the airfield improvements being analyzed in the EIS included the... that additional planning work is necessary to ensure that the assumptions used in the AMP remain valid...

  18. Implementation plan for HANDI 2000 TWRS master equipment list

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

    BENNION, S.I.

    This document presents the implementation plan for an additional deliverable of the HANDI 2000 Project. The PassPort Equipment Data module processes include those portions of the COTS PassPort system required to support tracking and management of the Master Equipment List for Lockheed Martin Hanford Company (LMHC) and custom software created to work with the COTS products.

  19. Gender Differences in College Leisure Time Physical Activity: Application of the Theory of Planned Behavior and Integrated Behavioral Model

    ERIC Educational Resources Information Center

    Beville, Jill M.; Umstattd Meyer, M. Renée; Usdan, Stuart L.; Turner, Lori W.; Jackson, John C.; Lian, Brad E.

    2014-01-01

    Objective: National data consistently report that males participate in leisure time physical activity (LTPA) at higher rates than females. This study expanded previous research to examine gender differences in LTPA of college students using the theory of planned behavior (TPB) by including 2 additional constructs, descriptive norm and…

  20. Planning and Grants Committee, Council for Higher Education. Annual Report No. 12, Academic Year 1984/85.

    ERIC Educational Resources Information Center

    Atiyah, Yael, Ed.

    The 1984-1985 annual report of the Planning and Grants Committee of the Council for Higher Education in Israel is presented. Reports by the Chairman and Director-General note budgetary developments, including increased government allocation to higher education; the imposition of an additional, temporary tuition charge; and the award of new…

  1. Diploma R.N.'s: A New Challenge for Career Planning and Placement

    ERIC Educational Resources Information Center

    Bostaph, Charles; Moore, Marti

    1978-01-01

    Need for additional college education or career change is becoming common for registered nurses who are graduates of hospital diploma programs. This creates challenges for career planning and placement professionals, including counseling of R.N.s with a variety of majors and needs who wish to enter fields other than hospital nursing. (Author)

  2. State-level emergency preparedness and response capabilities.

    PubMed

    Watkins, Sharon M; Perrotta, Dennis M; Stanbury, Martha; Heumann, Michael; Anderson, Henry; Simms, Erin; Huang, Monica

    2011-03-01

    Prior assessments of public health readiness had identified gaps in radiation preparedness. In recent years, preparedness planning has involved an "all-hazards" approach. Current assessment of the national status related to radiation public health emergency preparedness capabilities at the state and local health department levels was needed. A survey of state health departments related to radiation readiness was undertaken in 2010 by the Council of State and Territorial Epidemiologists (CSTE). States with nuclear power plants were instructed to consider their responses exclusive of capabilities and resources related to the plants given that the emergency response plans for nuclear power plants are specific and unique. Thirty-eight (76%) state health departments responded to the survey, including 26 of the 31 states with nuclear power plants. Specific strengths noted at the state level included that the majority of states had a written radiation response plan and most plans include a detailed section for communications issues during a radiation emergency. In addition, more than half of the states indicated that their relationship with federal partners is sufficient to provide resources for radiation emergencies, indicating the importance states placed on federal resources and expertise. Specific weaknesses are discussed and include that most states had completed little to no planning for public health surveillance to assess potential human health impacts of a radiation event; less than half had written plans to address exposure assessment, environmental sampling, human specimen collection and analysis, and human health assessment. Few reported having sufficient resources to do public health surveillance, radiation exposure assessment, laboratory functions and other capabilities. Levels of planning, resources and partnerships varied among states, those with nuclear power plants were better prepared. Gaps were evident in all states; however and additional training and resources are needed to ensure adequate levels of preparedness. Overall results of this assessment indicate that in most measures of public health capacity and capability, states are poorly prepared to adequately respond to a major radiation emergency event. Specific recommendations are noted in the discussion.

  3. Evaluating the content of Individualized Education Programs and 504 Plans of young adolescents with attention deficit/hyperactivity disorder.

    PubMed

    Spiel, Craig F; Evans, Steven W; Langberg, Joshua M

    2014-12-01

    The purpose of this study was to evaluate the degree with which Individualized Education Programs (IEPs) and 504 Plans prepared for middle school students with attention deficit/hyperactivity disorder (ADHD) conformed to best practices and included evidence-based services. Specifically, we examined the problem areas identified in the statement of students' present level of academic achievement and functional performance (PLAAFP) and targeted in the students' measurable annual goals and objectives (MAGOs). In addition, we compared services with lists of recommended services provided by the U.S. Department of Education (ED) and reviews of evidence-based practices. Participants were 97 middle school students with ADHD, 61.9% with an IEP, and 38.1% with a 504 Plan. Most (85%) IEP PLAAFP statements described nonacademic/behavior problems, but fewer than half had MAGOs targeting these areas of need. Services listed on IEPs and Section 504 Plans were frequently consistent with ED recommendations, but had little to no research supporting their effectiveness. In addition, services with evidence supporting benefit to students with ADHD were rarely included on IEPs or 504 Plans. Implications for special education policy and future directions are discussed. PsycINFO Database Record (c) 2014 APA, all rights reserved.

  4. Teacher-Education Student Perceptions for Stages of Concern Related to Integrating Technology

    ERIC Educational Resources Information Center

    Quadrini, Virginia Horak

    2013-01-01

    In this study, research includes support for technology integration in the classroom. The National Education Technology Plan Summary (2010) included research to support the requirement of teachers to integrate technology into instruction. Teacher-education student programs need to include additional training for integrating technology into…

  5. Planning for retirement from medicine: a mixed-methods study.

    PubMed

    Pannor Silver, Michelle; Easty, Laura K

    2017-01-01

    Evidence suggests there are important personal and social consequences associated with inadequate retirement planning for physicians. We evaluated whether academic physicians felt satisfied with their retirement planning, and identified obstacles to retirement planning and a set of factors to facilitate retirement planning. We applied a sequential mixed-methods research design to explore and examine factors that facilitate academic physician retirement planning using data collected from multiple sources (including 7 focus groups, an internet-based survey and 23 in-depth interviews). We examined survey results regarding retirement planning satisfaction and preferences for complete versus gradual retirement. We used thematic analysis to examine verbatim transcripts and notes from the focus groups and interviews. Survey data (response rate 51%) indicated that 10% of respondents were very satisfied with their retirement planning and 89.5% would prefer to retire gradually rather than stop work completely. Key barriers to retirement planning that emerged included poor personal financial management, rigid institutional structures and professional norms. Facilitators included financial planning resources for physicians at multiple career stages, opportunities and resources for later-career transitions and later-career mentorship support for intergenerational collaboration, and recognition of retirees. Key findings highlight perceived barriers to retirement planning at various career stages in addition to factors that can enhance physicians' retirement planning, including creating gradual and flexible retirement options, supporting ongoing discussions about financial planning and later career transitions, and fostering a culture that continues to honour and involve retirees. Medical institutions could foster innovative models for later-career transitions from medicine in ways that address physicians' needs at various career stages, support gradual transitions from practice and recognize the value of experienced, capable later-career physicians and retirees.

  6. Planning for retirement from medicine: a mixed-methods study

    PubMed Central

    Pannor Silver, Michelle; Easty, Laura K.

    2017-01-01

    Background: Evidence suggests there are important personal and social consequences associated with inadequate retirement planning for physicians. We evaluated whether academic physicians felt satisfied with their retirement planning, and identified obstacles to retirement planning and a set of factors to facilitate retirement planning. Methods: We applied a sequential mixed-methods research design to explore and examine factors that facilitate academic physician retirement planning using data collected from multiple sources (including 7 focus groups, an internet-based survey and 23 in-depth interviews). We examined survey results regarding retirement planning satisfaction and preferences for complete versus gradual retirement. We used thematic analysis to examine verbatim transcripts and notes from the focus groups and interviews. Results: Survey data (response rate 51%) indicated that 10% of respondents were very satisfied with their retirement planning and 89.5% would prefer to retire gradually rather than stop work completely. Key barriers to retirement planning that emerged included poor personal financial management, rigid institutional structures and professional norms. Facilitators included financial planning resources for physicians at multiple career stages, opportunities and resources for later-career transitions and later-career mentorship support for intergenerational collaboration, and recognition of retirees. Interpretation: Key findings highlight perceived barriers to retirement planning at various career stages in addition to factors that can enhance physicians' retirement planning, including creating gradual and flexible retirement options, supporting ongoing discussions about financial planning and later career transitions, and fostering a culture that continues to honour and involve retirees. Medical institutions could foster innovative models for later-career transitions from medicine in ways that address physicians' needs at various career stages, support gradual transitions from practice and recognize the value of experienced, capable later-career physicians and retirees. PMID:28401128

  7. VCE testbed program planning and definition study

    NASA Technical Reports Server (NTRS)

    Westmoreland, J. S.; Godston, J.

    1978-01-01

    The flight definition of the Variable Stream Control Engine (VSCE) was updated to reflect design improvements in the two key components: (1) the low emissions duct burner, and (2) the coannular exhaust nozzle. The testbed design was defined and plans for the overall program were formulated. The effect of these improvements was evaluated for performance, emissions, noise, weight, and length. For experimental large scale testing of the duct burner and coannular nozzle, a design definition of the VCE testbed configuration was made. This included selecting the core engine, determining instrumentation requirements, and selecting the test facilities, in addition to defining control system and assembly requirements. Plans for a comprehensive test program to demonstrate the duct burner and nozzle technologies were formulated. The plans include both aeroacoustic and emissions testing.

  8. 7 CFR 3550.54 - Calculation of income and assets.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... (including gifts); (6) Lump sum additions to family assets such as inheritances; capital gains; insurance... losses; and deferred periodic payments of supplemental security income and Social Security benefits... other forms of capital investments including life insurance policies and retirement plans that are...

  9. Butanol/Gasoline Test Plan

    DTIC Science & Technology

    2012-03-01

    Differences between gasoline fuel and biobutanol fuel including the effects of temperature  Safety-related and health issues including safety...where engine-operating parameters such as fuel consumption , performance, and emissions are monitored under controlled conditions, with the addition...7 3.3 Power and Fuel Consumption

  10. 7 CFR 3550.54 - Calculation of income and assets.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... (including gifts); (6) Lump sum additions to family assets such as inheritances; capital gains; insurance... losses; and deferred periodic payments of supplemental security income and Social Security benefits... other forms of capital investments including life insurance policies and retirement plans that are...

  11. "Crossing the Rubicon": Understanding Chinese EFL Students' Volitional Process Underlying In-Class Participation with the Theory of Planned Behaviour

    ERIC Educational Resources Information Center

    Girardelli, Davide; Patel, Vijay K.; Martins-Shannon, Janine

    2017-01-01

    An extended model based on the theory of planned behaviour (TPB) was used to study Chinese English as a foreign language (EFL) students' in-class participation. The model included the core TPB constructs (behavioural intentions, attitudes, subjective norms, and perceived behavioural control/self-efficacy) and 2 additional constructs (foreign…

  12. Health-sector responses to address the impacts of climate change in Nepal.

    PubMed

    Dhimal, Meghnath; Dhimal, Mandira Lamichhane; Pote-Shrestha, Raja Ram; Groneberg, David A; Kuch, Ulrich

    2017-09-01

    Nepal is highly vulnerable to global climate change, despite its negligible emission of global greenhouse gases. The vulnerable climate-sensitive sectors identified in Nepal's National Adaptation Programme of Action (NAPA) to Climate Change 2010 include agriculture, forestry, water, energy, public health, urbanization and infrastructure, and climate-induced disasters. In addition, analyses carried out as part of the NAPA process have indicated that the impacts of climate change in Nepal are not gender neutral. Vector-borne diseases, diarrhoeal diseases including cholera, malnutrition, cardiorespiratory diseases, psychological stress, and health effects and injuries related to extreme weather are major climate-sensitive health risks in the country. In recent years, research has been done in Nepal in order to understand the changing epidemiology of diseases and generate evidence for decision-making. Based on this evidence, the experience of programme managers, and regular surveillance data, the Government of Nepal has mainstreamed issues related to climate change in development plans, policies and programmes. In particular, the Government of Nepal has addressed climate-sensitive health risks. In addition to the NAPA report, several policy documents have been launched, including the Climate Change Policy 2011; the Nepal Health Sector Programme - Implementation Plan II (NHSP-IP 2) 2010-2015; the National Health Policy 2014; the National Health Sector Strategy 2015-2020 and its implementation plan (2016-2021); and the Health National Adaptation Plan (H-NAP): climate change and health strategy and action plan (2016-2020). However, the translation of these policies and plans of action into tangible action on the ground is still in its infancy in Nepal. Despite this, the health sector's response to addressing the impact of climate change in Nepal may be taken as a good example for other low- and middle-income countries.

  13. 7 CFR 1780.75 - Contract provisions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AGRICULTURE (CONTINUED) WATER AND WASTE LOANS AND GRANTS Planning, Designing, Bidding, Contracting... including the manner by which it will be effected and the basis for settlement. In addition, such contracts...

  14. Superfund Record of Decision (EPA Region 4): Ciba-Geigy, Washington County, Mcintosh, AL. (Second remedial action), September 1991

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

    Not Available

    1991-09-30

    The 1,500-acre Ciba-Geigy site is an active chemical manufacturer in an industrial area in McIntosh, Washington County, Alabama. From 1952 to present, Ciba-Geigy, formerly Geigy Chemical Corporation, has produced various chemicals including DDT, laundry products, herbicides, insecticides, agricultural chelating agents, sequestering agents, plastic resins and additives, antioxidants, and specialty chemicals. In 1985, EPA issued a RCRA permit that included a corrective action plan requiring Ciba-Geigy to remove and treat ground water and surface water contamination at the site. In 1987, as part of the corrective action plan requirements, Ciba-Geigy installed an additional wastewater treatment system and ground water monitoring wells.more » The ROD addresses highly contaminated soil and sludge at 10 of the 11 former waste management areas as OU2. The primary contaminants of concern affecting the soil, sludge, and debris are VOCs including benzene and toluene; other organics including PCBs and pesticides (e.g., DDT); and metals including lead. The selected remedial action for the site is included.« less

  15. Orbit transfer rocket engine technology program. Phase 2: Advanced engine study

    NASA Technical Reports Server (NTRS)

    Erickson, C.; Martinez, A.; Hines, B.

    1987-01-01

    In Phase 2 of the Advanced Engine Study, the Failure Modes and Effects Analysis (FMEA) maintenance-driven engine design, preliminary maintenance plan, and concept for space operable disconnects generated in Phase 1 were further developed. Based on the results of the vehicle contractors Orbit Transfer Vehicle (OTV) Concept Definition and System Analysis Phase A studies, minor revisions to the engine design were made. Additional refinements in the engine design were identified through further engine concept studies. These included an updated engine balance incorporating experimental heat transfer data from the Enhanced Heat Load Thrust Chamber Study and a Rao optimum nozzle contour. The preliminary maintenance plan of Phase 1 was further developed through additional studies. These included a compilation of critical component lives and life limiters and a review of the Space Shuttle Main Engine (SSME) operations and maintenance manual in order to begin outlining the overall maintenance procedures for the Orbit Transfer Vehicle Engine and identifying technology requirements for streamlining space-based operations. Phase 2 efforts also provided further definition to the advanced fluid coupling devices including the selection and preliminary design of a preferred concept and a preliminary test plan for its further development.

  16. Orbiting quarantine facility. The Antaeus report

    NASA Technical Reports Server (NTRS)

    Devincenzi, D. L. (Editor); Bagby, J. R. (Editor)

    1981-01-01

    A mission plan for the Orbiting Quarantine Facility (OQF) is presented. Coverage includes system overview, quarantine and protocol, the laboratory, support systems, cost analysis and possible additional uses of the OQF.

  17. Whooping crane recovery plan

    USGS Publications Warehouse

    Olsen, David L.; Blankenship, David R.; Irby, Harold D.; Erickson, Ray C.; Lock, Ross; Drewien, Roderick C.; Smith, Lawrence S.; Derrickson, Scott R.

    1980-01-01

    This plan has been prepared under the authority of the Endangered Species Act of 1973 and subsequent amendments. The Plan is designed to provide decision makers with an orderly set of events which, if carried out to a successful completion, will result in changing the status of the species from the endangered to the threatened level. It must be recognized that this Plan has been prepared 40 years after attempts to preserve the species began. As such, it covers events that have taken place, that are taking place, and that need to take place. The Plan, therefore, not only compiles in one place all whooping crane management and research efforts which are underway, but also proposes additional efforts needed for the recovery of the whooping crane. The Plan also establishes funding evels, time schedules, and priorities for each management and research effort.The Plan is organized into three parts. the first part includes an account of the whooping crane's history, biology, present status, and the factors believed to have resulted in its endangered status. Also included in this part is a synopsis of research and management activities that have taken place through 1978.The second part is a step-down pan wherein all existing and needed research and management efforts are organized into an orderly set of events. The prime objective is to move the whooping crane to non-endangered status. Minimum requirements for the attainment of this objective are the increase of the historical Wood Buffalo-Aransas population to at least 40 nesting pairs and the establishment of at least two additional, separate, and self-sustaining populations consisting of at least 20 nesting pairs each.the third part identifies the responsibility, time schedule, and cost for each element of the step-down plan.

  18. Continuous Energy Improvement in Motor Driven Systems - A Guidebook for Industry

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

    Gilbert A. McCoy and John G. Douglass

    2014-02-01

    This guidebook provides a step-by-step approach to developing a motor system energy-improvement action plan. An action plan includes which motors should be repaired or replaced with higher efficiency models, recommendations on maintaining a spares inventory, and discussion of improvements in maintenance practices. The guidebook is the successor to DOE’s 1997 Energy Management for Motor Driven Systems. It builds on its predecessor publication by including topics such as power transmission systems and matching driven equipment to process requirements in addition to motors.

  19. A fast optimization algorithm for multicriteria intensity modulated proton therapy planning.

    PubMed

    Chen, Wei; Craft, David; Madden, Thomas M; Zhang, Kewu; Kooy, Hanne M; Herman, Gabor T

    2010-09-01

    To describe a fast projection algorithm for optimizing intensity modulated proton therapy (IMPT) plans and to describe and demonstrate the use of this algorithm in multicriteria IMPT planning. The authors develop a projection-based solver for a class of convex optimization problems and apply it to IMPT treatment planning. The speed of the solver permits its use in multicriteria optimization, where several optimizations are performed which span the space of possible treatment plans. The authors describe a plan database generation procedure which is customized to the requirements of the solver. The optimality precision of the solver can be specified by the user. The authors apply the algorithm to three clinical cases: A pancreas case, an esophagus case, and a tumor along the rib cage case. Detailed analysis of the pancreas case shows that the algorithm is orders of magnitude faster than industry-standard general purpose algorithms (MOSEK'S interior point optimizer, primal simplex optimizer, and dual simplex optimizer). Additionally, the projection solver has almost no memory overhead. The speed and guaranteed accuracy of the algorithm make it suitable for use in multicriteria treatment planning, which requires the computation of several diverse treatment plans. Additionally, given the low memory overhead of the algorithm, the method can be extended to include multiple geometric instances and proton range possibilities, for robust optimization.

  20. Are virtual planning and guided surgery for head and neck reconstruction economically viable?

    PubMed

    Zweifel, Daniel Fritz; Simon, Christian; Hoarau, Remy; Pasche, Philippe; Broome, Martin

    2015-01-01

    Virtual planning and guided surgery with or without prebent or milled plates are becoming more and more common for mandibular reconstruction with fibular free flaps (FFFs). Although this excellent surgical option is being used more widely, the question of the additional cost of planning and cutting-guide production has to be discussed. In capped payment systems such additional costs have to be offset by other savings if there are no special provisions for extra funding. Our study was designed to determine whether using virtual planning and guided surgery resulted in time saved during surgery and whether this time gain resulted in self-funding of such planning through the time saved. All consecutive cases of FFF surgery were evaluated during a 2-year period. Institutional data were used to determine the price of 1 minute of operative time. The time for fibula molding, plate adaptation, and insetting was recorded. During the defined period, we performed 20 mandibular reconstructions using FFFs, 9 with virtual planning and guided surgery and 11 freehand cases. One minute of operative time was calculated to cost US $47.50. Multiplying this number by the time saved, we found that the additional cost of virtual planning was reduced from US $5,098 to US $1,231.50 with a prebent plate and from US $6,980 to US $3,113.50 for a milled plate. Even in capped health care systems, virtual planning and guided surgery including prebent or milled plates are financially viable. Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  1. 43 CFR 3140.6 - Use of additional lands.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... facilities in a Special Tar Sand Area that are needed to support any operations necessary for the recovery of... be filed at the time a plan of operations is filed. (b) A lease for the use of additional lands shall... include, but are not limited to, reservoirs, pipelines, electrical generation systems, transmission lines...

  2. Atmosphere, Magnetosphere and Plasmas in Space (AMPS). Spacelab payload definition study. Volume 7, book 2: AMPS phase C/D analysis and planning document

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The results are presented of the AMPS Phase C/D (Design, Development, and Operations) program analysis and planning effort. Cost and schedule estimates are included. Although the AMPS program has been specifically addressed, these task descriptions are basically adaptable to a broader-based program incorporating additional or different Spacelab/orbiter payloads.

  3. Supplementing the Digitized Sky Survey for UV-Mission Planning

    NASA Technical Reports Server (NTRS)

    McLean, Brian

    2004-01-01

    The Space Telescope Science Institute worked on a project to augment the Digitized Sky Survey archive by completing the scanning and processing of the POSS-I blue survey. This will provide an additional valuable resource to support UV-mission planning. All of the data will be made available through the NASA optical/UV archive (MAST) at STScI. The activities completed during this project are included.

  4. Coast Guard Proceedings. Volume 70, Number 3, Fall 2013

    DTIC Science & Technology

    2013-01-01

    author. Beach areas support recreation, culture, tourism , and provide opportunities for the public to connect with the ocean. U.S. Coast Guard photo...involvement — including the public, tribal leaders, industry, nonprofit and private groups, energy, rec- reational and commercial fishing, tourism ...industry, tourism , and energy). for marine planning to succeed, stakeholders must accept the planning goals. Additionally, long-term goals and visions

  5. Strategic Planning for Academic Administrators; Panning in a College of Business: The Case of Nikita College of Business

    ERIC Educational Resources Information Center

    Simyar, Farhad; Osuji, Louis

    2015-01-01

    In the face of stiff completion for scarce funds to effectively navigate the affairs of business schools, college deans have to come up with strategic plans to ensure that various opinions and inputs of stake holders including faculty and staff are accommodated. Additionally, such deans are expected to come up with goals and objectives designed to…

  6. People and Plans: Training's Role in Homeland Security.

    ERIC Educational Resources Information Center

    Kaplan-Leiserson, Eva

    2003-01-01

    Describes how organizations and trainers are preparing for the unexpected in the wake of the September 11, 2001 terrorist attacks. Includes to-do lists, emergency procedures, and additional resources. (JOW)

  7. 401(k) plan asset allocation, account balances, and loan activity.

    PubMed

    VanDerhei, J; Galer, R; Quick, C; Rea, J

    1999-01-01

    The Employee Benefit Research Institute (EBRI) and the Investment Company Institute (ICI) have been collaborating for the past two years to collect data on participants in 401(k) plans. This effort, known as the EBRI/ICI Participant-Directed Retirement Plan Data Collection Project, has obtained data for 401(k) plan participants from certain of EBRI and ICI sponsors and members serving as plan recordkeepers and administrators. The report includes 1996 information on 6.6 million active participants in 27,762 plans holding nearly $246 billion in assets. The data include demographic information, annual contributions, plan balances, asset allocation, and loans, and are currently the most comprehensive source of information on individual plan participants. In 1996, the first year for which data are ready for analysis, the EBRI/ICI database appears to be broadly representative of the universe of 401(k) plans. Key findings include: for all participants, 44.0 percent of the total plan balance is invested in equity funds, 19.1 percent in employer stock, 15.1 percent in guaranteed investment contracts (GICs), 7.8 percent in balanced funds, 6.8 percent in bond funds, 5.4 percent in money funds, 0.8 percent in other stable value funds, and 1.0 percent in other or unidentified investments. This allocation implies that over two-thirds of plan balances are invested directly or indirectly in equity securities. Asset allocation varies with age. For instance, on average, individuals in their twenties invested 76.8 percent of assets in equities and only 22.1 percent in fixed-income investments. By comparison, individuals in their sixties invested 53.2 percent of their assets in equities and 45.9 percent of assets in fixed-income investments. Investment options offered by 401(k) plans appear to influence asset allocation. For example, the addition of company stock substantially reduces the allocation to equity funds and the addition of GICs lowers allocations to bond and money funds. Employer contributions in the form of company stock affect participant allocation behavior. Participants in plans in which employer contributions are made in company stock appear to decrease allocations to equity funds and to increase the allocation of company stock in self-directed balances. The average account balance (net of plan loans) for all participants is $37,323. The balances, however, represent only amounts with current employers and do not include amounts remaining in the plans of prior employers. Nor do the balances indicate what savings would be in a "mature" 401(k) plan program. The average balances of older workers with long tenure at one employer indicate that a mature 401(k) plan program will produce substantial account balances. For example, individuals in their sixties with at least 30 years of tenure have average account balances in excess of $156,000; those in their fifties have balances in excess of $117,000.

  8. Developing Federal Clinical Care Recommendations for Women.

    PubMed

    Godfrey, Emily M; Tepper, Naomi K; Curtis, Kathryn M; Moskosky, Susan B; Gavin, Loretta E

    2015-08-01

    The provision of family planning services has important health benefits for the U.S. Approximately 25 million women in the U.S. receive contraceptive services annually and 44 million make at least one family planning-related clinical visit each year. These services are provided by private clinicians, as well as publicly funded clinics, including specialty family planning clinics, health departments, Planned Parenthoods, community health centers, and primary care clinics. Recommendations for providing quality family planning services have been published by CDC and the Office of Population Affairs of the DHHS. This paper describes the process used to develop the women's clinical services portion of the new recommendations and the rationale underpinning them. The recommendations define family planning services as contraceptive care, pregnancy testing and counseling, achieving pregnancy, basic infertility care, sexually transmitted disease services, and preconception health. Because many women who seek family planning services have no other source of care, the recommendations also include additional screening services related to women's health, such as cervical cancer screening. These clinical guidelines are aimed at providing the highest-quality care and are designed to establish a national standard for family planning in the U.S. Published by Elsevier Inc.

  9. Utility-Scale Photovoltaic Deployment Scenarios of the Western United States: Implications for Solar Energy Zones in Nevada

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

    Frew, Bethany; Mai, Trieu; Krishnan, Venkat

    2016-12-01

    In this study, we use the National Renewable Energy Laboratory's (NREL's) Regional Energy Deployment System (ReEDS) capacity expansion model to estimate utility-scale photovoltaic (UPV) deployment trends from present day through 2030. The analysis seeks to inform the U.S. Bureau of Land Management's (BLM's) planning activities related to UPV development on federal lands in Nevada as part of the Resource Management Plan (RMP) revision for the Las Vegas and Pahrump field offices. These planning activities include assessing the demand for new or expanded additional Solar Energy Zones (SEZ), per the process outlined in BLM's Western Solar Plan process.

  10. Expert systems tools for Hubble Space Telescope observation scheduling

    NASA Technical Reports Server (NTRS)

    Miller, Glenn; Rosenthal, Don; Cohen, William; Johnston, Mark

    1987-01-01

    The utility of expert systems techniques for the Hubble Space Telescope (HST) planning and scheduling is discussed and a plan for development of expert system tools which will augment the existing ground system is described. Additional capabilities provided by these tools will include graphics-oriented plan evaluation, long-range analysis of the observation pool, analysis of optimal scheduling time intervals, constructing sequences of spacecraft activities which minimize operational overhead, and optimization of linkages between observations. Initial prototyping of a scheduler used the Automated Reasoning Tool running on a LISP workstation.

  11. Integration of second cancer risk calculations in a radiotherapy treatment planning system

    NASA Astrophysics Data System (ADS)

    Hartmann, M.; Schneider, U.

    2014-03-01

    Second cancer risk in patients, in particular in children, who were treated with radiotherapy is an important side effect. It should be minimized by selecting an appropriate treatment plan for the patient. The objectives of this study were to integrate a risk model for radiation induced cancer into a treatment planning system which allows to judge different treatment plans with regard to second cancer induction and to quantify the potential reduction in predicted risk. A model for radiation induced cancer including fractionation effects which is valid for doses in the radiotherapy range was integrated into a treatment planning system. From the three-dimensional (3D) dose distribution the 3D-risk equivalent dose (RED) was calculated on an organ specific basis. In addition to RED further risk coefficients like OED (organ equivalent dose), EAR (excess absolute risk) and LAR (lifetime attributable risk) are computed. A risk model for radiation induced cancer was successfully integrated in a treatment planning system. Several risk coefficients can be viewed and used to obtain critical situations were a plan can be optimised. Risk-volume-histograms and organ specific risks were calculated for different treatment plans and were used in combination with NTCP estimates for plan evaluation. It is concluded that the integration of second cancer risk estimates in a commercial treatment planning system is feasible. It can be used in addition to NTCP modelling for optimising treatment plans which result in the lowest possible second cancer risk for a patient.

  12. The Lunar Mapping and Modeling Project

    NASA Technical Reports Server (NTRS)

    Nall, M.; French, R.; Noble, S.; Muery, K.

    2010-01-01

    The Lunar Mapping and Modeling Project (LMMP) is managing a suite of lunar mapping and modeling tools and data products that support lunar exploration activities, including the planning, de-sign, development, test, and operations associated with crewed and/or robotic operations on the lunar surface. Although the project was initiated primarily to serve the needs of the Constellation program, it is equally suited for supporting landing site selection and planning for a variety of robotic missions, including NASA science and/or human precursor missions and commercial missions such as those planned by the Google Lunar X-Prize participants. In addition, LMMP should prove to be a convenient and useful tool for scientific analysis and for education and public out-reach (E/PO) activities.

  13. Update: Providing Quality Family Planning Services - Recommendations from CDC and the U.S. Office of Population Affairs, 2017.

    PubMed

    Gavin, Loretta; Pazol, Karen; Ahrens, Katherine

    2017-12-22

    In April 2014, CDC published "Providing Quality Family Planning Services: Recommendations of CDC and the U.S. Office of Population Affairs" (QFP), which describes the scope of services that should be offered in a family planning visit and how to provide those services (e.g., periodicity of screening, which persons are in need of services, etc.) (1). The sections in QFP include the following: Determining the Client's Need for Services; Contraceptive Services; Pregnancy Testing and Counseling; Clients Who Want to Become Pregnant; Basic Infertility Services; Preconception Health Services; Sexually Transmitted Disease Services; and Related Preventive Health Services. In addition, the QFP includes an appendix entitled Screening Services for Which Evidence Does Not Support Screening.

  14. Digitalization in the space sector - The Guatemalan experience

    NASA Astrophysics Data System (ADS)

    Robles, Jorge Rodolfo

    The present status of Guatemalan satellite- and communications-related technology is discussed, including recent changes and plans for future work. The international telecommunications capacity and the operations of Guatel are emphasized. Plans for the digitalization of the land-based station Quetzal I and the addition of a second station are described. The equipment and configurations of the digital conversion are specified. The anticipated capacity of the Quetzal I station will be 300,000 telephone lines and the technology used will integrate international digital service for both transmission and exchange. The capacity of the second land station includes 1500 telephone channels, 30 IBS channels, and television transmission and reception. A plan for regional cooperation is proposed to improve the utilization of satellite technology in Central America.

  15. Predicting the consumption of foods low in saturated fats among people diagnosed with Type 2 diabetes and cardiovascular disease. The role of planning in the theory of planned behaviour.

    PubMed

    White, Katherine M; Terry, Deborah J; Troup, Carolyn; Rempel, Lynn A; Norman, Paul

    2010-10-01

    The present study tested the utility of an extended version of the theory of planned behaviour that included a measure of planning, in the prediction of eating foods low in saturated fats among adults diagnosed with Type 2 diabetes and/or cardiovascular disease. Participants (N=184) completed questionnaires assessing standard theory of planned behaviour measures (attitude, subjective norm, and perceived behavioural control) and the additional volitional variable of planning in relation to eating foods low in saturated fats. Self-report consumption of foods low insaturated fats was assessed 1 month later. In partial support of the theory of planned behaviour, results indicated that attitude and subjective norm predicted intentions to eat foods low in saturated fats and intentions and perceived behavioural control predicted the consumption of foods low in saturated fats. As an additional variable, planning predicted the consumption of foods low in saturated fats directly and also mediated the intention-behaviour and perceived behavioural control-behaviour relationships, suggesting an important role for planning as a post-intentional construct determining healthy eating choices. Suggestions are offered for interventions designed to improve adherence to healthy eating recommendations for people diagnosed with these chronic conditions with a specific emphasis on the steps and activities that are required to promote a healthier lifestyle.

  16. Sustainability in Supply Chain Management: Aggregate Planning from Sustainability Perspective.

    PubMed

    Türkay, Metin; Saraçoğlu, Öztürk; Arslan, Mehmet Can

    2016-01-01

    Supply chain management that considers the flow of raw materials, products and information has become a focal issue in modern manufacturing and service systems. Supply chain management requires effective use of assets and information that has far reaching implications beyond satisfaction of customer demand, flow of goods, services or capital. Aggregate planning, a fundamental decision model in supply chain management, refers to the determination of production, inventory, capacity and labor usage levels in the medium term. Traditionally standard mathematical programming formulation is used to devise the aggregate plan so as to minimize the total cost of operations. However, this formulation is purely an economic model that does not include sustainability considerations. In this study, we revise the standard aggregate planning formulation to account for additional environmental and social criteria to incorporate triple bottom line consideration of sustainability. We show how these additional criteria can be appended to traditional cost accounting in order to address sustainability in aggregate planning. We analyze the revised models and interpret the results on a case study from real life that would be insightful for decision makers.

  17. Financial sustainability planning for immunization services in Cambodia.

    PubMed

    Soeung, Sann Chan; Grundy, John; Maynard, Jim; Brooks, Alan; Boreland, Marian; Sarak, Duong; Jenkinson, Karl; Biggs, Beverley-Ann

    2006-07-01

    The expanded programme of immunization was established in Cambodia in 1986. In 2002, 67% of eligible children were immunized, despite significant health sector and macro-economic financial constraints. A financial sustainability planning process for immunization was introduced in 2002, in order to mobilize national and international resources in support of the achievement of child health objectives. The aim of this paper is to outline this process, describe its early impact as an advocacy tool and recommend additional strategies for mobilizing additional resources for health. The methods of financial sustainability planning are described, including the advocacy strategies that were applied. Analysis of financial sustainability planning results indicates rising programme costs associated with new vaccine introduction and new technologies. Despite this, the national programme has demonstrated important early successes in using financial sustainability planning to advocate for increased mobilization of national and international sources of funding for immunization. The national immunization programme nevertheless faces formidable system and financial challenges in the coming years associated with rising costs, potentially diminishing sources of international assistance, and the developing role of sub-national authorities in programme management and financing.

  18. Sustainability in Supply Chain Management: Aggregate Planning from Sustainability Perspective

    PubMed Central

    Türkay, Metin; Saraçoğlu, Öztürk; Arslan, Mehmet Can

    2016-01-01

    Supply chain management that considers the flow of raw materials, products and information has become a focal issue in modern manufacturing and service systems. Supply chain management requires effective use of assets and information that has far reaching implications beyond satisfaction of customer demand, flow of goods, services or capital. Aggregate planning, a fundamental decision model in supply chain management, refers to the determination of production, inventory, capacity and labor usage levels in the medium term. Traditionally standard mathematical programming formulation is used to devise the aggregate plan so as to minimize the total cost of operations. However, this formulation is purely an economic model that does not include sustainability considerations. In this study, we revise the standard aggregate planning formulation to account for additional environmental and social criteria to incorporate triple bottom line consideration of sustainability. We show how these additional criteria can be appended to traditional cost accounting in order to address sustainability in aggregate planning. We analyze the revised models and interpret the results on a case study from real life that would be insightful for decision makers. PMID:26807848

  19. Praxis and guidelines for planned homebirths in the Nordic countries - an overview.

    PubMed

    Lindgren, Helena; Kjaergaard, Hanne; Olafsdottir, Olof Asta; Blix, Ellen

    2014-03-01

    The objective of this overview was to investigate the current situation regarding guidelines and praxis for planned homebirths and also to investigate possibilities for comparative studies on planned homebirths in the Nordic countries (Denmark, Iceland, Norway, Finland and Sweden). National documents on homebirth and midwifery and recommendations regarding management and registration of planned homebirths in the included countries were investigated. Guidelines regarding planned home birth were found in four of the included countries. In Denmark any woman has the right to be attended by a midwife during a homebirth and each county council must present a plan for the organization of birth services, including homebirth services. In Norway and Iceland the service is fully or partly funded by taxes and national guidelines are available but access to a midwife attending the birth varies geographically. In the Stockholm County Council guidelines have been developed for publicly funding of planned home births; for the rest of Sweden no national guidelines have been formulated and the service is privately funded. Inconsistencies in the home birth services of the Nordic countries imply different opportunities for midwifery care to women with regard to their preferred place of birth. Uniform sociodemography, health care systems and cultural context in the Nordic countries are factors in favour of further research to compare and aggregate data on planned home births in this region. Additional data collection is needed since national registers do not sufficiently cover the planned place of birth. Copyright © 2013 Elsevier B.V. All rights reserved.

  20. Addressing the primary care workforce: a study of nurse practitioner students' plans after graduation.

    PubMed

    Budd, Geraldine M; Wolf, Andrea; Haas, Richard Eric

    2015-03-01

    Primary care is a growing area, and nurse practitioners (NPs) hold promise for meeting the need for additional providers. This article reports on the future plans of more than 300 primary care NP students in family, adult, and adult gerontology programs. The sample was obtained through NP faculty, and data were collected via an online survey. Results indicated that although these students chose primary care, only 48% anticipated working in primary care; 26% planned to practice in rural areas, and 16% planned to work in an inner city. Reasons cited as important for pursuing a primary care position included the long-term patient relationship, faculty and preceptor mentors from the NP program, and clinical experiences as a student. Implications include providing more intensive faculty mentoring to increase the number of individuals seeking primary care positions after graduation and help with future career planning to meet personal career and nursing profession needs. Copyright 2015, SLACK Incorporated.

  1. A tax strategy for healthcare workers. Section 403(b) plans are an alternative to weakened IRAs.

    PubMed

    Crain, J L; Morris, J L; Ballard, M R

    1990-01-01

    After the Tax Reform Act of 1986 reduced the tax-deduction benefits of investing in IRAs, many healthcare employees went looking for alternative tax-shelter investments. Several options are available. One alternative for taxpayers employed by tax-exempt organizations is Section 403(b) tax-deferred annuities (TDAs). Although the Tax Reform Act left Section 403(b) TDAs largely intact, it established a comprehensive set of nondiscrimination rules for certain statutory fringe-benefit plans--including Section 403(b) plans. The new rules are designed to restrict situations that favor participation by highly paid employees to the exclusion of other employees. Perhaps one of the harshest adjustments the 1986 law mandated is the imposition of an additional 10 percent income tax on withdrawals an investor makes from Section 403(b) plans before reaching the age of 59 years and 6 months. This excise tax had already applied to early withdrawals from an IRA, but the new law extends the penalty tax to cover all qualified plans, including TDAs.

  2. 33 CFR 155.1125 - Additional response plan requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Additional response plan... Additional Response Plan Requirements for Tankers Loading Cargo at a Facility Permitted Under the Trans-Alaska Pipeline Authorization Act § 155.1125 Additional response plan requirements. (a) The owner or...

  3. 33 CFR 155.1125 - Additional response plan requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Additional response plan... Additional Response Plan Requirements for Tankers Loading Cargo at a Facility Permitted Under the Trans-Alaska Pipeline Authorization Act § 155.1125 Additional response plan requirements. (a) The owner or...

  4. 33 CFR 155.1125 - Additional response plan requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Additional response plan... Additional Response Plan Requirements for Tankers Loading Cargo at a Facility Permitted Under the Trans-Alaska Pipeline Authorization Act § 155.1125 Additional response plan requirements. (a) The owner or...

  5. Project W-314 specific test and evaluation plan for transfer line SN-633 (241-AX-B to 241-AY-02A)

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

    Hays, W.H.

    1998-03-20

    The purpose of this Specific Test and Evaluation Plan (STEP) is to provide a detailed written plan for the systematic testing of modifications made by the addition of the SN-633 transfer line by the W-314 Project. The STEP develops the outline for test procedures that verify the system`s performance to the established Project design criteria. The STEP is a lower tier document based on the W-314 Test and Evaluation Plan (TEP). This STEP encompasses all testing activities required to demonstrate compliance to the project design criteria as it relates to the addition of transfer line SN-633. The Project Design Specificationsmore » (PDS) identify the specific testing activities required for the Project. Testing includes Validations and Verifications (e.g., Commercial Grade Item Dedication activities), Factory Acceptance Tests (FATs), installation tests and inspections, Construction Acceptance Tests (CATs), Acceptance Test Procedures (ATPs), Pre-Operational Test Procedures (POTPs), and Operational Test Procedures (OTPs). It should be noted that POTPs are not required for testing of the transfer line addition. The STEP will be utilized in conjunction with the TEP for verification and validation.« less

  6. Moving granular-bed filter development program, Option III: Development of moving granular-bed filter technology for multi-contaminant control. Task 14: Test plan; Topical report

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

    Haas, J.C.; Olivo, C.A.; Wilson, K.B.

    1994-04-01

    An experimental test plan has been prepared for DOE/METC review and approval to develop a filter media suitable for multi-contaminant control in granular-bed filter (GBF) applications. The plan includes identification, development, and demonstration of methods for enhanced media morphology, chemical reactivity, and mechanical strength. The test plan includes media preparation methods, physical and chemical characterization methods for fresh and reacted media, media evaluation criteria, details of test and analytical equipment, and test matrix of the proposed media testing. A filter media composed of agglomerated limestone and clay was determined to be the best candidate for multi-contaminate control in GBF operation.more » The combined limestone/clay agglomerate has the potential to remove sulfur and alkali species, in addition to particulate, and possibly halogens and trace heavy metals from coal process streams.« less

  7. SU-F-T-345: Quasi-Dead Beams: Clinical Relevance and Implications for Automatic Planning

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

    Price, R; Veltchev, I; Lin, T

    Purpose: Beam direction selection for fixed-beam IMRT planning is typically a manual process. Severe dose-volume limits on critical structures in the thorax often result in atypical selection of beam directions as compared to other body sites. This work demonstrates the potential consequences as well as clinical relevance. Methods: 21 thoracic cases treated with 5–7 beam directions, 6 cases including non-coplanar arrangements, with fractional doses of 150–411cGy were analyzed. Endpoints included per-beam modulation scaling factor (MSF), variation from equal weighting, and delivery QA passing rate. Results: During analysis of patient-specific delivery QA a sub-standard passing rate was found for a singlemore » 5-field plan (90.48% of pixels evaluated passing 3% dose, 3mm DTA). During investigation it was found that a single beam demonstrated a MSF of 34.7 and contributed only 2.7% to the mean dose of the target. In addition, the variation from equal weighting for this beam was 17.3% absolute resulting in another beam with a MSF of 4.6 contributing 41.9% to the mean dose to the target; a variation of 21.9% from equal weighting. The average MSF for the remaining 20 cases was 4.0 (SD 1.8) with an average absolute deviation of 2.8% from equal weighting (SD 3.1%). Conclusion: Optimization in commercial treatment planning systems typically results in relatively equally weighted beams. Extreme variation from this can result in excessively high MSFs (very small segments) and potential decreases in agreement between planned and delivered dose distributions. In addition, the resultant beam may contribute minimal dose to the target (quasi-dead beam); a byproduct being increased treatment time and associated localization uncertainties. Potential ramifications exist for automatic planning algorithms should they allow for user-defined beam directions. Additionally, these quasi-dead beams may be embedded in the libraries for model-based systems potentially resulting in inefficient and less accurate deliveries.« less

  8. Laboratory Directed Research and Development Program FY2011

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

    none, none

    2012-04-27

    Berkeley Lab's research and the Laboratory Directed Research and Development (LDRD) program support DOE's Strategic Themes that are codified in DOE's 2006 Strategic Plan (DOE/CF-0010), with a primary focus on Scientific Discovery and Innovation. For that strategic theme, the Fiscal Year (FY) 2011 LDRD projects support each one of the three goals through multiple strategies described in the plan. In addition, LDRD efforts support the four goals of Energy Security, the two goals of Environmental Responsibility, and Nuclear Security (unclassified fundamental research that supports stockpile safety and nonproliferation programs). Going forward in FY 2012, the LDRD program also supports themore » Goals codified in the new DOE Strategic Plan of May, 2011. The LDRD program also supports Office of Science strategic plans, including the 20-year Scientific Facilities Plan and the Office of Science Strategic Plan. The research also supports the strategic directions periodically under consideration and review by the Office of Science Program Offices, such as LDRD projects germane to new research facility concepts and new fundamental science directions. Brief summares of projects and accomplishments for the period for each division are included.« less

  9. Proposed Bak Stabilization Tennessee River, River Mile 466.2 - 466.5 Hamilton County, Tennessee

    DTIC Science & Technology

    2013-04-01

    Project Planning Branch EA Preparation Mitzy Schaney, Archaeologist Project Planning Branch Cultural Resources Preparation Ramune Morales, Project...addressed in our evaluation. Please contact Mitzy L. Schaney at (615) 736-2268 or mitzy.l.schaney@usace.army.mil if you require additional...of the phased compliance approach. Also include any concerns you would like addressed in our evaluation. Please contact Mitzy L. Schaney at (615) 736

  10. Evacuation Planning in the TMI Accident

    DTIC Science & Technology

    1980-01-01

    their scientific counterparts (for a particular hazard) can arrange planned and systematic procedures for handling the "translation" of a technical hazard...conditions is combined with a limited number of jurisdictions which can be integrated in a state-wide or large area disaster-response operation. These...should include not only the expansion of communications available locally but also their augmentation by mobile radio units and other additions which can

  11. Handbook to additional fungal species of special concern in the Northwest Forest Plan.

    Treesearch

    Michael A. Castellano; Efren Cazares; Bryan Fondrick; Tina Dreisbach

    2003-01-01

    This handbook is a companion to the Handbook to Strategy 1 Fungal Species in the Northwest Forest Plan, Gen. Tech. Rep. PNW-GTR-476, published in October 1999. It includes 73 record-of-decision (ROD)-listed fungal species not contained in the first handbook, as well as updated site, field, and collecting forms; an expanded set of artificial keys to all fungal species...

  12. 77 FR 36994 - Questa Ranger District, Carson National Forest; Taos County, NM; Taos Ski Valley's 2010 Master...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-20

    ... County, NM; Taos Ski Valley's 2010 Master Development Plan--Phase 1 Projects; Additional Filings AGENCY... environmental impact statement for a proposal to authorize several (Phase 1) projects included in the Taos Ski... (ROD) are expected in July 2012. Change in Responsible Official: In addition, this notice changes the...

  13. Spill Prevention Control and Countermeasure Plan, Headquarters, U.S. Army Garrison, Fort Ritchie, Maryland

    DTIC Science & Technology

    1993-04-01

    additive (55 gal) - paint (180 gal total) - algicide (55 gal) - sodium bisulfite - lube oil (200 gal) - ethylene glycol (55 gal) - detergent (30 gal...I 2.6.1 Storage Hazardous materials stored in Building 601 include:I * 55 gal of fuel additive, • 180 gal total volume of paint, * 55 gal of algicide

  14. Decommissioning Handbook

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

    Not Available

    1994-03-01

    The Decommissioning Handbook is a technical guide for the decommissioning of nuclear facilities. The decommissioning of a nuclear facility involves the removal of the radioactive and, for practical reasons, hazardous materials to enable the facility to be released and not represent a further risk to human health and the environment. This handbook identifies and technologies and techniques that will accomplish these objectives. The emphasis in this handbook is on characterization; waste treatment; decontamination; dismantling, segmenting, demolition; and remote technologies. Other aspects that are discussed in some detail include the regulations governing decommissioning, worker and environmental protection, and packaging and transportationmore » of the waste materials. The handbook describes in general terms the overall decommissioning project, including planning, cost estimating, and operating practices that would ease preparation of the Decommissioning Plan and the decommissioning itself. The reader is referred to other documents for more detailed information. This Decommissioning Handbook has been prepared by Enserch Environmental Corporation for the US Department of Energy and is a complete restructuring of the original handbook developed in 1980 by Nuclear Energy Services. The significant changes between the two documents are the addition of current and the deletion of obsolete technologies and the addition of chapters on project planning and the Decommissioning Plan, regulatory requirements, characterization, remote technology, and packaging and transportation of the waste materials.« less

  15. Integrating predictive information into an agro-economic model to guide agricultural planning

    NASA Astrophysics Data System (ADS)

    Block, Paul; Zhang, Ying; You, Liangzhi

    2017-04-01

    Seasonal climate forecasts can inform long-range planning, including water resources utilization and allocation, however quantifying the value of this information on the economy is often challenging. For rain-fed farmers, skillful season-ahead predictions may lead to superior planning, as compared to business as usual strategies, resulting in additional benefits or reduced losses. In this study, regional-level probabilistic precipitation forecasts of the major rainy season in Ethiopia are fed into an agro-economic model, adapted from the International Food Policy Research Institute, to evaluate economic outcomes (GDP, poverty rates, etc.) as compared with a no-forecast approach. Based on forecasted conditions, farmers can select various actions: adjusting crop area and crop type, purchasing drought resistant seed, or applying additional fertilizer. Preliminary results favor the forecast-based approach, particularly through crop area reallocation.

  16. Setting Priorities for Regional Conservation Planning in the Mediterranean Sea

    PubMed Central

    Micheli, Fiorenza; Levin, Noam; Giakoumi, Sylvaine; Katsanevakis, Stelios; Abdulla, Ameer; Coll, Marta; Fraschetti, Simonetta; Kark, Salit; Koutsoubas, Drosos; Mackelworth, Peter; Maiorano, Luigi; Possingham, Hugh P.

    2013-01-01

    Spatial prioritization in conservation is required to direct limited resources to where actions are most urgently needed and most likely to produce effective conservation outcomes. In an effort to advance the protection of a highly threatened hotspot of marine biodiversity, the Mediterranean Sea, multiple spatial conservation plans have been developed in recent years. Here, we review and integrate these different plans with the goal of identifying priority conservation areas that represent the current consensus among the different initiatives. A review of six existing and twelve proposed conservation initiatives highlights gaps in conservation and management planning, particularly within the southern and eastern regions of the Mediterranean and for offshore and deep sea habitats. The eighteen initiatives vary substantially in their extent (covering 0.1–58.5% of the Mediterranean Sea) and in the location of additional proposed conservation and management areas. Differences in the criteria, approaches and data used explain such variation. Despite the diversity among proposals, our analyses identified ten areas, encompassing 10% of the Mediterranean Sea, that are consistently identified among the existing proposals, with an additional 10% selected by at least five proposals. These areas represent top priorities for immediate conservation action. Despite the plethora of initiatives, major challenges face Mediterranean biodiversity and conservation. These include the need for spatial prioritization within a comprehensive framework for regional conservation planning, the acquisition of additional information from data-poor areas, species or habitats, and addressing the challenges of establishing transboundary governance and collaboration in socially, culturally and politically complex conditions. Collective prioritised action, not new conservation plans, is needed for the north, western, and high seas of the Mediterranean, while developing initial information-based plans for the south and eastern Mediterranean is an urgent requirement for true regional conservation planning. PMID:23577060

  17. Patient Protection and Affordable Care Act; annual eligibility redeterminations for exchange participation and insurance affordability programs; health insurance issuer standards under the Affordable Care Act, including standards related to exchanges. Final rule.

    PubMed

    2014-09-05

    This final rule specifies additional options for annual eligibility redeterminations and renewal and re-enrollment notice requirements for qualified health plans offered through the Exchange, beginning with annual redeterminations for coverage for benefit year 2015. This final rule provides additional flexibility for Exchanges, including the ability to propose unique approaches that meet the specific needs of their state, while streamlining the consumer experience.

  18. Impact of the lung oncology multidisciplinary team meetings on the management of patients with cancer.

    PubMed

    Ung, Kim Ann; Campbell, Belinda A; Duplan, Danny; Ball, David; David, Steven

    2016-06-01

    Multidisciplinary team (MDT) meetings are increasingly regarded as a component of multidisciplinary cancer care. We aimed to prospectively measure the impact of MDT meetings on clinicians' management plans for lung oncology patients, and the implementation rate of the meeting recommendations. Consecutive patient cases presented at the weekly lung oncology MDT meetings were prospectively enrolled. Investigators compared the clinicians' management plans pre-meeting with the consensus plans post-meeting. The meeting was considered to have an impact on management plans if ≥1 of the following changes were detected: tumor stage, histology, treatment intent or treatment modality, or if additional investigations were recommended. Investigators reviewed hospital patient records at 4 months to determine if the meeting recommendations were implemented. Reasons for non-implementation were also recorded. Of the 55 eligible cases, the MDT meeting changed management plans in 58% (CI 45-71%; P < 0.005). These changes included: additional investigations (59%), or changes in treatment modality (19%), treatment intent (9%), histology (6%) or tumor stage (6%). The meeting recommendations were implemented in 72% of cases. Reasons for non-implementation included deteriorating patient performance status, clinician's preference, the influence of new clinical information obtained after the meeting or patient decision. MDT meetings significantly impact on the management plans for lung oncology patients. The majority of MDT recommendations (72%) were implemented into patient care. These findings provide further evidence to support the role of MDT meetings as an essential part of the decision-making process for the optimal multidisciplinary management of patients with cancer. © 2014 Wiley Publishing Asia Pty Ltd.

  19. 25 CFR 273.18 - Additional requirements for education plan.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Application Process § 273.18... needed to carry out the contract. (o) State the period of contract term requested. (p) Include the...

  20. 25 CFR 273.18 - Additional requirements for education plan.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Application Process § 273.18... needed to carry out the contract. (o) State the period of contract term requested. (p) Include the...

  1. 25 CFR 273.18 - Additional requirements for education plan.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Application Process § 273.18... needed to carry out the contract. (o) State the period of contract term requested. (p) Include the...

  2. 20 CFR 669.500 - What performance measures and standards apply to the NFJP?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... must be included in the approved plan. (b) We may develop additional performance indicators with... service area economy and local demographics of eligible MSFW's. The levels of performance for these...

  3. SU-E-T-97: An Analysis of Knowledge Based Planning for Stereotactic Body Radiation Therapy of the Spine

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

    Foy, J; Marsh, R; Owen, D

    2015-06-15

    Purpose: Creating high quality SBRT treatment plans for the spine is often tedious and time consuming. In addition, the quality of treatment plans can vary greatly between treatment facilities due to inconsistencies in planning methods. This study investigates the performance of knowledge-based planning (KBP) for spine SBRT. Methods: Treatment plans were created for 28 spine SBRT patients. Each case was planned to meet strict dose objectives and guidelines. After physician and physicist approval, the plans were added to a custom model in a KBP system (RapidPlan, Varian Eclipse v13.5). The model was then trained to be able to predict estimatedmore » DVHs and provide starting objective functions for future patients based on both generated and manual objectives. To validate the model, ten additional spine SBRT cases were planned manually as well as using the model objectives. Plans were compared based on planning time and quality (ability to meet the plan objectives, including dose metrics and conformity). Results: The average dose to the spinal cord and the cord PRV differed between the validation and control plans by <0.25% demonstrating iso-toxicity. Six out of 10 validation plans met all dose objectives without the need for modifications, and overall, target dose coverage was increased by about 4.8%. If the validation plans did not meet the dose requirements initially, only 1–2 iterations of modifying the planning parameters were required before an acceptable plan was achieved. While manually created plans usually required 30 minutes to 3 hours to create, KBP can be used to create similar quality plans in 15–20 minutes. Conclusion: KBP for spinal tumors has shown to greatly decrease the amount of time required to achieve high quality treatment plans with minimal human intervention and could feasibly be used to standardize plan quality between institutions. Supported by Varian Medical Systems.« less

  4. Enroute flight-path planning - Cooperative performance of flight crews and knowledge-based systems

    NASA Technical Reports Server (NTRS)

    Smith, Philip J.; Mccoy, Elaine; Layton, Chuck; Galdes, Deb

    1989-01-01

    Interface design issues associated with the introduction of knowledge-based systems into the cockpit are discussed. Such issues include not only questions about display and control design, they also include deeper system design issues such as questions about the alternative roles and responsibilities of the flight crew and the computer system. In addition, the feasibility of using enroute flight path planning as a context for exploring such research questions is considered. In particular, the development of a prototyping shell that allows rapid design and study of alternative interfaces and system designs is discussed.

  5. How are state insurance marketplaces shaping health plan design?

    PubMed

    Rosenbaum, Sara; Lopez, Nancy; Mehta, Devi; Dorley, Mark; Burke, Taylor; Widge, Alicia

    2013-12-01

    Part of states' roles in administering the new health insurance marketplaces is to certify the health plans available for purchase. This analysis focuses on how state-based and state partnership marketplaces are using their flexibility in setting certification standards to shape plan design in the individual market. It focuses on three aspects of certification: provider networks; inclusion of essential community providers; and benefit substitution, which allows plans to offer benefits that differ from a state's benchmark plan. A review of documents collected from 18 states and the District of Columbia finds that 13 states go beyond the minimum federal requirements with respect to provider network standards, four states specify additional standards for including essential community providers, and five states and Washington, D.C., bar benefit substitution. These interstate variations in plan design reflect the challenges policymakers face in balancing health care affordability, benefit coverage, and access to care through the marketplace plans.

  6. Data Validation Package, June 2016 Groundwater Sampling at the Hallam, Nebraska, Decommissioned Reactor Site, August 2016

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

    Surovchak, Scott; Miller, Michele

    The 2008 Long-Term Surveillance Plan [LTSP] for the Decommissioned Hallam Nuclear Power Facility, Hallam, Nebraska (http://www.lm.doe.gov/Hallam/Documents.aspx) requires groundwater monitoring once every 2 years. Seventeen monitoring wells at the Hallam site were sampled during this event as specified in the plan. Planned monitoring locations are shown in Attachment 1, Sampling and Analysis Work Order. Water levels were measured at all sampled wells and at two additional wells (6A and 6B) prior to the start of sampling. Additionally, water levels of each sampled well were measured at the beginning of sampling. See Attachment 2, Trip Report, for additional details. Sampling and analysismore » were conducted as specified in Sampling and Analysis Plan for U.S. Department of Energy Office of Legacy Management Sites (LMS/PRO/S04351, continually updated, http://energy.gov/lm/downloads/sampling-and-analysis-plan-us-department- energy-office-legacy-management-sites). Gross alpha and gross beta are the only parameters that were detected at statistically significant concentrations. Time/concentration graphs of the gross alpha and gross beta data are included in Attachment 3, Data Presentation. The gross alpha and gross beta activity concentrations observed are consistent with values previously observed and are attributed to naturally occurring radionuclides (e.g., uranium and uranium decay chain products) in the groundwater.« less

  7. FRX-L Research Status and Plans

    NASA Astrophysics Data System (ADS)

    Wurden, G. A.; Intrator, T. P.; Taccetti, J. M.; Furno, I. G.; Hsu, S. C.; Zhang, S. Y.; Degnan, J. H.; Grabowski, C.; Ruden, E. L.

    2003-10-01

    Our research plans for FRX-L, the field reversed configuration plasma injector at LANL for magnetized target fusion (MTF), have been planned for the next 4-year period. FRX-L has been successfully operating now for the last two years, although construction for both the machine and diagnostic sets is ongoing. Efforts in FY04 begin with continued improvements in the basic high density FRC parameters, through operation at increased magnetic fields and with the addition of a more effective main bank crowbar to reduce parasitic ringing in the high current main coil circuit. Translation experiments into a "fake" metal liner, perforated with diagnostic access ports, will start after designing and constructing the translation section. Another bank of capacitors will be added to power the additional guide and mirror coils. After demonstrating trapping of the plasma in the aluminum liner, and diagnosing sufficient plasma parameters (density, temperature, lifetime, purity), we will begin preparations for the integrated plasma/liner compression experiment at the Air Force Research Laboratory Shiva-Star machine in FY05. Construction of the new hardware will continue during FY06, and the first fusion-relevant demonstration of compression of plasma by an imploding metal liner is planned for FY07. Our MTF plans also include new initiatives with U of Washington, U of Wisconsin, and the University of New Mexico, in addition to ongoing theory ties to LLNL and GA.

  8. Innovative applications of artificial intelligence

    NASA Astrophysics Data System (ADS)

    Schorr, Herbert; Rappaport, Alain

    Papers concerning applications of artificial intelligence are presented, covering applications in aerospace technology, banking and finance, biotechnology, emergency services, law, media planning, music, the military, operations management, personnel management, retail packaging, and manufacturing assembly and design. Specific topics include Space Shuttle telemetry monitoring, an intelligent training system for Space Shuttle flight controllers, an expert system for the diagnostics of manufacturing equipment, a logistics management system, a cooling systems design assistant, and a knowledge-based integrated circuit design critic. Additional topics include a hydraulic circuit design assistant, the use of a connector assembly specification expert system to harness detailed assembly process knowledge, a mixed initiative approach to airlift planning, naval battle management decision aids, an inventory simulation tool, a peptide synthesis expert system, and a system for planning the discharging and loading of container ships.

  9. Application of remote sensing to state and regional problems

    NASA Technical Reports Server (NTRS)

    Miller, W. F.; Clark, J. R.; Solomon, J. L.; Duffy, B.; Minchew, K.; Wright, L. H. (Principal Investigator)

    1981-01-01

    The objectives, accomplishments, and future plans of several LANDSAT applications projects in Mississippi are discussed. The applications include land use planning in Lowandes County, strip mine inventory and reclamation, white tailed deer habitat evaluation, data analysis support systems, discrimination of forest habitats in potential lignite areas, changes in gravel operations, and determination of freshwater wetlands for inventory and monitoring. In addition, a conceptual design for a LANDSAT based information system is discussed.

  10. 40 CFR 267.52 - What must be in the contingency plan?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... hazardous waste or hazardous waste constituents to air, soil, or surface water at the facility. (2) Describe... decontamination equipment), where this equipment is required. In addition, you must include the location and a...

  11. 77 FR 72511 - Approval, Disapproval and Promulgation of Air Quality Implementation Plans; Arizona; Regional...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-05

    ... Consulting & Research, Inc. (57) The initials RMC mean or refer to Regional Modeling Center. (58) The... whether an alternative test method to the one required in the SIP is acceptable for PM 10. In addition, we..., we allow the use of Method 5 as an alternative to Method 201A/202. In addition, the FIP includes a...

  12. Treatment Study Plan for Nitrate Salt Waste Remediation Revision 1.0

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

    Juarez, Catherine L.; Funk, David John; Vigil-Holterman, Luciana R.

    2016-03-07

    The two stabilization treatment methods that are to be examined for their effectiveness in the treatment of both the unremediated and remediated nitrate salt wastes include (1) the addition of zeolite and (2) cementation. Zeolite addition is proposed based on the results of several studies and analyses that specifically examined the effectiveness of this process for deactivating nitrate salts. Cementation is also being assessed because of its prevalence as an immobilization method used for similar wastes at numerous facilities around the DOE complex, including at Los Alamos. The results of this Treatment Study Plan will be used to provide themore » basis for a Resource Conservation and Recovery Act (RCRA) permit modification request of the LANL Hazardous Waste Facility Permit for approval by the New Mexico Environment Department-Hazardous Waste Bureau (NMED-HWB) of the proposed treatment process and the associated facilities.« less

  13. Full power level development of the Space Shuttle main engine

    NASA Technical Reports Server (NTRS)

    Johnson, J. R.; Colbo, H. I.

    1982-01-01

    Development of the Space Shuttle main engine for nominal operation at full power level (109 percent rated power) is continuing in parallel with the successful flight testing of the Space Transportation System. Verification of changes made to the rated power level configuration currently being flown on the Orbiter Columbia is in progress and the certification testing of the full power level configuration has begun. The certification test plan includes the accumulation of 10,000 seconds on each of two engines by early 1983. Certification testing includes the simulation of nominal mission duty cycles as well as the two abort thrust profiles: abort to orbit and return to launch site. Several of the certification tests are conducted at 111 percent power to demonstrate additional safety margins. In addition to the flight test and development program results, future plans for life demonstration and engine uprating will be discussed.

  14. A roadmap for the prevention of dementia II: Leon Thal Symposium 2008.

    PubMed

    Khachaturian, Zaven S; Snyder, Peter J; Doody, Rachelle; Aisen, Paul; Comer, Meryl; Dwyer, John; Frank, Richard A; Holzapfel, Andrew; Khachaturian, Ara S; Korczyn, Amos D; Roses, Allen; Simpkins, James W; Schneider, Lon S; Albert, Marilyn S; Egge, Robert; Deves, Aaron; Ferris, Steven; Greenberg, Barry D; Johnson, Carl; Kukull, Walter A; Poirier, Judes; Schenk, Dale; Thies, William; Gauthier, Serge; Gilman, Sid; Bernick, Charles; Cummings, Jeffrey L; Fillit, Howard; Grundman, Michael; Kaye, Jeff; Mucke, Lennart; Reisberg, Barry; Sano, Mary; Pickeral, Oxana; Petersen, Ronald C; Mohs, Richard C; Carrillo, Maria; Corey-Bloom, Jody P; Foster, Norman L; Jacobsen, Steve; Lee, Virginia; Potter, William Z; Sabbagh, Marwan N; Salmon, David; Trojanowski, John Q; Wexler, Nancy; Bain, Lisa J

    2009-03-01

    This document proposes an array of recommendations for a National Plan of Action to accelerate the discovery and development of therapies to delay or prevent the onset of disabling symptoms of Alzheimer's disease. A number of key scientific and public-policy needs identified in this document will be incorporated by the Alzheimer Study Group into a broader National Alzheimer's Strategic Plan, which will be presented to the 111th Congress and the Obama administration in March 2009. The Alzheimer's Strategic Plan is expected to include additional recommendations for governance, family support, healthcare, and delivery of social services.

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

    Brown, Geoffrey Wayne; Leonard, Philip; Hartline, Ernest Leon

    High Explosives and Technology (M-7) completed the second round of formulation and testing of Remediated Nitrate Salt (RNS) surrogates on March 17, 2016. This report summarizes the results of the work and also includes additional documentation required under test plan PLAN-TA9-2443 Rev B, "Remediated Nitrate Salt (RNS) Surrogate Formulation and Testing Standard Procedure", released February 16, 2016. All formulation and testing was carried out according to PLAN-TA9-2443 Rev B. Results from the first round of formulation and testing were documented in memorandum M7-16-6042, "Results from First Round of Remediated Nitrate Salt Surrogate Formulation and Testing."

  16. 5. Photographic copy of engineering drawing showing plans, elevation and ...

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

    5. Photographic copy of engineering drawing showing plans, elevation and section of Deluge Water System, including reservior (4316), Pump House (4317), and water tower. Job No. Muroc A(5-ll), Military Construction, San Bernardino-Mojave Area, San Bernardino, California: Muroc Bombing Range, Muroc Lake, California.; Additional Facilities for Materiel Center Flight Test Base, Water Supply System, Plans and Sections, Sheet 5 of 10, May 1943. Records on file at AFFTC/CE-CECC-B (Design/Construction Flight/RPMC), Edwards AFB, California. - Edwards Air Force Base, North Base, Deluge Water Pumping Station, Near Second & D Streets, Boron, Kern County, CA

  17. How Biobanks Are Assessing and Measuring Their Financial Sustainability.

    PubMed

    Brown, Tony; Kelly, Devon D; Vercauteren, Suzanne M; Wilson, William H; Werner, Alexander

    2017-02-01

    As guest editors of this sustainability issue of Biopreservation and Biobanking focused on business planning, utilization, and marketing, we invited a number of experts from different sectors of the biobanking arena to provide their views on business planning issues. Each expert was asked to provide a brief background statement on their biobanks, to build a context to understand their answers to the sustainability questions. We hope that these insights and experiences can provide valuable considerations and ideas for other biobanks who wish to develop or refine their own business plans, measure their utilization rates, and work toward financial sustainability. In addition, after the expert input was gathered, the guest editors invited an additional expert to provide summary comments and observations on cost and operational optimization strategies. The broad experiences from all of the experts included and scope of the biobanks they represent should provide a level of relevant representation for all interested parties.

  18. A Status of NASA Rotorcraft Research

    DTIC Science & Technology

    2009-09-01

    approximate threefold range in the values of CP. It has been found useful in many cases to include additional independent variables and group...and improved rotorcraft. These needs include better analysis and better data. Many plans proposed for NASA rotorcraft research are discussed here, to...a successful active noise- control system include : obtaining a clean reference signal with minimal phase jitter; achieving a global reduction of

  19. GOSAT-2 : Science Plan, Products, Validation, and Application

    NASA Astrophysics Data System (ADS)

    Matsunaga, T.; Morino, I.; Yoshida, Y.; Saito, M.; Hiraki, K.; Yokota, Y.; Kamei, A.; Oishi, Y.; Dupuy, E.; Murakami, K.; Ninomiya, K.; Pang, J. S.; Yokota, T.; Maksyutov, S. S.; Machida, T.; Saigusa, N.; Mukai, H.; Nakajima, M.; Imasu, R.; Nakajima, T.

    2013-12-01

    Based on the success of Greenhouse Gases Observing Satellite (GOSAT) launched in 2009, Ministry of the Environment (MOE), Japan Space Exploration Agency (JAXA), and National Institute for Environmental Studies (NIES) started the preparations for the follow-on satellite, GOSAT-2 in FY2011. The current target launch year of GOSAT-2 is FY2017. The objectives of GOSAT-2 include : 1) Continue and enhance spaceborne greenhouse gases observation started by GOSAT, 2) Improve our understanding of global and regional carbon cycles, and 3) Contribute to the climate change related policies as one of MRV(Measurement, Reporting, and Verification) tools for carbon emission reduction. As a scientific background/rationale of GOSAT-2, GOSAT-2 Science Plan is being edited by GOSAT-2 Science Team Preparation Committee. Not only carbon dioxide and methane but also carbon monoxide, tropospheric ozone, and aerosols are discussed in the plan. GOSAT-2 Level 2 (gas concentrations) and Level 4 (gas fluxes) products will be operationally generated at and distributed from GOSAT-2 Data Handling Facility located in NIES. In addition, a new supercomputer dedicated to GOSAT-2 research and development will be also installed in NIES. GOSAT-2 validation plan is also being discussed. Its baseline is similar to the current GOSAT . But various efforts will be made to extend the coverage of validation data for GOSAT-2. The efforts include the increased commercial passenger aircraft volunteering atmospheric measurements and additional ground-based Fourier transform spectrometers to be newly installed in Asian countries. In addition, a compact accelerator mass spectrometer is being introduced to NIES to investigate the contributions of anthropogenic emissions which is important for GOSAT-2. Climate change related policies include JCM (Joint Crediting Mechanism) in which MRV plays a critical role. MRV tools used in the existing JCM projects are mostly ground-based and site-specific. Satellite atmospheric measurements such as GOSAT or GOSAT-2 are expected to be more general and independent MRV tools and complement ground-based tools. The current status of GOSAT-2 science plan, products, validation, and application will be shown in the presentation.

  20. Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System

    PubMed Central

    Court, Laurence E.; Kisling, Kelly; McCarroll, Rachel; Zhang, Lifei; Yang, Jinzhong; Simonds, Hannah; du Toit, Monique; Trauernicht, Chris; Burger, Hester; Parkes, Jeannette; Mejia, Mike; Bojador, Maureen; Balter, Peter; Branco, Daniela; Steinmann, Angela; Baltz, Garrett; Gay, Skylar; Anderson, Brian; Cardenas, Carlos; Jhingran, Anuja; Shaitelman, Simona; Bogler, Oliver; Schmeller, Kathleen; Followill, David; Howell, Rebecca; Nelson, Christopher; Peterson, Christine; Beadle, Beth

    2018-01-01

    The Radiation Planning Assistant (RPA) is a system developed for the fully automated creation of radiotherapy treatment plans, including volume-modulated arc therapy (VMAT) plans for patients with head/neck cancer and 4-field box plans for patients with cervical cancer. It is a combination of specially developed in-house software that uses an application programming interface to communicate with a commercial radiotherapy treatment planning system. It also interfaces with a commercial secondary dose verification software. The necessary inputs to the system are a Treatment Plan Order, approved by the radiation oncologist, and a simulation computed tomography (CT) image, approved by the radiographer. The RPA then generates a complete radiotherapy treatment plan. For the cervical cancer treatment plans, no additional user intervention is necessary until the plan is complete. For head/neck treatment plans, after the normal tissue and some of the target structures are automatically delineated on the CT image, the radiation oncologist must review the contours, making edits if necessary. They also delineate the gross tumor volume. The RPA then completes the treatment planning process, creating a VMAT plan. Finally, the completed plan must be reviewed by qualified clinical staff. PMID:29708544

  1. Utilizing a Pediatric Disaster Coalition Model to Increase Pediatric Critical Care Surge Capacity in New York City.

    PubMed

    Frogel, Michael; Flamm, Avram; Sagy, Mayer; Uraneck, Katharine; Conway, Edward; Ushay, Michael; Greenwald, Bruce M; Pierre, Louisdon; Shah, Vikas; Gaffoor, Mohamed; Cooper, Arthur; Foltin, George

    2017-08-01

    A mass casualty event can result in an overwhelming number of critically injured pediatric victims that exceeds the available capacity of pediatric critical care (PCC) units, both locally and regionally. To address these gaps, the New York City (NYC) Pediatric Disaster Coalition (PDC) was established. The PDC includes experts in emergency preparedness, critical care, surgery, and emergency medicine from 18 of 25 major NYC PCC-capable hospitals. A PCC surge committee created recommendations for making additional PCC beds available with an emphasis on space, staff, stuff (equipment), and systems. The PDC assisted 15 hospitals in creating PCC surge plans by utilizing template plans and site visits. These plans created an additional 153 potential PCC surge beds. Seven hospitals tested their plans through drills. The purpose of this article was to demonstrate the need for planning for disasters involving children and to provide a stepwise, replicable model for establishing a PDC, with one of its primary goals focused on facilitating PCC surge planning. The process we describe for developing a PDC can be replicated to communities of any size, setting, or location. We offer our model as an example for other cities. (Disaster Med Public Health Preparedness. 2017;11:473-478).

  2. Cost, cost-efficiency and cost-effectiveness of integrated family planning and HIV services.

    PubMed

    Shade, Starley B; Kevany, Sebastian; Onono, Maricianah; Ochieng, George; Steinfeld, Rachel L; Grossman, Daniel; Newmann, Sara J; Blat, Cinthia; Bukusi, Elizabeth A; Cohen, Craig R

    2013-10-01

    To evaluate costs, cost-efficiency and cost-effectiveness of integration of family planning into HIV services. Integration of family planning services into HIV care and treatment clinics. A cluster-randomized trial. Twelve health facilities in Nyanza, Kenya were randomized to integrate family planning into HIV care and treatment; six health facilities were randomized to (nonintegrated) standard-of-care with separately delivered family planning and HIV services. We assessed costs, cost-efficiency (cost per additional use of more effective family planning), and cost-effectiveness (cost per pregnancy averted) associated with the first year of integration of family planning into HIV care. More effective family planning methods included oral and injectable contraceptives, subdermal implants, intrauterine device, and female and male sterilization. We collected cost data through interviews with study staff and review of financial records to determine costs of service integration. Integration of services was associated with an average marginal cost of $841 per site and $48 per female patient. Average overall and marginal costs of integration were associated with personnel costs [initial ($1003 vs. $872) and refresher ($498 vs. $330) training, mentoring ($1175 vs. $902) and supervision ($1694 vs. $1636)], with fewer resources required for other fixed ($18 vs. $0) and recurring expenses ($471 vs. $287). Integration was associated with a marginal cost of $65 for each additional use of more effective family planning and $1368 for each pregnancy averted. Integration of family planning and HIV services is feasible, inexpensive to implement, and cost-efficient in the Kenyan setting, and thus supports current Kenyan integration policy.

  3. Affirmative Action Plan, October 1987 through September 1988

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

    Not Available

    1987-10-01

    This report documents Reynolds Electrical and Engineering Co., Inc., analysis of all major job groups with explanations if minorities and females are underutilized in any one or more job group. Goals and timetables have been developed and good faith efforts are directed to correct any deficiencies. In addition, Affirmative Action Plans for the handicapped, Vietnam Era Veterans, and Disabled Veterans are included which set forth policies, practices, and procedures in accordance with Department of Labor regulations.

  4. Considerations for preparing collaborative international research: a Ugandan experience.

    PubMed

    Musil, Carol M; Mutabaazi, Jemimah; Walusimbi, Mariam; Okonsky, Jennifer G; Biribonwa, Yedidah; Eagan, Sabrina; Dimarco, Marguerite A; Mbaballi, Speciosa; Fitzpatrick, Joyce J

    2004-08-01

    This article describes issues to consider when planning and conducting international research projects. Key considerations include building collaboration, developing a comprehensive and feasible research plan, funding and budgets, addressing human subjects concerns, and analyzing and disseminating project findings. These considerations and related methodological issues are discussed in the context of a replication pilot project conducted outside Kampala, Uganda. Ongoing dialog, flexibility, and collaboration, in addition to good science, are critical to developing successful international research projects.

  5. OpenMDAO Framework Status

    NASA Technical Reports Server (NTRS)

    Naiman, Cynthia Gutierrez

    2010-01-01

    Advancing and exploring the science of Multidisciplinary Analysis & Optimization (MDAO) capabilities are high-level goals in the Fundamental Aeronautics Program s Subsonic Fixed Wing (SFW) project. The OpenMDAO team has made significant progress toward completing the Alpha OpenMDAO deliverable due in September 2010. Included in the presentation are: details of progress on developing the OpenMDAO framework, example usage of OpenMDAO, technology transfer plans, near term plans, progress toward establishing partnerships with external parties, and discussion of additional potential collaborations.

  6. Consider long-term care as service alternative.

    PubMed

    Loria, L S

    1987-04-01

    The increasing demand for elderly care services, pressures on inpatient average length of stay and payment levels, and potential financial rewards from providing additional services, makes long-term care look attractive to hospitals. Long-term care, however, is not for every hospital. Before deciding to establish long-term care services, management should examine how the service fits within the hospital's strategic plan. The action plan below provides guidance in evaluating a decision to use hospital facilities for long-term care. Examine how long-term care services fit within the hospital's strategic plan. Study area demographics and competitors to assess the need and supply of long-term care services. Survey the medical staff, consumers and payers to determine attitudes, perceptions and interests regarding long-term care services. Develop a facility plan that identifies areas of excess capacity that can be most easily converted into long-term care with minimal effects on hospital operations. Prepare a financial feasibility analysis of the contribution margin and return on investment attributable to long-term care services. Include an impact analysis on hospital operations. Establish a management task force to develop a detailed implementation plan including assigned individual responsibilities and related timetable. Develop an effective marketing plan designed to generate increased patient market share.

  7. Family planning management of the floating population in Xi'an city.

    PubMed

    1996-12-01

    This article describes the population of migrants living in Xincheng District of Xi'an City, China. Xincheng district is a commercial center that includes the largest wholesale market in northwest China, Kangfulu Market in Sanfuwan village. The resident population of the district amounts to about 450,000 people. 72,000 additional population are the floating population of migrants, of whom about 50% are women of childbearing age. The district established stringent family planning policies in order to limit unplanned childbearing. Family planning policies were the collaborative work among staff members from departments of industry and commerce, labor, education, finance, public health, civil affairs, family planning, and other related agencies. Management of family planning is based on subdistrict committees, resident committees, and local permanent population. These individuals and groups provide registration for temporary residence, verify birth certificates, establish contraceptive status, and encourage landlords to disseminate birth control information among their tenants. The population around Kangfulu Market includes about 800 permanent residents and about 3000- 6000 migrants. The village authorities provide family planning and medical services free of charge to migrants. Villagers register migrant children in schools and offer business help to the newcomers. These efforts have contributed to fewer births among migrants.

  8. Integrating telemedicine and telehealth: putting it all together.

    PubMed

    Weinstein, Ronald S; Lopez, Ana Maria; Krupinski, Elizabeth A; Beinar, Sandra J; Holcomb, Michael; McNeely, Richard A; Latifi, Rifat; Barker, Gail

    2008-01-01

    Telemedicine and telehealth programs are inherently complex compared with their traditional on-site health care delivery counterparts. Relatively few organizations have developed sustainable, multi-specialty telemedicine programs, although single service programs, such as teleradiology and telepsychiatry programs, are common. A number of factors are barriers to the development of sustainable telemedicine and telehealth programs. First, starting programs is often challenging since relatively few organizations have, in house, a critical mass of individuals with the skill sets required to organize and manage a telemedicine program. Therefore, it is necessary to "boot strap" many of the start-up activities using available personnel. Another challenge is to assemble a management team that has time to champion telemedicine and telehealth while dealing with the broad range of issues that often confront telemedicine programs. Telemedicine programs housed within a single health care delivery system have advantages over programs that serve as umbrella telehealth organizations for multiple health care systems. Planning a telemedicine program can involve developing a shared vision among the participants, including the parent organizations, management, customers and the public. Developing shared visions can be a time-consuming, iterative process. Part of planning includes having the partnering organizations and their management teams reach a consensus on the initial program goals, priorities, strategies, and implementation plans. Staffing requirements of telemedicine and telehealth programs may be met by sharing existent resources, hiring additional personnel, or outsourcing activities. Business models, such as the Application Service Provider (ASP) model used by the Arizona Telemedicine Program, are designed to provide staffing flexibility by offering a combination of in-house and out-sourced services, depending on the needs of the individual participating health care organizations. Telemedicine programs should perform ongoing assessments of activities, ranging from service usage to quality of service assessments, to ongoing analyses of financial performance. The financial assessments should include evaluations of costs and benefits, coding issues, reimbursement, account receivables, bad debt and network utilization. Long-range strategic planning for a telemedicine and telehealth program should be carried out on an on-going basis and should include the program's governing board. This planning process should include goal setting and the periodic updating of the program's vision and mission statements. There can be additional special issues for multi-organization telemedicine and telehealth programs. For example, authority management can require the use of innovative approaches tailored to the realities of the organizational structures of the participating members. Inter-institutional relations may introduce additional issues when competing health care organizations are utilizing shared resources. Branding issues are preferably addressed during the initial planning of a multi-organizational telemedicine and telehealth program. Ideally, public policy regarding telemedicine and telehealth within a service region will complement the objectives of telemedicine and telehealth programs within that service area.

  9. How a new 'public plan' could affect hospitals' finances and private insurance premiums.

    PubMed

    Dobson, Allen; DaVanzo, Joan E; El-Gamil, Audrey M; Berger, Gregory

    2009-01-01

    Two key health reform bills in the House of Representatives and Senate include the option of a "public plan" as an additional source of health coverage. At least initially, the plan would primarily be structured to cover many of the uninsured and those who now have individual coverage. Because it is possible, and perhaps even likely, that this new public payer would pay less than private payers for the same services, such a plan could negatively affect hospital margins. Hospitals may attempt to recoup losses by shifting costs to private payers. We outline the financial pressures that hospitals and private payers could experience under various assumptions. High uninsured enrollment in a public plan would bolster hospital margins; however, this effect is reversed if the privately insured enter a public plan in large proportions, potentially stressing the hospital industry and increasing private insurance premiums.

  10. 33 CFR 154.1125 - Additional response plan requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Additional response plan... SECURITY (CONTINUED) POLLUTION FACILITIES TRANSFERRING OIL OR HAZARDOUS MATERIAL IN BULK Additional... Prince William Sound, Alaska § 154.1125 Additional response plan requirements. (a) The owner or operator...

  11. Enabling Autonomous Rover Science through Dynamic Planning and Scheduling

    NASA Technical Reports Server (NTRS)

    Estlin, Tara A.; Gaines, Daniel; Chouinard, Caroline; Fisher, Forest; Castano, Rebecca; Judd, Michele; Nesnas, Issa

    2005-01-01

    This paper describes how dynamic planning and scheduling techniques can be used onboard a rover to autonomously adjust rover activities in support of science goals. These goals could be identified by scientists on the ground or could be identified by onboard data-analysis software. Several different types of dynamic decisions are described, including the handling of opportunistic science goals identified during rover traverses, preserving high priority science targets when resources, such as power, are unexpectedly over-subscribed, and dynamically adding additional, ground-specified science targets when rover actions are executed more quickly than expected. After describing our specific system approach, we discuss some of the particular challenges we have examined to support autonomous rover decision-making. These include interaction with rover navigation and path-planning software and handling large amounts of uncertainty in state and resource estimations.

  12. Technology Transfer and Commercialization

    NASA Technical Reports Server (NTRS)

    Martin, Katherine; Chapman, Diane; Giffith, Melanie; Molnar, Darwin

    2001-01-01

    During concurrent sessions for Materials and Structures for High Performance and Emissions Reduction, the UEET Intellectual Property Officer and the Technology Commercialization Specialist will discuss the UEET Technology Transfer and Commercialization goals and efforts. This will include a review of the Technology Commercialization Plan for UEET and what UEET personnel are asked to do to further the goals of the Plan. The major goal of the Plan is to define methods for how UEET assets can best be infused into industry. The National Technology Transfer Center will conduct a summary of its efforts in assessing UEET technologies in the areas of materials and emissions reduction for commercial potential. NTTC is assisting us in completing an inventory and prioritization by commercialization potential. This will result in increased exposure of UEET capabilities to the private sector. The session will include audience solicitation of additional commercializable technologies.

  13. Backward assembly planning with DFA analysis

    NASA Technical Reports Server (NTRS)

    Lee, Sukhan (Inventor)

    1992-01-01

    An assembly planning system that operates based on a recursive decomposition of assembly into subassemblies is presented. The planning system analyzes assembly cost in terms of stability, directionality, and manipulability to guide the generation of preferred assembly plans. The planning in this system incorporates the special processes, such as cleaning, testing, labeling, etc., that must occur during the assembly. Additionally, the planning handles nonreversible, as well as reversible, assembly tasks through backward assembly planning. In order to decrease the planning efficiency, the system avoids the analysis of decompositions that do not correspond to feasible assembly tasks. This is achieved by grouping and merging those parts that can not be decomposable at the current stage of backward assembly planning due to the requirement of special processes and the constraint of interconnection feasibility. The invention includes methods of evaluating assembly cost in terms of the number of fixtures (or holding devices) and reorientations required for assembly, through the analysis of stability, directionality, and manipulability. All these factors are used in defining cost and heuristic functions for an AO* search for an optimal plan.

  14. Using RSVP for analyzing state and previous activities for the Mars Exploration Rovers

    NASA Technical Reports Server (NTRS)

    Cooper, Brian K.; Hartman, Frank; Maxwell, Scott; Wright, John; Yen, Jeng

    2004-01-01

    Current developments in immersive environments for mission planning include several tools which make up a system for performing and rehearsing missions. This system, known as the Rover Sequencing and Visualization Program (RSVP), includes tools for planning long range sorties for highly autonomous rovers, tools for planning operations with robotic arms, and advanced tools for visualizing telemetry from remote spacecraft and landers. One of the keys to successful planning of rover activities is knowing what the rover has accomplished to date and understanding the current rover state. RSVP builds on the lessons learned and the heritage of the Mars Pathfinder mission This paper will discuss the tools and methodologies present in the RSVP suite for examining rover state, reviewing previous activities, visually comparing telemetered results to rehearsed results, and reviewing science and engineering imagery. In addition we will present how this tool suite was used on the Mars Exploration Rovers (MER) project to explore the surface of Mars.

  15. A dynamic family planning and health campaign.

    PubMed

    1986-11-01

    Any successful development program that combines family planning, nutrition, and parasite control such as the integrated project, must include effective information, education, and communication (IEC) components. The Population an Community Development Association (PDA), the largest nonprofit organization in Thailand provides a network of family planning service delivery composed of volunteer distributors including midwives, school techers and shopkeepers. Reliability and accessibility are the 2 important elements. A concerted media campaign which exposes people to condoms and other contraceptives helps desensitize an otherwise "too personal" issue. The problem which confronts family planning communication is how to counteract the sensuous messages form advetisers while focusing on mundane topics such as maternal and child health, responsible parenthood, and family budgets. The PDA has tried to use the same attractions to promote family planning. It distributes promotional items such as T-shirts, pens towels and cigarette lighters bearing family planning messages. In addition to the use of television and radio, PDA also utilizes every possible channel of communication. Approaches include: the Youth-to-Youth Program; informational exhibits; video-mobile vans which visit schools and factories; and the holding of PDA's vasectomy festivals. Informational exhibits on family planning and health care use a variety of audio-visual methods. Video is an effective communication medium. The PDA video material ordinarily consists of family dramas illustrating good and bad family planning practices. By holding vasectomy festivals, PDA provides a media-attracting forum to educate the public and promote vasectomey as the most effective birth control method. Mass media campaigns must be linked with fieldwork outreach.

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

    Bentz, A

    While the reality of an improvised nuclear device (IND) being detonated in an American city is unlikely, its destructive power is such that the scenario must be planned for. Upon reviewing the academic literature on the effects of and response to IND events, this report looks to actual responders from around the country. The results from the meetings of public officials in the cities show where gaps exist between theoretical knowledge and actual practice. In addition to the literature, the meetings reveal areas where future research needs to be conducted. This paper recommends that local response planners: meet to discussmore » the challenges of IND events; offer education to officials, the public, and responders on IND events; incorporate 'shelter-first' into response plans; provide information to the public and responders using the 3 Cs; and engage the private sector (including media) in response plans. In addition to these recommendations for the response planners, the paper provides research questions that once answered will improve response plans around the country. By following the recommendations, both groups, response planners and researchers, can help the country better prepare for and mitigate the effects of an IND detonation.« less

  17. 40 CFR 52.1490 - Original identification of plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... measures. (ii) A modeling analysis indicating 1982 attainment. (iii) Documentation of the modeling analysis... agencies, (ii) Additional supporting documentation for the 1982 attainment modeling analysis which included... factors for the model. (iii) A revised 1982 attainment modeling analysis and supporting documentation...

  18. 40 CFR 52.1490 - Original identification of plan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... measures. (ii) A modeling analysis indicating 1982 attainment. (iii) Documentation of the modeling analysis... agencies, (ii) Additional supporting documentation for the 1982 attainment modeling analysis which included... factors for the model. (iii) A revised 1982 attainment modeling analysis and supporting documentation...

  19. 40 CFR 52.1490 - Original identification of plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... measures. (ii) A modeling analysis indicating 1982 attainment. (iii) Documentation of the modeling analysis... agencies, (ii) Additional supporting documentation for the 1982 attainment modeling analysis which included... factors for the model. (iii) A revised 1982 attainment modeling analysis and supporting documentation...

  20. CHEMINFORMATICS TOOLS FOR TOXICANT CHARACTERIZATION

    EPA Science Inventory

    • Continued development of the Shape Signatures method is planed.  This effort will include further development of the Shape Signatures database of PDB-extracted ligands and of the clustering algorithm.
    • In addition, we plan to develop an...

  1. Vegetation and other development options for mitigating urban air pollution impacts

    EPA Science Inventory

    In addition to installing air pollution control devices and reducing emissions activities, urban air pollution can be further mitigated through planning and design strategies including vegetation planting, building design, installing roadside and near source structures, and modif...

  2. Data Dealers Face Stormy Weather.

    ERIC Educational Resources Information Center

    Tenopir, Carol; Barry, Jeff

    1998-01-01

    This report, the second annual Database Marketplace survey, analyzes information gathered from 29 companies that distribute and produce information available through online, Web, or CD-ROM systems. In addition to data, topics include company mergers, takeovers, sales, accomplishments, and future plans. (Author/LRW)

  3. 401(k) plan asset allocation, account balances, and loan activity in 1998.

    PubMed

    VanDerhei, J; Holden, S; Quick, C

    2000-02-01

    The Employee Benefit Research Institute (EBRI) and the Investment Company Institute (ICI) have been collaborating for the past three years to collect data on participants in 401(k) plans. This effort, known as the EBRI/ICI Participant-Directed Retirement Plan Data Collection Project, has obtained data for 401(k) plan participants from certain of EBRI and ICI members serving as plan record keepers and administrators. The report includes 1998 information on 7.9 million active participants in 30,102 plans holding nearly $372 billion in assets. The data include demographic information, annual contributions, plan balances, asset allocation, and loans, and are broadly representative of the universe of 401(k) plans. The database also includes three years of longitudinal information on approximately 3.3 million participants. Key findings include: For all 401(k) participants in the 1998 EBRI/ICI database, almost three-quarters of plan balances are invested directly or indirectly in equity securities. Specifically, 49.8 percent of total plan balances are invested in equity funds, 17.7 percent in company stock, 11.4 percent in guaranteed investment contracts (GICs), 8.4 percent in balanced funds, 6.1 percent in bond funds, 4.7 percent in money funds, and 0.3 percent in other stable value funds. Participant asset allocation varies considerably with age. Younger participants tend to favor equity funds, while older participants are more disposed to invest in GICs and bond funds. On average, participants in their 20s have 62.1 percent of their account balances invested in equity funds, in contrast to 39.8 percent for those in their 60s. Participants in their 20s invest 4.7 percent of their assets in GICs, while those in their 60s invest 20.6 percent. Bond funds, which represent 4.7 percent of the assets of participants in their 20s, amount to 9.0 percent of the assets of participants in their 60s. Investment options offered by 401(k) plans appear to influence asset allocation. For example, the addition of company stock substantially reduces the allocation to equity funds and the addition of GICs lowers allocations to bond and money funds. The average account balance (net of plan loans) for all participants was $47,004 at year-end 1998, which is 26 percent higher than the average account balance at year-end 1996. The median account balance was $13,038 at year-end 1998. The balances, however, represent only amounts with current employers and do not include amounts remaining in the plans of prior employers. The average balances of older workers with long tenure indicate that a mature 401(k) plan program will produce substantial account balances. For example, individuals in their 60s with at least 30 years of tenure have average account balances in excess of $185,000. The ratio of account balance to 1998 salary varies with salary, increasing slightly as earnings rise from $20,001 to $80,000, and falling a bit for salaries greater than $80,000. The increase in ratio likely reflects a greater propensity of higher-income participants to save, whereas the decline after $80,000 results from contribution and nondiscrimination rule constraints.

  4. Intraoperative adaptation and visualization of preoperative risk analyses for oncologic liver surgery

    NASA Astrophysics Data System (ADS)

    Hansen, Christian; Schlichting, Stefan; Zidowitz, Stephan; Köhn, Alexander; Hindennach, Milo; Kleemann, Markus; Peitgen, Heinz-Otto

    2008-03-01

    Tumor resections from the liver are complex surgical interventions. With recent planning software, risk analyses based on individual liver anatomy can be carried out preoperatively. However, additional tumors within the liver are frequently detected during oncological interventions using intraoperative ultrasound. These tumors are not visible in preoperative data and their existence may require changes to the resection strategy. We propose a novel method that allows an intraoperative risk analysis adaptation by merging newly detected tumors with a preoperative risk analysis. To determine the exact positions and sizes of these tumors we make use of a navigated ultrasound-system. A fast communication protocol enables our application to exchange crucial data with this navigation system during an intervention. A further motivation for our work is to improve the visual presentation of a moving ultrasound plane within a complex 3D planning model including vascular systems, tumors, and organ surfaces. In case the ultrasound plane is located inside the liver, occlusion of the ultrasound plane by the planning model is an inevitable problem for the applied visualization technique. Our system allows the surgeon to focus on the ultrasound image while perceiving context-relevant planning information. To improve orientation ability and distance perception, we include additional depth cues by applying new illustrative visualization algorithms. Preliminary evaluations confirm that in case of intraoperatively detected tumors a risk analysis adaptation is beneficial for precise liver surgery. Our new GPU-based visualization approach provides the surgeon with a simultaneous visualization of planning models and navigated 2D ultrasound data while minimizing occlusion problems.

  5. Final Work Plan: Targeted Investigation at York, Nebraska

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

    LaFreniere, Lorraine M.

    The targeted investigation at York will be implemented in phases, so that data collected and interpretations developed at each stage of the program can be evaluated to guide subsequent phases most effectively. Section 2 of this Work Plan presents a brief overview of the York site, its geologic and hydrologic setting, and the previous CCC/USDA investigations. Section 3, outlines the proposed technical program for the targeted investigation, and Section 4 describes the investigative methods to be employed. A community relations plan is in Section 5, and Section 6 includes health and safety information. In addition to this site-specific Work Plan,more » the Master Work Plan (Argonne 2002) developed by Argonne for CCC/USDA investigations in Nebraska should be consulted for complete details of the methods and procedures to be used at York.« less

  6. Feasibility of magnetic resonance imaging-guided liver stereotactic body radiation therapy: A comparison between modulated tri-cobalt-60 teletherapy and linear accelerator-based intensity modulated radiation therapy.

    PubMed

    Kishan, Amar U; Cao, Minsong; Wang, Pin-Chieh; Mikaeilian, Argin G; Tenn, Stephen; Rwigema, Jean-Claude M; Sheng, Ke; Low, Daniel A; Kupelian, Patrick A; Steinberg, Michael L; Lee, Percy

    2015-01-01

    The purpose of this study was to investigate the dosimetric feasibility of liver stereotactic body radiation therapy (SBRT) using a teletherapy system equipped with 3 rotating (60)Co sources (tri-(60)Co system) and a built-in magnetic resonance imager (MRI). We hypothesized tumor size and location would be predictive of favorable dosimetry with tri-(60)Co SBRT. The primary study population consisted of 11 patients treated with SBRT for malignant hepatic lesions whose linear accelerator (LINAC)-based SBRT plans met all mandatory Radiation Therapy Oncology Group (RTOG) 1112 organ-at-risk (OAR) constraints. The secondary study population included 5 additional patients whose plans did not meet the mandatory constraints. Patients received 36 to 60 Gy in 3 to 5 fractions. Tri-(60)Co system SBRT plans were planned with ViewRay system software. All patients in the primary study population had tri-(60)Co SBRT plans that passed all RTOG constraints, with similar planning target volume coverage and OAR doses to LINAC plans. Mean liver doses and V10Gy to the liver, although easily meeting RTOG 1112 guidelines, were significantly higher with tri-(60)Co plans. When the 5 additional patients were included in a univariate analysis, the tri-(60)Co SBRT plans were still equally able to pass RTOG constraints, although they did have inferior ability to pass more stringent liver and kidney constraints (P < .05). A multivariate analysis found the ability of a tri-(60)Co SBRT plan to meet these constraints depended on lesion location and size. Patients with smaller or more peripheral lesions (as defined by distance from the aorta, chest wall, liver dome, and relative lesion volume) were significantly more likely to have tri-(60)Co plans that spared the liver and kidney as well as LINAC plans did (P < .05). It is dosimetrically feasible to perform liver SBRT with a tri-(60)Co system with a built-in MRI. Patients with smaller or more peripheral lesions are more likely to have optimal liver and kidney sparing, with the added benefit of MRI guidance, when receiving tri-(60)Co-based SBRT. Copyright © 2015 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.

  7. flexplan: Mission Planning System for the Lunar Reconnaissance Orbiter

    NASA Technical Reports Server (NTRS)

    Barnoy, Assaf; Beech, Theresa

    2013-01-01

    flexplan is a mission planning and scheduling (MPS) tool that uses soft algorithms to define mission scheduling rules and constraints. This allows the operator to configure the tool for any mission without the need to modify or recompile code. In addition, flexplan uses an ID system to track every output on the schedule to the input from which it was generated. This allows flexplan to receive feedback as the schedules are executed, and update the status of all activities in a Web-based client. flexplan outputs include various planning reports, stored command loads for the Lunar Reconnaissance Orbiter (LRO), ephemeris loads, and pass scripts for automation.

  8. Ocean research plan reviewed

    NASA Astrophysics Data System (ADS)

    Zielinski, Sarah

    A draft plan setting out priorities for U.S. ocean research generally was lauded for its clear and well-articulated view in a recent report from a committee of the U.S. National Research Council (NRC) of the US. National Academies. However, the committee advised that the plan would benefit from a bold vision for the future of ocean science research, additional details, and a reorganization to include cross-cutting research.The draft "Charting the Course for Ocean Science in the United States: Research Priorities for the Next Decade" was made available for public comment in September 2006 by the U.S. National Science and Technology Council's Joint Subcommittee on Ocean Science and Technology.

  9. Rational decision perspectives on alcohol consumption by youth. Revising the theory of planned behavior.

    PubMed

    Kuther, Tara L

    2002-01-01

    Cognitive and developmental approaches have made great strides in describing and predicting alcohol consumption by youth. The present review examines several theories of decision making with regard to alcohol consumption, including subjective expected utility (SEU) theory, the theories of reasoned action and planned behavior, and alcohol-related outcome expectancy theory. In addition, the developmental literature on the contribution of parents and peers to adolescent alcohol consumption is reviewed. A model is proposed, which integrates the theory of planned behavior and alcohol-related outcome expectancy theory with modifications based on findings from the developmental literature. Implications for further research are discussed.

  10. Planning guidance for the Chemical Stockpile Emergency Preparedness Program

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

    Shumpert, B.L.; Watson, A.P.; Sorensen, J.H.

    1995-02-01

    This planning guide was developed under the direction of the U.S. Army and the Federal Emergency Management Agency (FEMA) which jointly coordinate and direct the development of the Chemical Stockpile Emergency Preparedness Program (CSEPP). It was produced to assist state, local, and Army installation planners in formulating and coordinating plans for chemical events that may occur at the chemical agent stockpile storage locations in the continental United States. This document provides broad planning guidance for use by both on-post and off-post agencies and organizations in the development of a coordinated plan for responding to chemical events. It contains checklists tomore » assist in assuring that all important aspects are included in the plans and procedures developed at each Chemical Stockpile Disposal Program (CSDP) location. The checklists are supplemented by planning guidelines in the appendices which provide more detailed guidance regarding some issues. The planning guidance contained in this document will help ensure that adequate coordination between on-post and off-post planners occurs during the planning process. This planning guide broadly describes an adequate emergency planning base that assures that critical planning decisions will be made consistently at every chemical agent stockpile location. This planning guide includes material drawn from other documents developed by the FEMA, the Army, and other federal agencies with emergency preparedness program responsibilities. Some of this material has been developed specifically to meet the unique requirements of the CSEPP. In addition to this guidance, other location-specific documents, technical studies, and support studies should be used as needed to assist in the planning at each of the chemical agent stockpile locations to address the specific hazards and conditions at each location.« less

  11. Analog Testing of Operations Concepts for Mitigation of Communication Latency During Human Space Exploration

    NASA Technical Reports Server (NTRS)

    Chappell, Steven P.; Abercromby, Andrew F.; Miller, Matthew J.; Halcon, Christopher; Gernhardt, Michael L.

    2016-01-01

    OBJECTIVES: NASA Extreme Environment Mission Operations (NEEMO) is an underwater spaceflight analog that allows a true mission-like operational environment and uses buoyancy effects and added weight to simulate different gravity levels. Three missions were undertaken from 2014-2015, NEEMO's 18-20. All missions were performed at the Aquarius undersea research habitat. During each mission, the effects of varying operations concepts and tasks type and complexity on representative communication latencies associated with Mars missions were studied. METHODS: 12 subjects (4 per mission) were weighed out to simulate near-zero or partial gravity extravehicular activity (EVA) and evaluated different operations concepts for integration and management of a simulated Earth-based science backroom team (SBT) to provide input and direction during exploration activities. Exploration traverses were planned in advance based on precursor data collected. Subjects completed science-related tasks including presampling surveys, geologic-based sampling, and marine-based sampling as a portion of their tasks on saturation dives up to 4 hours in duration that were to simulate extravehicular activity (EVA) on Mars or the moons of Mars. One-way communication latencies, 5 and 10 minutes between space and mission control, were simulated throughout the missions. Objective data included task completion times, total EVA times, crew idle time, translation time, SBT assimilation time (defined as time available for SBT to discuss data/imagery after it has been collected, in addition to the time taken to watch imagery streaming over latency). Subjective data included acceptability, simulation quality, capability assessment ratings, and comments. RESULTS: Precursor data can be used effectively to plan and execute exploration traverse EVAs (plans included detailed location of science sites, high-fidelity imagery of the sites, and directions to landmarks of interest within a site). Operations concepts that allow for presampling surveys enable efficient traverse execution and meaningful Mission Control Center (MCC) interaction across long communication latencies and can be done with minimal crew idle time. Imagery and information from the EVA crew that is transmitted real-time to the intravehicular (IV) crewmember(s) can be used to verify that exploration traverse plans are being executed correctly. That same data can be effectively used by MCC (across comm latency) to provide further instructions to the crew from a SBT on sampling priorities, additional tasks, and changes to the plan. Text / data capabilities are preferred over voice capabilities between MCC and IV when executing exploration traverse plans over communication latency. Autonomous crew planning tools can be effective at modifying existing plans if the objectives and constraints are clearly defined.

  12. Strategic real-estate planning can generate revenue.

    PubMed

    Hayes, D; Hays, S

    2001-12-01

    Many healthcare organizations treat their real estate as liabilities rather than assets and overlook opportunities to generate significant additional revenue and reduce costs. An Ernst & Young Study found that to maximize the return on investment in their real-estate holdings, healthcare organizations need to include property management in their strategic plan, manage construction and expansion effectively, adapt and reuse their facilities where possible, and pursue innovative real-estate strategies. Managing real-estate assets effectively can free up capital to use for other core business needs.

  13. Intelligence Activities Relating to Iraq Conducted by the Policy Counterterrorism Evaluation Group and the Office of Special Plans within the Office of the Under Secretary of Defense for Policy, together with Additional and Minority Views

    DTIC Science & Technology

    2008-06-01

    The new issue areas included any intelligence activities relating to Iraq conducted by the Policy Counterterrorism Evaluation Group and the Office of...Special Plans within the Office of the Under Secretary of Defense for Policy. The Committee pursued this issue area in 2004, but subsequently the Committee’s attention was placed on other aspects of the terms of reference.

  14. Environmental Impact Statements: A Handbook for Writers and Reviewers

    DTIC Science & Technology

    1973-08-01

    expand the flood to include 16 additional injection wells in 1972, for a total of 46. Production at Red Wash began in 1951." "The Uinta Basin ...improvement of the entire river basin area--an area of some 2,400 square miles. The committee responsible for the plan was chaired by the U.S. Army Corps of...statements. Thus it mentions "future development planned both in the’ vicinity of the proposed I,, project and within the Uintah Basin " without stipulating

  15. Goal importance within planned behaviour theory as 'the' predictor of study behaviour in college.

    PubMed

    Sideridis, G D; Kaissidis-Rodafinos, A

    2001-12-01

    The theory of planned behaviour has been rarely used for the explanation of student study behaviour and achievement. Although successful, the theory has been criticised for not including important cognitions, so goal importance was added in the present study. Goal importance refers to the weight-importance an individual assigns towards achieving a specific goal (Hollenbeck & Williams, 1987). The purpose of Study 1 was to explain the study behaviour habits of first year college students, using a) Ajzen and Madden's (1986) theory of planned behaviour, and b) planned behaviour with the addition of goal importance. The purpose of Study 2 was to replicate the findings of Study 1. The sample of Study 1 included 149 first year students of an American College located in northern Greece. Study 2 included 85 first year students of the same institution. The students in Study 1 were given a questionnaire four weeks prior to the end of the spring 1998 semester, and those in Study 2 in the autumn of 1998, including all elements of the theory of planned behaviour and goal importance. The data were modelled using Covariance Structural Modelling (CSM) and EQS 5.7b (Bentler, 1998). The planned behaviour model was not well supported in Study 1 providing a Comparative Fit Index (CFI) of.83. However, when goal importance was included in the equation, the resulting structural model produced a CFI of.94. The final structural model of Study 1 was re-tested with the sample of Study 2 and produced a CFI =.95. Findings suggest that goal importance is the causal agent in directing all elements necessary to achieve high levels of study behaviour. Future studies should examine the role of goal importance with other behaviours as well.

  16. 15 CFR 921.33 - Boundary changes, amendments to the management plan, and addition of multiple-site components.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Reserve, may be made only after written approval by NOAA. NOAA may require public notice, including notice... statement may be required. NOAA will place a notice in the Federal Register of any proposed changes in... made. NOAA will publish notice of the proposed new site including an invitation for comments from the...

  17. 15 CFR 921.33 - Boundary changes, amendments to the management plan, and addition of multiple-site components.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Reserve, may be made only after written approval by NOAA. NOAA may require public notice, including notice... statement may be required. NOAA will place a notice in the Federal Register of any proposed changes in... made. NOAA will publish notice of the proposed new site including an invitation for comments from the...

  18. 15 CFR 921.33 - Boundary changes, amendments to the management plan, and addition of multiple-site components.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Reserve, may be made only after written approval by NOAA. NOAA may require public notice, including notice... statement may be required. NOAA will place a notice in the Federal Register of any proposed changes in... made. NOAA will publish notice of the proposed new site including an invitation for comments from the...

  19. 15 CFR 921.33 - Boundary changes, amendments to the management plan, and addition of multiple-site components.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Reserve, may be made only after written approval by NOAA. NOAA may require public notice, including notice... statement may be required. NOAA will place a notice in the Federal Register of any proposed changes in... made. NOAA will publish notice of the proposed new site including an invitation for comments from the...

  20. 2007 Army Modernization Plan

    DTIC Science & Technology

    2007-03-01

    result , the Army, with these additional resources, will expand the rotational force pool to include 76 BCTs (48 AC BCTs and 28 ARNG BCTs) 4 • 2007...continue full-spectrum operations in persistent confl ict. ARFORGEN is the structured progression of increased unit readiness over time, resulting in...to civil authorities including Homeland Security, Humanitarian Assistance, Disaster Relief, and Consequence Management Operations. Units in the

  1. 78 FR 20345 - Modification and Expansion of CBP Centers of Excellence and Expertise Test To Include Six...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-04

    ... CBP Centers of Excellence and Expertise Test To Include Six Additional Centers AGENCY: U.S. Customs... announces U.S. Customs and Border Protection's (CBP's) plan to modify and expand its test for the Centers of... the test program, identifies the purpose of the test and the regulations that will be affected...

  2. Defense Cybersecurity: Opportunities Exist for DOD to Share Cybersecurity Resources with Small Businesses

    DTIC Science & Technology

    2015-09-01

    risk self- Communications identified by small businesses . The guidance Commission includes links to addit ional cybersecurity resources...Working Group 4: Final Report. The report’s appendix provides cybersecurity risk management and best practice recommendations for small and medium...including small businesses . Cybersecurity education for risk assessment and planning. These programs provide education and training that small

  3. Lesson Plans: Road Maps for the Active Learning Classroom.

    PubMed

    Moore-Cox, Annie

    2017-11-01

    Lesson planning is a documentation process used extensively in education from kindergarten through 12th grade, but rarely in higher education, including undergraduate, prelicensure nursing education. Lesson plans help teachers plan what will happen during a class period from moment to moment. Trends in nursing education, such as the incorporation of active learning strategies in the classroom, make lesson plans a timely addition to the nurse educator's toolkit. This article describes the components of a lesson plan and offers an author-developed template for use in nursing education. Using the template helps nurse educators map out activities for all class participants, such as students, student pairs and teams, and faculty. The lesson plan enables faculty to plot out the many dynamic components of an active learning class period. It also serves as a road map for subsequent faculty, which is an important feature as the profession faces a wave of retirements in the coming decade. [J Nurs Educ. 2017;56(11):697-700.]. Copyright 2017, SLACK Incorporated.

  4. Research Program Office of Statewide Planning and Research : State Fiscal Year 2011 Annual Report

    DOT National Transportation Integrated Search

    2011-01-01

    This annual report is designed to share program activities and results for Ohio Department of : Transportations research program. In addition to work on the projects shown in the body of : the report, 2011 accomplishments include: increasing engag...

  5. 14 CFR 61.31 - Type rating requirements, additional training, and authorization requirements.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... goggle operation flight planning, including night terrain interpretation and factors affecting terrain... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRMEN CERTIFICATION: PILOTS, FLIGHT INSTRUCTORS, AND... Administrator has authorized the flight or series of flights; (2) The Administrator has determined that an...

  6. 14 CFR 61.31 - Type rating requirements, additional training, and authorization requirements.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... goggle operation flight planning, including night terrain interpretation and factors affecting terrain... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRMEN CERTIFICATION: PILOTS, FLIGHT INSTRUCTORS, AND... Administrator has authorized the flight or series of flights; (2) The Administrator has determined that an...

  7. 14 CFR 61.31 - Type rating requirements, additional training, and authorization requirements.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... goggle operation flight planning, including night terrain interpretation and factors affecting terrain... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIRMEN CERTIFICATION: PILOTS, FLIGHT INSTRUCTORS, AND... Administrator has authorized the flight or series of flights; (2) The Administrator has determined that an...

  8. Nevada National Security Site Integrated Groundwater Sampling Plan, Revision 1

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

    Wilborn, Bill R.; Boehlecke, Robert F.

    The purpose is to provide a comprehensive, integrated approach for collecting and analyzing groundwater samples to meet the needs and objectives of the DOE/EM Nevada Program’s UGTA Activity. Implementation of this Plan will provide high-quality data required by the UGTA Activity for ensuring public protection in an efficient and cost-effective manner. The Plan is designed to ensure compliance with the UGTA Quality Assurance Plan (QAP) (NNSA/NFO, 2015); Federal Facility Agreement and Consent Order (FFACO) (1996, as amended); and DOE Order 458.1, Radiation Protection of the Public and the Environment (DOE, 2013). The Plan’s scope comprises sample collection and analysis requirementsmore » relevant to assessing both the extent of groundwater contamination from underground nuclear testing and impact of testing on water quality in downgradient communities. This Plan identifies locations to be sampled by CAU and location type, sampling frequencies, sample collection methodologies, and the constituents to be analyzed. In addition, the Plan defines data collection criteria such as well purging, detection levels, and accuracy requirements/recommendations; identifies reporting and data management requirements; and provides a process to ensure coordination between NNSS groundwater sampling programs for sampling analytes of interest to UGTA. Information used in the Plan development—including the rationale for selection of wells, sampling frequency, and the analytical suite—is discussed under separate cover (N-I, 2014) and is not reproduced herein. This Plan does not address compliance for those wells involved in a permitted activity. Sampling and analysis requirements associated with these wells are described in their respective permits and are discussed in NNSS environmental reports (see Section 5.2). In addition, sampling for UGTA CAUs that are in the Closure Report (CR) stage are not included in this Plan. Sampling requirements for these CAUs are described in the CR. Frenchman Flat is currently the only UGTA CAU in the CR stage. Sampling requirements for this CAU are described in Underground Test Area (UGTA) Closure Report for Corrective Action Unit 98: Frenchman Flat Nevada National Security Site, Nevada (NNSA/NFO, 2016).« less

  9. SU-E-T-355: A Comparative Study of Robotic and Linac-Based Stereotactitc Body Radiation Therapy for Lumbar Spinal Tumors

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

    Bossart, E; Monterroso, M; Couto, M

    Purpose: Dosimetrically compare CyberKnife (CK) and linac-based (LB) stereotactic body radiotherapy (SBRT) plans for lumbar spine. Methods: Ten patient plans with lumbar spine tumors treated with CK were selected and retrospectively optimized using three techniques: CK, volumetric modulated arc (VMAT, three arcs), and 9-field-intensity modulated radiotherapy (IMRT). For the LB plans, the target volume was expanded by 1mm to accommodate additional uncertainty in patient positioning. All plans were optimized to a prescription dose of 27Gy in 3 fractions covering 90% of the PTV. If the dose constraints to the cauda equina (cauda) were not met, the prescription dose was loweredmore » to 24Gy. Parameters evaluated included Paddick Conformity-Index (CI) and Gradient-Index (GI). A two-tailed paired t-test was used to establish statistically significant differences in cauda doses. Results: Target volumes for LB plans were on average 38% larger. In terms of the indices, the closer the index values to unity the steeper the dose falloff and the higher the dose conformity to the target. The results showed that LB plans were in general statistically superior to CK plans. The IMRT plan showed the best average gradient index of 2.995, with VMAT and CK GI values of 3.699 and 5.476, respectively. Similarly, the same trend occurs with the average CI results: 0.821, 0.814, and 0.758, corresponding to IMRT, VMAT, and CK. Notably, in one CK plan the target dose was reduced to 24Gy to meet cauda constraints. Additionally, there was a statistically significant dose difference for the cauda between the CK and LB plans. Conclusion: This study demonstrates that LB plans for lumbar spine SBRT can be as effective or even better than CK plans. Despite the expansion of the target volume, the LB plans did not demonstrate dosimetric inferiority. The LB plans Resultin 2-to-3 fold decrease of treatment time.« less

  10. Visible, Durable, Enforceable Institutional Controls: Weldon Spring Site - A 10-Year Journey - 13190

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

    Uhlmeyer, Terri; Thompson, Randy; Starr, Ken

    2013-07-01

    The DOE Office of Legacy Management's (LM's) mission is to manage the DOE's post-closure responsibilities and ensure the future protection of human health and the environment. LM has control and custody of legacy land, structures, and facilities and is responsible for maintaining them at levels suitable for their long-term use. This includes all engineered and institutional controls (ICs) designed as another level of assurance to prevent exposure to residual contamination and waste. The development and management of ICs has been, and continues to be, a critical component to the success of LM surveillance and maintenance activities. Many major federal laws,more » Executive Orders, regulations, and various other drivers influence the establishment and use of ICs at LM sites. LM uses a wide range of ICs to appropriately limit access to, or uses of, land, facilities, and other real and personal properties; protect the environment; maintain the physical safety and security of DOE facilities; and prevent or limit inadvertent human and environmental exposure to residual contaminants and other hazards. The ICs at the Weldon Spring, Missouri, Site were developed in close coordination with federal and state regulators. An Explanation of Significant Differences (ESD) was issued in February 2005, which clarified the use restrictions necessary for the remedial actions specified in the Records of Decision for the separate operable units to remain protective over the long-term. The operable units included the Chemical Plant Operable Unit, the Chemical Plant Groundwater Operable Unit, and the Quarry Residuals Operable Unit. The ESD clarified specific requirements for each site area that needed use restrictions and established how DOE would implement, maintain, and monitor the specific requirements. DOE developed the Long-Term Surveillance and Maintenance Plan for the U.S. Department of Energy Weldon Spring, Missouri, Site (LTS and M Plan) that addressed the full scope of the site management activities necessary to ensure that the Weldon Spring Site remains protective over the long-term. The LTS and M Plan is revised periodically to ensure its applicability to changing site, regulatory, or procedural conditions. In addition to addressing such activities as long-term groundwater monitoring and disposal cell maintenance, the LTS and M Plan was developed and issued to ensure that the use restrictions identified in the ESD were properly imposed and maintained. The LTS and M Plan included a detailed IC Implementation Plan, which includes a process for evaluating and identifying specific IC mechanisms that best accomplish the objectives set out in the ESD. Consistent with EPA guidance on selecting ICs, various IC mechanisms were evaluated, including government controls, proprietary controls, enforcement tools, and informational devices. Where appropriate, redundant mechanisms were employed to increase the effectiveness of the ICs. Information in the IC Implementation Plan includes: (1) a discussion of current site conditions (reflecting post-remedial action conditions for the Chemical Plant and Quarry Areas and the risk-basis for why use restrictions are needed); (2) the objectives of, or performance expectations for, the use restrictions; (3) specific ICs already in place and additional mechanisms identified for implementation; (4) a schedule for implementing additional ICs; (5) procedures for maintaining the ICs and for conducting periodic inspections; and (6) general provisions for the implementing ICs for the site. The actual agreements and documentation of the various ICs are included in an appendix of the LTS and M Plan. These documents are also available via the internet from the authorizing agencies (County, Missouri Department of Natural Resources, EPA, etc.) The Weldon Spring Site personnel have been successful in finalizing each of the ICs that were established for the site. The planning, establishment, and implementation of the ICs was a long and detailed process with several lessons-learned that were identified along the way. (authors)« less

  11. 48 CFR 7.106 - Additional requirements for major systems.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... (b) In planning for the solicitation of a major system (see part 34) production contract, planners... REGULATION ACQUISITION PLANNING ACQUISITION PLANNING Acquisition Plans 7.106 Additional requirements for major systems. (a) In planning for the solicitation of a major system (see part 34) development contract...

  12. 48 CFR 7.106 - Additional requirements for major systems.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    .... (b) In planning for the solicitation of a major system (see part 34) production contract, planners... REGULATION ACQUISITION PLANNING ACQUISITION PLANNING Acquisition Plans 7.106 Additional requirements for major systems. (a) In planning for the solicitation of a major system (see part 34) development contract...

  13. 48 CFR 7.106 - Additional requirements for major systems.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    .... (b) In planning for the solicitation of a major system (see part 34) production contract, planners... REGULATION ACQUISITION PLANNING ACQUISITION PLANNING Acquisition Plans 7.106 Additional requirements for major systems. (a) In planning for the solicitation of a major system (see part 34) development contract...

  14. 48 CFR 7.106 - Additional requirements for major systems.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    .... (b) In planning for the solicitation of a major system (see part 34) production contract, planners... REGULATION ACQUISITION PLANNING ACQUISITION PLANNING Acquisition Plans 7.106 Additional requirements for major systems. (a) In planning for the solicitation of a major system (see part 34) development contract...

  15. 48 CFR 7.106 - Additional requirements for major systems.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    .... (b) In planning for the solicitation of a major system (see part 34) production contract, planners... REGULATION ACQUISITION PLANNING ACQUISITION PLANNING Acquisition Plans 7.106 Additional requirements for major systems. (a) In planning for the solicitation of a major system (see part 34) development contract...

  16. Questions and answers on employee benefit issues.

    PubMed

    1994-06-01

    This Issue Brief addresses 19 topics in the areas of pensions, health insurance, and other benefits. In addition to the topics listed below, the report includes data on the prevalence of benefits, tax incentives associated with benefits, lump-sum distributions, number of private pension plans, pension coverage rates, 401(k) plans, employer spending on group health insurance, self-insured health plans, employer initiatives to reduce health care costs, and employers' response to the retiree health benefits accounting rule, and flexible benefits plans. In 1992, U.S. employers (public and private) spent $629 billion for noncash benefits, representing nearly 18 percent of total compensation, excluding paid time off. In 1992, 71 percent of the 50.1 million individuals aged 55 and over received retirement benefits, including distributions from private and public pensions, annuities, individual retirement accounts, Keoghs, 401(k)s, and Social Security. Among the 76 percent of all private pension plan participants who participated in a single plan, 30 percent named a defined benefit plan as their pension plan type, 58 percent named a defined contribution plan as their pension plan type, and 12 percent did not know their plan type. Private and public pension funds held more than $4.6 trillion in assets at the end of 1993. The 1993 year-end assets are more than triple the asset level of 1983 (nominal terms). According to the Congressional Budget Office, U.S. expenditures on health care were expected to have reached $898 billion in 1993, up from $751.8 billion in 1991, an increase of 19.4 percent in nominal terms.

  17. Task Force on Energy Systems for Forward/Remote Operating Bases

    DTIC Science & Technology

    2016-08-01

    military use While potentially beneficial, concerns with small wind turbines include reliability, visibility, and interference with...Power density is also sometimes used to refer to power per unit area (e.g., W/m2) of an antenna, solar panel, or cross-section of a wind turbine . A...GE Power & Water plans to implement additive manufacturing to create parts used in gas and wind turbines . Additive manufacturing techniques have

  18. Analysis of The Planning Education in the Light of the Contemporary Trends in Planning

    NASA Astrophysics Data System (ADS)

    Husar, Milan; Ceren Varis, Sila; Ondrejicka, Vladimir

    2017-12-01

    This paper examines the way the planning education is taught and examines the recent trends in the curricula of planning education institutions. The introduction of changing economic systems and planning in the field of education is discussed against these changes. Additionally, the evolution in the planner’s role and how it affects the planning education is discussed. The paper is addressing trends and challenges the countries and their planning changes are facing in 21st century. The trends such as increasing globalization, fuzziness of spatial structures and their borders, complexity and uncertainty and the growing interconnectedness of the world are discussed. Another aim is to prepare a common ground, a platform at the university level for scientific cooperation in the field of planning. This study aims at examining the situation of planning in the contemporary world. The identified challenges include the need for more flexibility in planning and planning education, the emergence of innovations and creativity in planners and planning projects, the necessity of promoting soft skills while keeping the existing technical nature of planning and lastly, the need for more interdisciplinary work. The final part of the paper is discussing the future planning education and recommendations on how the schools of planning should reflect these changes.

  19. Dental management for head and neck cancer patients undergoing radiation therapy: comprehensive patient based planning--a case report.

    PubMed

    Higham, Paola; Quek, Samuel; Cohen, Harold V

    2009-01-01

    Medical management of the head and neck cancer patient (HNCP) most often will include radiation therapy to the head and neck region. HNCPs with malignant disease require judicious dental treatment planning prior to radiation therapy (RT) and/or chemotherapy. RT can result in a multitude of adverse effects, both reversible and irreversible. We report a case of a patient with squamous cell carcinoma of the throat above the larynx (supraglottic), who did not adhere to dental treatment recommendations for both pre- and post radiation dental management. The focus of this case report is to create awareness within the clinician that, in addition to evaluating the patient for the disease related issues that may affect the oral cavity and dentition, a total management plan should include factors beyond the structural oral problems related to the cancer. Final treatment plans for the HNCP should include medical assessment of past dental history, oral hygiene, potential compliance, or lack of, to dental care recommendations, the emotional state of the patient, socio-economic status of the patient (lifestyle, cost of care), future quality of life, the medical and/or life prognosis of the patient.

  20. Pandemic influenza preparedness in Latin America: analysis of national strategic plans.

    PubMed

    Mensua, Ana; Mounier-Jack, Sandra; Coker, Richard

    2009-07-01

    The threat of a human pandemic of influenza has prompted the development of national influenza pandemic preparedness plans over the last 4 years. Analyses have been carried out to assess preparedness in Europe, Asia and Africa. We assessed plans to evaluate the national strategic pandemic influenza preparedness in the countries of Latin America. Published national pandemic influenza preparedness plans from Latin American countries were evaluated against criteria drawn from the World Health Organization checklist. Plans were eligible for inclusion if formally published before 16 November 2007. Fifteen national plans were identified and retrieved from the 17 Latin American countries surveyed. Latin American countries demonstrated different degrees of preparedness, and that a high level of completeness of plans was correlated to a country's wealth to a certain extent. Plans were judged strong in addressing surveillance requirements, and provided appropriate communication strategies directed to the general public and health care personnel. However, gaps remained, including the organization of health care services' response; planning and maintenance of essential services; and the provision of containment measures such as the stockpiling of necessary medical supplies including vaccines and antiviral medications. In addition, some inconsistencies and variations which may be important, such as in border control measures and the capacity to contain outbreaks, exist between country plans-issues that could result in confusion in the event of a pandemic. A number of plans remain developmental in nature and, as elsewhere, more emphasis should be placed on strengthening the operability of plans, and in testing them. Whilst taking account of resources constraints, plans should be further developed in a coherent manner with both regional and international imperatives.

  1. 15 CFR 921.33 - Boundary changes, amendments to the management plan, and addition of multiple-site components.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... management plan, and addition of multiple-site components. 921.33 Section 921.33 Commerce and Foreign Trade... management plan, and addition of multiple-site components. (a) Changes in the boundary of a Reserve and major... management plan shall address goals and objectives for all components of the multi-site Reserve and the...

  2. Positive behavioral support planning in the inpatient treatment of severe disruptive behaviors: A description of service features.

    PubMed

    Hamlett, Nakia M; Carr, Erika R; Hillbrand, Marc

    2016-05-01

    Positive behavior support (PBS) plans are increasingly used on inpatient units to assess and treat serious and dangerous behaviors displayed by patients with serious psychiatric impairment. A contemporary extension of traditional applied behavior analytic procedures, PBS plans integrate theories from several domains with perspectives on community psychology, positive psychology, and recovery-oriented care. Because there is little evidence to suggest that more invasive, punitive disciplinary strategies lead to long-term positive behavioral change (Parkes, 1996), PBS plans have emerged as an alternative to the use of seclusion and restraint or other forms of restrictive measures typically used on inpatient psychiatric units (Hammer et al., 2011). Moreover, PBS plans are a preferred method of intervention because more invasive interventions often cause more harm than good to all involved (Elliott et al., 2005). This article seeks to provide an integrated framework for the development of positive behavior support plans in inpatient psychiatric settings. In addition to explicating the philosophy and core elements of PBS plans, this work includes discussion of the didactic and pragmatic aspects of training clinical staff in inpatient mental health settings. A case vignette is included for illustration and to highlight the use of PBS plans as a mechanism for helping patients transition to less restrictive settings. This work will add to the scant literature examining the use of positive behavioral support plans in inpatient psychiatric settings. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  3. Complicating Slavery: Teaching with Runaway Slave Advertisements.

    ERIC Educational Resources Information Center

    Mason, Matthew; Koman, Rita G.

    2003-01-01

    Presents a lesson plan that teaches students about slavery in the colonial United States. Focuses on the differences between slavery in the northern and southern parts of the country. Explains that the lesson includes and uses slave advertisements to teach about slavery. Offers additional resources. (CMK)

  4. Energy Efficiency Handbook for Driver's Education.

    ERIC Educational Resources Information Center

    Berlowitz, Dan; And Others

    Presented are suggestions to help the automobile driver attain the saving of fuel and money. Discussed are starting and stopping; anticipation of traffic conditions; use of accessories; trip planning; and accomodation of pedestrians and cyclists. Additional topics covered include systematic car maintenance and safety considerations. (RE)

  5. Human-Automation Collaboration: Support for Lunar and Planetary Exploration

    DTIC Science & Technology

    2007-02-01

    example, providing thermal regulation, but they limit mobility and senses, e.g., sound, vision, smell and touch. In addition, there is a limited supply...planning capabilities for the MER. Scientists and engineers have access to imagery that includes panoramas , camera views, and hyperspectral

  6. 78 FR 68088 - Dungeness National Wildlife Refuge, Clallam County, WA; Comprehensive Conservation Plan and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-13

    ... and controlled. Other management activities include fire management, maintenance of existing... management, conservation, legal mandates, and our policies. In addition to outlining broad management...- riparian habitats will continue, with an increased level of active habitat management, monitoring, and...

  7. 14 CFR 150.33 - Evaluation of programs.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...) AIRPORTS AIRPORT NOISE COMPATIBILITY PLANNING Evaluations and Determinations of Effects of Noise... additional noncompatible land uses; and (3) Include the use of new or modified flight procedures to control the operation of aircraft for purposes of noise control, or affect flight procedures in any way. (b...

  8. 14 CFR 150.33 - Evaluation of programs.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...) AIRPORTS AIRPORT NOISE COMPATIBILITY PLANNING Evaluations and Determinations of Effects of Noise... additional noncompatible land uses; and (3) Include the use of new or modified flight procedures to control the operation of aircraft for purposes of noise control, or affect flight procedures in any way. (b...

  9. 14 CFR 150.33 - Evaluation of programs.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) AIRPORTS AIRPORT NOISE COMPATIBILITY PLANNING Evaluations and Determinations of Effects of Noise... additional noncompatible land uses; and (3) Include the use of new or modified flight procedures to control the operation of aircraft for purposes of noise control, or affect flight procedures in any way. (b...

  10. 14 CFR 150.33 - Evaluation of programs.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ...) AIRPORTS AIRPORT NOISE COMPATIBILITY PLANNING Evaluations and Determinations of Effects of Noise... additional noncompatible land uses; and (3) Include the use of new or modified flight procedures to control the operation of aircraft for purposes of noise control, or affect flight procedures in any way. (b...

  11. 14 CFR 150.33 - Evaluation of programs.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) AIRPORTS AIRPORT NOISE COMPATIBILITY PLANNING Evaluations and Determinations of Effects of Noise... additional noncompatible land uses; and (3) Include the use of new or modified flight procedures to control the operation of aircraft for purposes of noise control, or affect flight procedures in any way. (b...

  12. 76 FR 46297 - HIT Policy Committee's Workgroup Meetings; Notice of Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-02

    ... with the Federal Health IT Strategic Plan and that includes recommendations on the areas in which... site for additional information or revised schedules as it becomes available. Contact Person: Judy...., meaningful use, information exchange, privacy and security, quality measures, governance, or adoption...

  13. Medical imaging and registration in computer assisted surgery.

    PubMed

    Simon, D A; Lavallée, S

    1998-09-01

    Imaging, sensing, and computing technologies that are being introduced to aid in the planning and execution of surgical procedures are providing orthopaedic surgeons with a powerful new set of tools for improving clinical accuracy, reliability, and patient outcomes while reducing costs and operating times. Current computer assisted surgery systems typically include a measurement process for collecting patient specific medical data, a decision making process for generating a surgical plan, a registration process for aligning the surgical plan to the patient, and an action process for accurately achieving the goals specified in the plan. Some of the key concepts in computer assisted surgery applied to orthopaedics with a focus on the basic framework and underlying technologies is outlined. In addition, technical challenges and future trends in the field are discussed.

  14. 76 FR 25652 - Approval and Promulgation of Air Quality Implementation Plans; North Dakota; Revisions to the Air...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-05

    ...EPA is proposing to approve revisions to the North Dakota State Implementation Plan that the Governor of North Dakota submitted with a letter dated April 6, 2009. The revisions affect North Dakota's air pollution control rules regarding general provisions (including rules regarding shutdowns and malfunctions), ambient air quality standards, emissions of particulate matter, permitting, and fees. In addition, EPA is proposing administrative corrections to the regulatory text for North Dakota that will be codified in the Code of Federal Regulations; we made errors in the identification of plan table when we approved the North Dakota State Implementation Plan revisions for Interstate Transport of pollution, which the Governor also submitted on April 6, 2009. This action is being taken under section 110 of the Clean Air Act.

  15. NASA Technology Investments in Electric Propulsion: New Directions in the New Millennium

    NASA Technical Reports Server (NTRS)

    Sankovic, John M.

    2002-01-01

    The last decade was a period of unprecedented acceptance of NASA developed electric propulsion by the user community. The benefits of high performance electric propulsion systems are now widely recognized, and new technologies have been accepted across the commonly. NASA clearly recognizes the need for new, high performance, electric propulsion technologies for future solar system missions and is sponsoring aggressive efforts in this area. These efforts are mainly conducted under the Office of Aerospace Technology. Plans over the next six years include the development of next generation ion thrusters for end of decade missions. Additional efforts are planned for the development of very high power thrusters, including magnetoplasmadynamic, pulsed inductive, and VASIMR, and clusters of Hall thrusters. In addition to the in-house technology efforts, NASA continues to work closely with both supplier and user communities to maximize the acceptance of new technology in a timely and cost-effective manner. This paper provides an overview of NASA's activities in the area of electric propulsion with an emphasis on future program directions.

  16. Additional EIPC Study Analysis. Final Report

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

    Hadley, Stanton W; Gotham, Douglas J.; Luciani, Ralph L.

    Between 2010 and 2012 the Eastern Interconnection Planning Collaborative (EIPC) conducted a major long-term resource and transmission study of the Eastern Interconnection (EI). With guidance from a Stakeholder Steering Committee (SSC) that included representatives from the Eastern Interconnection States Planning Council (EISPC) among others, the project was conducted in two phases. Phase 1 involved a long-term capacity expansion analysis that involved creation of eight major futures plus 72 sensitivities. Three scenarios were selected for more extensive transmission- focused evaluation in Phase 2. Five power flow analyses, nine production cost model runs (including six sensitivities), and three capital cost estimations weremore » developed during this second phase. The results from Phase 1 and 2 provided a wealth of data that could be examined further to address energy-related questions. A list of 14 topics was developed for further analysis. This paper brings together the earlier interim reports of the first 13 topics plus one additional topic into a single final report.« less

  17. Data Validation Package, April and June 2016 Groundwater and Surface Water Sampling at the Gunnison, Colorado, Processing Site, October 2016

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

    Linard, Joshua; Campbell, Sam

    This event included annual sampling of groundwater and surface water locations at the Gunnison, Colorado, Processing Site. Sampling and analyses were conducted as specified in Sampling and Analysis Plan for US Department of Energy Office of Legacy Management Sites (LMS/PRO/S04351, continually updated, http://energy.gov/lm/downloads/sampling-and­ analysis-plan-us-department-energy-office-legacy-management-sites). Samples were collected from 28 monitoring wells, three domestic wells, and six surface locations in April at the processing site as specified in the draft 2010 Ground Water Compliance Action Plan for the Gunnison, Colorado, Processing Site. Planned monitoring locations are shown in Attachment 1, Sampling and Analysis Work Order. Domestic wells 0476 and 0477 weremore » sampled in June because the homes were unoccupied in April, and the wells were not in use. Duplicate samples were collected from locations 0126, 0477, and 0780. One equipment blank was collected during this sampling event. Water levels were measured at all monitoring wells that were sampled. See Attachment 2, Trip Reports for additional details. The analytical data and associated qualifiers can be viewed in environmental database reports and are also available for viewing with dynamic mapping via the GEMS (Geospatial Environmental Mapping System) website at http://gems.lm.doe.gov/#. No issues were identified during the data validation process that requires additional action or follow-up. An assessment of anomalous data is included in Attachment 3. Interpretation and presentation of results, including an assessment ofthe natural flushing compliance strategy, will be reported in the upcoming 2016 Verification Monitoring Report. U.S.« less

  18. Integrating Intimate Partner Violence Screening and Counseling in a Family Planning Clinic: Evaluation of a Pilot Project in Conakry, Guinea.

    PubMed

    Samandari, Ghazaleh; Delamou, Alexandre; Traore, Pernamou; Diallo, Fatoumata Guilinty; Millimono, Sita; Camara, Bienvenu Salim; Laffe, Kira; Verani, Fabio; Tolliver, Maimouna

    2016-06-01

    Few programs exist to address Intimate Partner Violence (IPV) in Guinea. In 2014, Engender Health, in partnership with the local health authorities in Conakry, Guinea, piloted an integrated approach to IPV screening and counseling, within an existing family planning clinic. This article describes both the process of formulating and implementing this approach, as well as the results of an evaluation of the program. From January to June of 2014, Engender Health staff trained midwives at the Conakry International Planned Parenthood Federation family planning clinic staff in screening and counseling client for IPV. Program evaluators used project records, interview with program staff (n=3), midwives (n=3) and client exit interviews (n=53) to measure the outcomes of this pilot project. Regardless of their IPV status, clients appreciated having a venue in which to discuss IPV. Program staff also felt empowered by the additional training and support for IPV screening. The evaluation yielded valuable suggestions for improvement, including more time for staff training and mock client interview practice, additional skills in counseling, and stronger referral links for women who screen positive for IPV. Integrating IPV screening into family planning services is an important and feasible method for reaching vulnerable women with IPV services.

  19. Analysis of landfills with historic airphotos

    NASA Technical Reports Server (NTRS)

    Erb, T. L.; Philipson, W. R.; Teng, W. L.; Liang, T.

    1981-01-01

    An investigation is conducted regarding the value of existing aerial photographs for waste management, including landfill monitoring. The value of historic aerial photographs for documenting landfill boundaries is shown in a graph in which the expansion of an active landfill is traced over a 40-year period. Historic aerial photographs can also be analyzed to obtain general or detailed land-use and land-cover information. In addition, the photographs provide information regarding other elements of the physical environment, including geology, soils, and surface and subsurface drainage. The value of historic photos is discussed, taking into account applications for inventory, assessing contamination/health hazards, planning corrective measures, planning waste collection and facilities, developing inactive landfills, and research concerning improved land-filling operations.

  20. Evaluation of nonmetallic thermal protection materials for the manned space shuttle. Volume 1, task 1: Assessment of technical risks associated with utilization of nonmetallic thermal protection system

    NASA Technical Reports Server (NTRS)

    Wilkinson, W. H.; Kirkhart, F. P.; Kistler, C. W.; Duckworth, W. H.; Ungar, E. W.; Foster, E. L.

    1970-01-01

    Technical problems of design and flight qualification of the proposed classes of surface insulation materials and leading edge materials were reviewed. A screening test plan, a preliminary design data test plan and a design data test plan were outlined. This program defined the apparent critical differences between the surface insulators and the leading edge materials, structuring specialized screening test plans for each of these two classes of materials. Unique testing techniques were shown to be important in evaluating the structural interaction aspects of the surface insulators and a separate task was defined to validate the test plan. In addition, a compilation was made of available information on proposed material (including metallic TPS), previous shuttle programs, pertinent test procedures, and other national programs of merit. This material was collected and summarized in an informally structured workbook.

  1. [Settings-based prevention of overweight in childhood and adolescents : Theoretical foundation, determinants and intervention planning].

    PubMed

    Quilling, Eike; Dadaczynski, Kevin; Müller, Merle

    2016-11-01

    Childhood and adolescent overweight can still be seen as a global public health problem. Based on our socioeconomic understanding, overweight is the result of a complex interplay of a diverse array of factors acting on different levels. Hence, in addition to individual level determinants overweight prevention should also address environmental related factors as part of a holistic and integrated setting approach. This paper aims to discuss the setting approach with regard to overweight prevention in childhood and adolescence. In addition to a summary of environmental factors and their empirical influence on the determinants of overweight, theoretical approaches and planning models of settings-based overweight prevention are discussed. While settings can be characterized as specific social-spatial subsystems (e. g. kindergarten, schools), living environments relate to complex subject-oriented environments that may include various subsystems. Direct social contexts, educational contexts and community contexts as relevant systems for young people contain different evidence-based influences that need to be taken into account in settings based overweight prevention. To support a theory-driven intervention, numerous planning models exist, which are presented here. Given the strengthening of environments for health within the prevention law, the underlying settings approach also needs further development with regard to overweigth prevention. This includes the improvement of the theoretical foundation by aligning intervention practice of planning models, which also has a positive influence on the ability to measure its success.

  2. Cultural Resource Protection Plan for the Remote-Handled Low-Level Waste Disposal Facility at the Idaho National Laboratory

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

    Pace, Brenda Ringe; Gilbert, Hollie Kae

    2015-05-01

    This plan addresses cultural resource protection procedures to be implemented during construction of the Remote Handled Low Level Waste project at the Idaho National Laboratory. The plan proposes pre-construction review of proposed ground disturbing activities to confirm avoidance of cultural resources. Depending on the final project footprint, cultural resource protection strategies might also include additional survey, protective fencing, cultural resource mapping and relocation of surface artifacts, collection of surface artifacts for permanent curation, confirmation of undisturbed historic canal segments outside the area of potential effects for construction, and/or archaeological test excavations to assess potential subsurface cultural deposits at known culturalmore » resource locations. Additionally, all initial ground disturbing activities will be monitored for subsurface cultural resource finds, cultural resource sensitivity training will be conducted for all construction field personnel, and a stop work procedure will be implemented to guide assessment and protection of any unanticipated discoveries after initial monitoring of ground disturbance.« less

  3. Louisiana's 2017 Master Plan for a Sustainable Coast

    NASA Astrophysics Data System (ADS)

    Haase, B.

    2017-12-01

    The Coastal Protection and Restoration Authority is charged with coordinating restoration and protection investments through the development and implementation of Louisiana's Comprehensive Master Plan for a Sustainable Coast. The first master plan was submitted to the Louisiana Legislature in 2007 and is mandated to be updated every five years. The plan's objectives are to reduce economic losses from flooding, promote sustainability by harnessing natural processes, provide habitats for commercial and recreational activities, sustain cultural heritage and promote a viable working coast. Two goals drive decision making about the appropriate suite of restoration and protection projects to include in the Plan: restore and maintain Louisiana's wetlands and provide flood protection for coastal Louisiana's citizens. As part of the decision making process, a wide range of additional metrics are used to evaluate the complex, competing needs of communities, industries, navigation and fisheries. The master plan decision making process includes the identification of individual protection and restoration projects that are evaluated with landscape, storm surge, and risk assessment models and then ranked by how well they perform over time across the set of decision drivers and metrics. High performing projects are assembled into alternatives constrained by available funding and river resources. The planning process is grounded not only on extensive scientific analysis but also on interdisciplinary collaboration between scientists, engineers, planners, community advocates, and coastal stakeholders which creates the long-term dialogue needed for complex environmental planning decisions. It is through this collaboration that recommended alternatives are reviewed and modified to develop the final Plan. Keywords:alternative formulation, comprehensive planning, ecosystem restoration, flood risk reduction and stakeholder engagement

  4. Ecology of Greater Sage-Grouse in the Bi-State Planning Area Final Report, September 2007

    USGS Publications Warehouse

    Casazza, Michael L.; Overton, Cory T.; Farinha, Melissa A.; Torregrosa, Alicia; Fleskes, Joseph P.; Miller, Michael R.; Sedinger, James S.; Kolada, Eric J.

    2009-01-01

    Conservation efforts for greater sage-grouse (Centrocercus urophasianus), hereafter sage-grouse, are underway across the range of this species. Over 70 local working groups have been established and are implementing on-the-ground sage-grouse oriented conservation projects. Early on in this process, the California Department of Fish and Game (CDFG) recognized the need to join in these efforts and received funding from the U.S. Fish and Wildlife Service (USFWS) under the Candidate Species Conservation Program to help develop a species conservation plan for sage-grouse in the Mono County area. This conservation plan covers portions of Alpine, Mono, and Inyo counties in California and Douglas, Esmeralda, Lyon, and Mineral counties in Nevada. A concurrent effort underway through the Nevada Governor's Sage-grouse Conservation Team established Local Area Working Groups across Nevada and eastern California. The Mono County populations of sage-grouse were encompassed by the Bi-State Local Planning Area, which was comprised of six population management units (PMUs). The state agencies from California (CDFG) and Nevada (Nevada Department of Wildlife; NDOW) responsible for the management of sage-grouse agreed to utilize the process that had begun with the Nevada Governor's Team in order to develop local plans for conservation planning and implementation. Resources from the USFWS were applied to several objectives in support of the development of the Bi-State Local Area Sage-grouse Conservation Plan through a grant to the U.S. Geological Survey (USGS). Objectives included: (1) participate in the development of the Bi-State Conservation Plan, (2) compile and synthesize existing sage-grouse data, (3) document seasonal movements of sage-grouse, (4) identify habitats critical to sage-grouse, (5) determine survival rates and identify causal factors of mortality, (6) determine nest success and brood success of sage-grouse, and (7) identify sage-grouse lek sites. Progress reports completed in 2004 and 2005 addressed each of the specific objectives and this final report focuses on the biological information gathered in support of local conservation efforts. Participation in the development of the Bi-State Local Area Conservation Plan was accomplished on multiple scales. Beginning in the fall of 2002, USGS personnel began participating in meetings of local stakeholders involved in the development of a sage-grouse conservation plan for the Bi-State planning area. This included attendance at numerous local PMU group meetings and field trips as well as participating on the technical advisory committee (TAC) for the Bi-State group. Whenever appropriate, ongoing results and findings regarding sage-grouse ecology in the local area were incorporated into these working group meetings. In addition, the USGS partnered with CDFG to help reorganize one of the local PMU groups (South Mono) and edited that portion of the Bi-State plan. The USGS also worked closely with CDFG to draft a description of the state of knowledge for sage-grouse genetic information for inclusion in the Bi-State Conservation Plan. The first edition of the Bi-State Conservation Plan for Greater Sage-Grouse was completed in June 2004 (Bi-State Sage-grouse Conservation Team 2004). This report is organized primarily by PMU to facilitate the incorporation of these research findings into the individual PMU plans that compose the Bi-State plan. Information presented in this report was derived from over 7,000 radio-telemetry locations obtained on 145 individual sage-grouse during a three year period (2003-2005). In addition, we collected detailed vegetation measurements at over 590 habitat sampling plots within the study area including canopy cover, shrubs, forbs, and grasses diversity. Vegetation data collection focused on sage-grouse nests, and brood-use areas. Additionally we collected data at random sites to examine sage-grouse habitat relationships within the study area. The majori

  5. Advances and Future Directions for Tuberous Sclerosis Complex Research: Recommendations from the 2015 Strategic Planning Conference

    PubMed Central

    Sahin, Mustafa; Henske, Elizabeth P.; Manning, Brendan D.; Ess, Kevin C.; Bissler, John J.; Klann, Eric; Kwiatkowski, David J.; Roberds, Steven L.; Silva, Alcino J.; Hillaire-Clarke, Coryse St.; Young, Lisa R.; Zervas, Mark; Mamounas, Laura A.

    2016-01-01

    On March 10–12, 2015, the National Institute of Neurological Disorders and Stroke and the Tuberous Sclerosis Alliance sponsored a workshop in Bethesda, Maryland to assess progress and new opportunities for research in tuberous sclerosis complex with the goal of updating the 2003 Research Plan for Tuberous Sclerosis (http://www.ninds.nih.gov/about_ninds/plans/tscler_research_plan.htm). In addition to the National Institute of Neurological Disorders and Stroke and Tuberous Sclerosis Alliance, participants in the strategic planning effort and workshop included representatives from six other Institutes of the National Institutes of Health, the Department of Defense Tuberous Sclerosis Complex Research Program and a broad cross-section of basic scientists and clinicians with expertise in tuberous sclerosis complex along with representatives from the pharmaceutical industry. This review summarizes outcomes from the extensive pre-meeting deliberations and final workshop recommendations, and includes: 1) progress in the field since publication of the initial 2003 research plan for tuberous sclerosis complex; 2) the key gaps, needs and challenges that hinder progress in tuberous sclerosis complex research; and 3) a new set of research priorities along with specific recommendations for addressing the major challenges in each priority area. The new research plan is organized around both short-term and long-term goals with the expectation that progress toward specific objectives can be achieved within a five- to ten-year timeframe. PMID:27267556

  6. Bladder radiotherapy treatment: A retrospective comparison of 3-dimensional conformal radiotherapy, intensity-modulated radiation therapy, and volumetric-modulated arc therapy plans

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

    Pasciuti, Katia, E-mail: k.pasciuti@virgilio.it; Kuthpady, Shrinivas; Anderson, Anne

    To examine tumor's and organ's response when different radiotherapy plan techniques are used. Ten patients with confirmed bladder tumors were first treated using 3-dimensional conformal radiotherapy (3DCRT) and subsequently the original plans were re-optimized using the intensity-modulated radiation treatment (IMRT) and volumetric-modulated arc therapy (VMAT)-techniques. Targets coverage in terms of conformity and homogeneity index, TCP, and organs' dose limits, including integral dose analysis were evaluated. In addition, MUs and treatment delivery times were compared. Better minimum target coverage (1.3%) was observed in VMAT plans when compared to 3DCRT and IMRT ones confirmed by a statistically significant conformity index (CI) results.more » Large differences were observed among techniques in integral dose results of the femoral heads. Even if no statistically significant differences were reported in rectum and tissue, a large amount of energy deposition was observed in 3DCRT plans. In any case, VMAT plans provided better organs and tissue sparing confirmed also by the normal tissue complication probability (NTCP) analysis as well as a better tumor control probability (TCP) result. Our analysis showed better overall results in planning using VMAT techniques. Furthermore, a total time reduction in treatment observed among techniques including gantry and collimator rotation could encourage using the more recent one, reducing target movements and patient discomfort.« less

  7. TRACON Aircraft Arrival Planning and Optimization Through Spatial Constraint Satisfaction

    NASA Technical Reports Server (NTRS)

    Bergh, Christopher P.; Krzeczowski, Kenneth J.; Davis, Thomas J.; Denery, Dallas G. (Technical Monitor)

    1995-01-01

    A new aircraft arrival planning and optimization algorithm has been incorporated into the Final Approach Spacing Tool (FAST) in the Center-TRACON Automation System (CTAS) developed at NASA-Ames Research Center. FAST simulations have been conducted over three years involving full-proficiency, level five air traffic controllers from around the United States. From these simulations an algorithm, called Spatial Constraint Satisfaction, has been designed, coded, undergone testing, and soon will begin field evaluation at the Dallas-Fort Worth and Denver International airport facilities. The purpose of this new design is an attempt to show that the generation of efficient and conflict free aircraft arrival plans at the runway does not guarantee an operationally acceptable arrival plan upstream from the runway -information encompassing the entire arrival airspace must be used in order to create an acceptable aircraft arrival plan. This new design includes functions available previously but additionally includes necessary representations of controller preferences and workload, operationally required amounts of extra separation, and integrates aircraft conflict resolution. As a result, the Spatial Constraint Satisfaction algorithm produces an optimized aircraft arrival plan that is more acceptable in terms of arrival procedures and air traffic controller workload. This paper discusses the current Air Traffic Control arrival planning procedures, previous work in this field, the design of the Spatial Constraint Satisfaction algorithm, and the results of recent evaluations of the algorithm.

  8. Towards automatic planning for manufacturing generative processes

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

    CALTON,TERRI L.

    2000-05-24

    Generative process planning describes methods process engineers use to modify manufacturing/process plans after designs are complete. A completed design may be the result from the introduction of a new product based on an old design, an assembly upgrade, or modified product designs used for a family of similar products. An engineer designs an assembly and then creates plans capturing manufacturing processes, including assembly sequences, component joining methods, part costs, labor costs, etc. When new products originate as a result of an upgrade, component geometry may change, and/or additional components and subassemblies may be added to or are omitted from themore » original design. As a result process engineers are forced to create new plans. This is further complicated by the fact that the process engineer is forced to manually generate these plans for each product upgrade. To generate new assembly plans for product upgrades, engineers must manually re-specify the manufacturing plan selection criteria and re-run the planners. To remedy this problem, special-purpose assembly planning algorithms have been developed to automatically recognize design modifications and automatically apply previously defined manufacturing plan selection criteria and constraints.« less

  9. Is pre-retirement planning always good? An exploratory study of retirement adjustment among Hong Kong Chinese retirees.

    PubMed

    Yeung, Dannii Y

    2013-01-01

    The impacts of four types of pre-retirement planning activities (financial, health, social life, and psychological planning) on retirement adjustment were investigated in a sample of Chinese retirees residing in Hong Kong. This study consisted of two phases of data collection, pre-retirement and post-retirement phases. Pre-retirement planning behaviors and psychological health (including attitudes toward retirement, adjustment to retirement, anxiety toward retirement, psychological well-being (PWB), and psychological distress) six months before and after retirement were measured. The final sample consisted of 90 Hong Kong Chinese retirees. Compared with the pre-retirement phase, retirees exhibited more positive attitudes toward retirement and better adjustment after they had actually retired, whereas their level of anxiety and psychological distress remained low over time. Pre-retirement planning was found to be predictive of changes in psychological health, though its impact was not always positive depending on the type of planning activities. In particular, greater psychological planning was associated with positive attitudes toward retirement and better PWB, whereas more social life planning activities were associated with greater psychological distress. In addition to financial and health planning, psychological planning activities should also be prompted to facilitate a smooth adjustment to retirement.

  10. 15 CFR 713.4 - Advance declaration requirements for additionally planned production, processing, or consumption...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... INDUSTRY AND SECURITY, DEPARTMENT OF COMMERCE CHEMICAL WEAPONS CONVENTION REGULATIONS ACTIVITIES INVOLVING SCHEDULE 2 CHEMICALS § 713.4 Advance declaration requirements for additionally planned production... additionally planned production, processing, or consumption of Schedule 2 chemicals. 713.4 Section 713.4...

  11. 15 CFR 713.4 - Advance declaration requirements for additionally planned production, processing, or consumption...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... INDUSTRY AND SECURITY, DEPARTMENT OF COMMERCE CHEMICAL WEAPONS CONVENTION REGULATIONS ACTIVITIES INVOLVING SCHEDULE 2 CHEMICALS § 713.4 Advance declaration requirements for additionally planned production... additionally planned production, processing, or consumption of Schedule 2 chemicals. 713.4 Section 713.4...

  12. National Energy Audit Tool for Multifamily Buildings Development Plan

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

    Malhotra, Mini; MacDonald, Michael; Accawi, Gina K

    The U.S. Department of Energy's (DOE's) Weatherization Assistance Program (WAP) enables low-income families to reduce their energy costs by providing funds to make their homes more energy efficient. In addition, the program funds Weatherization Training and Technical Assistance (T and TA) activities to support a range of program operations. These activities include measuring and documenting performance, monitoring programs, promoting advanced techniques and collaborations to further improve program effectiveness, and training, including developing tools and information resources. The T and TA plan outlines the tasks, activities, and milestones to support the weatherization network with the program implementation ramp up efforts. Weatherizationmore » of multifamily buildings has been recognized as an effective way to ramp up weatherization efforts. To support this effort, the 2009 National Weatherization T and TA plan includes the task of expanding the functionality of the Weatherization Assistant, a DOE-sponsored family of energy audit computer programs, to perform audits for large and small multifamily buildings This report describes the planning effort for a new multifamily energy audit tool for DOE's WAP. The functionality of the Weatherization Assistant is being expanded to also perform energy audits of small multifamily and large multifamily buildings. The process covers an assessment of needs that includes input from national experts during two national Web conferences. The assessment of needs is then translated into capability and performance descriptions for the proposed new multifamily energy audit, with some description of what might or should be provided in the new tool. The assessment of needs is combined with our best judgment to lay out a strategy for development of the multifamily tool that proceeds in stages, with features of an initial tool (version 1) and a more capable version 2 handled with currently available resources. Additional development in the future is expected to be needed if more capabilities are to be added. A rough schedule for development of the version 1 tool is presented. The components and capabilities described in this plan will serve as the starting point for development of the proposed new multifamily energy audit tool for WAP.« less

  13. The Utility of PET/CT in the Planning of External Radiation Therapy for Prostate Cancer.

    PubMed

    Calais, Jeremie; Cao, Minsong; Nickols, Nicholas G

    2018-04-01

    Radiotherapy and radical prostatectomy are the definitive treatment options for patients with localized prostate cancer. A rising level of prostate-specific antigen after radical prostatectomy indicates prostate cancer recurrence, and these patients may still be cured with salvage radiotherapy. To maximize chance for cure, the irradiated volumes should completely encompass the extent of disease. Therefore, accurate estimation of the location of disease is critical for radiotherapy planning in both the definitive and the salvage settings. Current first-line imaging for prostate cancer has limited sensitivity for detection of disease both at initial staging and at biochemical recurrence. Integration of PET into routine evaluation of prostate cancer patients may improve both staging accuracy and radiotherapy planning. 18 F-FDG PET/CT is now routinely used in radiation planning for several cancer types. However, 18 F-FDG PET/CT has low sensitivity for prostate cancer. Additional PET probes evaluated in prostate cancer include 18 F-sodium fluoride, 11 C-acetate, 11 C- or 18 F-choline, 18 F-fluciclovine, and 68 Ga- or 18 F-labeled ligands that bind prostate-specific membrane antigen (PSMA). PSMA ligands appear to be the most sensitive and specific but have not yet received Food and Drug Administration New Drug Application approval for use in the United States. Retrospective and prospective investigations suggest a potential major impact of PET/CT on prostate radiation treatment planning. Prospective trials randomizing patients to routine radiotherapy planning versus PET/CT-aided planning may show meaningful clinical outcomes. Prospective clinical trials evaluating the addition of 18 F-fluciclovine PET/CT for planning of salvage radiotherapy with clinical endpoints are under way. Prospective trials evaluating the clinical impact of PSMA PET/CT on prostate radiation planning are indicated. © 2018 by the Society of Nuclear Medicine and Molecular Imaging.

  14. A review of selection-based tests of abiotic surrogates for species representation.

    PubMed

    Beier, Paul; Sutcliffe, Patricia; Hjort, Jan; Faith, Daniel P; Pressey, Robert L; Albuquerque, Fabio

    2015-06-01

    Because conservation planners typically lack data on where species occur, environmental surrogates--including geophysical settings and climate types--have been used to prioritize sites within a planning area. We reviewed 622 evaluations of the effectiveness of abiotic surrogates in representing species in 19 study areas. Sites selected using abiotic surrogates represented more species than an equal number of randomly selected sites in 43% of tests (55% for plants) and on average improved on random selection of sites by about 8% (21% for plants). Environmental diversity (ED) (42% median improvement on random selection) and biotically informed clusters showed promising results and merit additional testing. We suggest 4 ways to improve performance of abiotic surrogates. First, analysts should consider a broad spectrum of candidate variables to define surrogates, including rarely used variables related to geographic separation, distance from coast, hydrology, and within-site abiotic diversity. Second, abiotic surrogates should be defined at fine thematic resolution. Third, sites (the landscape units prioritized within a planning area) should be small enough to ensure that surrogates reflect species' environments and to produce prioritizations that match the spatial resolution of conservation decisions. Fourth, if species inventories are available for some planning units, planners should define surrogates based on the abiotic variables that most influence species turnover in the planning area. Although species inventories increase the cost of using abiotic surrogates, a modest number of inventories could provide the data needed to select variables and evaluate surrogates. Additional tests of nonclimate abiotic surrogates are needed to evaluate the utility of conserving nature's stage as a strategy for conservation planning in the face of climate change. © 2015 Society for Conservation Biology.

  15. A key to success: optimizing the planning process

    NASA Astrophysics Data System (ADS)

    Turk, Huseyin; Karakaya, Kamil

    2014-05-01

    By adopting The NATO Strategic Concept Document in 2010, some important changes in the perception of threat and management of crisis were introduced. This new concept, named ''Comprehensive Approach'', includes the precautions of pre-crisis management, applications of crisis-duration management and reconstruction phase of post-intervention management. NATO will be interested in not only the political and military options , but also social, economical and informational aspects of crisis. NATO will take place in all phases of conflict. The conflicts which occur outside the borders of NATO's nations and terrorism are perceived as threat sources for peace and stability. In addition to conventional threats, cyber attacks which threaten network-supported communication systems, preventing applications from accessing to space that will be used in different fields of life. On the other hand, electronic warfare capabilities which can effect us negatively are added to threat list as new threats. In the process in which military is thought as option, a harder planning phase is waiting for NATO's decision makers who struggle for keeping peace and security. Operation planning process which depends on comprehensive approach, contains these steps: Situational awareness of battlefield, evaluation of the military intervention options, orientation, developing an operation plan, reviewing the plan and transition phases.1 To be successful in theater which is always changing with the technological advances, there has to be an accurate and timely planning on the table. So, spending time for planning can be shown as one of the biggest problem. In addition, sustaining situational awareness which is important for the whole operation planning process, technical command and control hitches, human factor, inability to determine the center of gravity of opponent in asymmetrical threat situations can be described as some of the difficulties in operation planning. In this study, a possible air operation planning process is analyzed according to a comprehensive approach. The difficulties of planning are identified. Consequently, for optimizing a decisionmaking process of an air operation, a planning process is identified in a virtual command and control structure.

  16. SU-F-T-100: Development and Implementation of a Treatment Planning Tracking System Into the Radiation Oncology Clinic

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

    Kabat, C; Cline, K; Li, Y

    Purpose: With increasing numbers of cancer patients being diagnosed and the complexity of radiotherapy treatments rising it’s paramount that patient plan development continues to stay fluid within the clinic. In order to maintain a high standard of care and clinical efficiency the establishment of a tracking system for patient plan development allows healthcare providers to view real time plan progression and drive clinical workflow. In addition, it provides statistical datasets which can further identify inefficiencies within the clinic. Methods: An application was developed utilizing Microsoft’s ODBC SQL database engine to track patient plan status throughout the treatment planning process whilemore » also managing key factors pertaining to the patient’s treatment. Pertinent information is accessible to staff in many locations, including tracking monitors within dosimetry, the clinic network for both computers and handheld devices, and through email notifications. Plans are initiated with a CT and continually tracked through planning stages until final approval by staff. Patient’s status is dynamically updated by the physicians, dosimetrists, and medical physicists based on the stage of the patient’s plan. Results: Our application has been running over a six month period with all patients being processed through the system. Modifications have been made to allow for new features to be implemented along with additional tracking parameters. Based on in-house feedback, the application has been supportive in streamlining patient plans through the treatment planning process and data has been accumulating to further improve procedures within the clinic. Conclusion: Over time the clinic will continue to track data with this application. As data accumulates the clinic will be able to highlight inefficiencies within the workflow and adapt accordingly. We will add in new features to help support the treatment planning process in the future.« less

  17. 33 CFR 155.1125 - Additional response plan requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Prince William Sound— (A) Valdez; (B) Tatitlek; (C) Cordova; (D) Whittier; (E) Chenega; and (F) Fish... include exercise procedures that must— (i) Provide two exercises of the oil spill removal organization... effectively; (ii) Provide for both announced and unannounced exercises; and (iii) Provide for exercises that...

  18. 76 FR 17572 - Reducing Regulatory Burden; Retrospective Review Under E.O. 13563

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-30

    ... businesses and the public. Agencies must consider approaches that maintain freedom of choice and flexibility... regulations, invites interested members of the public to submit comments on its preliminary plan to review....regulations.gov . Additional Instructions. In general, comments received, including attachments and other...

  19. 48 CFR 252.219-7003 - Small business subcontracting plan (DoD contracts).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... clause— Historically black colleges and universities means institutions determined by the Secretary of... institution that was an integral part of such a college or university before November 14, 1986. Minority... clause, includes historically black colleges and universities and minority institutions, in addition to...

  20. 48 CFR 252.219-7003 - Small business subcontracting plan (DoD contracts).

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... clause— Historically black colleges and universities means institutions determined by the Secretary of... institution that was an integral part of such a college or university before November 14, 1986. Minority... clause, includes historically black colleges and universities and minority institutions, in addition to...

  1. 48 CFR 252.219-7003 - Small business subcontracting plan (DoD contracts).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... clause— Historically black colleges and universities means institutions determined by the Secretary of... institution that was an integral part of such a college or university before November 14, 1986. Minority... clause, includes historically black colleges and universities and minority institutions, in addition to...

  2. 48 CFR 252.219-7003 - Small business subcontracting plan (DoD contracts).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... clause— Historically black colleges and universities means institutions determined by the Secretary of... institution that was an integral part of such a college or university before November 14, 1986. Minority... clause, includes historically black colleges and universities and minority institutions, in addition to...

  3. Enrique Carbonell with Adhoc MSL and Salvador Moreno. Faculty of Economics and Business, University of Murcia, Murcia, Spain.

    ERIC Educational Resources Information Center

    Slessor, Catherine

    2000-01-01

    Discusses a joint venture project that succeeded in designing a large, new, award-winning addition to a college campus at a cost of just $30 per square foot. Design features, Floor plans, and photographs are included. (GR)

  4. 40 CFR 52.1100 - Original identification of plan section.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Coating, Interior Sheet Drum Lining). (i) Incorporation by reference. (A) Revisions to COMAR 10.18.21.10... paper and plastic parts coating, including definitions for the terms fountain, letterpress printing... coating, and the addition of definitions for the terms sheet-fed paper coating and ultraviolet curable...

  5. The challenge of scientific activities in wilderness

    Treesearch

    David J. Parsons

    2000-01-01

    Science is an appropriate and necessary use of wilderness. The long-term protection of wilderness, including decisions related to the planning and management of wilderness resources, use and values, requires an understanding often available only through scientific investigation. In addition, wilderness provides opportunities for scientific understanding not available...

  6. 42 CFR 409.33 - Examples of skilled nursing and rehabilitation services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... reaction. Patients who, in addition to their physical problems, exhibit acute psychological symptoms such... of a patient care plan, including tests and measurements of range of motion, strength, balance... neurological, muscular, or skeletal abnormality; (4) Range of motion exercises: Range of motion exercises which...

  7. 42 CFR 409.33 - Examples of skilled nursing and rehabilitation services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... reaction. Patients who, in addition to their physical problems, exhibit acute psychological symptoms such... of a patient care plan, including tests and measurements of range of motion, strength, balance... neurological, muscular, or skeletal abnormality; (4) Range of motion exercises: Range of motion exercises which...

  8. 7 CFR Appendix E to Subpart B of... - Feasibility Study Content

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... project including any additional markets created (e.g., for agricultural and forestry products and agricultural waste material) and potential for rural economic development. Provide feasibility/plans of project...-COOPERATIVE SERVICE AND RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE LOANS AND GRANTS Rural Energy for...

  9. 7 CFR Appendix E to Subpart B of... - Feasibility Study Content

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... project including any additional markets created (e.g., for agricultural and forestry products and agricultural waste material) and potential for rural economic development. Provide feasibility/plans of project...-COOPERATIVE SERVICE AND RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE LOANS AND GRANTS Rural Energy for...

  10. 7 CFR Appendix E to Subpart B of... - Feasibility Study Content

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... project including any additional markets created (e.g., for agricultural and forestry products and agricultural waste material) and potential for rural economic development. Provide feasibility/plans of project...-COOPERATIVE SERVICE AND RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE LOANS AND GRANTS Rural Energy for...

  11. 29 CFR 516.3 - Bona fide executive, administrative, and professional employees (including academic...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... information and data required by § 516.2(a) except paragraphs (a) (6) through (10) and, in addition, the basis... appropriate addenda such as “plus hospitalization and insurance plan A,” “benefit package B,” “2 weeks paid...

  12. 29 CFR 516.3 - Bona fide executive, administrative, and professional employees (including academic...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... information and data required by § 516.2(a) except paragraphs (a) (6) through (10) and, in addition, the basis... appropriate addenda such as “plus hospitalization and insurance plan A,” “benefit package B,” “2 weeks paid...

  13. 29 CFR 516.3 - Bona fide executive, administrative, and professional employees (including academic...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... information and data required by § 516.2(a) except paragraphs (a) (6) through (10) and, in addition, the basis... appropriate addenda such as “plus hospitalization and insurance plan A,” “benefit package B,” “2 weeks paid...

  14. 29 CFR 516.3 - Bona fide executive, administrative, and professional employees (including academic...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... information and data required by § 516.2(a) except paragraphs (a) (6) through (10) and, in addition, the basis... appropriate addenda such as “plus hospitalization and insurance plan A,” “benefit package B,” “2 weeks paid...

  15. 29 CFR 516.3 - Bona fide executive, administrative, and professional employees (including academic...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... information and data required by § 516.2(a) except paragraphs (a) (6) through (10) and, in addition, the basis... appropriate addenda such as “plus hospitalization and insurance plan A,” “benefit package B,” “2 weeks paid...

  16. 15 CFR 714.3 - Advance declaration requirements for additionally planned production of Schedule 3 chemicals.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... COMMERCE CHEMICAL WEAPONS CONVENTION REGULATIONS ACTIVITIES INVOLVING SCHEDULE 3 CHEMICALS § 714.3 Advance declaration requirements for additionally planned production of Schedule 3 chemicals. (a) Declaration... additionally planned production of Schedule 3 chemicals. 714.3 Section 714.3 Commerce and Foreign Trade...

  17. Using the Integrated Vehicle Health Management Research Test and Integration Plan Wiki to Identify Synergistic Test Opportunities

    NASA Technical Reports Server (NTRS)

    Koelfgen, Syri J.; Faber, James J.

    2010-01-01

    The National Aeronautics and Space Administration (NASA) and the aviation industry have recognized a need for developing a method to identify and combine resources to carry out research and testing more efficiently. The Integrated Vehicle Health Management (IVHM) Research Test and Integration Plan (RTIP) Wiki is a tool that is used to visualize, plan, and accomplish collaborative research and testing. Synergistic test opportunities are developed using the RTIP Wiki, and include potential common resource testing that combines assets and personnel from NASA, industry, academia, and other government agencies. A research scenario is linked to the appropriate IVHM milestones and resources detailed in the wiki, reviewed by the research team members, and integrated into a collaborative test strategy. The scenario is then implemented by creating a test plan when appropriate and the research is performed. The benefits of performing collaborative research and testing are achieving higher Technology Readiness Level (TRL) test opportunities with little or no additional cost, improved quality of research, and increased communication among researchers. In addition to a description of the method of creating these joint research scenarios, examples of the successful development and implementation of cooperative research using the IVHM RTIP Wiki are given.

  18. Are community health centers prepared for bioterrorism?

    PubMed

    Clawson, Art; Menachemi, Nir; Beitsch, Leslie; Brooks, Robert G

    2006-01-01

    Community health centers (CHCs) are essential in the delivery of primary care services to underserved populations. Given the critical function of CHCs, surprisingly little is known about their role in preparing for or responding to acts of terrorism. This survey-based study examines the state of CHCs in terrorism preparedness and assesses their training needs. Of the administrators who responded to the survey, 87% indicated that their centers had an emergency response or disaster plan. Of those, 78% indicated they had updated their plans within the past year. Among those who had a written plan, 41% addressed bioterrorism preparedness, 38% had contingencies for a mass influx of patients, and 3% indicated that their plans addressed increasing operational capacity. Additionally, while 48% reported having assessed the education and training needs of their professional staff in the area of disease surveillance and reporting, only 24% had assessed these needs in relation to bioterrorism. Our findings suggest that CHCs have made great strides in preparing for some emergencies but that preparedness does not yet extend to specifically include terrorism events. Policy and practice recommendations are included to more fully develop CHCs as a resource.

  19. Implementing Multisector Nutrition Programs in Ethiopia and Nepal: Challenges and Opportunities From a Stakeholder Perspective.

    PubMed

    Kennedy, Eileen; Fekadu, Habtamu; Ghosh, Shibani; Baral, Kedar; Davis, Dale; Sapkota, Diplav; Webb, Patrick

    2016-12-01

    Effective governance is essential for effective nutrition program implementation. There are additional challenges in launching multisector plans to enhance nutritional status. The present study compares the challenges and opportunities in Ethiopia and Nepal in designing and implementing a multisector plan for nutrition. A semi-quantitative questionnaire with open-ended questions was used to solicit information from senior national-level policy officials and other key stakeholders. The nature of the major nutrition problems in each country was similar; these include malnutrition (particularly stunting), food insecurity, and micronutrient malnutrition. The main challenges identified included the need for more specificity in the roles of agencies/individuals in program implementation, more effective mechanisms for linking national to subnational officials, methods for creating awareness of the plans, and a dedicated line item in the budgets of each agency. The level of enthusiasm was high in both countries. Respondents in both countries highlighted the need to identify a "champion" at the highest level who would keep the momentum for the respective plans alive. © The Author(s) 2016.

  20. Evaluating remedial alternatives for an acid mine drainage stream: Application of a reactive transport model

    USGS Publications Warehouse

    Runkel, R.L.; Kimball, B.A.

    2002-01-01

    A reactive transport model based on one-dimensional transport and equilibrium chemistry is applied to synoptic data from an acid mine drainage stream. Model inputs include streamflow estimates based on tracer dilution, inflow chemistry based on synoptic sampling, and equilibrium constants describing acid/base, complexation, precipitation/dissolution, and sorption reactions. The dominant features of observed spatial profiles in pH and metal concentration are reproduced along the 3.5-km study reach by simulating the precipitation of Fe(III) and Al solid phases and the sorption of Cu, As, and Pb onto freshly precipitated iron-(III) oxides. Given this quantitative description of existing conditions, additional simulations are conducted to estimate the streamwater quality that could result from two hypothetical remediation plans. Both remediation plans involve the addition of CaCO3 to raise the pH of a small, acidic inflow from ???2.4 to ???7.0. This pH increase results in a reduced metal load that is routed downstream by the reactive transport model, thereby providing an estimate of post-remediation water quality. The first remediation plan assumes a closed system wherein inflow Fe(II) is not oxidized by the treatment system; under the second remediation plan, an open system is assumed, and Fe(II) is oxidized within the treatment system. Both plans increase instream pH and substantially reduce total and dissolved concentrations of Al, As, Cu, and Fe(II+III) at the terminus of the study reach. Dissolved Pb concentrations are reduced by ???18% under the first remediation plan due to sorption onto iron-(III) oxides within the treatment system and stream channel. In contrast, iron(III) oxides are limiting under the second remediation plan, and removal of dissolved Pb occurs primarily within the treatment system. This limitation results in an increase in dissolved Pb concentrations over existing conditions as additional downstream sources of Pb are not attenuated by sorption.

  1. Direct heat geothermal opportunities at Pahoa, Hawaii

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

    Moreau, J.; Jones, W.L.

    1980-09-01

    A geothermal commercial park located near Pahoa, Hawaii, has been found to be technically feasible. However, community acceptance varies from optimistic support for the job opportunities to only lukewarm acceptance by most residents of the nearby planned residential community. Interviews, team evaluations, and calculations of energy and transportation savings were used to reduce a list of candidate processes to four. These four include an ethanol plant, a cattle feed mill, a protein recovery plant, and a papaya processing facility. In addition, a research laboratory is planned for the evaluation of other processes identified as very promising.

  2. The space shuttle payload planning working groups: Volume 9: Materials processing and space manufacturing

    NASA Technical Reports Server (NTRS)

    1973-01-01

    The findings and recommendations of the Materials Processing and Space Manufacturing group of the space shuttle payload planning activity are presented. The effects of weightlessness on the levitation processes, mixture stability, and control over heat and mass transport in fluids are considered for investigation. The research and development projects include: (1) metallurgical processes, (2) electronic materials, (3) biological applications, and (4)nonmetallic materials and processes. Additional recommendations are provided concerning the allocation of payload space, acceptance of experiments for flight, flight qualification, and private use of the space shuttle.

  3. Traffic data collection for transportation planning in the Dallas-Fort Worth area. Interim research report, January 1994-July 1995

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

    Perkinson, D.G.; Dresser, G.B.

    1995-07-01

    The Texas Transportation Institute (TTI), under a contract with the Dallas District of the Texas Department of Transportation (TxDOT), provided traffic data for the North Central Texas Council of Governments (NCTOG) for their transportation planning in the Dallas-Fort Worth area. This effort included volume counts, vehicle classification counts, and speed data for 23 urban corridors in the area. In addition, external station volume counts were collected for 32 external stations, and journey travel time data were collected for nine activity centers.

  4. [Clinical assessment of drug safety].

    PubMed

    Imbs, J-L; Welsch, M

    2007-09-01

    The environment of drug safety is changing. In addition to the current system of pharmacovigilance based on spontaneous report of adverse events, clinical data observed in a given patient with a given symptom is taken into consideration and compared with information coming from pharmacovigilance data bases, which is then analyzed for causality by the experts of both the promotor and the public network. Such information is integrated into a risk management strategy, defined together by the French drug agency (Afssaps) and the marketing authorization holder. This strategy includes a pharmacovigilance plan and, if possible, a risk minimisation plan.

  5. Draft Plan to Develop Non-Intrusive Load Monitoring Test Protocols

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

    Mayhorn, Ebony T.; Sullivan, Greg P.; Petersen, Joseph M.

    2015-09-29

    This document presents a Draft Plan proposed to develop a common test protocol that can be used to evaluate the performance requirements of Non-Intrusive Load Monitoring. Development on the test protocol will be focused on providing a consistent method that can be used to quantify and compare the performance characteristics of NILM products. Elements of the protocols include specifications for appliances to be used, metrics, instrumentation, and a procedure to simulate appliance behavior during tests. In addition, three priority use cases for NILM will be identified and their performance requirements will specified.

  6. High speed precision motion strategies for lightweight structures

    NASA Technical Reports Server (NTRS)

    Book, Wayne J.

    1987-01-01

    Work during the recording period proceeded along the lines of the proposal, i.e., three aspects of high speed motion planning and control of flexible structures were explored: fine motion control, gross motion planning and control, and automation using light weight arms. In addition, modeling the large manipulator arm to be used in experiments and theory has lead to some contributions in that area. These aspects are reported below. Conference, workshop and journal submissions, and presentations related to this work were seven in number, and are listed. Copies of written papers and abstracts are included.

  7. Teacher Modeling Using Complex Informational Texts

    ERIC Educational Resources Information Center

    Fisher, Douglas; Frey, Nancy

    2015-01-01

    Modeling in complex texts requires that teachers analyze the text for factors of qualitative complexity and then design lessons that introduce students to that complexity. In addition, teachers can model the disciplinary nature of content area texts as well as word solving and comprehension strategies. Included is a planning guide for think aloud.

  8. Activity Based Curriculum for Elementary Education. Additional Activities, K-6.

    ERIC Educational Resources Information Center

    Wichita Public Schools, KS.

    This elementary curriculum is a vehicle to provide manipulative activities that reinforce academic skills through meaningful, relevant, activity-based awareness of modern society. The twenty-six activity plans included in the curriculum place a major emphasis upon realistic or concrete experiences that deal with the manipulation and exploration of…

  9. 48 CFR 1352.271-72 - Additional Item Requirements (AIR)-growth work

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Production Schedule. The ordering of any portion of the AIR quantities does not in itself warrant an extension to the original contract completion date; however, for planning purposes, the Government... cover the entire effort and shall be burdened to include: (1) Direct production labor hour functions...

  10. 48 CFR 1352.271-72 - Additional Item Requirements (AIR)-growth work

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Production Schedule. The ordering of any portion of the AIR quantities does not in itself warrant an extension to the original contract completion date; however, for planning purposes, the Government... cover the entire effort and shall be burdened to include: (1) Direct production labor hour functions...

  11. 48 CFR 1352.271-72 - Additional Item Requirements (AIR)-growth work

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Production Schedule. The ordering of any portion of the AIR quantities does not in itself warrant an extension to the original contract completion date; however, for planning purposes, the Government... cover the entire effort and shall be burdened to include: (1) Direct production labor hour functions...

  12. Defense Contracting: Additional Personal Conflict of Interest Safeguards Needed for Certain DOD Contractor Employees

    DTIC Science & Technology

    2008-03-01

    suspected violations of federal criminal law in connection with the award or performance of contracts, or face suspension or debarment . Public...and tracking system; an organizational conflict of interest compliance/enforcement plan, to include employee training and sanctions , in the event of

  13. 42 CFR 422.266 - Beneficiary rebates.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., which may include the reduction of cost sharing for benefits under original Medicare and additional... 42 Public Health 3 2010-10-01 2010-10-01 false Beneficiary rebates. 422.266 Section 422.266 Public...) Supplemental health care benefits. MA organizations may apply all or some portion of the rebate for a plan...

  14. 49 CFR 260.25 - Additional information for Applicants not having a credit rating.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... geographic region, major markets served, major interchange points, and market development plans; (2... application, including: (i) A copy of Applicant's most recent year-end general balance sheet and a copy of Applicant's most recent unaudited general balance sheet; and (ii) Applicant's most recent annual income...

  15. 45 CFR 146.122 - Additional requirements prohibiting discrimination based on genetic information.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 1, the health risk assessment includes a request for genetic information (that is, the individual's... health risk assessment are a request for genetic information for underwriting purposes and are prohibited.... Individual A group health plan covers genetic testing for celiac disease for individuals who have family...

  16. 45 CFR 146.122 - Additional requirements prohibiting discrimination based on genetic information.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 1, the health risk assessment includes a request for genetic information (that is, the individual's... health risk assessment are a request for genetic information for underwriting purposes and are prohibited.... Individual A group health plan covers genetic testing for celiac disease for individuals who have family...

  17. 45 CFR 146.122 - Additional requirements prohibiting discrimination based on genetic information.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 1, the health risk assessment includes a request for genetic information (that is, the individual's... health risk assessment are a request for genetic information for underwriting purposes and are prohibited.... Individual A group health plan covers genetic testing for celiac disease for individuals who have family...

  18. 45 CFR 146.122 - Additional requirements prohibiting discrimination based on genetic information.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 1, the health risk assessment includes a request for genetic information (that is, the individual's... health risk assessment are a request for genetic information for underwriting purposes and are prohibited.... Individual A group health plan covers genetic testing for celiac disease for individuals who have family...

  19. 30 CFR 585.601 - When am I required to submit my plans to BOEM?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...? 585.601 Section 585.601 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE RENEWABLE ENERGY AND ALTERNATE USES OF EXISTING FACILITIES ON THE OUTER CONTINENTAL SHELF... conduct additional reviews, including NEPA analysis, if significant new information becomes available...

  20. 30 CFR 285.601 - When am I required to submit my plans to MMS?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...? 285.601 Section 285.601 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE RENEWABLE ENERGY ALTERNATE USES OF EXISTING FACILITIES ON THE... additional reviews, including NEPA analysis, if significant new information becomes available after you...

  1. The Vindex Special: Learning about Technology through Advertising.

    ERIC Educational Resources Information Center

    Smulyan, Susan; Kosty, Carlita; Brennan, Sheila

    1998-01-01

    Presents a lesson plan that uses content analysis of an advertisement for an early sewing machine, the Vindex, to examine issues of marketing, new technology, and consumer economics. Includes a reproduction of an early advertisement, a list of additional readings, and several sets of questions concerning target audience, information, and image…

  2. Appropriate Programs for Foreign Students in U.S. Chemical Engineering Curricula.

    ERIC Educational Resources Information Center

    Findley, M. E.

    Chemical engineers in developing countries may need abilities in a number of diverse areas including management, planning, chemistry, equipment, processes, politics, and improvisation. Chemical engineering programs for foreign students can be arranged by informed advisers with student input for inclusion of some of these areas in addition to…

  3. 36 CFR 228.115 - Additional notice of decisions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Management of: (1) Competitive lease sales which the Bureau plans to conduct that include National Forest... leases on National Forest System lands; and (3) Applications for permits to drill which the Bureau has received for leaseholds located on National Forest System lands. (b) The notice shall be posted at the...

  4. 76 FR 40303 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Modifications to Indiana...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-08

    ... Significant Deterioration (PSD) and Nonattainment New Source Review (NNSR) rules. The amendments include grammatical changes, corrections to numbering, addition of definitions consistent with Federal PSD and NNSR... Federal PSD and NNSR regulations. DATES: Comments must be received on or before August 8, 2011. ADDRESSES...

  5. The Electronic School Library Resource Center: Facilities Planning for the New Information Technologies.

    ERIC Educational Resources Information Center

    Blodgett, Teresa; Repman, Judi

    1995-01-01

    Addresses the necessity of incorporating new computer technologies into school library resource centers and notes some administrative challenges. An extensive checklist is provided for assessing equipment and furniture needs, physical facilities, and rewiring needs. A glossary of 20 terms and 11 additional resources is included. (AEF)

  6. Deep Water Cooling | Climate Neutral Research Campuses | NREL

    Science.gov Websites

    the Cornell website. Additional examples of research campus geothermal cooling projects include Deep Water Cooling Deep Water Cooling Research campuses that are located near a deep lake or deep plan for your research campus. Considerations Sample Project Related Links Deep water cooling involves

  7. Ornamental Horticulture Technology; Suggested 2-Year Post High School Curriculums.

    ERIC Educational Resources Information Center

    Bureau of Adult, Vocational, and Technical Education (DHEW/OE), Washington, DC. Div. of Vocational and Technical Education.

    Developed by a technical education specialist, this guide is designed to aid school administrators in planning and developing 2-year post-high school programs or evaluating existing programs in ornamental horticulture technology. In addition to general information on the program, contents include course outlines with examples of tests and…

  8. 76 FR 10064 - Notice of Public Meeting of the Central California Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-23

    ... associated with public land management in Central California. At this meeting, agenda topics will include an update on Resource Management Plans and other resource management issues. Additional ongoing business... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAC01000 L10100000.XZ0000 LXSIOVHD0000...

  9. Functional Communication Training in the Classroom: A Guide for Success

    ERIC Educational Resources Information Center

    Mancil, G. Richmond; Boman, Marty

    2010-01-01

    Researchers have consistently shown the effectiveness of functional communication training (FCT) to address both the communication and behavioral needs of children on the autism spectrum. The three steps of FCT include completing a functional behavior assessment, identifying a communication response, and developing a treatment plan. In addition,…

  10. 24 CFR 1006.101 - Housing plan requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... disposition; (C) A financial analysis of the proposed demolition/disposition; and (D) Any additional... including an analysis of the manner in which the activities will enable the DHHL to meet its mission, goals... the estimated housing needs for all families to be served by the DHHL. (3) Financial resources. An...

  11. 24 CFR 1006.101 - Housing plan requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... disposition; (C) A financial analysis of the proposed demolition/disposition; and (D) Any additional... including an analysis of the manner in which the activities will enable the DHHL to meet its mission, goals... the estimated housing needs for all families to be served by the DHHL. (3) Financial resources. An...

  12. 76 FR 22399 - HIT Policy Committee's Workgroup Meetings; Notice of Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-21

    ...: Meaningful Use, Privacy & Security Tiger Team, Quality Measures, Governance, Adoption/Certification, and... with the Federal Health IT Strategic Plan and that includes recommendations on the areas in which...://healthit.hhs.gov . Please check the ONC Web site for additional information or revised schedules as it...

  13. Assessing Young Children in Inclusive Settings: The Blended Practices Approach

    ERIC Educational Resources Information Center

    Grisham-Brown, Jennifer; Pretti-Frontczak, Kristie

    2011-01-01

    To ensure the best possible outcomes for young children with and without disabilities, early childhood educators must enter the classroom ready to conduct all types of early childhood assessment--including determining if children need additional services, planning and monitoring instruction, and determining program effectiveness. They'll get the…

  14. The Adolescent Smoking and Health Project.

    ERIC Educational Resources Information Center

    Sutherland, Mary; And Others

    This project was designed to specifically apply a health planning management system to a school based health education risk reduction program. Additionally, the Adolescent Smoking and Alcohol Project assisted youth in making informed decisions about the use/abuse of alcohol and cigarettes. Program components included a related knowledge base;…

  15. 47 CFR 43.43 - Reports of proposed changes in depreciation rates.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... all depreciable plant, (i) the book cost of plant at the most recent date available, (ii) the... supplement the data required by paragraph (b) of this section) with copies of the underlying studies... basic factors, including company plans of forecasted retirements and additions, recent annual...

  16. 40 CFR 307.22 - Preauthorization of response actions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... remedial investigation and feasibility study shall, in addition to the requirements in paragraph (b) of this section, include: (1) The scope of the proposed study; (2) A proposed site sampling plan and... recent draft of any pending agreement, reached between such parties and the Federal Government; and (2...

  17. Specific test and evaluation plan

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

    Hays, W.H.

    1998-03-20

    The purpose of this Specific Test and Evaluation Plan (STEP) is to provide a detailed written plan for the systematic testing of modifications made to the 241-AX-B Valve Pit by the W-314 Project. The STEP develops the outline for test procedures that verify the system`s performance to the established Project design criteria. The STEP is a lower tier document based on the W-314 Test and Evaluation Plan (TEP). Testing includes Validations and Verifications (e.g., Commercial Grade Item Dedication activities), Factory Acceptance Tests (FATs), installation tests and inspections, Construction Acceptance Tests (CATs), Acceptance Test Procedures (ATPs), Pre-Operational Test Procedures (POTPs), andmore » Operational Test Procedures (OTPs). It should be noted that POTPs are not required for testing of the transfer line addition. The STEP will be utilized in conjunction with the TEP for verification and validation.« less

  18. A review of plan library approaches in adaptive radiotherapy of bladder cancer.

    PubMed

    Collins, Shane D; Leech, Michelle M

    2018-05-01

    Large variations in the shape and size of the bladder volume are commonly observed in bladder cancer radiotherapy (RT). The clinical target volume (CTV) is therefore frequently inadequately treated and large isotropic margins are inappropriate in terms of dose to organs at risk (OAR); thereby making adaptive radiotherapy (ART) attractive for this tumour site. There are various methods of ART delivery, however, for bladder cancer, plan libraries are frequently used. A review of published studies on plan libraries for bladder cancer using four databases (Pubmed, Science Direct, Embase and Cochrane Library) was conducted. The endpoints selected were accuracy and feasibility of initiation of a plan library strategy into a RT department. Twenty-four articles were included in this review. The majority of studies reported improvement in accuracy with 10 studies showing an improvement in planning target volume (PTV) and CTV coverage with plan libraries, some by up to 24%. Seventeen studies showed a dose reduction to OARs, particularly the small bowel V45Gy, V40Gy, V30Gy and V10Gy, and the rectal V30Gy. However, the occurrence of no suitable plan was reported in six studies, with three studies showing no significant difference between adaptive and non-adaptive strategies in terms of target coverage. In addition, inter-observer variability in plan selection appears to remain problematic. The additional resources, education and technology required for the initiation of plan library selection for bladder cancer may hinder its routine clinical implementation, with eight studies illustrating increased treatment time required. While there is a growing body of evidence in support of plan libraries for bladder RT, many studies differed in their delivery approach. The advent of the clinical use of the MRI-linear accelerator will provide RT departments with the opportunity to consider daily online adaption for bladder cancer as an alternate to plan library approaches.

  19. Plan for Moral and Ethical Decision-Making Program of Research

    DTIC Science & Technology

    2007-02-01

    to combatants and non-combatants alike, safely and from great distances (Duty with Honor), including long -range precision weapons, using uninhabited...to the legitimization of any procedures, including extreme actions, such as terrorism or political executions, so long as the mandated end is...person they wanted to be or the role they wanted to enact (actual/own versus ideal/own). They also faced the additional struggle of having strong

  20. Anatomical robust optimization to account for nasal cavity filling variation during intensity-modulated proton therapy: a comparison with conventional and adaptive planning strategies

    NASA Astrophysics Data System (ADS)

    van de Water, Steven; Albertini, Francesca; Weber, Damien C.; Heijmen, Ben J. M.; Hoogeman, Mischa S.; Lomax, Antony J.

    2018-01-01

    The aim of this study is to develop an anatomical robust optimization method for intensity-modulated proton therapy (IMPT) that accounts for interfraction variations in nasal cavity filling, and to compare it with conventional single-field uniform dose (SFUD) optimization and online plan adaptation. We included CT data of five patients with tumors in the sinonasal region. Using the planning CT, we generated for each patient 25 ‘synthetic’ CTs with varying nasal cavity filling. The robust optimization method available in our treatment planning system ‘Erasmus-iCycle’ was extended to also account for anatomical uncertainties by including (synthetic) CTs with varying patient anatomy as error scenarios in the inverse optimization. For each patient, we generated treatment plans using anatomical robust optimization and, for benchmarking, using SFUD optimization and online plan adaptation. Clinical target volume (CTV) and organ-at-risk (OAR) doses were assessed by recalculating the treatment plans on the synthetic CTs, evaluating dose distributions individually and accumulated over an entire fractionated 50 GyRBE treatment, assuming each synthetic CT to correspond to a 2 GyRBE fraction. Treatment plans were also evaluated using actual repeat CTs. Anatomical robust optimization resulted in adequate CTV doses (V95%  ⩾  98% and V107%  ⩽  2%) if at least three synthetic CTs were included in addition to the planning CT. These CTV requirements were also fulfilled for online plan adaptation, but not for the SFUD approach, even when applying a margin of 5 mm. Compared with anatomical robust optimization, OAR dose parameters for the accumulated dose distributions were on average 5.9 GyRBE (20%) higher when using SFUD optimization and on average 3.6 GyRBE (18%) lower for online plan adaptation. In conclusion, anatomical robust optimization effectively accounted for changes in nasal cavity filling during IMPT, providing substantially improved CTV and OAR doses compared with conventional SFUD optimization. OAR doses can be further reduced by using online plan adaptation.

  1. Positioning pharmacists' roles in primary health care: a discourse analysis of the compensation plan in Alberta, Canada.

    PubMed

    Hughes, Christine A; Breault, Rene R; Hicks, Deborah; Schindel, Theresa J

    2017-11-23

    A comprehensive Compensation Plan for pharmacy services delivered by community pharmacists was implemented in Alberta, Canada in July 2012. Services covered by the Compensation Plan include care planning services, prescribing services such as adapting prescriptions, and administering a drug or publicly-funded vaccine by injection. Understanding how the Compensation Plan was framed and communicated provides insight into the roles of pharmacists and the potential influence of language on the implementation of services covered by the Compensation Plan by Albertan pharmacists. The objective of this study is to examine the positioning of pharmacists' roles in documents used to communicate the Compensation Plan to Albertan pharmacists and other audiences. Publicly available documents related to the Compensation Plan, such as news releases or reports, published between January 2012 and December 2015 were obtained from websites such as the Government of Alberta, Alberta Blue Cross, the Alberta College of Pharmacists, the Alberta Pharmacists' Association, and the Blueprint for Pharmacy. Searches of the Canadian Newsstand database and Google identified additional documents. Discourse analysis was performed using social positioning theory to explore how pharmacists' roles were constructed in communications about the Compensation Plan. In total, 65 publicly available documents were included in the analysis. The Compensation Plan was put forward as a framework for payment for professional services and formal legitimization of pharmacists' changing professional roles. The discourse associated with the Compensation Plan positioned pharmacists' roles as: (1) expanding to include services such as medication management for chronic diseases, (2) contributing to primary health care by providing access to services such as prescription renewals and immunizations, and (3) collaborating with other health care team members. Pharmacists' changing roles were positioned in alignment with the aims of primary health care. Social positioning theory provides a useful lens to examine the dynamic and evolving roles of pharmacists. This study provides insight into how communications regarding the Compensation Plan in Alberta, Canada positioned pharmacists' changing roles in the broader context of changes to primary health care delivery. Our findings may be useful for other jurisdictions considering implementation of remunerated clinical services provided by pharmacists.

  2. Meeting the needs of the postpartum woman with epilepsy.

    PubMed

    Rousseau, Jennifer B

    2008-01-01

    Although pregnancy and postpartum are times of emotional and physical change for all women, women with epilepsy have additional concerns and face special challenges. This article describes the nursing care for this special population to help the clinical nurse provide for the safety of these women and their infants. A multidisciplinary approach is essential, and families need to be included in the care planning. Special considerations for medication management, additional rest, seizure precautions, and discharge instructions are described.

  3. Satisfaction with work-life balance and the career and retirement plans of US oncologists.

    PubMed

    Shanafelt, Tait D; Raymond, Marilyn; Kosty, Michael; Satele, Daniel; Horn, Leora; Pippen, John; Chu, Quyen; Chew, Helen; Clark, William Benton; Hanley, Amy E; Sloan, Jeff; Gradishar, William J

    2014-04-10

    To evaluate satisfaction with work-life balance (WLB) and career plans of US oncologists. The American Society of Clinical Oncology conducted a survey of US oncologists evaluating satisfaction with WLB and career plans between October 2012 and March 2013. The sample included equal numbers of men and women from all career stages. Of 2,998 oncologists contacted, 1,490 (49.7%) returned surveys. From 1,117 oncologists (37.3% of overall sample) completing full-length surveys, we evaluated satisfaction with WLB and career plans among the 1,058 who were not yet retired. The proportion of oncologists satisfied with WLB (n = 345; 33.4%) ranked lower than that reported for all other medical specialties in a recent national study. Regarding career plans, 270 oncologists (26.5%) reported a moderate or higher likelihood of reducing their clinical work hours in the next 12 months, 351 (34.3%) indicated a moderate or higher likelihood of leaving their current position within 24 months, and 273 (28.5%) planned to retire before 65 years of age. Multivariable analyses found women oncologists (odds ratio [OR], 0.458; P < .001) and those who devoted greater time to patient care (OR for each additional hour, 0.977; P < .001) were less likely to be satisfied with WLB. Satisfaction with WLB and burnout were the strongest predictors of intent to reduce clinical work hours and leave current position on multivariable analysis. Satisfaction with WLB among US oncologists seems lower than for other medical specialties. Dissatisfaction with WLB shows a strong relationship with plans to reduce hours and leave current practice. Given the pending US oncologist shortage, additional studies exploring interactions among WLB, burnout, and career satisfaction and their impact on career and retirement plans are warranted.

  4. Satisfaction With Work-Life Balance and the Career and Retirement Plans of US Oncologists

    PubMed Central

    Shanafelt, Tait D.; Raymond, Marilyn; Kosty, Michael; Satele, Daniel; Horn, Leora; Pippen, John; Chu, Quyen; Chew, Helen; Clark, William Benton; Hanley, Amy E.; Sloan, Jeff; Gradishar, William J.

    2014-01-01

    Purpose To evaluate satisfaction with work-life balance (WLB) and career plans of US oncologists. Methods The American Society of Clinical Oncology conducted a survey of US oncologists evaluating satisfaction with WLB and career plans between October 2012 and March 2013. The sample included equal numbers of men and women from all career stages. Results Of 2,998 oncologists contacted, 1,490 (49.7%) returned surveys. From 1,117 oncologists (37.3% of overall sample) completing full-length surveys, we evaluated satisfaction with WLB and career plans among the 1,058 who were not yet retired. The proportion of oncologists satisfied with WLB (n = 345; 33.4%) ranked lower than that reported for all other medical specialties in a recent national study. Regarding career plans, 270 oncologists (26.5%) reported a moderate or higher likelihood of reducing their clinical work hours in the next 12 months, 351 (34.3%) indicated a moderate or higher likelihood of leaving their current position within 24 months, and 273 (28.5%) planned to retire before 65 years of age. Multivariable analyses found women oncologists (odds ratio [OR], 0.458; P < .001) and those who devoted greater time to patient care (OR for each additional hour, 0.977; P < .001) were less likely to be satisfied with WLB. Satisfaction with WLB and burnout were the strongest predictors of intent to reduce clinical work hours and leave current position on multivariable analysis. Conclusion Satisfaction with WLB among US oncologists seems lower than for other medical specialties. Dissatisfaction with WLB shows a strong relationship with plans to reduce hours and leave current practice. Given the pending US oncologist shortage, additional studies exploring interactions among WLB, burnout, and career satisfaction and their impact on career and retirement plans are warranted. PMID:24616305

  5. Application of nutrient intake values (NIVs).

    PubMed

    Vorster, Hester H; Murphy, Suzanne P; Allen, Lindsay H; King, Janet C

    2007-03-01

    The process of applying nutrient intake values (NIVs) for dietary assessment, planning, and implementing programs is discussed in this paper. In addition to assessing, monitoring, and evaluating nutritional situations, applications include planning food policies, strategies, and programs for promotion of optimal nutrition and preventing and treating malnutrition (both over- and undernutrition). Other applications include nutrition education, food and nutrient legislation, marketing and labeling, research, product development, food procurement and trade (import and export), food aid, and therapeutic (clinical) nutrition. Specific examples of how NIVs are used to develop food labels, fortification policies, and food-based dietary guidelines are described. Applications in both developed and developing countries are also described. In summary, NIVs are the scientific backbone of all aspects of nutrition policy in countries and regions worldwide.

  6. Optimizing spacecraft design - optimization engine development : progress and plans

    NASA Technical Reports Server (NTRS)

    Cornford, Steven L.; Feather, Martin S.; Dunphy, Julia R; Salcedo, Jose; Menzies, Tim

    2003-01-01

    At JPL and NASA, a process has been developed to perform life cycle risk management. This process requires users to identify: goals and objectives to be achieved (and their relative priorities), the various risks to achieving those goals and objectives, and options for risk mitigation (prevention, detection ahead of time, and alleviation). Risks are broadly defined to include the risk of failing to design a system with adequate performance, compatibility and robustness in addition to more traditional implementation and operational risks. The options for mitigating these different kinds of risks can include architectural and design choices, technology plans and technology back-up options, test-bed and simulation options, engineering models and hardware/software development techniques and other more traditional risk reduction techniques.

  7. Planned hospital birth versus planned home birth

    PubMed Central

    Olsen, Ole; Clausen, Jette A

    2014-01-01

    Background Observational studies of increasingly better quality and in different settings suggest that planned home birth in many places can be as safe as planned hospital birth and with less intervention and fewer complications. This is an update of a Cochrane review first published in 1998. Objectives To assess the effects of planned hospital birth compared with planned home birth in selected low-risk women, assisted by an experienced midwife with collaborative medical back up in case transfer should be necessary. Search methods We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (30 March 2012) and contacted editors and authors involved with possible trials. Selection criteria Randomised controlled trials comparing planned hospital birth with planned home birth in low-risk women as described in the objectives. Data collection and analysis The two review authors as independently as possible assessed trial quality and extracted data. We contacted study authors for additional information. Main results Two trials met the inclusion criteria but only one trial involving 11 women provided some outcome data and was included. The evidence from this trial was of moderate quality and too small to allow conclusions to be drawn. Authors’ conclusions There is no strong evidence from randomised trials to favour either planned hospital birth or planned home birth for low-risk pregnant women. However, the trials show that women living in areas where they are not well informed about home birth may welcome ethically well-designed trials that would ensure an informed choice. As the quality of evidence in favour of home birth from observational studies seems to be steadily increasing, it might be as important to prepare a regularly updated systematic review including observational studies as described in the Cochrane Handbook for Systematic Reviews of Interventions as to attempt to set up new randomised controlled trials. PMID:22972043

  8. 42 CFR 417.592 - Additional benefits requirement.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Additional benefits requirement. 417.592 Section... PLANS, AND HEALTH CARE PREPAYMENT PLANS Medicare Payment: Risk Basis § 417.592 Additional benefits...) Additional benefits. Provide its Medicare enrollees with additional benefits in accordance with paragraph (c...

  9. 45 CFR 162.925 - Additional requirements for health plans.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Additional requirements for health plans. 162.925 Section 162.925 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND... requirements for health plans. (a) General rules. (1) If an entity requests a health plan to conduct a...

  10. 45 CFR 162.925 - Additional requirements for health plans.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Additional requirements for health plans. 162.925 Section 162.925 Public Welfare Department of Health and Human Services ADMINISTRATIVE DATA STANDARDS AND... requirements for health plans. (a) General rules. (1) If an entity requests a health plan to conduct a...

  11. The relationship between the theory of planned behavior and medication adherence in patients with epilepsy.

    PubMed

    Lin, Chung-Ying; Updegraff, John A; Pakpour, Amir H

    2016-08-01

    The aim of this study was to apply the theory of planned behavior (TPB) with two other factors (action planning and coping planning) to the medication adherence of adults with epilepsy. We measured the elements of the theory of planned behavior (attitude, subjective norm, perceived behavioral control, and behavioral intention), action planning, and coping planning at baseline among adults with epilepsy (n=567, mean±SD age=38.37±6.71years, male=48.5%). Medication adherence was measured using the Medication Adherence Report Scale (MARS) and antiepileptic serum level at the 24-month follow-up. Structural equation modeling (SEM) examined three models relating TPB elements to medication adherence. Three SEM models all had satisfactory fit indices. Moreover, attitude, subjective norms, perceived behavioral control, and intention together explained more than 50% of the variance for medication adherence measured using MARS. The explained variance increased to 61.8% when coping planning and action planning were included in the model, with coping planning having greater association than action planning. In addition, MARS explained 3 to 5% of the objective serum level. The theory of planned behavior is useful in understanding medication adherence in adults with epilepsy, and future interventions may benefit by improving such beliefs as well as beliefs about coping planning. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Neurohospitalists: Perceived Need and Training Requirements in Academic Neurology

    PubMed Central

    Probasco, John C.; George, Benjamin P.; Dorsey, E. Ray; Venkatesan, Arun

    2014-01-01

    Background and Purpose: We sought to determine the current practices and plans for departmental hiring of neurohospitalists at academic medical centers and to identify the core features of a neurohospitalist training program. Methods: We surveyed department chairs or residency program directors at 123 Accreditation Council for Graduate Medical Education (ACGME)-accredited US adult neurology training programs. Results: Sixty-three(51% response rate) responded, 76% of whom were program directors. In all, 24 (38%) academic neurology departments reported employing neurohospitalists, and an additional 10 departments have plans to hire neurohospitalists in the next year. In all, 4 academic neurology departments have created a neurohospitalist training program, and 10 have plans to create a training program within the next 2 years. Hospitals were the most frequent source of funding for established and planned programs (93% of those reporting). Most (n = 39; 65%) respondents felt that neurohospitalist neurology should be an ACGME-accredited fellowship. The highest priority neurohospitalist training elements among respondents included stroke, epilepsy, and consult neurology as well as patient safety and cost-effective inpatient care. The most important procedural skills for a neurohospitalist, as identified by respondents, include performance of brain death evaluations, lumbar punctures, and electroencephalogram interpretation. Conclusions: Neurohospitalists have emerged as subspecialists within neurology, growing both in number and in scope of responsibilities in practice. Neurohospitalists are in demand among academic departments, with many departments developing their existing presence or establishing a new presence in the field. A neurohospitalist training program may encompass training in stroke, epilepsy, and consult neurology with additional focus on patient safety and cost-effective care. PMID:24381705

  13. Neurohospitalists: perceived need and training requirements in academic neurology.

    PubMed

    Probasco, John C; George, Benjamin P; Dorsey, E Ray; Venkatesan, Arun

    2014-01-01

    We sought to determine the current practices and plans for departmental hiring of neurohospitalists at academic medical centers and to identify the core features of a neurohospitalist training program. We surveyed department chairs or residency program directors at 123 Accreditation Council for Graduate Medical Education (ACGME)-accredited US adult neurology training programs. Sixty-three(51% response rate) responded, 76% of whom were program directors. In all, 24 (38%) academic neurology departments reported employing neurohospitalists, and an additional 10 departments have plans to hire neurohospitalists in the next year. In all, 4 academic neurology departments have created a neurohospitalist training program, and 10 have plans to create a training program within the next 2 years. Hospitals were the most frequent source of funding for established and planned programs (93% of those reporting). Most (n = 39; 65%) respondents felt that neurohospitalist neurology should be an ACGME-accredited fellowship. The highest priority neurohospitalist training elements among respondents included stroke, epilepsy, and consult neurology as well as patient safety and cost-effective inpatient care. The most important procedural skills for a neurohospitalist, as identified by respondents, include performance of brain death evaluations, lumbar punctures, and electroencephalogram interpretation. Neurohospitalists have emerged as subspecialists within neurology, growing both in number and in scope of responsibilities in practice. Neurohospitalists are in demand among academic departments, with many departments developing their existing presence or establishing a new presence in the field. A neurohospitalist training program may encompass training in stroke, epilepsy, and consult neurology with additional focus on patient safety and cost-effective care.

  14. Economics of Utility Scale Photovoltaics at Purdue University

    NASA Astrophysics Data System (ADS)

    Arnett, William

    The research for this case study shows that utility scale solar photovoltaics has become a competitive energy investment option, even when a campus operates a power plant at low electricity rates. To evaluate this an economic model called SEEMS (Solar Economic Evaluation Modelling Spreadsheets) was developed to evaluate a number of financial scenarios in Real Time Pricing for universities. The three main financing structures considered are 1) land leasing, 2) university direct purchase, and 3) third party purchase. Unlike other commercially available models SEEMS specifically accounts for real time pricing, where the local utility provides electricity at an hourly rate that changes with the expected demand. In addition, SEEMS also includes a random simulation that allows the model to predict the likelihood of success for a given solar installation strategy. The research showed that there are several options for utility scale solar that are financially attractive. The most practical financing structure is with a third party partnership because of the opportunity to take advantage of tax incentives. Other options could become more attractive if non-financial benefits are considered. The case study for this research, Purdue University, has a unique opportunity to integrate utility-scale solar electricity into its strategic planning. Currently Purdue is updating its master plan which will define how land is developed. Purdue is also developing a sustainability plan that will define long term environmental goals. In addition, the university is developing over 500 acres of land west of campus as part of its Aerospace Innovation District. This research helps make the case for including utility-scale solar electricity as part of the university's strategic planning.

  15. Implementation rates of uro-oncology multidisciplinary meeting decisions.

    PubMed

    Kinnear, Ned; Smith, Riley; Hennessey, Derek B; Bolton, Damien; Sengupta, Shomik

    2017-11-01

    To assess implementation rates of the consensus plans made at the uro-oncology multidisciplinary meeting (MDM) of an Australian tertiary centre, and analyse obstacles to implementation. A retrospective review was performed of all patients discussed at the uro-oncology MDM at our institution between 1 January and 30 June 2015. Rates of referral for MDM discussion after a new histological diagnosis of malignancy, categorised by tumour type, were assessed. Patient records were interrogated to confirm MDM plan implementation, with the outcomes examined being completion of MDM plan within 3 months and factors preventing implementation. During the enrolment period, from 291 uro-oncological procedures, 240 yielded malignant histology of which 160 (67%) were discussed at the MDM. Overall, 202 patients, including 32 females, were discussed at the uro-oncology MDM. MDM consensus plans were implemented in 184 (91.1%) patients. Reasons for deviation from the MDM plan included delay in care, patient deterioration or comorbidities, patient preference, consultant decision, loss to follow-up, and change in patient scenario due to additional new information. The MDM is increasingly important in the care of uro-oncology patients, with about two-thirds of new diagnoses currently captured. There appear to be few barriers to the implementation of consensus plans, with nearly all patients undergoing the recommended management. © 2017 The Authors BJU International © 2017 BJU International Published by John Wiley & Sons Ltd.

  16. Recent Updates to the System Advisor Model (SAM)

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

    DiOrio, Nicholas A

    The System Advisor Model (SAM) is a mature suite of techno-economic models for many renewable energy technologies that can be downloaded for free as a desktop application or software development kit. SAM is used for system-level modeling, including generating performance pro the release of the code as an open source project on GitHub. Other additions that will be covered include the ability to download data directly into SAM from the National Solar Radiation Database (NSRDB) and up- dates to a user-interface macro that assists with PV system sizing. A brief update on SAM's battery model and its integration with themore » detailed photovoltaic model will also be discussed. Finally, an outline of planned work for the next year will be presented, including the addition of a bifacial model, support for multiple MPPT inputs for detailed inverter modeling, and the addition of a model for inverter thermal behavior.« less

  17. Advances and Future Directions for Tuberous Sclerosis Complex Research: Recommendations From the 2015 Strategic Planning Conference.

    PubMed

    Sahin, Mustafa; Henske, Elizabeth P; Manning, Brendan D; Ess, Kevin C; Bissler, John J; Klann, Eric; Kwiatkowski, David J; Roberds, Steven L; Silva, Alcino J; Hillaire-Clarke, Coryse St; Young, Lisa R; Zervas, Mark; Mamounas, Laura A

    2016-07-01

    On March 10 to March 12, 2015, the National Institute of Neurological Disorders and Stroke and the Tuberous Sclerosis Alliance sponsored a workshop in Bethesda, Maryland, to assess progress and new opportunities for research in tuberous sclerosis complex with the goal of updating the 2003 Research Plan for Tuberous Sclerosis (http://www.ninds.nih.gov/about_ninds/plans/tscler_research_plan.htm). In addition to the National Institute of Neurological Disorders and Stroke and Tuberous Sclerosis Alliance, participants in the strategic planning effort and workshop included representatives from six other Institutes of the National Institutes of Health, the Department of Defense Tuberous Sclerosis Complex Research Program, and a broad cross-section of basic scientists and clinicians with expertise in tuberous sclerosis complex along with representatives from the pharmaceutical industry. Here we summarize the outcomes from the extensive premeeting deliberations and final workshop recommendations, including (1) progress in the field since publication of the initial 2003 research plan for tuberous sclerosis complex, (2) the key gaps, needs, and challenges that hinder progress in tuberous sclerosis complex research, and (3) a new set of research priorities along with specific recommendations for addressing the major challenges in each priority area. The new research plan is organized around both short-term and long-term goals with the expectation that progress toward specific objectives can be achieved within a five to ten year time frame. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Virtual Reality-Based Simulators for Cranial Tumor Surgery: A Systematic Review.

    PubMed

    Mazur, Travis; Mansour, Tarek R; Mugge, Luke; Medhkour, Azedine

    2018-02-01

    Virtual reality (VR) simulators have become useful tools in various fields of medicine. Prominent uses of VR technologies include assessment of physician skills and presurgical planning. VR has shown effectiveness in multiple surgical specialties, yet its use in neurosurgery remains limited. To examine all current literature on VR-based simulation for presurgical planning and training in cranial tumor surgeries and to assess the quality of these studies. PubMed and Embase were systematically searched to identify studies that used VR for presurgical planning and/or studies that investigated the use of VR as a training tool from inception to May 25, 2017. The initial search identified 1662 articles. Thirty-seven full-text articles were assessed for inclusion. Nine studies were included. These studies were subdivided into presurgical planning and training using VR. Prospects for VR are bright when surgical planning and skills training are considered. In terms of surgical planning, VR has noted and documented usefulness in the planning of cranial surgeries. Further, VR has been central to establishing reproducible benchmarks of performance in relation to cranial tumor resection, which are helpful not only in showing face and construct validity but also in enhancing neurosurgical training in a way not previously examined. Although additional studies are needed to better delineate the precise role of VR in each of these capacities, these studies stand to show the usefulness of VR in the neurosurgery and highlight the need for further investigation. Published by Elsevier Inc.

  19. HIV/AIDS National Strategic Plans of Sub-Saharan African countries: an analysis for gender equality and sex-disaggregated HIV targets

    PubMed Central

    Sherwood, Jennifer; Sharp, Alana; Cooper, Bergen; Roose-Snyder, Beirne; Blumenthal, Susan

    2017-01-01

    Abstract National Strategic Plans (NSPs) for HIV/AIDS are country planning documents that set priorities for programmes and services, including a set of targets to quantify progress toward national and international goals. The inclusion of sex-disaggregated targets and targets to combat gender inequality is important given the high disease burden among young women and adolescent girls in Sub-Saharan Africa, yet no comprehensive gender-focused analysis of NSP targets has been performed. This analysis quantitatively evaluates national HIV targets, included in NSPs from eighteen Sub-Saharan African countries, for sex-disaggregation. Additionally, NSP targets aimed at reducing gender-based inequality in health outcomes are compiled and inductively coded to report common themes. On average, in the eighteen countries included in this analysis, 31% of NSP targets include sex-disaggregation (range 0–92%). Three countries disaggregated a majority (>50%) of their targets by sex. Sex-disaggregation in data reporting was more common for targets related to the early phases of the HIV care continuum: 83% of countries included any sex-disaggregated targets for HIV prevention, 56% for testing and linkage to care, 22% for improving antiretroviral treatment coverage, and 11% for retention in treatment. The most common target to reduce gender inequality was to prevent gender-based violence (present in 50% of countries). Other commonly incorporated target areas related to improving women’s access to family planning, human and legal rights, and decision-making power. The inclusion of sex-disaggregated targets in national planning is vital to ensure that programmes make progress for all population groups. Improving the availability and quality of indicators to measure gender inequality, as well as evaluating programme outcomes by sex, is critical to tracking this progress. This analysis reveals an urgent need to set specific and separate targets for men and women in order to achieve an equitable and effective HIV response and align government planning with international priorities for gender equality. PMID:28973358

  20. Characteristic Risk Factors Associated with Planned versus Impulsive Suicide Attempters.

    PubMed

    Kim, Jaeha; Lee, Kang-Sook; Kim, Dai Jin; Hong, Seung-Chul; Choi, Kyoung Ho; Oh, Youngmin; Wang, Sheng-Min; Lee, Hae-Kook; Kweon, Yong-Sil; Lee, Chung Tai; Lee, Kyoung-Uk

    2015-12-31

    The present study aimed to investigate predictors for planned suicide attempters. This study included 1,003 patients who attempted suicide and visited emergency department. They were divided into two groups, planned suicide attempters (SAs; n=133 [13.3%]) and impulsive SAs (n=870, [86.7%]), and the demographic variables, clinical characteristics, factors related to suicide, and psychiatric resources of the groups were compared. Major depressive disorder and substance use disorders were more common among planned SAs than among impulsive SAs. Additionally, the planned SAs were older, more likely to be divorced, separated or widowed, and more likely to have comorbid medical illnesses, severe depression, higher suicidality, and self-blaming tendencies than the impulsive SAs. Financial problems and physical illnesses were more common in planned SAs but interpersonal conflicts were more frequent in impulsive SAs. Planned SAs had fewer previous suicide attempts but these were more serious suicide attempts. The presence of the hope to die, a written will, and suicidal ideation of a repetitive, intense, and continuous nature were predictive of planned SAs. The present findings demonstrated that planned SAs had more severe psychopathology and medical illnesses than impulsive SAs. Therefore, screening for depression, substance use disorders, and suicidal plans among old and medically ill patients may be important for preventing suicide attempts.

  1. Family planning in conflict: results of cross-sectional baseline surveys in three African countries

    PubMed Central

    2011-01-01

    Background Despite the serious consequences of conflict for reproductive health, populations affected by conflict and its aftermath face tremendous barriers to accessing reproductive health services, due to insecurity, inadequate numbers of trained personnel and lack of supplies. Family planning is often particularly neglected. Methods In six conflict-affected areas in Sudan, northern Uganda and the Democratic Republic of Congo, household surveys of married or in-union women of reproductive age were conducted to determine baseline measures of family planning knowledge, attitudes and behaviors regarding contraception. Health facility assessments were carried out to assess baseline measures of family planning services availability. Data were double-entered into CSPro 3.2 and exported to SAS 9.2, which was used to calculate descriptive statistics. The studies' purposes were to guide program activities and to serve as a baseline against which program accomplishments could be measured. Results Knowledge of modern contraceptive methods was low relative to other sub-Saharan African countries, and use of modern methods was under 4% in four sites; in two sites with prior family planning services it was 12% and 16.2%. From 30% to 40% of women reported they did not want a child within two years, however, and an additional 12% to 35% wanted no additional children, suggesting a clear need for family planning services. The health facilities assessment showed that at most only one-third of the facilities mandated to provide family planning had the necessary staff, equipment and supplies to do so adequately; in some areas, none of the facilities were prepared to offer such services. Conclusions Family planning services are desired by women living in crisis situations when offered in a manner appropriate to their needs, yet services are rarely adequate to meet these needs. Refugee and internally displaced women must be included in national and donors' plans to improve family planning in Africa. PMID:21752241

  2. Pension coverage among the baby boomers: initial findings from a 1993 survey.

    PubMed

    Woods, J R

    1994-01-01

    Using data from a series of supplements to the Current Population Survey, this article presents findings on workers' coverage under employer-sponsored retirement plans in 1993, and recent trends in coverage. The analysis focuses on workers 25-54, a group that includes the baby boom generation. Among all wage and salary workers in this age range (including government employees and part-time workers), 55 percent reported participating in a retirement plan on their current primary jobs, and an additional 3 percent were covered from other jobs. After a modest decline in the early 1980's, the coverage rate has remained essentially unchanged over the past 10 years, and limited data suggest that the baby boomers are doing about as well on pension coverage as older workers at similar points in their careers. Beneath this relative stability in overall coverage, however, at least two important changes have occurred: a significant narrowing of the gender gap in coverage and a shift in types of retirement plans. Increasing numbers of workers are being covered solely by 401(k)-type plans, a development that raises new uncertainties about the form and amount of future benefits. On the other hand, limited data in this study suggest that 401(k) plans may be serving their intended purpose for the majority of workers who have them.

  3. PLAN: a web platform for automating high-throughput BLAST searches and for managing and mining results.

    PubMed

    He, Ji; Dai, Xinbin; Zhao, Xuechun

    2007-02-09

    BLAST searches are widely used for sequence alignment. The search results are commonly adopted for various functional and comparative genomics tasks such as annotating unknown sequences, investigating gene models and comparing two sequence sets. Advances in sequencing technologies pose challenges for high-throughput analysis of large-scale sequence data. A number of programs and hardware solutions exist for efficient BLAST searching, but there is a lack of generic software solutions for mining and personalized management of the results. Systematically reviewing the results and identifying information of interest remains tedious and time-consuming. Personal BLAST Navigator (PLAN) is a versatile web platform that helps users to carry out various personalized pre- and post-BLAST tasks, including: (1) query and target sequence database management, (2) automated high-throughput BLAST searching, (3) indexing and searching of results, (4) filtering results online, (5) managing results of personal interest in favorite categories, (6) automated sequence annotation (such as NCBI NR and ontology-based annotation). PLAN integrates, by default, the Decypher hardware-based BLAST solution provided by Active Motif Inc. with a greatly improved efficiency over conventional BLAST software. BLAST results are visualized by spreadsheets and graphs and are full-text searchable. BLAST results and sequence annotations can be exported, in part or in full, in various formats including Microsoft Excel and FASTA. Sequences and BLAST results are organized in projects, the data publication levels of which are controlled by the registered project owners. In addition, all analytical functions are provided to public users without registration. PLAN has proved a valuable addition to the community for automated high-throughput BLAST searches, and, more importantly, for knowledge discovery, management and sharing based on sequence alignment results. The PLAN web interface is platform-independent, easily configurable and capable of comprehensive expansion, and user-intuitive. PLAN is freely available to academic users at http://bioinfo.noble.org/plan/. The source code for local deployment is provided under free license. Full support on system utilization, installation, configuration and customization are provided to academic users.

  4. Applying comprehensive environmental assessment to research planning for multiwalled carbon nanotubes: Refinements to inform future stakeholder engagement.

    PubMed

    Powers, Christina M; Grieger, Khara; Meacham, Connie A; Gooding, Meredith Lassiter; Gift, Jeffrey S; Lehmann, Geniece M; Hendren, Christine O; Davis, J Michael; Burgoon, Lyle

    2016-01-01

    Risk assessments and risk management efforts to protect human health and the environment can benefit from early, coordinated research planning by researchers, risk assessors, and risk managers. However, approaches for engaging these and other stakeholders in research planning have not received much attention in the environmental scientific literature. The Comprehensive Environmental Assessment (CEA) approach under development by the United States Environmental Protection Agency (USEPA) is a means to manage complex information and input from diverse stakeholder perspectives on research planning that will ultimately support environmental and human health decision making. The objectives of this article are to 1) describe the outcomes of applying lessons learned from previous CEA applications to planning research on engineered nanomaterial, multiwalled carbon nanotubes (MWCNTs) and 2) discuss new insights and refinements for future efforts to engage stakeholders in research planning for risk assessment and risk management of environmental issues. Although framed in terms of MWCNTs, this discussion is intended to enhance research planning to support assessments for other environmental issues as well. Key insights for research planning include the potential benefits of 1) ensuring that participants have research, risk assessment, and risk management expertise in addition to diverse disciplinary backgrounds; 2) including an early scoping step before rounds of formal ratings; 3) using a familiar numeric scale (e.g., US dollars) versus ordinal rating scales of "importance"; 4) applying virtual communication tools to supplement face-to-face interaction between participants; and 5) refining criteria to guide development of specific, actionable research questions. © 2015 SETAC.

  5. 20. Photographic copy of an asconstructed site plan for additions ...

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

    20. Photographic copy of an as-constructed site plan for additions to North Base: Job No. A(8-1), Military Construction, Materiel Command Flight Test Base, Muroc, California; Additional Construction, Location Plan, Sheet No. 2, October 1943. Reproduced from the holdings of the National Archives, Pacific Southwest Region - Edwards Air Force Base, North Base, North Base Road, Boron, Kern County, CA

  6. Defense Forensics: Additional Planning and Oversight Needed to Establish an Enduring Expeditionary Forensic Capability

    DTIC Science & Technology

    2013-06-01

    forensic pathology, forensic anthropology, and forensic toxicology . 13DOD’s forensic directive defines DOD components as the Office of the...DEFENSE FORENSICS Additional Planning and Oversight Needed to Establish an Enduring Expeditionary Forensic ...COVERED 00-00-2013 to 00-00-2013 4. TITLE AND SUBTITLE Defense Forensics : Additional Planning and Oversight Needed to Establish an Enduring

  7. Population and reproductive health in National Adaptation Programmes of Action (NAPAs) for climate change in Africa.

    PubMed

    Mutunga, Clive; Hardee, Karen

    2010-12-01

    This paper reviews 44 National Adaptation Programmes of Action (NAPAs) to assess the NAPA process and identify the range of interventions included in countries' priority adaptation actions and highlight how population issues and reproductive health/family planning (RH/FP) are addressed as part of the adaptation agenda. A majority of the 44 NAPAs identify rapid population growth as a key component of vulnerability to climate change impacts. However, few chose to prioritise NAPA funds for family planning/reproductive health programmes. The paper emphasizes the need to translate the recognition of population pressure as a factor related to countries' ability to adapt to climate change into relevant project activities. Such projects should include access to RH/FP, in addition to other strategies such as girls' education and women's empowerment that lead to lower fertility. Attention to population and integrated strategies should be central and aligned to longer-term national adaptation plans and strategies.

  8. MAPGEN: Mixed-Initiative Activity Planning for the Mars Exploration Rover Mission

    NASA Technical Reports Server (NTRS)

    Ai-Chang, Mitchell; Bresina, John; Hsu, Jennifer; Jonsson, Ari; Kanefsky, Bob; McCurdy, Michael; Morris, Paul; Rajan, Kanna; Vera, Alonso; Yglesias, Jeffrey

    2004-01-01

    This document describes the Mixed initiative Activity Plan Generation system MAPGEN. This system is one of the critical tools in the Mars Exploration Rover mission surface operations, where it is used to build activity plans for each of the rovers, each Martian day. The MAPGEN system combines an existing tool for activity plan editing and resource modeling, with an advanced constraint-based reasoning and planning framework. The constraint-based planning component provides active constraint and rule enforcement, automated planning capabilities, and a variety of tools and functions that are useful for building activity plans in an interactive fashion. In this demonstration, we will show the capabilities of the system and demonstrate how the system has been used in actual Mars rover operations. In contrast to the demonstration given at ICAPS 03, significant improvement have been made to the system. These include various additional capabilities that are based on automated reasoning and planning techniques, as well as a new Constraint Editor support tool. The Constraint Editor (CE) as part of the process for generating these command loads, the MAPGEN tool provides engineers and scientists an intelligent activity planning tool that allows them to more effectively generate complex plans that maximize the science return each day. The key to the effectiveness of the MAPGEN tool is an underlying constraint-based planning and reasoning engine.

  9. 10 CFR Appendix E to Part 50 - Emergency Planning and Preparedness for Production and Utilization Facilities

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... organization shall be described. The communication steps to be taken to alert or activate emergency personnel... operations facility must include the following: (1) Space for members of an NRC site team and Federal, State, and local responders; (2) Additional space for conducting briefings with emergency response personnel...

  10. 10 CFR Appendix E to Part 50 - Emergency Planning and Preparedness for Production and Utilization Facilities

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... organization shall be described. The communication steps to be taken to alert or activate emergency personnel... operations facility must include the following: (1) Space for members of an NRC site team and Federal, State, and local responders; (2) Additional space for conducting briefings with emergency response personnel...

  11. 10 CFR Appendix E to Part 50 - Emergency Planning and Preparedness for Production and Utilization Facilities

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... organization shall be described. The communication steps to be taken to alert or activate emergency personnel... operations facility must include the following: (1) Space for members of an NRC site team and Federal, State, and local responders; (2) Additional space for conducting briefings with emergency response personnel...

  12. 3 CFR 13610 - Executive Order 13610 of May 10, 2012. Identifying and Reducing Regulatory Burdens

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., welfare, safety, and our environment, but they can also impose significant burdens and costs. During... in light of changed circumstances, including the rise of new technologies. Executive Order 13563 of.... Significantly larger savings are anticipated as the plans are implemented and as action is taken on additional...

  13. 76 FR 6506 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Order Instituting Proceedings To...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-04

    ... stockpiling companies, and cited particular aspects of the proposal, including the frequency and source of... Disapprove Proposed Rule Change To Adopt Additional Criteria for Listing Commodity Stockpiling Companies That... listing companies that have indicated that their business plan is to buy and hold commodities. The...

  14. 29 CFR 2590.702-1 - Additional requirements prohibiting discrimination based on genetic information.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...). Because completing the health risk assessment results in a premium reduction, the request for genetic.... (ii) Conclusion. In this Example 3, because the health risk assessment includes a request for genetic.... Individual A's group health plan covers genetic testing for celiac disease for individuals who have family...

  15. 29 CFR 2590.702-1 - Additional requirements prohibiting discrimination based on genetic information.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...). Because completing the health risk assessment results in a premium reduction, the request for genetic.... (ii) Conclusion. In this Example 3, because the health risk assessment includes a request for genetic.... Individual A's group health plan covers genetic testing for celiac disease for individuals who have family...

  16. 29 CFR 2590.702-1 - Additional requirements prohibiting discrimination based on genetic information.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...). Because completing the health risk assessment results in a premium reduction, the request for genetic.... (ii) Conclusion. In this Example 3, because the health risk assessment includes a request for genetic.... Individual A's group health plan covers genetic testing for celiac disease for individuals who have family...

  17. 29 CFR 2590.702-1 - Additional requirements prohibiting discrimination based on genetic information.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...). Because completing the health risk assessment results in a premium reduction, the request for genetic.... (ii) Conclusion. In this Example 3, because the health risk assessment includes a request for genetic.... Individual A's group health plan covers genetic testing for celiac disease for individuals who have family...

  18. 40 CFR 265.273 - Waste analysis.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Waste analysis. 265.273 Section 265... FACILITIES Land Treatment § 265.273 Waste analysis. In addition to the waste analyses required by § 265.13... listed as a hazardous waste. As required by § 265.13, the waste analysis plan must include analyses...

  19. 77 FR 50378 - Approval and Promulgation of Implementation Plans; Tennessee; Knoxville; Fine Particulate Matter...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... Roane County that includes the Tennessee Valley Authority's Kingston Fossil Plant. This action is being... characters, any form of encryption, and be free of any defects or viruses. For additional information about... the Internet and will be publicly available only in hard copy form. Publicly available docket...

  20. 76 FR 40242 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Modifications to Indiana...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-08

    ... Deterioration (PSD) and Nonattainment New Source Review (NNSR) rules. The amendments include grammatical changes, corrections to numbering, addition of definitions consistent with Federal PSD and NNSR regulations, and... revisions to EPA for approval on November 24, 2010. They are consistent with the current Federal PSD and...

  1. "Who's on First?" Using Sports Trivia Peer Tutoring to Increase Conversational Language

    ERIC Educational Resources Information Center

    Van Norman, Renee K.

    2007-01-01

    As a growing number of students with disabilities are included within general education environments, it is important to plan ahead for the new and exciting social opportunities they will encounter in these environments. In addition to teaching programs designed to overcome basic communication deficits, it is important to give careful…

  2. 77 FR 26576 - Notice of Public Meeting of the Central California Resource Advisory Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ... this meeting, agenda topics will include an update on Resource Management Plans and other resource management issues. Additional ongoing business will be discussed by the council. All meetings are open to the... DEPARTMENT OF THE INTERIOR Bureau of Land Management [LLCAC01000 L10100000.XZ0000 LXSIOVHD0000...

  3. The Role of Extension Specialists in Helping Entrepreneurs Develop Successful Food-Based Businesses.

    ERIC Educational Resources Information Center

    Holcomb, Rodney; Muske, Glenn

    2000-01-01

    Three areas in which extension specialists can assist food industry entrepreneurs include (1) awareness of the components of a business plan, (2) pro forma financial analysis, and (3) legal issues affecting the food industry. In addition to specialized expertise, extension professionals can help with making contacts, objectively review business…

  4. NASA's Bioreactor: Growing Cells in a Microgravity Environment. Educational Brief.

    ERIC Educational Resources Information Center

    National Aeronautics and Space Administration, Washington, DC.

    This brief discusses growing cells in a microgravity environment for grades 9-12. Students are provided with plans for building a classroom bioreactor that can then be used with the included activity on seed growth in a microgravity environment. Additional experimental ideas are also suggested along with a history and background on microgravity…

  5. Flight and mission operations support for Voyager spacecraft launching and Viking-Mars mission

    NASA Technical Reports Server (NTRS)

    1978-01-01

    The activities of the Jet Propulsion Laboratory during fiscal year 1976-1977 are summarized. Areas covered include ongoing and planned flight projects, DSN operations and development, research and advanced development in science and engineering, and civil systems projects. In addition, administrative and operational facilities and developments are described.

  6. Spotlight on General Music: Teaching Toward the Standards

    ERIC Educational Resources Information Center

    Rowman & Littlefield Education, 2005

    2005-01-01

    General music teachers at all levels--elementary, middle school, and high school--will find ideas, suggestions, and lesson plans for teaching to the National Standards in this new addition to the popular Spotlight series. It includes sections on teaching each of the nine standards, as well as chapters about secondary general music, assessment, and…

  7. Aviation System Analysis Capability Quick Response System Report

    NASA Technical Reports Server (NTRS)

    Roberts, Eileen; Villani, James A.; Ritter, Paul

    1998-01-01

    The purpose of this document is to present the additions and modifications made to the Aviation System Analysis Capability (ASAC) Quick Response System (QRS) in FY 1997 in support of the ASAC ORS development effort. This document contains an overview of the project background and scope and defines the QRS. The document also presents an overview of the Logistics Management Institute (LMI) facility that supports the QRS, and it includes a summary of the planned additions to the QRS in FY 1998. The document has five appendices.

  8. Iterative dataset optimization in automated planning: Implementation for breast and rectal cancer radiotherapy.

    PubMed

    Fan, Jiawei; Wang, Jiazhou; Zhang, Zhen; Hu, Weigang

    2017-06-01

    To develop a new automated treatment planning solution for breast and rectal cancer radiotherapy. The automated treatment planning solution developed in this study includes selection of the iterative optimized training dataset, dose volume histogram (DVH) prediction for the organs at risk (OARs), and automatic generation of clinically acceptable treatment plans. The iterative optimized training dataset is selected by an iterative optimization from 40 treatment plans for left-breast and rectal cancer patients who received radiation therapy. A two-dimensional kernel density estimation algorithm (noted as two parameters KDE) which incorporated two predictive features was implemented to produce the predicted DVHs. Finally, 10 additional new left-breast treatment plans are re-planned using the Pinnacle 3 Auto-Planning (AP) module (version 9.10, Philips Medical Systems) with the objective functions derived from the predicted DVH curves. Automatically generated re-optimized treatment plans are compared with the original manually optimized plans. By combining the iterative optimized training dataset methodology and two parameters KDE prediction algorithm, our proposed automated planning strategy improves the accuracy of the DVH prediction. The automatically generated treatment plans using the dose derived from the predicted DVHs can achieve better dose sparing for some OARs without compromising other metrics of plan quality. The proposed new automated treatment planning solution can be used to efficiently evaluate and improve the quality and consistency of the treatment plans for intensity-modulated breast and rectal cancer radiation therapy. © 2017 American Association of Physicists in Medicine.

  9. Multivariable normal tissue complication probability model-based treatment plan optimization for grade 2-4 dysphagia and tube feeding dependence in head and neck radiotherapy.

    PubMed

    Kierkels, Roel G J; Wopken, Kim; Visser, Ruurd; Korevaar, Erik W; van der Schaaf, Arjen; Bijl, Hendrik P; Langendijk, Johannes A

    2016-12-01

    Radiotherapy of the head and neck is challenged by the relatively large number of organs-at-risk close to the tumor. Biologically-oriented objective functions (OF) could optimally distribute the dose among the organs-at-risk. We aimed to explore OFs based on multivariable normal tissue complication probability (NTCP) models for grade 2-4 dysphagia (DYS) and tube feeding dependence (TFD). One hundred head and neck cancer patients were studied. Additional to the clinical plan, two more plans (an OF DYS and OF TFD -plan) were optimized per patient. The NTCP models included up to four dose-volume parameters and other non-dosimetric factors. A fully automatic plan optimization framework was used to optimize the OF NTCP -based plans. All OF NTCP -based plans were reviewed and classified as clinically acceptable. On average, the Δdose and ΔNTCP were small comparing the OF DYS -plan, OF TFD -plan, and clinical plan. For 5% of patients NTCP TFD reduced >5% using OF TFD -based planning compared to the OF DYS -plans. Plan optimization using NTCP DYS - and NTCP TFD -based objective functions resulted in clinically acceptable plans. For patients with considerable risk factors of TFD, the OF TFD steered the optimizer to dose distributions which directly led to slightly lower predicted NTCP TFD values as compared to the other studied plans. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. The role of insurance claims databases in drug therapy outcomes research.

    PubMed

    Lewis, N J; Patwell, J T; Briesacher, B A

    1993-11-01

    The use of insurance claims databases in drug therapy outcomes research holds great promise as a cost-effective alternative to post-marketing clinical trials. Claims databases uniquely capture information about episodes of care across healthcare services and settings. They also facilitate the examination of drug therapy effects on cohorts of patients and specific patient subpopulations. However, there are limitations to the use of insurance claims databases including incomplete diagnostic and provider identification data. The characteristics of the population included in the insurance plan, the plan benefit design, and the variables of the database itself can influence the research results. Given the current concerns regarding the completeness of insurance claims databases, and the validity of their data, outcomes research usually requires original data to validate claims data or to obtain additional information. Improvements to claims databases such as standardisation of claims information reporting, addition of pertinent clinical and economic variables, and inclusion of information relative to patient severity of illness, quality of life, and satisfaction with provided care will enhance the benefit of such databases for outcomes research.

  11. Global Snow from Space: Development of a Satellite-based, Terrestrial Snow Mission Planning Tool

    NASA Astrophysics Data System (ADS)

    Forman, B. A.; Kumar, S.; LeMoigne, J.; Nag, S.

    2017-12-01

    A global, satellite-based, terrestrial snow mission planning tool is proposed to help inform experimental mission design with relevance to snow depth and snow water equivalent (SWE). The idea leverages the capabilities of NASA's Land Information System (LIS) and the Tradespace Analysis Tool for Constellations (TAT-C) to harness the information content of Earth science mission data across a suite of hypothetical sensor designs, orbital configurations, data assimilation algorithms, and optimization and uncertainty techniques, including cost estimates and risk assessments of each hypothetical permutation. One objective of the proposed observing system simulation experiment (OSSE) is to assess the complementary - or perhaps contradictory - information content derived from the simultaneous collection of passive microwave (radiometer), active microwave (radar), and LIDAR observations from space-based platforms. The integrated system will enable a true end-to-end OSSE that can help quantify the value of observations based on their utility towards both scientific research and applications as well as to better guide future mission design. Science and mission planning questions addressed as part of this concept include: What observational records are needed (in space and time) to maximize terrestrial snow experimental utility? How might observations be coordinated (in space and time) to maximize this utility? What is the additional utility associated with an additional observation? How can future mission costs be minimized while ensuring Science requirements are fulfilled?

  12. Towards the Development of a Global, Satellite-based, Terrestrial Snow Mission Planning Tool

    NASA Technical Reports Server (NTRS)

    Forman, Bart; Kumar, Sujay; Le Moigne, Jacqueline; Nag, Sreeja

    2017-01-01

    A global, satellite-based, terrestrial snow mission planning tool is proposed to help inform experimental mission design with relevance to snow depth and snow water equivalent (SWE). The idea leverages the capabilities of NASAs Land Information System (LIS) and the Tradespace Analysis Tool for Constellations (TAT C) to harness the information content of Earth science mission data across a suite of hypothetical sensor designs, orbital configurations, data assimilation algorithms, and optimization and uncertainty techniques, including cost estimates and risk assessments of each hypothetical orbital configuration.One objective the proposed observing system simulation experiment (OSSE) is to assess the complementary or perhaps contradictory information content derived from the simultaneous collection of passive microwave (radiometer), active microwave (radar), and LIDAR observations from space-based platforms. The integrated system will enable a true end-to-end OSSE that can help quantify the value of observations based on their utility towards both scientific research and applications as well as to better guide future mission design. Science and mission planning questions addressed as part of this concept include:1. What observational records are needed (in space and time) to maximize terrestrial snow experimental utility?2. How might observations be coordinated (in space and time) to maximize utility? 3. What is the additional utility associated with an additional observation?4. How can future mission costs being minimized while ensuring Science requirements are fulfilled?

  13. Towards the Development of a Global, Satellite-Based, Terrestrial Snow Mission Planning Tool

    NASA Technical Reports Server (NTRS)

    Forman, Bart; Kumar, Sujay; Le Moigne, Jacqueline; Nag, Sreeja

    2017-01-01

    A global, satellite-based, terrestrial snow mission planning tool is proposed to help inform experimental mission design with relevance to snow depth and snow water equivalent (SWE). The idea leverages the capabilities of NASA's Land Information System (LIS) and the Tradespace Analysis Tool for Constellations (TAT-C) to harness the information content of Earth science mission data across a suite of hypothetical sensor designs, orbital configurations, data assimilation algorithms, and optimization and uncertainty techniques, including cost estimates and risk assessments of each hypothetical permutation. One objective of the proposed observing system simulation experiment (OSSE) is to assess the complementary or perhaps contradictory information content derived from the simultaneous collection of passive microwave (radiometer), active microwave (radar), and LIDAR observations from space-based platforms. The integrated system will enable a true end-to-end OSSE that can help quantify the value of observations based on their utility towards both scientific research and applications as well as to better guide future mission design. Science and mission planning questions addressed as part of this concept include: What observational records are needed (in space and time) to maximize terrestrial snow experimental utility? How might observations be coordinated (in space and time) to maximize this utility? What is the additional utility associated with an additional observation? How can future mission costs be minimized while ensuring Science requirements are fulfilled?

  14. SU-F-T-520: Dosimetric Comparison of Radiation Treatment Plans for Whole Breast Irradiation Between 3D Conformal in Prone and Supine Positions Vs. VMAT and IMRT in Supine Positions

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

    Bejarano Buele, A; Parsai, E

    Purpose: The target volume for Whole Breast Irradiation (WBI) is dictated by location of tumor mass, breast tissue distribution, and involvement of lymph nodes. Dose coverage and Organs at Risk (OARs) sparing can be difficult to achieve in patients with unfavorable thoracic geometries. For these cases, inverse-planned and 3D-conformal prone treatments can be alternatives to traditional supine 3D-conformal plans. A dosimetric comparison can determine which of these techniques achieve optimal target coverage while sparing OARs. Methods: This study included simulation datasets for 8 patients, 5 of whom were simulated in both supine and prone positions. Positioning devices included breast boardsmore » and Vaclok bags for the supine position, and prone breast boards for the prone position. WBI 3-D conformal plans were created for patients simulated in both positions. Additional VMAT and IMRT WBI plans were made for all patients in the supine position. Results: Prone and supine 3D conformal plans had comparable PTV coverage. Prone 3D conformal plans received a significant 50% decrease to V20, V10, V5 and V30% for the ipsilateral lung in contrast to the supine plans. The heart also experienced a 10% decrease in maximum dose in the prone position, and V20, V10, V5 and V2 had significantly lower values than the supine plan. Supine IMRT and VMAT breast plans obtained comparable PTV coverage. The heart experienced a 10% decrease in maximum dose with inverse modulated plans when compared to the supine 3D conformal plan, while V20, V10, V5 and V2 showed higher values with inverse modulated plans than with supine 3D conformal plans. Conclusion: Prone 3D-conformal, and supine inverse planned treatments were generally superior in sparing OARs to supine plans with comparable PTV coverage. IMRT and VMAT plans offer sparing of OARs from high dose regions with an increase of irradiated volume in the low dose regions.« less

  15. Considering high occupancy vehicle alternatives in the urban transportation planning process: energy savings. Final report, August 1981-October 1983

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

    Clifford, M.J.; Wickstrom, G.V.

    1983-10-01

    Preferred treatment of high occupancy vehicles (HOV's), through strategies such as dedicated lanes, can achieve transportation energy conservation. The research presented in this report provides a method for regional planning agencies to assess such HOV facilities, from a travel demand and energy consumption standpoint. The planning process is described and applied in a case study. Products of the case study included estimates of carpool formation and associated fuel savings, and traffic operations on HOV and other facilities in the corridor. The completed process represents a method to examine HOV's under a variety of policy and operational conditions. The process ismore » within the modeling capabilities of other Metropolitan Planning Organizations (MPO's) and should be transferable to other cities and corridors. Additional applications of the HOV estimation and evaluation process are recommended.« less

  16. Planning for execution monitoring on a planetary rover

    NASA Technical Reports Server (NTRS)

    Gat, Erann; Firby, R. James; Miller, David P.

    1990-01-01

    A planetary rover will be traversing largely unknown and often unknowable terrain. In addition to geometric obstacles such as cliffs, rocks, and holes, it may also have to deal with non-geometric hazards such as soft soil and surface breakthroughs which often cannot be detected until rover is in imminent danger. Therefore, the rover must monitor its progress throughout a traverse, making sure to stay on course and to detect and act on any previously unseen hazards. Its onboard planning system must decide what sensors to monitor, what landmarks to take position readings from, and what actions to take if something should go wrong. The planning systems being developed for the Pathfinder Planetary Rover to perform these execution monitoring tasks are discussed. This system includes a network of planners to perform path planning, expectation generation, path analysis, sensor and reaction selection, and resource allocation.

  17. Generation capacity expansion planning in deregulated electricity markets

    NASA Astrophysics Data System (ADS)

    Sharma, Deepak

    With increasing demand of electric power in the context of deregulated electricity markets, a good strategic planning for the growth of the power system is critical for our tomorrow. There is a need to build new resources in the form of generation plants and transmission lines while considering the effects of these new resources on power system operations, market economics and the long-term dynamics of the economy. In deregulation, the exercise of generation planning has undergone a paradigm shift. The first stage of generation planning is now undertaken by the individual investors. These investors see investments in generation capacity as an increasing business opportunity because of the increasing market prices. Therefore, the main objective of such a planning exercise, carried out by individual investors, is typically that of long-term profit maximization. This thesis presents some modeling frameworks for generation capacity expansion planning applicable to independent investor firms in the context of power industry deregulation. These modeling frameworks include various technical and financing issues within the process of power system planning. The proposed modeling frameworks consider the long-term decision making process of investor firms, the discrete nature of generation capacity addition and incorporates transmission network modeling. Studies have been carried out to examine the impact of the optimal investment plans on transmission network loadings in the long-run by integrating the generation capacity expansion planning framework within a modified IEEE 30-bus transmission system network. The work assesses the importance of arriving at an optimal IRR at which the firm's profit maximization objective attains an extremum value. The mathematical model is further improved to incorporate binary variables while considering discrete unit sizes, and subsequently to include the detailed transmission network representation. The proposed models are novel in the sense that the planning horizon is split into plan sub-periods so as to minimize the overall risks associated with long-term plan models, particularly in the context of deregulation.

  18. Affirmative Action Plan, October 1991--September 1992

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

    Not Available

    1991-10-01

    This report documents Reynolds Electrical Engineering Co., Inc., analysis of all major job groups with explanations if minorities and females are underutilized in any one or more job group. Goals and timetables have been developed and good faith efforts are directed to correct any deficiencies. In addition, Affirmative Action Plans for the Handicapped, Vietnam Era Veterans, and Disabled Veterans are included which set forth policies, practices, and procedures in accordance with Department of Labor regulations. All personnel decisions are made at the Company level. Decisions regarding the General Manager or Deputy General Manager are made at the corporate level.

  19. Resource analysis applications in Michigan. [NASA remote sensing

    NASA Technical Reports Server (NTRS)

    Schar, S. W.; Enslin, W. R.; Sattinger, I. J.; Robinson, J. G.; Hosford, K. R.; Fellows, R. S.; Raad, J. H.

    1974-01-01

    During the past two years, available NASA imagery has been applied to a broad spectrum of problems of concern to Michigan-based agencies. These demonstrations include the testing of remote sensing for the purposes of (1) highway corridor planning and impact assessments, (2) game management-area information bases, (3) multi-agency river basin planning, (4) timber resource management information systems, (5) agricultural land reservation policies, and (6) shoreline flooding damage assessment. In addition, cost accounting procedures have been developed for evaluating the relative costs of utilizing remote sensing in land cover and land use analysis data collection procedures.

  20. Training telescope operators and support astronomers at Paranal

    NASA Astrophysics Data System (ADS)

    Boffin, Henri M. J.; Gadotti, Dimitri A.; Anderson, Joe; Pino, Andres; de Wit, Willem-Jan; Girard, Julien H. V.

    2016-07-01

    The operations model of the Paranal Observatory relies on the work of efficient staff to carry out all the daytime and nighttime tasks. This is highly dependent on adequate training. The Paranal Science Operations department (PSO) has a training group that devises a well-defined and continuously evolving training plan for new staff, in addition to broadening and reinforcing courses for the whole department. This paper presents the training activities for and by PSO, including recent astronomical and quality control training for operators, as well as adaptive optics and interferometry training of all staff. We also present some future plans.

  1. Data Validation Package - June 2016 Groundwater and Surface Water Sampling at the Green River, Utah, Disposal Site

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

    Linard, Joshua; Price, Jeffrey

    This event included annual sampling of groundwater and surface water locations at the Green River, Utah, Disposal Site. Sampling and analyses were conducted as specified in Sampling and Analysis Plan for US. Department of Energy Office of Legacy Management Sites (LMS/PRO/S04351, continually updated, http://energy.gov/lrnldownloads/sampling-and- analysis-plan-us-department-energy-office-legacy-management-sites). Samples were collected from 15 monitoring wells and two surface locations at the disposal site as specified in the draft 2011 Ground Water Compliance Action Plan for the Green River, Utah, Disposal Site. Planned monitoring locations are shown in Attachment 1, Sampling and Analysis Work Order. A duplicate sample was collected from location 0179. Onemore » equipment blank was collected during this sampling event. Water levels were measured at all monitoring wells that were sampled. See Attachment 2, Trip Reports for additional details. The analytical data and associated qualifiers can be viewed in environmental database reports and are also available for viewing with dynamic mapping via the GEMS (Geospatial Environmental Mapping System) website at http://gems.lm.doe.gov/#. No issues were identified during the data validation process that requires additional action or follow-up.« less

  2. A framework for developing an evidence-based, comprehensive tobacco control program

    PubMed Central

    2010-01-01

    Background Tobacco control is an area where the translation of evidence into policy would seem to be straightforward, given the wealth of epidemiological, behavioural and other types of research available. Yet, even here challenges exist. These include information overload, concealment of key (industry-funded) evidence, contextualization, assessment of population impact, and the changing nature of the threat. Methods In the context of Israel's health targeting initiative, Healthy Israel 2020, we describe the steps taken to develop a comprehensive tobacco control strategy. We elaborate on the following: a) scientific issues influencing the choice of tobacco control strategies; b) organization of existing evidence of effectiveness of interventions into a manageable form, and c) consideration of relevant philosophical and political issues. We propose a framework for developing a plan and illustrate this process with a case study in Israel. Results Broad consensus exists regarding the effectiveness of most interventions, but current recommendations differ in the emphasis they place on different strategies. Scientific challenges include integration of complex and sometimes conflicting information from authoritative sources, and lack of estimates of population impact of interventions. Philosophical and political challenges include the use of evidence-based versus innovative policymaking, the importance of individual versus governmental responsibility, and whether and how interventions should be prioritized. The proposed framework includes: 1) compilation of a list of potential interventions 2) modification of that list based on local needs and political constraints; 3) streamlining the list by categorizing interventions into broad groupings of related interventions; together these groupings form the basis of a comprehensive plan; and 4) refinement of the plan by comparing it to existing comprehensive plans. Conclusions Development of a comprehensive tobacco control plan is a complex endeavour, involving crucial decisions regarding intervention components. "Off the shelf" plans, which need to be adapted to local settings, are available from a variety of sources, and a multitude of individual recommendations are available. The proposed framework for adapting existing approaches to the local social and political climate may assist others planning for smoke-free societies. Additionally, this experience has implications for development of evidence-based health plans addressing other risk factors. PMID:20507612

  3. A framework for developing an evidence-based, comprehensive tobacco control program.

    PubMed

    Rosen, Laura; Rosenberg, Elliot; McKee, Martin; Gan-Noy, Shosh; Levin, Diane; Mayshar, Elana; Shacham, Galia; Borowski, John; Nun, Gabi Bin; Lev, Boaz

    2010-05-27

    Tobacco control is an area where the translation of evidence into policy would seem to be straightforward, given the wealth of epidemiological, behavioural and other types of research available. Yet, even here challenges exist. These include information overload, concealment of key (industry-funded) evidence, contextualization, assessment of population impact, and the changing nature of the threat. In the context of Israel's health targeting initiative, Healthy Israel 2020, we describe the steps taken to develop a comprehensive tobacco control strategy. We elaborate on the following: a) scientific issues influencing the choice of tobacco control strategies; b) organization of existing evidence of effectiveness of interventions into a manageable form, and c) consideration of relevant philosophical and political issues. We propose a framework for developing a plan and illustrate this process with a case study in Israel. Broad consensus exists regarding the effectiveness of most interventions, but current recommendations differ in the emphasis they place on different strategies. Scientific challenges include integration of complex and sometimes conflicting information from authoritative sources, and lack of estimates of population impact of interventions. Philosophical and political challenges include the use of evidence-based versus innovative policymaking, the importance of individual versus governmental responsibility, and whether and how interventions should be prioritized.The proposed framework includes: 1) compilation of a list of potential interventions 2) modification of that list based on local needs and political constraints; 3) streamlining the list by categorizing interventions into broad groupings of related interventions; together these groupings form the basis of a comprehensive plan; and 4) refinement of the plan by comparing it to existing comprehensive plans. Development of a comprehensive tobacco control plan is a complex endeavour, involving crucial decisions regarding intervention components. "Off the shelf" plans, which need to be adapted to local settings, are available from a variety of sources, and a multitude of individual recommendations are available. The proposed framework for adapting existing approaches to the local social and political climate may assist others planning for smoke-free societies. Additionally, this experience has implications for development of evidence-based health plans addressing other risk factors.

  4. Accounting for vulnerable populations in rural hazard mitigation plans: results of a survey of emergency managers.

    PubMed

    Horney, Jennifer A; Nguyen, Mai; Cooper, John; Simon, Matthew; Ricchetti-Masterson, Kristen; Grabich, Shannon; Salvesen, David; Berke, Philip

    2013-01-01

    Rural areas of the United States are uniquely vulnerable to the impacts of natural disasters. One possible way to mitigate vulnerability to disasters in rural communities is to have a high-quality hazard mitigation plan in place. To understand the resources available for hazard mitigation planning and determine how well hazard mitigation plans in rural counties meet the needs of vulnerable populations, we surveyed the lead planning or emergency management official responsible for hazard mitigation plans in 96 rural counties in eight states in the Southeastern United States. In most counties, emergency management was responsible for implementing the county's hazard mitigation plan and the majority of counties had experienced a presidentially declared disaster in the last 5 years. Our research findings demonstrated that there were differences in subjective measures of vulnerability (as reported by survey respondents) and objective measures of vulnerability (as determined by US Census data). In addition, although few counties surveyed included outreach to vulnerable groups as a part of their hazard mitigation planning process, a majority felt that their hazard mitigation plan addressed the needs of vulnerable populations "well" or "very well." These differences could result in increased vulnerabilities in rural areas, particularly for certain vulnerable groups.

  5. Amendments to Summary Plan Description regulations. Pension and Welfare Benefits Administration, Labor. Final rule.

    PubMed

    2000-11-21

    This document contains a final rule amending the regulations governing the content of the Summary Plan Description (SPD) required to be furnished to employee benefit plan participants and beneficiaries under the Employee Retirement Income Security Act of 1974, as amended (ERISA). These amendments implement information disclosure recommendations of the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry, as set forth in their November 20, 1997, report, "Consumer Bill of Rights and Responsibilities." Specifically, the amendments clarify benefit, medical provider, and other information required to be disclosed in, or as part of, the SPD of a group health plan and repeal the limited exemption with respect to SPDs of welfare plans providing benefits through qualified health maintenance organizations (HMOs). In addition, this document contains several amendments updating and clarifying provisions relating to the content of SPDs that affect both pension and welfare benefit plans. This document also adopts in final form certain regulations that were effective on an interim basis implementing amendments to ERISA enacted as part of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This final rule will affect employee pension and welfare benefit plans, including group health plans, as well as administrators, fiduciaries, participants and beneficiaries of such plans.

  6. The behavior of Italian family physicians regarding the health problems of women and, in particular, family planning (both contraception and NFP).

    PubMed

    Girotto, S; Del Zotti, F; Baruchello, M; Gottardi, G; Valente, M; Battaggia, A; Rosa, B; Fedrizzi, P; Campanella, M; Zumerle, M; Bressan, F

    1997-01-01

    The hospital-centered trend that has dominated medical culture and the management of health care during this entire century has, in the last few years, undergone a reversal in Italy. Conditions in other countries suggest that similar changes have or will become increasingly common. The family physician today manages many of the functions previously handled by hospitals and specialists. In the field of reproductive health, family physicians are responsible not only for diagnosis and treatment, but also for prevention and education. The present study considers this new context with the objective of investigating the knowledge and behavior of Italian family physicians in the field of women's health, with particular regard to family planning (including natural family planning), through (1) a qualitative study (focus groups) of a small group of family physicians and (2) a questionnaire sent to 500 family physicians throughout Italy. The results of the focus group are summarized in the form of obstacles that the family physician finds in providing family planning services and proposals for change. The results indicate that because of their holistic approach, the family physician is an appropriate provider of family planning services although continued use of specialists' services, changes in logistics of the family physicians' practice, increased gender sensitivity, and additional training and information are necessary. The results of the questionnaire (121 responses, 24.2%) indicate that the Italian family physician currently lacks certain important information about family planning and would require logistical support to provide these services but is interested in acquiring information and is an appropriate family planning provider. An additional challenge for encouraging family practitioners to provide natural methods is that they favor a "medical" approach rather than a "behavioral" one in their treatment preferences for several other conditions.

  7. Los Alamos National Laboratory SAVY-4000 Field Surveillance Plan Update for 2016

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

    Kelly, Elizabeth J.; Stone, Timothy Amos; Smith, Paul Herrick

    The Packaging Surveillance Program section of the Department of Energy (DOE) Manual 441.1-1, Nuclear Material Packaging Manual (DOE 2008), requires DOE contractors to “ensure that a surveillance program is established and implemented to ensure the nuclear material storage package continues to meet its design criteria.” The Los Alamos National Laboratory (LANL) SAVY-4000 Field Surveillance Plan was first issued in FY 2013 (Kelly et al. 2013). The surveillance plan is reviewed annually and updated as necessary based on SAVY-4000 surveillance and other surveillance findings, as well as results of the lifetime extension studies (Blair et al. 2012, Weis et al. 2015a).more » The LANL SAVY-4000 Field Surveillance Plan Update was issued in 2014 (Kelly et al. 2014). This 2016 update reflects changes to the surveillance plan resulting from restrictions on handling residue materials greater than 500 g, the addition of specific engineering judgment containers, and 2015 surveillance findings. The SAVY-4000 container has a design life of five years, which was chosen as a conservative estimate of the functional properties of the materials used in the construction of the SAVY 4000 when exposed to the potential insults including temperature, corrosive materials and gases, and radiation. The SAVY-4000 container design basis is described in a safety analysis report (Anderson et al. 2013). In the National Nuclear Security Administration's (NNSA’s) approval of the safety analysis report, it was recommended that the design life clock begin on March 2014 (Nez et al. 2014). However, it is expected that a technical basis can be developed to extend the design life of the SAVY-4000 containers to approximately 40 years (Blair et al. 2012, Weis et al. 2015a). This surveillance plan update covers five years (2015–2019) and is developed to ensure SAVY-4000 containers meet their design criteria over the current five-year design life and to gather data that can be used in developing the technical basis for a 40-year design life. The technical basis for the longer design life will be developed based on the results of this surveillance plan and the concurrent lifetime extension studies (Blair et al. 2012, Weis et al. 2015a). A long-term surveillance plan will be developed by the completion of this plan and will be based on the results of the first several years of this five-year surveillance plan and the lifetime extension studies. In addition, the current Hagan container population is so large (approximately 3,500 LANL-wide, approximately 3,000 in PF-4) that it is anticipated Hagan containers will be in use for many years to come. Therefore, this plan includes surveillance activities for the Hagan container system during the time it takes to replace the Hagan containers with manually-compliant containers such as the SAVY 4000. These Hagan examinations not only provide information to determine if additional Hagan surveillance is needed, but also support SAVY lifetime-extension studies because some of the container components are made from similar material (e.g., stainless steel and Viton).« less

  8. Nurse manager job satisfaction and intent to leave

    PubMed Central

    Warshawsky, Nora E.; Havens, Donna S.

    2015-01-01

    Background The nurse manager role is critical to staff nurse retention and often the portal to senior nursing leadership, yet little is known about nurse managers' job satisfaction and career plans. The purpose of this study was to describe nurse managers' job satisfaction and intent to leave. Methods An electronic survey was used to collect data from 291 nurse managers working in U.S. hospitals. Findings Seventy percent were satisfied or very satisfied with their jobs and 68% were either likely or very likely to recommend nursing management as a career choice. Seventy-two percent of these nurse managers were also planning to leave their positions in the next five years. The four most common reasons reported for intent to leave included burnout, career change, retirement, and promotion. Burnout was the most common reason cited by the entire sample but the fourth most common reason for leaving cited by those nurse managers who were planning to leave and also satisfied or very satisfied with their positions. Conclusions Recommendations for nursing leaders include evaluating the workload of nurse managers, providing career counseling, and developing succession plans. Additional research is needed to understand the determinants and consequences of nurse manager job satisfaction, intent to leave, and turnover. PMID:24689156

  9. Plans and Example Results for the 2nd AIAA Aeroelastic Prediction Workshop

    NASA Technical Reports Server (NTRS)

    Heeg, Jennifer; Chwalowski, Pawel; Schuster, David M.; Raveh, Daniella; Jirasek, Adam; Dalenbring, Mats

    2015-01-01

    This paper summarizes the plans for the second AIAA Aeroelastic Prediction Workshop. The workshop is designed to assess the state-of-the-art of computational methods for predicting unsteady flow fields and aeroelastic response. The goals are to provide an impartial forum to evaluate the effectiveness of existing computer codes and modeling techniques, and to identify computational and experimental areas needing additional research and development. This paper provides guidelines and instructions for participants including the computational aerodynamic model, the structural dynamic properties, the experimental comparison data and the expected output data from simulations. The Benchmark Supercritical Wing (BSCW) has been chosen as the configuration for this workshop. The analyses to be performed will include aeroelastic flutter solutions of the wing mounted on a pitch-and-plunge apparatus.

  10. Pharmacist care plans and documentation of follow-up before the Iowa Pharmaceutical Case Management program.

    PubMed

    Becker, CoraLynn; Bjornson, Darrel C; Kuhle, Julie W

    2004-01-01

    To document drug therapy problems and their causes and assess pharmacist follow-up of patients with identified drug therapy problems. Cross-sectional analysis. Iowa. 160 pharmacists who submitted 754 pharmaceutical care plans in an effort to qualify for participation in the Iowa Pharmaceutical Case Management program. Care plans were assessed for drug therapy problems and causes and for documentation of pharmacist follow-up (actual, none, or intent to follow up). Pharmacists documented a wide variety of drug therapy problems and causes, including adverse drug reactions (20.1% of care plans), need for additional drug therapy (18.9%), lack of patient adherence to therapy (16.3%), incorrect medication being prescribed (14.1%), and drug dose too high (10.0%). Pharmacist follow-up with patients was not optimal, with 31% of care plans providing documentation of actual follow-up. Another 42.2% of plans indicated that the pharmacist intended to contact the patient for follow-up but either did not do so or did not record the intervention. No actual follow-up or intent to follow up was recorded in 26.8% of care plans. Pharmacists practicing in independent pharmacies followed up with patients more frequently than those in other settings (36.4% of care plans, compared with 22.7%, 23.2%, and 28.4% for chain, clinic, and franchise pharmacies). Pharmacists were more likely to follow up when the identified problem involved drug safety rather than effectiveness (36.2% versus 28.3% of care plans). Documentation of pharmacist follow-up with patients was less than optimal. In addition to identifying drug therapy problems and causes, pharmacists must complete the care continuum through documentation of patient monitoring and follow-up to transform the philosophy and vision of the pharmaceutical care concept into a practice of pharmacy recognized and rewarded by patients and payers.

  11. Probabilistic Reasoning for Robustness in Automated Planning

    NASA Technical Reports Server (NTRS)

    Schaffer, Steven; Clement, Bradley; Chien, Steve

    2007-01-01

    A general-purpose computer program for planning the actions of a spacecraft or other complex system has been augmented by incorporating a subprogram that reasons about uncertainties in such continuous variables as times taken to perform tasks and amounts of resources to be consumed. This subprogram computes parametric probability distributions for time and resource variables on the basis of user-supplied models of actions and resources that they consume. The current system accepts bounded Gaussian distributions over action duration and resource use. The distributions are then combined during planning to determine the net probability distribution of each resource at any time point. In addition to a full combinatoric approach, several approximations for arriving at these combined distributions are available, including maximum-likelihood and pessimistic algorithms. Each such probability distribution can then be integrated to obtain a probability that execution of the plan under consideration would violate any constraints on the resource. The key idea is to use these probabilities of conflict to score potential plans and drive a search toward planning low-risk actions. An output plan provides a balance between the user s specified averseness to risk and other measures of optimality.

  12. 18. Photographic copy of site plan for additions to North ...

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

    18. Photographic copy of site plan for additions to North Base: Job No. Muroc A(511), Military Construction, Third District Region, San Bernardino, California; Muroc Bombing Range, Muroc Lake, Calif; Additional Temporary Construction, Materiel Center Flight Test Base, Location Plan, February 1943. Reproduced from the holdings of the National Archives, Pacific Southwest Region - Edwards Air Force Base, North Base, North Base Road, Boron, Kern County, CA

  13. 75 FR 60709 - Fisheries Off West Coast States; Notice of Availability for Amendments 16-5 and 23 to the Pacific...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-01

    ...NMFS announces that the Pacific Fishery Management Council (Council) has submitted Amendments 16-5 and 23 to the Pacific Coast Groundfish Fishery Management Plan (FMP) for Secretarial review. Amendment 16-5 would modify the FMP to implement an overfished species rebuilding plan for petrale sole and revise existing overfished species rebuilding plans. In addition, Amendment 16-5 would modify the default proxy values for FMSY and BMSY as they apply to the flatfish species, including petrale sole; and the harvest control rule policies. Amendment 23 introduces a new framework for fishery specifications and other measures for establishing Annual Catch Limits (ACLs) as required by the recent amendments to the Magnuson-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act).

  14. Software reuse in spacecraft planning and scheduling systems

    NASA Technical Reports Server (NTRS)

    Mclean, David; Tuchman, Alan; Broseghini, Todd; Yen, Wen; Page, Brenda; Johnson, Jay; Bogovich, Lynn; Burkhardt, Chris; Mcintyre, James; Klein, Scott

    1993-01-01

    The use of a software toolkit and development methodology that supports software reuse is described. The toolkit includes source-code-level library modules and stand-alone tools which support such tasks as data reformatting and report generation, simple relational database applications, user interfaces, tactical planning, strategic planning and documentation. The current toolkit is written in C and supports applications that run on IBM-PC's under DOS and UNlX-based workstations under OpenLook and Motif. The toolkit is fully integrated for building scheduling systems that reuse AI knowledge base technology. A typical scheduling scenario and three examples of applications that utilize the reuse toolkit will be briefly described. In addition to the tools themselves, a description of the software evolution and reuse methodology that was used is presented.

  15. U.S. Materials Science on the International Space Station: Status and Plans

    NASA Technical Reports Server (NTRS)

    Chiaramonte, Francis P.; Kelton, Kenneth F.; Matson, Douglas M.; Poirier, David R.; Trivedi, Rohit K.; Su, Ching-Hua; Volz, Martin P.; Voorhees, Peter W.

    2010-01-01

    This viewgraph presentation reviews the current status and NASA plans for materials science on the International Space Station. The contents include: 1) Investigations Launched in 2009; 2) DECLIC in an EXPRESS rack; 3) Dynamical Selection of Three-Dimensional Interface Patterns in Directional Solidification (DSIP); 4) Materials Science Research Rack (MSRR); 5) Materials Science Laboratory; 6) Comparison of Structure and Segregation in Alloys Directionally Solidified in Terrestrial and Microgravity Environments (MICAST/CETSOL); 7) Coarsening in Solid Liquid Mixtures 2 Reflight (CSLM 2R); 8) Crystal Growth Investigations; 9) Levitator Investigations; 10) Quasi Crystalline Undercooled Alloys for Space Investigation (QUASI); 11) The Role of Convection and Growth Competition in Phase Selection in Microgravity (LODESTARS); 12) Planned Additional Investigations; 13) SETA; 14) METCOMP; and 15) Materials Science NRA.

  16. Nurses' views regarding implementing advance care planning for older people: a systematic review and synthesis of qualitative studies.

    PubMed

    Ke, Li-Shan; Huang, Xiaoyan; O'Connor, Margaret; Lee, Susan

    2015-08-01

    To explore nurses' views regarding implementing advance care planning for older people. Advance care planning is recommended as a way for older people to discuss their future care with family members and health professionals. Nurses play key roles in the process of advance care planning, including ensuring that patients are informed of their rights and that decisions are known to, and respected by, the health care team. Thus, understanding of nurses' experiences and perspectives regarding implementing advance care planning for older people is a significant topic for review. Qualitative meta-synthesis. Four databases including CINAHL plus, Medline [EBSCOhost], EMBASE, and PsycINFO were searched, and 1844 articles were initially screened. Finally, 18 articles were critically appraised and a thematic synthesis was undertaken. Four themes were identified regarding implementation of advance care planning: perceived disadvantages and advantages of advance directives; nurses' responsibility and roles; facilitators and barriers; and nurses' needs and recommendations. Nurses felt that advance directives provided more advantages than disadvantages. Nurses generally believed that they were well positioned to engage in advance care planning conversations. Nurses perceived barriers relating to older people, families, environment, time, culture, cost, language and knowledge of health care teams with regard to advance care planning. In nurses' needs, education and support were highlighted. This study provides useful knowledge for implementing advance care planning through illustrating nurses' experiences and perspectives. The results showed that nurses were more concerned about barriers in relation to working environment, teamwork, time and knowledge of health care team members than older people's characteristics, when implementing advance care planning. The findings provide nurses and administrators with information to develop related policies and education. Additionally, the appointment of nurses to formal roles related to advance care planning is appropriate and warranted. © 2015 John Wiley & Sons Ltd.

  17. Panel to review EOSDIS plans

    NASA Technical Reports Server (NTRS)

    1994-01-01

    Formed in Jan. 1992, the Panel to Review EOSDIS Plans was charged with advising NASA on its plans for developing the Earth Observing System (EOS) Data and Information System (EOSDIS). Specifically, the panel was asked to do the following: assess the validity of the engineering and technical underpinnings of the EOSDIS; assess its potential value to scientific users; suggest how technical risk can be minimized; and assess whether current plans are sufficiently resilient to be adaptable to changing technology and requirements such as budget environments, data volumes, new users, and new databases. The panel completed an interim report (Addendum A) and transmitted it to NASA and other interested parties in the government on 9 Apr. 1992. Because of a delay in NASA's plans to select the contractor for EOSDIS, the panel was not able to complete its review of the program according to the original government request. With the issuance of a letter report (Addendum B) on 28 Sep. 1992, the panel became inactive until such time as NASA could release the details of the contractor's proposed architecture, schedule, and costs for developing EOSDIS. In early 1993, NASA awarded the contract for the EOSDIS Core System (ECS). On 20 Apr. 1993, NASA asked the panel to reconvene to do the following: ( 1) complete its review of NASA's approach to the EOSDIS architecture and implementation; (2) appraise NASA's responses to the panel's previous recommendations; and (3) review the planning for EOSDIS in the context of NASA's role in the Global Change Data and Information System (GCDIS) implementation plan. To respond to the NASA charge, the panel met three times in 1993 including sessions with NASA officials and the EOSDIS contractor. In addition, several of the panel members visited individual Distributed Active Archive Centers (DAAC's) to obtain additional views of EOSDIS. The panel has now obtained substantial information on the EOSDIS budget, contractor work program, and current baseline architecture that was not previously available, due to procurement restrictions. This report presents the panel's findings and recommendations based on this additional information.

  18. Pre-surgical road map for thyroid cancer and large goiters: Practical benefits of detailed radiological evaluation by surgeon.

    PubMed

    Panchangam, Ramakanth Bhargav; Guntupalli, Satyam; Seetharamaiah, Thotakura; Kumbhar, Uday Shamrao

    2015-01-01

    Pre-surgical radiological evaluation of neck is often mandatory for surgical planning in high risk thyroid cancer and large goiters. Frequently, surgeons are overdependent on radiologist's report. In this context, we analysed the practical benefits of surgeon's independent radiological evaluation in our institutional experience. This prospective study was conducted in Endocrine Surgery department of a teaching hospital in South India. Cases operated between January 2011 and June 2012 (18 months) were included. Films of cross-sectional imaging were read in detail by primary and assistant surgeons in correlation with stepwise operative planning and documented. Cases with additional radiological signs on surgeon's evaluation, which were missing in radiologist's report are discussed in detail. F: M ratio is 67:24. Mean age was 45.3 ± 9.8 years (37 - 76). Forty-seven cases of thyroid cancer and 44 cases of large goiters were analysed. Surgeon read additional signs such as obliterated fat plane between goiter and subcutaneous plane; level I lymph nodes; bilateral cervical lymphadenopathy, internal jugular vein thrombus, and pharyngeal invasion helped in pre-operatively planned modification of operative steps for optimal R0 resection and total thyroidectomy. A mean of 1.42 ± 0.83 (1 - 6), additional signs were detected on surgeon's radiological evaluation compared to radiologist's report in 41.7% of cases. These findings modified the pre-operative plan, facilitating better surgical outcome in 28.6% of cases. In high-risk thyroid cancer and large goiters, detailed radiological evaluation by surgeon facilitates optimal surgical resection and superior outcome compared to radiologist report-guided surgery.

  19. Environmental considerations for 3D seismic in Louisianna wetlands

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

    Browning, G.; Dillane, T.; Baaren, P. van

    1996-11-01

    Louisiana swamps have been host to seismic crews for many years. Results from recent 3D surveys indicate that well planned and executed seismic operations have a minimal and short term impact in these environmentally sensitive wetlands. Pre-planning identifies challenges that require use of improved technology and work procedures. These include multi-channel radio telemetry recording systems, ramming of dynamite and hydrophones as opposed to drilling, DGPS positioning and coordinated use of Airboats, buggies and helicopters. In addition to minimal environmental impact, increased data quality, reduced cost and shorter project duration have been achieved as a result of these efforts. Unlike 2Dmore » surveys, where profile positioning is flexible, 3D surveys involve high density coverage over many square miles operated by numerous personnel. Survey design includes minimizing repeated traffic and crossing points. Survey operations require environmental participation and commitment from every person involved in the project. This includes a thorough orientation and training program with strong emphasis on environmental sensitivity and awareness. Close co-ordination between regulatory agencies, clients and the contractor is a key factor in all aspects of the survey planning and operation. Benefits from these efforts are significant, measurable and continue to improve.« less

  20. Planning and design of Berg-en-Dal, a new camp in Kruger National Park

    NASA Astrophysics Data System (ADS)

    van Riet, W. F.; Cooks, J.

    1990-05-01

    The premise of this article is that the planning and design of new rest camps in conservation areas should be based on ecological principles in such a way that the plant ecology within the camp be an integral part and extension of the natural ecology of its immediate vicinity. This is desirable so that visitors to the camp will be provided not only with facilities for resting, eating, and sleeping, but also be able to enjoy and study the natural environment in a relaxed atmosphere. The Berg-en-Dal rest camp, which was established in Kruger National Park, was planned in such a way and designed according to the principles outlined by the authors in a companion article. The planning included six zones: a control zone, day visitor zone, overnight visitor zone, staff accommodation zone, recreation zone, and service zone. The point is stressed that plant species selected to be used as additional vegetation to those already growing in the camp were endemic to the nine landscape facets identified in the camp. The design allowed for separation of the various land-use zones in such a way that they would complement each other rather than be a hindrance to each other. The camp has been built according to the plans included in this article and has proved to be a great success. The conclusion is drawn that the planning principles are sound and should be used in the future for the planning and design of rest camps for conservation areas in South Africa.

  1. 75 FR 9924 - Final Comprehensive Conservation Plan for the Red Rock Lakes National Wildlife Refuge, MT

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-04

    ...-time staff of five employees and various summer temporaries manage and study the refuge habitats and... majority of fishing occurring on Red Rock. In addition, the refuge is open to limited hunting of ducks..., conducting numerous studies to determine the effects and best methods of restoration, including any effects...

  2. FOREST RECREATION FOR PROFIT, SELF-HELP SUGGESTIONS FOR RURAL AREAS DEVELOPMENT.

    ERIC Educational Resources Information Center

    Department of Agriculture, Washington, DC.

    FARMERS AND OTHER LAND OWNERS CAN UTILIZE WOODLAND FOR PROFIT BY DEVELOPING RECREATION AREAS. CAMPGROUND AND PICNIC AREAS CAN PROVIDE ADDITIONAL INCOME AND CAN FIT IN WITH THE OPERATION OF OTHER SMALL BUSINESSES, SUCH AS A ROADSIDE STORE, A PRODUCE STAND, OR A FILLING STATION. BASIC CONSIDERATIONS IN PLANNING A RECREATION DEVELOPMENT INCLUDE--(1)…

  3. Population and Human Development: A Course Curriculum Including Lesson Plans, Activities and Bibliography.

    ERIC Educational Resources Information Center

    Murphy, Elaine M.

    This course outline suggests materials and learning activities on the interrelated causes and consequences of population growth and other population concerns. Designed to educate general college audiences, it is also intended for use as a preservice course for teachers. In addition, the course can be modified for high school students. The course…

  4. SSS-A attitude control prelaunch analysis and operations plan

    NASA Technical Reports Server (NTRS)

    Werking, R. D.; Beck, J.; Gardner, D.; Moyer, P.; Plett, M.

    1971-01-01

    A description of the attitude control support being supplied by the Mission and Data Operations Directorate is presented. Descriptions of the computer programs being used to support the mission for attitude determination, prediction, control, and definitive attitude processing are included. In addition, descriptions of the operating procedures which will be used to accomplish mission objectives are provided.

  5. The Database Business: Managing Today--Planning for Tomorrow. Profiting with New Products and Services.

    ERIC Educational Resources Information Center

    Berger, Mary C.; Bourne, Charles P.

    1988-01-01

    The first paper discusses the factors involved in a decision to provide document delivery services, including user needs, competitive climate, business potential, fit with current business, and logistics of providing the service. The second reviews the kinds of additional products that can be developed as a byproduct of conventional database…

  6. 78 FR 26251 - Approval and Promulgation of Air Quality Implementation Plans; Texas; Revisions to Control of Air...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-06

    ... ovens used in wet-laid non-woven fiber mat manufacturing operations when nitrogen containing resins or other additives are used. These two actions affect NOx sources operating in the Dallas Fort-Worth (DFW... include low-temperature drying ovens and curing ovens used in wet-laid, non-woven fiber mat manufacturing...

  7. 76 FR 75849 - Approval and Promulgation of Implementation Plans; Georgia; 110(a)(1) and (2) Infrastructure...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-05

    ... public docket without change and may be made available online at http://www.regulations.gov , including... public docket and made available on the Internet. If you submit an electronic comment, EPA recommends... additional information about EPA's public docket visit the EPA Docket Center homepage at http://www.epa.gov...

  8. 77 FR 3213 - Approval and Promulgation of Implementation Plans; Tennessee; 110(a)(1) and (2) Infrastructure...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    ...-0353. EPA's policy is that all comments received will be included in the public docket without change... comment that is placed in the public docket and made available on the Internet. If you submit an... viruses. For additional information about EPA's public docket visit the EPA Docket Center homepage at http...

  9. 76 FR 1109 - Notice of Data Availability for Federal Implementation Plans To Reduce Interstate Transport of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-07

    ... characters, avoid any form of encryption, and be free of any defects or viruses. For additional information... any stationary, fossil-fuel-fired boiler or stationary, fossil-fuel-fired combustion turbine located... included any fossil-fuel-fired unit serving a generator greater than 25 MWe producing electricity for sale...

  10. AE-C attitude determination and control prelaunch analysis and operations plan

    NASA Technical Reports Server (NTRS)

    Werking, R. D.; Headrick, R. D.; Manders, C. F.; Woolley, R. D.

    1973-01-01

    A description of attitude control support being supplied by the Mission and Data Operations Directorate is presented. Included are descriptions of the computer programs being used to support the missions for attitude determination, prediction, and control. In addition, descriptions of the operating procedures which will be used to accomplish mission objectives are provided.

  11. 75 FR 7440 - Oil and Gas Leasing on Lands Administered by the Dixie National Forest, Supplemental Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-19

    ... climate change and to provide the opportunity for public comment on the additional information. DATES: To.... Comments regarding the SIR should be directed to the issues of air resources and climate change and are for... on including climate change in the environmental analyses for future planning decisions. In...

  12. An Evaluation of the Chicago Public Schools' Efforts To Relieve Student Overcrowding at Elementary Schools. Progress Report.

    ERIC Educational Resources Information Center

    Valdez, Virginia

    To address the inadequate condition of school buildings across the city, the Chicago Public Schools (CPS) established a Capital Improvement Program (CIP) in 1996, an ongoing plan for reviewing and upgrading CPS infrastructure over 5 years. Capital projects include additions, annexes, new replacement schools, and new area schools. This report…

  13. Planning Jobs for People. Annual Report, No. 5, 1 July 71-30 June 72.

    ERIC Educational Resources Information Center

    Economic Development Administration (DOC), Washington, DC.

    The study reports on activities which include 59 management assistance projects resulting in 1,983 jobs and payrolls amounting to $9,097,000. In addition, the report describes work with local community leaders to make available information and techniques needed to provide public facilities in support of economic development. The report describes…

  14. Teaching Outside the Box: How to Grab Your Students By Their Brains

    ERIC Educational Resources Information Center

    Johnson, LouAnne

    2005-01-01

    This book offers strategies to help both new teachers and seasoned veterans create dynamic classroom environments where students enjoy learning and teachers enjoy teaching. In addition to no-nonsense advice, checklists, and handouts, the book includes: (1) A step-by-step plan to make the first week of school a success; (2) Approaches for creating…

  15. 78 FR 17304 - Approval and Promulgation of Implementation Plans; Oregon: Infrastructure Requirements for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-21

    ... Products Industries OAR 340-236 Emission Standards for Specific Industries OAR 340-240 Rules for Areas with... and PSD Increments'' includes the 1997 PM 2.5 , 2006 PM 2.5 , and 2008 ozone NAAQS. The EPA most... addition to other rules and control programs identified below. The EPA most recently approved revisions to...

  16. 76 FR 55914 - HIT Policy Committee's Workgroup Meetings; Notice of Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ... with the Federal Health IT Strategic Plan and that includes recommendations on the areas in which... check the ONC Web site for additional information or revised schedules as it becomes available. Detailed information on the October 5 and 6 Meaningful Use meetings can be found on the ONC Web site as it becomes...

  17. Evaluation of Educational Systems. Contributions to a Seminar (IIEP, Paris, France, May 29-June 2, 1972).

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France). International Inst. for Educational Planning.

    This publication contains a report describing a May 1972 seminar sponsored by the International Institute for Educational Planning to discuss current approaches to educational evaluation. In addition, the following 11 papers presented at the conference are included in their entirety: "Possible Criteria for Evaluating Education Policies," by R.…

  18. 76 FR 50247 - Willapa National Wildlife Refuge, Pacific County, WA; Final Comprehensive Conservation Plan and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ...)) requirements. We completed a thorough analysis of potential impacts on the human environment in the Final CCP... provide three blinds for goose hunting, and two blinds for waterfowl hunting. Walk-in hunters would have... expand to include approximately 5,440 acres. In addition, we would provide seven blinds for walk-in goose...

  19. Strategies for application of scientific findings in prevention.

    PubMed

    Wei, S H

    1995-07-01

    Dental research in the last 50 years has accomplished numerous significant advances in preventive dentistry, particularly in the area of research in fluorides, periodontal diseases, restorative dentistry, and dental materials, as well as craniofacial development and molecular biology. The transfer of scientific knowledge to clinical practitioners requires additional effort. It is the responsibility of the scientific communities to transfer the fruits of their findings to society through publications, conferences, media, and the press. Specific programs that the International Association for Dental Research (IADR) has developed to transmit science to the profession and the public have included science transfer seminars, the Visiting Lecture Program, and hands-on workshops. The IADR Strategic Plan also has a major outreach goal. In addition, the Federation Dentaire Internationale (FDI) and the World Health Organization (WHO) have initiated plans to celebrate World Health Day and the Year of Oral Health in 1994. These are important strategies for the application of scientific findings in prevention.

  20. CASL Verification and Validation Plan

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

    Mousseau, Vincent Andrew; Dinh, Nam

    2016-06-30

    This report documents the Consortium for Advanced Simulation of LWRs (CASL) verification and validation plan. The document builds upon input from CASL subject matter experts, most notably the CASL Challenge Problem Product Integrators, CASL Focus Area leaders, and CASL code development and assessment teams. This document will be a living document that will track progress on CASL to do verification and validation for both the CASL codes (including MPACT, CTF, BISON, MAMBA) and for the CASL challenge problems (CIPS, PCI, DNB). The CASL codes and the CASL challenge problems are at differing levels of maturity with respect to validation andmore » verification. The gap analysis will summarize additional work that needs to be done. Additional VVUQ work will be done as resources permit. This report is prepared for the Department of Energy’s (DOE’s) CASL program in support of milestone CASL.P13.02.« less

  1. IGOS improvements for Seasat

    NASA Technical Reports Server (NTRS)

    Warmke, J. M.

    1979-01-01

    Modifications to Battelle's Interactive Graphics Orbit Selection (IGOS) computer program to assist in the planning and evaluation of the Seasat-A Scatterometer System (SASS) flight program were studied. To meet the planning needs of the LaRC Seasat-A Scatterometer team, the following features/modifications were implemented in IGOS: (1) display and specification of time increments in orbital passes represented by the cross-hatching of ground swaths; (2) addition of pass number annotations on the horizontal axis of the STPLNG and STPTOD plots; (3) modification of the sensor model to include more than two swaths associated with a single sensor to approximate the SASS cell pattern; (4) inclusion of down range and cross-track swath geometry to display the characteristic skewed SASS pattern; (5) addition of a swath schedule to allow the display of the SASS mode changes and to calibrate gaps; and (6) development of a set of commands to generate the detailed swath data from sensor characteristics and orbit/earth motion.

  2. Reducing Unintended Pregnancies Through Web-Based Reproductive Life Planning and Contraceptive Action Planning among Privately Insured Women: Study Protocol for the MyNewOptions Randomized, Controlled Trial.

    PubMed

    Chuang, Cynthia H; Velott, Diana L; Weisman, Carol S; Sciamanna, Christopher N; Legro, Richard S; Chinchilli, Vernon M; Moos, Merry-K; Francis, Erica B; Confer, Lindsay N; Lehman, Erik B; Armitage, Christopher J

    2015-01-01

    The Affordable Care Act mandates that most women of reproductive age with private health insurance have full contraceptive coverage with no out-of-pocket costs, creating an actionable time for women to evaluate their contraceptive choices without cost considerations. The MyNewOptions study is a three-arm, randomized, controlled trial testing web-based interventions aimed at assisting privately insured women with making contraceptive choices that are consistent with their reproductive goals. Privately insured women between the ages of 18 and 40 not intending pregnancy were randomly assigned to one of three groups: 1) a reproductive life planning (RLP) intervention, 2) a reproductive life planning enriched with contraceptive action planning (RLP+) intervention, or 3) an information only control group. Both the RLP and RLP+ guide women to identify their individualized reproductive goals and contraceptive method requirements. The RLP+ additionally includes a contraceptive action planning component, which uses if-then scenarios that allow the user to problem solve situations that make it difficult to be adherent to their contraceptive method. All three groups have access to a reproductive options library containing information about their contraceptive coverage and the attributes of alternative contraceptive methods. Women completed a baseline survey with follow-up surveys every 6 months for 2 years concurrent with intervention boosters. Study outcomes include contraceptive use and adherence. ClinicalTrials.gov identifier: NCT02100124. Results from the MyNewOptions study will demonstrate whether web-based reproductive life planning, with or without contraceptive action planning, helps insured women make patient-centered contraceptive choices compared with an information-only control condition. Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  3. The Active for Life Year 5 (AFLY5) school-based cluster randomised controlled trial protocol: detailed statistical analysis plan.

    PubMed

    Lawlor, Debbie A; Peters, Tim J; Howe, Laura D; Noble, Sian M; Kipping, Ruth R; Jago, Russell

    2013-07-24

    The Active For Life Year 5 (AFLY5) randomised controlled trial protocol was published in this journal in 2011. It provided a summary analysis plan. This publication is an update of that protocol and provides a detailed analysis plan. This update provides a detailed analysis plan of the effectiveness and cost-effectiveness of the AFLY5 intervention. The plan includes details of how variables will be quality control checked and the criteria used to define derived variables. Details of four key analyses are provided: (a) effectiveness analysis 1 (the effect of the AFLY5 intervention on primary and secondary outcomes at the end of the school year in which the intervention is delivered); (b) mediation analyses (secondary analyses examining the extent to which any effects of the intervention are mediated via self-efficacy, parental support and knowledge, through which the intervention is theoretically believed to act); (c) effectiveness analysis 2 (the effect of the AFLY5 intervention on primary and secondary outcomes 12 months after the end of the intervention) and (d) cost effectiveness analysis (the cost-effectiveness of the AFLY5 intervention). The details include how the intention to treat and per-protocol analyses were defined and planned sensitivity analyses for dealing with missing data. A set of dummy tables are provided in Additional file 1. This detailed analysis plan was written prior to any analyst having access to any data and was approved by the AFLY5 Trial Steering Committee. Its publication will ensure that analyses are in accordance with an a priori plan related to the trial objectives and not driven by knowledge of the data. ISRCTN50133740.

  4. Agency leads in family planning assistance.

    PubMed

    1989-01-01

    The US Agency for International Development (USAID) is the main source of family planning assistance for the developing countries of the world. It accounts for 45% of the funding for population programs worldwide. USAID's policy promotes expanded family planning services, providing a broad range of birth control methods, promotes consumer delivery systems, and urges private sector assistance. Since the program began in the 1960's the number of people in the developing world using family planning increased from 15 million to 200 million. In 1959 there was only 1 country with a population policy, India, now there are 63 developing countries with policies. USAID has brought $567.7 million worth of contraceptives for distribution in 75 countries including 6.9 billion condoms, 1.6 billion cycles of pills, 49.7 million IUD's, and 16.5 vaginal foam tablets. USAID has funded research in contraceptives including the Hulka clip, laparoscopic sterilization, low-estrogen pills, progestin pills, Copper-T IUD, NORPLANT and NORPLANT 2. In addition, funding for a 3-month injectable and a 12 month pellet is being provided. The agency has also worked with the entertainment industry to produce songs to warn of the dangers of early pregnancy. They have also conducted the largest survey research program, using data from 149 surveys in 65 countries to assess the demand for family planning and analyze population dynamics. The number of women of reproductive age will increase 45% by the year 2000 increasing the demand for family planning dramatically. The resources needed by 2000 are estimated to be $5 billion and $7 billion by the year 2010. This will require efforts from government, private industry, and private voluntary organizations. USAID has developed a contraceptive marketing project worldwide to promote birth control sales and family planning. Another program helps private sector companies promote their own family planning services.

  5. Dengue Contingency Planning: From Research to Policy and Practice.

    PubMed

    Runge-Ranzinger, Silvia; Kroeger, Axel; Olliaro, Piero; McCall, Philip J; Sánchez Tejeda, Gustavo; Lloyd, Linda S; Hakim, Lokman; Bowman, Leigh R; Horstick, Olaf; Coelho, Giovanini

    2016-09-01

    Dengue is an increasingly incident disease across many parts of the world. In response, an evidence-based handbook to translate research into policy and practice was developed. This handbook facilitates contingency planning as well as the development and use of early warning and response systems for dengue fever epidemics, by identifying decision-making processes that contribute to the success or failure of dengue surveillance, as well as triggers that initiate effective responses to incipient outbreaks. Available evidence was evaluated using a step-wise process that included systematic literature reviews, policymaker and stakeholder interviews, a study to assess dengue contingency planning and outbreak management in 10 countries, and a retrospective logistic regression analysis to identify alarm signals for an outbreak warning system using datasets from five dengue endemic countries. Best practices for managing a dengue outbreak are provided for key elements of a dengue contingency plan including timely contingency planning, the importance of a detailed, context-specific dengue contingency plan that clearly distinguishes between routine and outbreak interventions, surveillance systems for outbreak preparedness, outbreak definitions, alert algorithms, managerial capacity, vector control capacity, and clinical management of large caseloads. Additionally, a computer-assisted early warning system, which enables countries to identify and respond to context-specific variables that predict forthcoming dengue outbreaks, has been developed. Most countries do not have comprehensive, detailed contingency plans for dengue outbreaks. Countries tend to rely on intensified vector control as their outbreak response, with minimal focus on integrated management of clinical care, epidemiological, laboratory and vector surveillance, and risk communication. The Technical Handbook for Surveillance, Dengue Outbreak Prediction/ Detection and Outbreak Response seeks to provide countries with evidence-based best practices to justify the declaration of an outbreak and the mobilization of the resources required to implement an effective dengue contingency plan.

  6. Real-Time GPS-Alternative Navigation Using Commodity Hardware

    DTIC Science & Technology

    2007-06-01

    4.1 Test Plan and Setup ..............................................................................................84 4.1.1 Component and...improvements planned , the most influential for navigation are additional signals, frequencies, and improved signal strength. These improvements will... planned and implemented to provide maximum extensibility for additional sensors and functionality without disturbing the core GPU-accelerated

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

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

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

    2011-04-01

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

  8. Mixed Beam Murine Harderian Gland Tumorigenesis: Predicted Dose-Effect Relationships if neither Synergism nor Antagonism Occurs

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

    Siranart, Nopphon; Blakely, Eleanor A.; Cheng, Alden

    Complex mixed radiation fields exist in interplanetary space, and not much is known about their latent effects on space travelers. In silico synergy analysis default predictions are useful when planning relevant mixed-ion-beam experiments and interpreting their results. These predictions are based on individual dose-effect relationships (IDER) for each component of the mixed-ion beam, assuming no synergy or antagonism. For example, a default hypothesis of simple effect additivity has often been used throughout the study of biology. However, for more than a century pharmacologists interested in mixtures of therapeutic drugs have analyzed conceptual, mathematical and practical questions similar to those thatmore » arise when analyzing mixed radiation fields, and have shown that simple effect additivity often gives unreasonable predictions when the IDER are curvilinear. Various alternatives to simple effect additivity proposed in radiobiology, pharmacometrics, toxicology and other fields are also known to have important limitations. In this work, we analyze upcoming murine Harderian gland (HG) tumor prevalence mixed-beam experiments, using customized open-source software and published IDER from past single-ion experiments. The upcoming experiments will use acute irradiation and the mixed beam will include components of high atomic number and energy (HZE). We introduce a new alternative to simple effect additivity, "incremental effect additivity", which is more suitable for the HG analysis and perhaps for other end points. We use incremental effect additivity to calculate default predictions for mixture dose-effect relationships, including 95% confidence intervals. We have drawn three main conclusions from this work. 1. It is important to supplement mixed-beam experiments with single-ion experiments, with matching end point(s), shielding and dose timing. 2. For HG tumorigenesis due to a mixed beam, simple effect additivity and incremental effect additivity sometimes give default predictions that are numerically close. However, if nontargeted effects are important and the mixed beam includes a number of different HZE components, simple effect additivity becomes unusable and another method is needed such as incremental effect additivity. 3. Eventually, synergy analysis default predictions of the effects of mixed radiation fields will be replaced by more mechanistic, biophysically-based predictions. However, optimizing synergy analyses is an important first step. If mixed-beam experiments indicate little synergy or antagonism, plans by NASA for further experiments and possible missions beyond low earth orbit will be substantially simplified.« less

  9. Standardizing Naming Conventions in Radiation Oncology

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

    Santanam, Lakshmi; Hurkmans, Coen; Mutic, Sasa

    2012-07-15

    Purpose: The aim of this study was to report on the development of a standardized target and organ-at-risk naming convention for use in radiation therapy and to present the nomenclature for structure naming for interinstitutional data sharing, clinical trial repositories, integrated multi-institutional collaborative databases, and quality control centers. This taxonomy should also enable improved plan benchmarking between clinical institutions and vendors and facilitation of automated treatment plan quality control. Materials and Methods: The Advanced Technology Consortium, Washington University in St. Louis, Radiation Therapy Oncology Group, Dutch Radiation Oncology Society, and the Clinical Trials RT QA Harmonization Group collaborated in creatingmore » this new naming convention. The International Commission on Radiation Units and Measurements guidelines have been used to create standardized nomenclature for target volumes (clinical target volume, internal target volume, planning target volume, etc.), organs at risk, and planning organ-at-risk volumes in radiation therapy. The nomenclature also includes rules for specifying laterality and margins for various structures. The naming rules distinguish tumor and nodal planning target volumes, with correspondence to their respective tumor/nodal clinical target volumes. It also provides rules for basic structure naming, as well as an option for more detailed names. Names of nonstandard structures used mainly for plan optimization or evaluation (rings, islands of dose avoidance, islands where additional dose is needed [dose painting]) are identified separately. Results: In addition to its use in 16 ongoing Radiation Therapy Oncology Group advanced technology clinical trial protocols and several new European Organization for Research and Treatment of Cancer protocols, a pilot version of this naming convention has been evaluated using patient data sets with varying treatment sites. All structures in these data sets were satisfactorily identified using this nomenclature. Conclusions: Use of standardized naming conventions is important to facilitate comparison of dosimetry across patient datasets. The guidelines presented here will facilitate international acceptance across a wide range of efforts, including groups organizing clinical trials, Radiation Oncology Institute, Dutch Radiation Oncology Society, Integrating the Healthcare Enterprise, Radiation Oncology domain (IHE-RO), and Digital Imaging and Communication in Medicine (DICOM).« less

  10. PLAN: a web platform for automating high-throughput BLAST searches and for managing and mining results

    PubMed Central

    He, Ji; Dai, Xinbin; Zhao, Xuechun

    2007-01-01

    Background BLAST searches are widely used for sequence alignment. The search results are commonly adopted for various functional and comparative genomics tasks such as annotating unknown sequences, investigating gene models and comparing two sequence sets. Advances in sequencing technologies pose challenges for high-throughput analysis of large-scale sequence data. A number of programs and hardware solutions exist for efficient BLAST searching, but there is a lack of generic software solutions for mining and personalized management of the results. Systematically reviewing the results and identifying information of interest remains tedious and time-consuming. Results Personal BLAST Navigator (PLAN) is a versatile web platform that helps users to carry out various personalized pre- and post-BLAST tasks, including: (1) query and target sequence database management, (2) automated high-throughput BLAST searching, (3) indexing and searching of results, (4) filtering results online, (5) managing results of personal interest in favorite categories, (6) automated sequence annotation (such as NCBI NR and ontology-based annotation). PLAN integrates, by default, the Decypher hardware-based BLAST solution provided by Active Motif Inc. with a greatly improved efficiency over conventional BLAST software. BLAST results are visualized by spreadsheets and graphs and are full-text searchable. BLAST results and sequence annotations can be exported, in part or in full, in various formats including Microsoft Excel and FASTA. Sequences and BLAST results are organized in projects, the data publication levels of which are controlled by the registered project owners. In addition, all analytical functions are provided to public users without registration. Conclusion PLAN has proved a valuable addition to the community for automated high-throughput BLAST searches, and, more importantly, for knowledge discovery, management and sharing based on sequence alignment results. The PLAN web interface is platform-independent, easily configurable and capable of comprehensive expansion, and user-intuitive. PLAN is freely available to academic users at . The source code for local deployment is provided under free license. Full support on system utilization, installation, configuration and customization are provided to academic users. PMID:17291345

  11. Determinants of fast food consumption among Iranian high school students based on planned behavior theory.

    PubMed

    Sharifirad, Gholamreza; Yarmohammadi, Parastoo; Azadbakht, Leila; Morowatisharifabad, Mohammad Ali; Hassanzadeh, Akbar

    2013-01-01

    This study was conducted to identify some factors (beliefs and norms) which are related to fast food consumption among high school students in Isfahan, Iran. We used the framework of the theory planned behavior (TPB) to predict this behavior. Cross-sectional data were available from high school students (n = 521) who were recruited by cluster randomized sampling. All of the students completed a questionnaire assessing variables of standard TPB model including attitude, subjective norms, perceived behavior control (PBC), and the additional variables past behavior, actual behavior control (ABC). The TPB variables explained 25.7% of the variance in intentions with positive attitude as the strongest (β = 0.31, P < 0.001) and subjective norms as the weakest (β = 0.29, P < 0.001) determinant. Concurrently, intentions accounted for 6% of the variance for fast food consumption. Past behavior and ABC accounted for an additional amount of 20.4% of the variance in fast food consumption. Overall, the present study suggests that the TPB model is useful in predicting related beliefs and norms to the fast food consumption among adolescents. Subjective norms in TPB model and past behavior in TPB model with additional variables (past behavior and actual behavior control) were the most powerful predictors of fast food consumption. Therefore, TPB model may be a useful framework for planning intervention programs to reduce fast food consumption by students.

  12. Greater involvement of HIV-infected peer-mothers in provision of reproductive health services as "family planning champions" increases referrals and uptake of family planning among HIV-infected mothers.

    PubMed

    Mudiope, Peter; Musingye, Ezra; Makumbi, Carolyne Onyango; Bagenda, Danstan; Homsy, Jaco; Nakitende, Mai; Mubiru, Mike; Mosha, Linda Barlow; Kagawa, Mike; Namukwaya, Zikulah; Fowler, Mary Glenn

    2017-06-27

    In 2012, Makerere University Johns - Hopkins University, and Mulago National Referral Hospital, with support from the National Institute of Health (under Grant number: NOT AI-01-023) undertook operational research at Mulago National Hospital PMTCT/PNC clinics. The study employed Peer Family Planning Champions to offer health education, counselling, and triage aimed at increasing the identification, referral and family planning (FP) uptake among HIV positive mothers attending the clinic. The Peer Champion Intervention to improve FP uptake was introduced into Mulago Hospital PMTCT/PNC clinic, Kampala Uganda. During the intervention period, peers provided additional FP counselling and education; assisted in identification and referral of HIV Positive mothers in need of FP services; and accompanied referred mothers to FP clinics. We compiled and compared the average proportions of mothers in need that were referred and took up FP in the pre-intervention (3 months), intervention (6 months), and post-intervention(3 months) periods using interrupted time series with segmented regression models with an autoregressive term of one. Overall, during the intervention, the proportion of referred mothers in need of FP increased by 30.4 percentage points (P < 0.001), from 52.7 to 83.2 percentage points. FP uptake among mothers in need increased by over 31 percentage points (P < 0.001) from 47.2 to 78.5 percentage points during the intervention. There was a positive non-significant change in the weekly trend of referral β 3  = 2.9 percentage points (P = 0.077) and uptake β 3  = 1.9 percentage points (P = 0.176) during the intervention as compared to the pre-intervention but this was reversed during the post intervention. Over 57% (2494) mothers took up Depo-Provera injectable-FP method during the study. To support overstrained health care work force in post-natal clinics, peers in trained effective family planning can be a valuable addition to clinic staff in limited-resource settings. The study provides additional evidence on the utilization of peer mothers in HIV care, improves health services uptake including family planning which is a common practice in many donor supported programs. It also provides evidence that may be used to advocate for policy revisions in low-income countries to include peers as support staff especially in busy clinic settings with poor services uptake.

  13. Impact of cone beam computed tomography on periapical assessment and treatment planning five to eleven years after surgical endodontic retreatment.

    PubMed

    Kruse, C; Spin-Neto, R; Wenzel, A; Vaeth, M; Kirkevang, L-L

    2018-01-18

    To evaluate how additional information from Cone Beam CT (CBCT) impacts on periapical assessment and treatment planning based on clinical examination and periapical radiographs (PR) in cases followed up five to eleven years after surgical endodontic retreatment (SER). Patients receiving SER during 2004-2010 were reinvited for follow-up examination including clinical examination, PR, and CBCT. In total, 108 patients (119 teeth) were reinvited, 74 patients (83 teeth) accepted to participate. Three observers initially assessed PR according to the four-scaled, increasing disease severity criteria by Rud et al. (International Journal of Oral Surgery, 1, 1972 and 195) and Molven et al. (International Journal of Oral and Maxillofacial Surgery, 16, and 432): 'Radiographic assessment A'. By including clinical information 'Treatment plan A' was made as follows: 1) no treatment, 2) further observation, 3) SER reoperation (SER-R), or 4) extraction. Hereafter, the CBCT volume was assessed and the information incorporated for 'Radiographic assessment B' followed by 'Treatment plan B'. Agreement between radiographic assessments and between treatment plans was recorded and assessed statistically by Stuart-Maxwell test for marginal homogeneity. Nine teeth had been extracted; thus, the final analysis included 74 teeth (66 patients). The radiographic assessment was changed as a result of the CBCT evaluation in 38 cases (51.4%), of which 35 (47.3%) were to a higher Rud & Molven score, P < 0.001. The treatment plan was changed for 18 teeth (24.3%). For 14 teeth (18.9%), the change was from no treatment or further observation to a more invasive treatment plan (SER-R or extraction), P = 0.005. The use of CBCT for long-term follow-up after SER led to more cases diagnosed with persisting or recurrent apical periodontitis and hence often to the recommendation of a more invasive treatment modality. © 2018 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  14. A manned maneuvering unit proximity operations planning and flight guidance display and control system

    NASA Technical Reports Server (NTRS)

    Gershzohn, Gary R.; Sirko, Robert J.; Zimmerman, K.; Jones, A. D.

    1990-01-01

    This task concerns the design, development, testing, and evaluation of a new proximity operations planning and flight guidance display and control system for manned space operations. A forecast, derivative manned maneuvering unit (MMU) was identified as a candidate for the application of a color, highway-in-the-sky display format for the presentation of flight guidance information. A silicon graphics 4D/20-based simulation is being developed to design and test display formats and operations concepts. The simulation includes the following: (1) real-time color graphics generation to provide realistic, dynamic flight guidance displays and control characteristics; (2) real-time graphics generation of spacecraft trajectories; (3) MMU flight dynamics and control characteristics; (4) control algorithms for rotational and translational hand controllers; (5) orbital mechanics effects for rendezvous and chase spacecraft; (6) inclusion of appropriate navigation aids; and (7) measurement of subject performance. The flight planning system under development provides for: (1) selection of appropriate operational modes, including minimum cost, optimum cost, minimum time, and specified ETA; (2) automatic calculation of rendezvous trajectories, en route times, and fuel requirements; (3) and provisions for manual override. Man/machine function allocations in planning and en route flight segments are being evaluated. Planning and en route data are presented on one screen composed of two windows: (1) a map display presenting a view perpendicular to the orbital plane, depicting flight planning trajectory and time data attitude display presenting attitude and course data for use en route; and (2) an attitude display presenting local vertical-local horizontal attitude data superimposed on a highway-in-the-sky or flight channel representation of the flight planned course. Both display formats are presented while the MMU is en route. In addition to these displays, several original display elements are being developed, including a 3DOF flight detector for attitude commanding, a different flight detector for translation commands, and a pictorial representation of velocity deviations.

  15. An Automated Treatment Plan Quality Control Tool for Intensity-Modulated Radiation Therapy Using a Voxel-Weighting Factor-Based Re-Optimization Algorithm.

    PubMed

    Song, Ting; Li, Nan; Zarepisheh, Masoud; Li, Yongbao; Gautier, Quentin; Zhou, Linghong; Mell, Loren; Jiang, Steve; Cerviño, Laura

    2016-01-01

    Intensity-modulated radiation therapy (IMRT) currently plays an important role in radiotherapy, but its treatment plan quality can vary significantly among institutions and planners. Treatment plan quality control (QC) is a necessary component for individual clinics to ensure that patients receive treatments with high therapeutic gain ratios. The voxel-weighting factor-based plan re-optimization mechanism has been proved able to explore a larger Pareto surface (solution domain) and therefore increase the possibility of finding an optimal treatment plan. In this study, we incorporated additional modules into an in-house developed voxel weighting factor-based re-optimization algorithm, which was enhanced as a highly automated and accurate IMRT plan QC tool (TPS-QC tool). After importing an under-assessment plan, the TPS-QC tool was able to generate a QC report within 2 minutes. This QC report contains the plan quality determination as well as information supporting the determination. Finally, the IMRT plan quality can be controlled by approving quality-passed plans and replacing quality-failed plans using the TPS-QC tool. The feasibility and accuracy of the proposed TPS-QC tool were evaluated using 25 clinically approved cervical cancer patient IMRT plans and 5 manually created poor-quality IMRT plans. The results showed high consistency between the QC report quality determinations and the actual plan quality. In the 25 clinically approved cases that the TPS-QC tool identified as passed, a greater difference could be observed for dosimetric endpoints for organs at risk (OAR) than for planning target volume (PTV), implying that better dose sparing could be achieved in OAR than in PTV. In addition, the dose-volume histogram (DVH) curves of the TPS-QC tool re-optimized plans satisfied the dosimetric criteria more frequently than did the under-assessment plans. In addition, the criteria for unsatisfied dosimetric endpoints in the 5 poor-quality plans could typically be satisfied when the TPS-QC tool generated re-optimized plans without sacrificing other dosimetric endpoints. In addition to its feasibility and accuracy, the proposed TPS-QC tool is also user-friendly and easy to operate, both of which are necessary characteristics for clinical use.

  16. The Crowded Sea: Incorporating Multiple Marine Activities in Conservation Plans Can Significantly Alter Spatial Priorities

    PubMed Central

    Mazor, Tessa; Possingham, Hugh P.; Edelist, Dori; Brokovich, Eran; Kark, Salit

    2014-01-01

    Successful implementation of marine conservation plans is largely inhibited by inadequate consideration of the broader social and economic context within which conservation operates. Marine waters and their biodiversity are shared by a host of stakeholders, such as commercial fishers, recreational users and offshore developers. Hence, to improve implementation success of conservation plans, we must incorporate other marine activities while explicitly examining trade-offs that may be required. In this study, we test how the inclusion of multiple marine activities can shape conservation plans. We used the entire Mediterranean territorial waters of Israel as a case study to compare four planning scenarios with increasing levels of complexity, where additional zones, threats and activities were added (e.g., commercial fisheries, hydrocarbon exploration interests, aquaculture, and shipping lanes). We applied the marine zoning decision support tool Marxan to each planning scenario and tested a) the ability of each scenario to reach biodiversity targets, b) the change in opportunity cost and c) the alteration of spatial conservation priorities. We found that by including increasing numbers of marine activities and zones in the planning process, greater compromises are required to reach conservation objectives. Complex plans with more activities incurred greater opportunity cost and did not reach biodiversity targets as easily as simplified plans with less marine activities. We discovered that including hydrocarbon data in the planning process significantly alters spatial priorities. For the territorial waters of Israel we found that in order to protect at least 10% of the range of 166 marine biodiversity features there would be a loss of ∼15% of annual commercial fishery revenue and ∼5% of prospective hydrocarbon revenue. This case study follows an illustrated framework for adopting a transparent systematic process to balance biodiversity goals and economic considerations within a country's territorial waters. PMID:25102177

  17. Current status of the expanded GRAPES collaboration experiment at Ooty in India

    NASA Astrophysics Data System (ADS)

    Gupta, S.K.; Anita, H.M.; Iyer, A.; Jagadeesan, P.; Jain, A.; Karthikeyan, S.; Manoharan, P.K.; Mohanty, P.K.; Nayak, P.K.; Rao, B.S.; Ravindran, K.C.; Tanaka, H.; Tonwar, S.C.; Ogio, S.; Okuda, T.; Oshima, A.; Shimizu, N.; Yoshikoshi, T.; Badruddin; Hasan, R.; Ahmad, Shakeel; Mishra, A.P.; Shrivastava, P.K.; Koul, R.; Shah, G.N.; Mir, T.A.; Mufti, S.; Raha, S.; Ghosh, S.; Joarder, P.; Saha, S.; Boruah, K.; Datta, P.; Boruah, P.K.; Baruah, A.G.; Baishya, R.; Saikia, J.; Banerjee, D.; Subramanian, P.; Bhadra, A.; Kumar, S.; Agarwal, R.; Dubey, S.K.; Bhattacharjee, P.

    GRAPES-3 experiment employs a high-density array of scintillators and a large area tracking muon telescope. The GRAPES collaboration is being expanded with addition of several major facilities. These include a Cerenkov telescope and low frequency dipole array for the measurement of shower energy. Addition of several modules of muon telescopes to cover a larger area, expansion of the scintillator array with greater separation between detectors. Installation of a neutron monitor is also planned. The current status of the experiment would be summarized.

  18. 19. Photographic copy of an asconstructed site plan for additions ...

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

    19. Photographic copy of an as-constructed site plan for additions to North Base: Job No. Muroc A(511), Military Construction, Third District Region, San Bernardino, California; Muroc Bombing Range, Muroc Lake, Calif; Additional Temporary Construction, Materiel Center Flight Test Base, Location Grading & Paving Plan, Sheet No. 1 of 21, March 1943. Reproduced from the holdings of the National Archives, Pacific Southwest Region - Edwards Air Force Base, North Base, North Base Road, Boron, Kern County, CA

  19. 2004 Pacific Northwest Loads and Resources Study.

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

    United States. Bonneville Power Administration.

    2004-12-01

    The Pacific Northwest Loads and Resources Study (White Book), which is published annually by the Bonneville Power Administration (BPA), establishes one of the planning bases for supplying electricity to customers. The White Book contains projections of regional and Federal system load and resource capabilities, along with relevant definitions and explanations. The White Book also contains information obtained from formalized resource planning reports and data submittals including those from individual utilities, the Northwest Power and Conservation Council (Council), and the Pacific Northwest Utilities Conference Committee (PNUCC). The White Book is not an operational planning guide, nor is it used for determiningmore » BPA revenues, although the database that generates the data for the White Book analysis contributes to the development of BPA's inventory and ratemaking processes. Operation of the Federal Columbia River Power System (FCRPS) is based on a set of criteria different from that used for resource planning decisions. Operational planning is dependent upon real-time or near-term knowledge of system conditions that include expectations of river flows and runoff, market opportunities, availability of reservoir storage, energy exchanges, and other factors affecting the dynamics of operating a power system. The load resource balance of BPA and/or the region is determined by comparing resource availability to an expected level of total retail electricity consumption. Resources include projected energy capability plus contract purchases. Loads include a forecast of retail obligations plus contract obligations. Surplus energy is available when resources are greater than loads. This energy could be marketed to increase revenues. Energy deficits occur when resources are less than loads. These deficits could be met by any combination of the following: better-than-critical water conditions, demand-side management and conservation programs, permanent loss of loads due to economic conditions or closures, additional contract purchases, and/or the addition of new generating resources. The loads and resources analysis in this study simulates the operation of the power system under the current Pacific Northwest Coordination Agreement (PNCA). The PNCA defines the planning and operation of seventeen U.S. Pacific Northwest utilities and other parties with generating facilities within the region's hydroelectric (hydro) system. The hydroregulation study used for the 2004 White Book incorporates measures from the National Oceanographic and Atmospheric Administration Fisheries (NOAA Fisheries) Biological Opinion dated December 2000, and the U.S. Fish and Wildlife Service's 2000 Biological Opinion (2000 FCRPS BiOps) for the Snake River and Columbia River projects. These measures include: (1) Increased flow augmentation for juvenile fish migrations in the Snake and Columbia rivers in the spring and summer; (2) Mandatory spill requirements at the Lower Snake and Columbia dams to provide for non-turbine passage routes for juvenile fish migrants; and (3) Additional flows for Kootenai River white sturgeon in the spring; The hydroregulation criteria for this analysis includes the following: (1) Detailed Operation Plan operation for Treaty reservoirs for Operating Year (OY) 2004; (2) PNCA planning criteria for OY 2004; and (3) Juvenile fish bypass spill levels for 2000 FCRPS BiOps implementation. The 2004 White Book is presented in two documents: (1) this summary document of Federal system and PNW region loads and resources, and (2) a technical appendix which presents regional loads, grouped by major PNW utility categories, and detailed contract and resource information. The technical appendix is available only in electronic form. Individual customer information for marketer contracts is not detailed due to confidentiality agreements. The 2004 White Book analysis updates the 2003 White Book. This analysis projects the yearly average energy consumption and resource availability for the study period, OY 2006 through 2015. The study shows the Federal system's and the region's expected monthly peak demand, monthly energy demand, monthly peak generating capability, and monthly energy generation for OY 2006, 2010, and 2015. The Federal system and regional monthly capacity surplus/deficit projections are summarized for the 10 operating years of the study period. This document analyzes the PNW's projected loads and available generating resources in two parts: (1) the loads and resources of the Federal system, for which BPA is the marketing agency; and (2) the larger PNW regional power system loads and resources that include the Federal system as well other PNW entities.« less

  20. 45 CFR 162.925 - Additional requirements for health plans.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... clearinghouse to receive, process, or transmit a standard transaction may not charge fees or costs in excess of... RELATED REQUIREMENTS ADMINISTRATIVE REQUIREMENTS General Provisions for Transactions § 162.925 Additional... transaction as a standard transaction, the health plan must do so. (2) A health plan may not delay or reject a...

  1. Public-Private Ventures for Morale, Welfare, and Recreation Activities. A Solution to the Loss of Appropriated Funds. Volume 3. Appendix F

    DTIC Science & Technology

    1990-07-01

    Plans included the addition of 18 lanes and two multipurpose rooms, an expansion of the snack bar/lounge facilities, and renovations of other areas... snack bar prices, and pro shop merchandise. Such price flexibility should enable the Concessioner to provide a full-service operation and still remain...pricing for services and merchandise not related to bowling fees. This includes bowling lessons, snack bar prices, amusements, and pro shop merchandise

  2. NASA Global Hawk Overview

    NASA Technical Reports Server (NTRS)

    Naftel, Chris

    2014-01-01

    The NASA Global Hawk Project is supporting Earth Science research customers. These customers include: US Government agencies, civilian organizations, and universities. The combination of the Global Hawks range, endurance, altitude, payload power, payload volume and payload weight capabilities separates the Global Hawk platform from all other platforms available to the science community. This presentation includes an overview of the concept of operations and an overview of the completed science campaigns. In addition, the future science plans, using the NASA Global Hawk System, will be presented.

  3. Sustaining innovations in complex healthcare environments: A multiple-case study of rapid response teams

    PubMed Central

    Stolldorf, Deonni P; Havens, Donna S.; Jones, Cheryl B

    2015-01-01

    Objectives Rapid response teams are one innovation previously deployed in U.S. hospitals with the goal to improve the quality of care. Sustaining rapid response teams is important to achieve the desired implementation outcomes, reduce the risk of program investments losses, and prevent employee disillusionment and dissatisfaction. This study sought to examine factors that do and do not support the sustainability of Rapid Response Teams. Methods The study was conceptually guided by an adapted version of the Planning Model of Sustainability. A multiple-case study was conducted using a purposive sample of two hospitals with high RRT sustainability scores and two hospitals with low RRT sustainability scores. Data collection methods included: (a) a hospital questionnaire that was completed by a nurse administrator at each hospital; (b) semi-structured interviews with leaders, RRT members, and those activating RRT calls; and, (c) review of internal documents. Quantitative data were analyzed using descriptive statistics; qualitative data were analyzed using content analysis. Results Few descriptive differences were found between hospitals. However, there were notable differences in the operationalization of certain factors between high- and low-sustainability hospitals. Additional sustainability factors other than those captured by the Planning Model of Sustainability were also identified. Conclusions The sustainability of rapid response teams is optimized through effective operationalization of organizational and project design and implementation factors. Two additional factors—individual and team characteristics—should be included in the Planning Model of Sustainability and considered as potential facilitators (or inhibitors) of RRT sustainability. PMID:26756725

  4. BASF confirms plans for world-scale cracker on the Gulf Coast

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

    Wood, A.

    BASF Corp. has confirmed plans that it will build a world-scale cracker on the Gulf Coast. The company has completed preliminary work, and {open_quotes}the results of our project analysis have been extremely encouraging,{close_quotes} says chemicals president Carl A. Jennings. {open_quotes}We`ll proceed with high priority to have the cracker ready for startup in second-half 2000.{close_quotes} The company says it will select a location for the project by mid-1977. In addition to considering its sites at Geismar, LA; Freeport, TX; and Altamira, Mexico, BASF says that {open_quotes}cooperative arrangements{close_quotes} are being looked at. That could include locating the project at a different site,more » adjacent to a feedstock source, according to Jennings. He says the project could also include joint venture partners.« less

  5. Data Validation Package April 2016 Groundwater and Surface Water Sampling at the Monticello, Utah, Disposal and Processing Sites August 2016

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

    Nguyen, Jason; Smith, Fred

    This semiannual event includes sampling groundwater and surface water at the Monticello Disposal and Processing Sites. Sampling and analyses were conducted as specified in the Sampling and Analysis Plan for U.S. Department of Energy Office of Legacy Management Sites (LMS/PRO/S04351, continually updated) and Program Directive MNT-2016-01. Complete sample sets were collected from 42 of 48 planned locations (9 of 9 former mill site wells, 13 of 13 downgradient wells, 7 of 9 downgradient permeable reactive barrier wells, 4 of 7 seeps and wetlands, and 9 of 10 surface water locations). Planned monitoring locations are shown in Attachment 1, Sampling andmore » Analysis Work Order. Locations R6-M3, SW00-01, Seep 1, Seep 2, and Seep 5 were not sampled due to insufficient water availability. A partial sample was collected at location R4-M3 due to insufficient water. All samples from the permeable reactive barrier wells were filtered as specified in the program directive. Duplicate samples were collected from surface water location Sorenson and from monitoring wells 92-07 and RlO-Ml. Water levels were measured at all sampled wells and an additional set of wells. See Attachment2, Trip Report for additional details. The contaminants of concern (COCs) for the Monticello sites are arsenic, manganese, molybdenum, nitrate+ nitrite as nitrogen (nitrate+ nitrite as N), selenium, uranium, and vanadium. Locations with COCs that exceeded remediation goals are listed in Table 1 and Table 2. Time-concentration graphs of the COCs for all groundwater and surface water locations are included in Attachment 3, Data Presentation. An assessment of anomalous data is included in Attachment 4.« less

  6. Comparison of legislation, regulations and national health strategies for palliative care in seven European countries (Results from the Europall Research Group): a descriptive study.

    PubMed

    Van Beek, Karen; Woitha, Kathrin; Ahmed, Nisar; Menten, Johan; Jaspers, Birgit; Engels, Yvonne; Ahmedzai, Sam H; Vissers, Kris; Hasselaar, Jeroen

    2013-07-17

    According to EU policy, anyone in need of palliative care should be able to have access to it. It is therefore important to investigate which palliative care topics are subject to legislation and regulations in Europe and how these are implemented in (national) health care plans. This paper aims to deliver a structured overview of the legislation, existing regulations and the different health care policies regarding palliative care in seven European countries. In 2008 an inventory of the organisation of palliative care was developed by the researchers of the Europall project. Included were two open questions about legislation, regulations, and health policy in palliative care. This questionnaire was completed using palliative care experts selected from Belgium, England, France, Germany, the Netherlands, Poland and Spain. Additionally, (grey) literature on palliative care health policy and regulations from the participating countries was collected to complete the inventory. Comparative analysis of country specific information was performed afterwards. In all countries palliative care regulations and policies existed (either in laws, royal decrees, or national policies). An explicit right to palliative care was mentioned in the Belgium, French and German law. In addition, access to palliative care was mentioned by all countries, varying from explicit regulations to policy intentions in national plans. Also, all countries had a national policy on palliative care, although sometimes mainly related to national cancer plans. Differences existed in policy regarding palliative care leave, advance directives, national funding, palliative care training, research, opioids and the role of volunteers. Although all included European countries have policies on palliative care, countries largely differ in the presence of legislation and regulations on palliative care as well as the included topics. European healthcare policy recommendations should support palliative care access across Europe.

  7. Process quality planning of quality function deployment for carrot syrup

    NASA Astrophysics Data System (ADS)

    Ekawati, Yurida; Noya, Sunday; Widjaja, Filemon

    2017-06-01

    Carrot products are rarely available in the market. Based on previous research that had been done using QFD to generate product design of carrots products, the research to produce the process quality planning had been carried out. The carrot product studied was carrot syrup. The research resulted in a process planning matrix for carrot syrup. The matrix gives information about critical process plan and the priority of the critical process plan. The critical process plan on the production process of carrot syrup consists of carrots sorting, carrots peeling, carrots washing, blanching process, carrots cutting, the making of pureed carrots, filtering carrot juice, the addition of sugar in carrot juice, the addition of food additives in carrot juice, syrup boiling, syrup filtering, syrup filling into the bottle, the bottle closure and cooling. The information will help the design of the production process of carrot syrup.

  8. Space Station RT and E Utilization Study

    NASA Technical Reports Server (NTRS)

    Wunsch, P. K.; Anderson, P. H.

    1989-01-01

    Descriptive information on a set of 241 mission concepts was reviewed to establish preliminary Space Station outfitting needs for technology development missions. The missions studied covered the full range of in-space technology development activities envisioned for early Space Station operations and included both pressurized volume and attached payload requirements. Equipment needs were compared with outfitting plans for the life sciences and microgravity user communities, and a number of potential outfitting additions were identified. Outfitting implementation was addressed by selecting a strawman mission complement for each of seven technical themes, by organizing the missions into flight scenarios, and by assessing the associated outfitting buildup for planning impacts.

  9. A roadmap for the prevention of dementia II. Leon Thal Symposium 2008

    PubMed Central

    Khachaturian, Zaven S.

    2014-01-01

    Executive Summary This document proposes an array of recommendations for a National Plan of Action to accelerate the discovery and development of therapies to delay or prevent the onset of disabling symptoms of Alzheimer's disease. A number of the key scientific and public policy needs identified in this document will be incorporated by the Alzheimer Study Group (ASG) into a broader National Alzheimer's Strategic Plan (NASP), which will be presented to the 111th Congress and the Obama administration in March 2009. The NASP is expected to include additional recommendations for governance, family support, healthcare and social services delivery. PMID:19328434

  10. HIV/AIDS National Strategic Plans of Sub-Saharan African countries: an analysis for gender equality and sex-disaggregated HIV targets.

    PubMed

    Sherwood, Jennifer; Sharp, Alana; Cooper, Bergen; Roose-Snyder, Beirne; Blumenthal, Susan

    2017-12-01

    National Strategic Plans (NSPs) for HIV/AIDS are country planning documents that set priorities for programmes and services, including a set of targets to quantify progress toward national and international goals. The inclusion of sex-disaggregated targets and targets to combat gender inequality is important given the high disease burden among young women and adolescent girls in Sub-Saharan Africa, yet no comprehensive gender-focused analysis of NSP targets has been performed. This analysis quantitatively evaluates national HIV targets, included in NSPs from eighteen Sub-Saharan African countries, for sex-disaggregation. Additionally, NSP targets aimed at reducing gender-based inequality in health outcomes are compiled and inductively coded to report common themes. On average, in the eighteen countries included in this analysis, 31% of NSP targets include sex-disaggregation (range 0-92%). Three countries disaggregated a majority (>50%) of their targets by sex. Sex-disaggregation in data reporting was more common for targets related to the early phases of the HIV care continuum: 83% of countries included any sex-disaggregated targets for HIV prevention, 56% for testing and linkage to care, 22% for improving antiretroviral treatment coverage, and 11% for retention in treatment. The most common target to reduce gender inequality was to prevent gender-based violence (present in 50% of countries). Other commonly incorporated target areas related to improving women's access to family planning, human and legal rights, and decision-making power. The inclusion of sex-disaggregated targets in national planning is vital to ensure that programmes make progress for all population groups. Improving the availability and quality of indicators to measure gender inequality, as well as evaluating programme outcomes by sex, is critical to tracking this progress. This analysis reveals an urgent need to set specific and separate targets for men and women in order to achieve an equitable and effective HIV response and align government planning with international priorities for gender equality. © The Author 2017. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

  11. Comparison of selected dose calculation algorithms in radiotherapy treatment planning for tissues with inhomogeneities

    NASA Astrophysics Data System (ADS)

    Woon, Y. L.; Heng, S. P.; Wong, J. H. D.; Ung, N. M.

    2016-03-01

    Inhomogeneity correction is recommended for accurate dose calculation in radiotherapy treatment planning since human body are highly inhomogeneous with the presence of bones and air cavities. However, each dose calculation algorithm has its own limitations. This study is to assess the accuracy of five algorithms that are currently implemented for treatment planning, including pencil beam convolution (PBC), superposition (SP), anisotropic analytical algorithm (AAA), Monte Carlo (MC) and Acuros XB (AXB). The calculated dose was compared with the measured dose using radiochromic film (Gafchromic EBT2) in inhomogeneous phantoms. In addition, the dosimetric impact of different algorithms on intensity modulated radiotherapy (IMRT) was studied for head and neck region. MC had the best agreement with the measured percentage depth dose (PDD) within the inhomogeneous region. This was followed by AXB, AAA, SP and PBC. For IMRT planning, MC algorithm is recommended for treatment planning in preference to PBC and SP. The MC and AXB algorithms were found to have better accuracy in terms of inhomogeneity correction and should be used for tumour volume within the proximity of inhomogeneous structures.

  12. Assessing health and economic outcomes of interventions to reduce pregnancy-related mortality in Nigeria.

    PubMed

    Erim, Daniel O; Resch, Stephen C; Goldie, Sue J

    2012-09-14

    Women in Nigeria face some of the highest maternal mortality risks in the world. We explore the benefits and cost-effectiveness of individual and integrated packages of interventions to prevent pregnancy-related deaths. We adapt a previously validated maternal mortality model to Nigeria. Model outcomes included clinical events, population measures, costs, and cost-effectiveness ratios. Separate models were adapted to Southwest and Northeast zones using survey-based data. Strategies consisted of improving coverage of effective interventions, and could include improved logistics. Increasing family planning was the most effective individual intervention to reduce pregnancy-related mortality, was cost saving in the Southwest zone and cost-effective elsewhere, and prevented nearly 1 in 5 abortion-related deaths. However, with a singular focus on family planning and safe abortion, mortality reduction would plateau below MDG 5. Strategies that could prevent 4 out of 5 maternal deaths included an integrated and stepwise approach that includes increased skilled deliveries, facility births, access to antenatal/postpartum care, improved recognition of referral need, transport, and availability quality of EmOC in addition to family planning and safe abortion. The economic benefits of these strategies ranged from being cost-saving to having incremental cost-effectiveness ratios less than $500 per YLS, well below Nigeria's per capita GDP. Early intensive efforts to improve family planning and control of fertility choices, accompanied by a stepwise effort to scale-up capacity for integrated maternal health services over several years, will save lives and provide equal or greater value than many public health interventions we consider among the most cost-effective (e.g., childhood immunization).

  13. Examining Pharmacy Workforce Issues in the United States and the United Kingdom

    PubMed Central

    Covvey, Jordan R.; Cohron, Peter P.

    2015-01-01

    Objective. To examine available data and actions surrounding current pharmacy workforce issues in the United States and United Kingdom. Methods. Published pharmacy workforce data from the United States and United Kingdom were gathered from various sources, including PUBMED, Internet search engines, and pharmacy organization websites. Data was collated from additional sources including scientific literature, internal documents, news releases, and policy positions. Results. The number of colleges and schools of pharmacy has expanded by approximately 50% in both the United States and United Kingdom over the previous decade. In the United States, continued demand for the pharmacy workforce has been forecasted, but this need is based on outdated supply figures and assumptions for economic recovery. In the United Kingdom, workforce modeling has predicted a significant future oversupply of pharmacists, and action within the profession has attempted to address the situation through educational planning and regulation. Conclusion. Workforce planning is an essential task for sustaining a healthy profession. Recent workforce planning mechanisms in the United Kingdom may provide guidance for renewed efforts within the profession in the United States. PMID:25861098

  14. Center of Excellence for Geospatial Information Science research plan 2013-18

    USGS Publications Warehouse

    Usery, E. Lynn

    2013-01-01

    The U.S. Geological Survey Center of Excellence for Geospatial Information Science (CEGIS) was created in 2006 and since that time has provided research primarily in support of The National Map. The presentations and publications of the CEGIS researchers document the research accomplishments that include advances in electronic topographic map design, generalization, data integration, map projections, sea level rise modeling, geospatial semantics, ontology, user-centered design, volunteer geographic information, and parallel and grid computing for geospatial data from The National Map. A research plan spanning 2013–18 has been developed extending the accomplishments of the CEGIS researchers and documenting new research areas that are anticipated to support The National Map of the future. In addition to extending the 2006–12 research areas, the CEGIS research plan for 2013–18 includes new research areas in data models, geospatial semantics, high-performance computing, volunteered geographic information, crowdsourcing, social media, data integration, and multiscale representations to support the Three-Dimensional Elevation Program (3DEP) and The National Map of the future of the U.S. Geological Survey.

  15. 77 FR 54663 - Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-05

    ...This final rule adopts the standard for a national unique health plan identifier (HPID) and establishes requirements for the implementation of the HPID. In addition, it adopts a data element that will serve as an other entity identifier (OEID), or an identifier for entities that are not health plans, health care providers, or individuals, but that need to be identified in standard transactions. This final rule also specifies the circumstances under which an organization covered health care provider must require certain noncovered individual health care providers who are prescribers to obtain and disclose a National Provider Identifier (NPI). Lastly, this final rule changes the compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD- 10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, from October 1, 2013 to October 1, 2014.

  16. Strategic environmental assessment (SEA) for wind energy planning: Lessons from the United Kingdom and Germany

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

    Phylip-Jones, J., E-mail: jonesjp@liverpool.ac.uk; Fischer, T.B., E-mail: fischer@liv.ac.uk

    This paper reports on SEA applied in the wind energy sector in the UK and Germany. Based on a review of 18 SEAs, it is found that the quality of SEA documentation is variable, with over a third of them being deemed unsatisfactory. Furthermore, SEA processes are conducted to varying degrees of effectiveness, with scoping a strength but impact prediction and mitigation weaknesses. Generally speaking, the influence of SEA on German wind energy plan making was found to be low and the influence of SEA on UK plans deemed to be moderate. The German plans had a low influence mainlymore » because of a perceived high environmental performance of the underlying plans in the first instance. Substantive outcomes of SEA are not always clear and the influence of SEA on decision making is said to be limited in many cases. Finally, a lack of effective tiering between SEA and project level EIA is also observed. In addition, our findings echo some of the weaknesses of SEA practice found in previous studies of SEA effectiveness, including poor impact prediction and significance sections and a lack of detailed monitoring programmes for post plan implementation.« less

  17. Final closure plan for the high-explosives open burn treatment facility at Lawrence Livermore National Laboratory Experimental Test Site 300

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

    Mathews, S.

    This document addresses the interim status closure of the HE Open Bum Treatment Facility, as detailed by Title 22, Division 4.5, Chapter 15, Article 7 of the Califonia Code of Regulations (CCR) and by Title 40, Code of Federal Regulations (CFR) Part 265, Subpart G, ``Closure and Post Closure.`` The Closure Plan (Chapter 1) and the Post- Closure Plan (Chapter 2) address the concept of long-term hazard elimination. The Closure Plan provides for capping and grading the HE Open Bum Treatment Facility and revegetating the immediate area in accordance with applicable requirements. The Closure Plan also reflects careful consideration ofmore » site location and topography, geologic and hydrologic factors, climate, cover characteristics, type and amount of wastes, and the potential for contaminant migration. The Post-Closure Plan is designed to allow LLNL to monitor the movement, if any, of pollutants from the treatment area. In addition, quarterly inspections will ensure that all surfaces of the closed facility, including the cover and diversion ditches, remain in good repair, thus precluding the potential for contaminant migration.« less

  18. NASA Science Institutes Plan. Report of the NASA Science Institutes Team: Final Publication (Incorporating Public Comments and Revisions)

    NASA Technical Reports Server (NTRS)

    1996-01-01

    This NASA Science Institute Plan has been produced in response to direction from the NASA Administrator for the benefit of NASA Senior Management, science enterprise leaders, and Center Directors. It is intended to provide a conceptual framework for organizing and planning the conduct of science in support of NASA's mission through the creation of a limited number of science Institutes. This plan is the product of the NASA Science Institute Planning Integration Team (see Figure A). The team worked intensively over a three-month period to review proposed Institutes and produce findings for NASA senior management. The team's activities included visits to current NASA Institutes and associated Centers, as well as approximately a dozen non-NASA research Institutes. In addition to producing this plan, the team published a "Benchmarks" report. The Benchmarks report provides a basis for comparing NASA's proposed activities with those sponsored by other national science agencies, and identifies best practices to be considered in the establishment of NASA Science Institutes. Throughout the team's activities, a Board of Advisors comprised of senior NASA officials (augmented as necessary with other government employees) provided overall advice and counsel.

  19. 7 CFR 500.22 - Fees and conditions for use of facilities and grounds.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... is committed, including time used to set up before and clean up after an event. For after-hours usage of sites or facilities, an additional $40/hour will be added for supervision for each required staff... the planned use or event. (4) A 50 percent non-refundable deposit will be due at the time of a booking...

  20. 7 CFR 500.22 - Fees and conditions for use of facilities and grounds.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... is committed, including time used to set up before and clean up after an event. For after-hours usage of sites or facilities, an additional $40/hour will be added for supervision for each required staff... the planned use or event. (4) A 50 percent non-refundable deposit will be due at the time of a booking...

  1. 7 CFR 500.22 - Fees and conditions for use of facilities and grounds.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... is committed, including time used to set up before and clean up after an event. For after-hours usage of sites or facilities, an additional $40/hour will be added for supervision for each required staff... the planned use or event. (4) A 50 percent non-refundable deposit will be due at the time of a booking...

  2. 7 CFR 500.22 - Fees and conditions for use of facilities and grounds.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... is committed, including time used to set up before and clean up after an event. For after-hours usage of sites or facilities, an additional $40/hour will be added for supervision for each required staff... the planned use or event. (4) A 50 percent non-refundable deposit will be due at the time of a booking...

  3. Army Energy Plan.

    DTIC Science & Technology

    1980-08-08

    only extension granted has been for one generator. 4-28 Transportation motor pools and tactical units have been directed to comply with the Clean Air ...include cooperative programs with the DOE, the Navy, and the Air Force and the .... __ _ _ _ _ _ _.--- monitoring of commercial developments and...sulfur content poses considerable threat to air quality. Sulfur can be substantially eliminated from coal, but the process is costly. In addition, 1-9

  4. The Dirty Dozen Keys to Strategy Success

    DTIC Science & Technology

    2006-03-15

    additional elements such as Intellectual Capital, Marketing , and Advertising . Failure to properly sequence and synchronize plan excutables can be tied...default to use of Army capabilities and resources. Corporate marketing experienced executives tend to use marketing and advertising as a predominant...may include core functions of media relations, public relations, corporate relations, human relations, marketing , and advertising . With regard to the

  5. Continental United States Military Housing Inspections Southeast

    DTIC Science & Technology

    2015-09-24

    and safety, including focus on mold, asbestos , radon, lead-based paint, drinking water quality, and pest management. We conducted this inspection in...electrical system safety inspections. In addition, we inspected to EPA standards governing safe drinking water and toxic substances, radon, asbestos , and...inspections focused on mold, asbestos , radon, lead-based paint, drinking water quality, and pest management. We evaluated the associated plans and

  6. 78 FR 76382 - Notice of Cancellation of Environmental Impact Statement for the Norfolk International Airport...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-17

    ... Norfolk Airport Authority (NAA), the owner and operator of the airport. The additional planning effort by NAA has modified the project purpose and need and refined various project elements, including the need... decision to prepare a federal EIS primarily on NAA's proposal to construct a new Runway 5R/23L in parallel...

  7. Alaska Wildlife Week--Upper Elementary Teachers' Guide. Unit 7. Together, We Can Help Wildlife. April 23-29, 1989.

    ERIC Educational Resources Information Center

    Sigman, Marilyn, Ed.

    Wildlife is often described as one of Alaska's most important and valuable resources. Helping wildlife can take many forms. In this educational packet, a variety of activities are included to help intermediate students understand which human activities help wildlife and which harm wildlife. In addition, suggestions on planning hands-on projects to…

  8. Alaska Wildlife Week--Junior/Senior High School Teacher's Guide. Unit 7. Together, We Can Help Wildlife. April 23-29, 1989.

    ERIC Educational Resources Information Center

    Sigman, Marilyn, Ed.

    Wildlife is often described as one of Alaska's most important and valuable resources. Helping wildlife can take many forms. In this educational packet, a variety of activities are included to help secondary school students understand which human activities help wildlife and which harm wildlife. In addition, suggestions on planning hands-on…

  9. 7. Photographic copy of construction drawing 1976 (original drawing located ...

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

    7. Photographic copy of construction drawing 1976 (original drawing located in Building 301, Offutt AFB, Bellevue, Nebraska). Elevations of entire building exterior. Includes elevation, plan and details of the addition's interior stairs. - Offutt Air Force Base, Looking Glass Airborne Command Post, Aerospace Ground Equipment (AGE) Storage Facility, Far Northwest end of Project Looking Glass Historic District, Bellevue, Sarpy County, NE

  10. Epistemological Beliefs of Prospective Preschool Teachers and Their Relation to Knowledge, Perception, and Planning Abilities in the Field of Mathematics: A Process Model

    ERIC Educational Resources Information Center

    Dunekacke, Simone; Jenßen, Lars; Eilerts, Katja; Blömeke, Sigrid

    2016-01-01

    Teacher competence is a multi-dimensional construct that includes beliefs as well as knowledge. The present study investigated the structure of prospective preschool teachers' mathematics-related beliefs and their relation to content knowledge and pedagogical content knowledge. In addition, prospective preschool teachers' perception and planning…

  11. Case Studies in Environment Integration

    DTIC Science & Technology

    1991-12-01

    such as CADRE Teamwork and Frame Technology FrameMaker , are integrated. Future plans include integrating additional software development tools into...Pictures, Sabre C, and Interleaf or FrameMaker . Cad- re Technologies has announced integration agreements with Saber C and Pansophic, as well as offering...access to the Interleaf and FrameMaker documentation tools. While some of the current agreements between vendors to create tool coalitions are

  12. Technical bases and guidance for the use of composite soil sampling for demonstrating compliance with radiological release criteria

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

    Vitkus, Timothy J.

    2012-04-24

    This guidance provides information on methodologies and the technical bases that licensees should consider for incorporating composite sampling strategies into final status survey (FSS) plans. In addition, this guidance also includes appropriate uses of composite sampling for generating the data for other decommissioning site investigations such as characterization or other preliminary site investigations.

  13. Yeni Redhouse Lugati; Ingilizce-Turkce (Revised Redhouse Dictionairy; English-Turkish).

    ERIC Educational Resources Information Center

    United Church Board for World Ministries, Istanbul (Turkey). Near East Mission.

    The general plan of this dictionary, first prepared by Sir James Redhouse in 1861 and revised in 1950 and 1953, has been to include all words which appear in the Oxford Concise Dictionary and Webster's Collegiate Dictionary. In addition, a great number of idioms have been added; the volume now contains between 60,000 and 70,000 definitions.…

  14. Review of spectroscopic parameters for upper atmospheric measurements

    NASA Technical Reports Server (NTRS)

    Smith, M. A. H. (Editor)

    1985-01-01

    The workshop included communication of spectroscopic data requirements for the planned upper atmosphere research satellite (UARS) mission, review of the status of currently available spectroscopic parameters, and recommendation of additional studies. The objectives were accomplished and resulted in a series of general and specific recommendations for laboratory spectroscopy research to meet the needs of UARS and other atmospheric remote sensing programs.

  15. [Activities of System Studies and Simulation, Inc.

    NASA Technical Reports Server (NTRS)

    2004-01-01

    Contents include the following: 1. Launch Vehicle Interface Work Performed: a. S3 provided to KSC the new launch inclination targets needed for the April '04 launch date. 2. Prelaunch operations work performed: a. S3 updated the staffing plan for MSFC on-console personnel\\during the Final Countdown prior to launch. 3. Software Assessment Work Performed: a. S3 evaluated and recommended approval for Program Control Board (PCB) proposed change 649 for ground software changes, as well as change 650 and 650A for Stored Program Commands. 4. Education and Public Outreach Work Performed: a. S3 continues to coordinate the effort for the design and fabrication of scale models of the GP-3 for use at the launch site, education forums, and management/technical briefings. S3 also prepared a Change Request for additional funds needed for fabrication of additional scale models. S3 drafted the planned uses of these models, including the possibility of participation in the Boston, MA showings of the traveling Einstein Exhibit. 5. Program Management Support Work Performed: a. S3 prepared the input for and closed three MSFC Centerwide Action Item Tracking Systems (CAITS) actions during this period.

  16. 29 CFR 4006.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... single-employer plan. In addition, for purposes of this part: New plan means a plan that did not exist... that meets this definition is considered to be a new plan even if the plan constitutes a successor plan within the meaning of section 4021(a) of ERISA. Newly-covered plan means a plan that is not a new plan...

  17. 29 CFR 4006.2 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... single-employer plan. In addition, for purposes of this part: New plan means a plan that did not exist... that meets this definition is considered to be a new plan even if the plan constitutes a successor plan within the meaning of section 4021(a) of ERISA. Newly-covered plan means a plan that is not a new plan...

  18. Bottomland hardwood restoration in the Mississippi Alluvial Valley: Looking past the trees to see the forest

    USGS Publications Warehouse

    Wilson, R.R.; Oliver, J.M.; Twedt, D.J.; Uihlein, W.B.; Fredrickson, L.H.; King, S.L.; Kaminski, R.M.

    2005-01-01

    Planned restoration of bottomland hardwoods is important to adequately address negative consequences resulting from the severe loss and fragmentation of forested wetlands in the Mississippi Alluvial Valley. Reforestation efforts have been promoted through government initiatives of state and federal agencies (e.g. Wetland Reserve Program) and private conservation groups. To clarify discussions of forested wetland restoration, we offer definitions of reforestation and restoration, review historic reforestation practices, identify additional needs, and propose a conceptual framework to assist in future reforestation efforts. Future reforestation efforts should include: (1) comprehensive planning among participating agencies, (2) standardized documentation of methods, and (3) short-term and long-term monitoring protocols that permit refinement of methodologies. Implementation of these concepts will promote cooperative planning among participants and facilitate research to evaluate bottomland hardwood restoration efforts.

  19. 29 CFR 4231.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... several funding media used for a single plan (such as between trusts, between annuity contracts, or..., AND OTHER RULES APPLICABLE TO MULTIEMPLOYER PLANS MERGERS AND TRANSFERS BETWEEN MULTIEMPLOYER PLANS... market value, IRS, multiemployer plan, PBGC, plan, plan year, and PN. In addition, for purposes of this...

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

    Wu, L; Wang, H; Kuang, Y

    Purpose: To investigate the utility of {sup 18}F-choline positron emission tomography (PET) scans guidance for SBRT dose painting in patients with prostate cancer and its impact on tumor control probability (TCP) and normal tissue complication probability (NTCP). Methods: Twenty seven patients with localized prostate cancer who had {sup 18}F-choline PET/CT scan prior to treatment were included. A pair of nested intraprostatic dominant lesion (IDL) contours (IDL{sub suv60%} and IDL{sub suv70%}) were generated for each patient based on 60% and 70% of maximum prostate uptake on the {sup 18}F-choline PET images. GTV{sub reg} was delineated on prostate according to the glandmore » boundary seen on CT images. The PTVs (PTV{sub suv60%} and PTV{sub suv70%}) were defined as respective IDLs with a 3-mm margin posteriorly and 5 mm in all other dimensions. Two 5-fraction SBRT plans using VMAT technique along with 10 MV FFF beams, plan{sub 36Gy} and plan{sub 50–55Gy}, were generated for each patient. All plans included a dose of 36.25 Gy prescribed to PTV{sub reg}. The Plan{sub 50–55Gy} also included a simultaneous boost dose of 50 Gy and 55 Gy prescribed to the PTV{sub suv60%} and PTV{sub suv70%}, respectively. The utility of {sup 18}F-Choline PET-guided SBRT dose escalation was evaluated by its ability to achieve the prescription dose objectives while adhering to organ-at-risk (OAR) dose constraints. The TCP and NTCP calculated by radiological models were also compared between two plans for each patient. Results: In all 54 SBRT plans generated, the planning objectives and dose constraints were met without exception. Plan{sub 50–55Gy} had a significantly higher dose in PTV{sub suv60%} and PTV{sub suv70%} than those in Plan{sub 36Gy} (p < 0.05), respectively, while still maintaining a safe OAR sparing profile. In addition, plan{sub 50–55Gy} had significantly higher TCP than plan{sub 36Gy}. Conclusion: Using VMAT with FFF beams to incorporate a simultaneous {sup 18}F-choline PET-guided radiation boost dose up to 55 Gy into a SBRT plan is technically feasible. This work was supported in part by Congressionally Directed Medical Research Programs Prostate Cancer Research Program grant PC04130, National Institutes of Health/National Cancer Institute grant R41CA110121, and the UNLV Lincy Endowed Assistant Professorship.« less

  1. 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.

  2. Buffer zone monitoring plan for the Dos Rios subdivision, Gunnison, Colorado

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

    NONE

    1996-02-01

    This report presents a plan for water quality monitoring at the Dos Rios subdivision (Units 2, 3, and the Island Unit) that is intended to satisfy the informational needs of residents who live southwest (downgradient) of the former Gunnison processing site. Water quality monitoring activities described in this report are designed to protect the public from residual contamination that entered the ground water as a result of previous uranium milling operations. Requirements presented in this monitoring plan are also included in the water sampling and analysis plan (WSAP) for the Gunnison Uranium Mill Tailings Remedial Action (UMTRA) Project site. Themore » Gunnison WSAP is a site-specific document prepared by the U.S. Department of Energy (DOE) that provides background, guidance, and justification for future ground water sampling and analysis activities for the UMTRA Project Gunnison processing and disposal sites. The WSAP will be updated annually, as additional water quality data are collected and interpreted, to provide ongoing protection for public health and the environment.« less

  3. 40 CFR 52.1281 - Original identification of plan section.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... prior to July 1, 1997. (b) The plan was officially submitted on February 4, 1972. (c) The plan revisions..., Appendix C; addition of testing methods, section 8, Appendix C; addition of Permit System, Appendix G and deletion of SO2 regulation, section 4, Appendix C submitted on May 4, 1972, by the Mississippi Air and...

  4. 40 CFR 52.1281 - Original identification of plan section.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... prior to July 1, 1997. (b) The plan was officially submitted on February 4, 1972. (c) The plan revisions..., Appendix C; addition of testing methods, section 8, Appendix C; addition of Permit System, Appendix G and deletion of SO2 regulation, section 4, Appendix C submitted on May 4, 1972, by the Mississippi Air and...

  5. 40 CFR 52.1281 - Original identification of plan section.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... prior to July 1, 1997. (b) The plan was officially submitted on February 4, 1972. (c) The plan revisions..., Appendix C; addition of testing methods, section 8, Appendix C; addition of Permit System, Appendix G and deletion of SO2 regulation, section 4, Appendix C submitted on May 4, 1972, by the Mississippi Air and...

  6. 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.

  7. 42 CFR 59.12 - Additional conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Additional conditions. 59.12 Section 59.12 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.12 Additional conditions. The Secretary may, with...

  8. 42 CFR 59.12 - Additional conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Additional conditions. 59.12 Section 59.12 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.12 Additional conditions. The Secretary may, with...

  9. 42 CFR 59.214 - Additional conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Additional conditions. 59.214 Section 59.214 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Grants for Family Planning Service Training § 59.214 Additional conditions. The Secretary may with...

  10. 42 CFR 59.12 - Additional conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Additional conditions. 59.12 Section 59.12 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.12 Additional conditions. The Secretary may, with...

  11. 42 CFR 59.12 - Additional conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Additional conditions. 59.12 Section 59.12 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.12 Additional conditions. The Secretary may, with...

  12. 42 CFR 59.12 - Additional conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Additional conditions. 59.12 Section 59.12 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Project Grants for Family Planning Services § 59.12 Additional conditions. The Secretary may, with...

  13. 42 CFR 59.214 - Additional conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Additional conditions. 59.214 Section 59.214 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Grants for Family Planning Service Training § 59.214 Additional conditions. The Secretary may with...

  14. 42 CFR 59.214 - Additional conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Additional conditions. 59.214 Section 59.214 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Grants for Family Planning Service Training § 59.214 Additional conditions. The Secretary may with...

  15. 42 CFR 59.214 - Additional conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Additional conditions. 59.214 Section 59.214 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Grants for Family Planning Service Training § 59.214 Additional conditions. The Secretary may with...

  16. 42 CFR 59.214 - Additional conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Additional conditions. 59.214 Section 59.214 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GRANTS GRANTS FOR FAMILY PLANNING SERVICES Grants for Family Planning Service Training § 59.214 Additional conditions. The Secretary may with...

  17. Technique adaptation, strategic replanning, and team learning during implementation of MR-guided brachytherapy for cervical cancer.

    PubMed

    Skliarenko, Julia; Carlone, Marco; Tanderup, Kari; Han, Kathy; Beiki-Ardakani, Akbar; Borg, Jette; Chan, Kitty; Croke, Jennifer; Rink, Alexandra; Simeonov, Anna; Ujaimi, Reem; Xie, Jason; Fyles, Anthony; Milosevic, Michael

    MR-guided brachytherapy (MRgBT) with interstitial needles is associated with improved outcomes in cervical cancer patients. However, there are implementation barriers, including magnetic resonance (MR) access, practitioner familiarity/comfort, and efficiency. This study explores a graded MRgBT implementation strategy that included the adaptive use of needles, strategic use of MR imaging/planning, and team learning. Twenty patients with cervical cancer were treated with high-dose-rate MRgBT (28 Gy in four fractions, two insertions, daily MR imaging/planning). A tandem/ring applicator alone was used for the first insertion in most patients. Needles were added for the second insertion based on evaluation of the initial dosimetry. An interdisciplinary expert team reviewed and discussed the MR images and treatment plans. Dosimetry-trigger technique adaptation with the addition of needles for the second insertion improved target coverage in all patients with suboptimal dosimetry initially without compromising organ-at-risk (OAR) sparing. Target and OAR planning objectives were achieved in most patients. There were small or no systematic differences in tumor or OAR dosimetry between imaging/planning once per insertion vs. daily and only small random variations. Peer review and discussion of images, contours, and plans promoted learning and process development. Technique adaptation based on the initial dosimetry is an efficient approach to implementing MRgBT while gaining comfort with the use of needles. MR imaging and planning once per insertion is safe in most patients as long as applicator shifts, and large anatomical changes are excluded. Team learning is essential to building individual and programmatic competencies. Copyright © 2017 American Brachytherapy Society. Published by Elsevier Inc. All rights reserved.

  18. 78 FR 59841 - Approval and Promulgation of Air Quality Implementation Plans; West Virginia; West Virginia's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-30

    ...EPA is approving a redesignation request and State Implementation Plan (SIP) revision submitted by the State of West Virginia. The West Virginia Department of Environmental Protection (WVDEP) requested that the West Virginia portion of the Wheeling, WV-OH fine particulate matter (PM2.5) nonattainment area (``Wheeling Area'' or ``Area'') be redesignated as attainment for the 1997 annual PM2.5 national ambient air quality standard (NAAQS). In this rulemaking action, EPA is approving the 1997 annual PM2.5 redesignation request for the West Virginia portion of the Area. EPA is also approving the maintenance plan SIP revision that the State submitted in conjunction with its redesignation request. The maintenance plan provides for continued attainment of the 1997 annual PM2.5 NAAQS for 10 years after redesignation of the West Virginia portion of the Area. The maintenance plan includes a comprehensive emissions inventory that EPA is approving in this rulemaking. The maintenance plan also includes an insignificance determination for the onroad motor vehicle contribution of PM2.5, nitrogen oxides (NOX), and sulfur dioxide (SO2) for the West Virginia portion of the Area for purposes of transportation conformity. EPA is also approving West Virginia's insignificance determination for transportation conformity. In addition, EPA is also finding that the Area continues to attain the standard. This rulemaking action approving the 1997 annual PM2.5 NAAQS redesignation request, maintenance plan, comprehensive emissions inventory, and insignificance determination for transportation conformity for the West Virginia portion of the Area is based on EPA's determination that the Area has met the criteria for redesignation to attainment specified in the Clean Air Act (CAA).

  19. Evaluation of Larynx-Sparing Techniques With IMRT When Treating the Head and Neck

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

    Webster, Gareth J.; Rowbottom, Carl G.; Ho, Kean F.

    2008-10-01

    Purpose: Concern exists that widespread implementation of whole-field intensity-modulated radiotherapy (IMRT) for the treatment of head-and-neck cancer has resulted in increased levels of dysphagia relative to those seen with conventional planning. Other investigators have suggested an alternative junctioned-IMRT (J-IMRT) method, which matches an IMRT plan to a centrally blocked neck field to restrict the laryngeal dose and reduce dysphagia. The effect on target coverage and sparing of organs at risk, including laryngeal sparing, in the optimization was evaluated and compared with that achieved using a J-IMRT technique. Methods and Materials: A total of 13 oropharyngeal cancer whole-field IMRT plans weremore » planned with and without including laryngeal sparing in the optimization. A comparison of the target coverage and sparing of organs at risk was made using the resulting dose-volume histograms and dose distribution. The nine plans with disease located superior to the level of the larynx were replanned using a series of J-IMRT techniques to compare the two laryngeal-sparing techniques. Results: An average mean larynx dose of 29.1 Gy was achieved if disease did not extend to the level of the larynx, with 38.8 Gy for disease extending inferiorly and close to the larynx (reduced from 46.2 and 47.7 Gy, respectively, without laryngeal sparing). Additional laryngeal sparing could be achieved with J-IMRT (mean dose 24.4 Gy), although often at the expense of significantly reduced coverage of the target volume and with no improvement to other areas of the IMRT plan. Conclusion: The benefits of J-IMRT can be achieved with whole-field IMRT if laryngeal sparing is incorporated into the class solution. Inclusion of laryngeal sparing had no effect on other parameters in the plan.« less

  20. Towards a long-term Science Exploitation Plan for the Sea and Land Surface Temperature Radiometer on Sentinel-3 and the Along-Track Scanning Radiometers

    NASA Astrophysics Data System (ADS)

    Remedios, John J.; Llewellyn-Jones, David

    2014-05-01

    The Sea and Land Surface Temperature Radiometer (SLSTR) on Sentinel-3 is the latest satellite instrument in a series of dual-angle optical and thermal sensors, the Along-Track Scanning Radiometers (ATSRs). Operating on Sentinel-3, the SLSTR has a number of significant improvements compared to the original ATSRs including wider swaths for nadir and dual angles, emphasis on all surface temperature domains, dedicated fire channels and additional cloud channels. The SLSTR therefore provides some excellent opportunities to extend science undertaken with the ATSRs whilst also providing long-term data sets to investigate climate change. The European Space Agency, together with the Department of Energy and Climate Change, sponsored the production of an Exploitation Plan for the ATSRs. In the last year, this been extended to cover the SLSTR also. The plan enables UK and European member states to plan activities related to SLSTR in a long-term context. Covering climate change, oceanography, land surface, atmosphere and cryosphere science, particular attention is paid to the exploitation of long-term data sets. In the case of SLSTR, relevant products include sea, land, lake and ice surface temperatures; aerosols and clouds; fires and gas flares; land surface reflectances. In this presentation, the SLSTR and ATSR science Exploitation Plan will be outlined with emphasis on SLSTR science opportunities, on appropriate co-ordinating mechanisms and on example implementation plans. Particular attention will be paid to the challenges of linking ATSR records with SLSTR to provide consistent long-term data sets, and on the international context of such data sets. The exploitation plan approach to science may prove relevant and useful for other Sentinel instruments.

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