Sample records for program milestones addendum

  1. The Economic and Workforce Development Program (ED>Net) Annual Report, 2001-02 [and] Addendum to FY 01-02 Annual Report.

    ERIC Educational Resources Information Center

    California Community Colleges, Sacramento. Economic Development Coordination Network (EDNet).

    This document contains an annual report and its addendum from the Economic and Workforce Development Program of California Community Colleges. The annual report provides an overview of the Program's evaluation processes, regional centers, short-term projects, legislation, strategic plan, etc. It also provides vital facts about the program such as…

  2. 76 FR 48563 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-January Through March 2011...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-08

    ...-7205 Ventricular Assist Device (Destination Therapy) Facilities. XIII Medicare-Approved Lung JoAnna...-Approved Ventricular Assist Device (Destination Therapy) Facilities, Addendum XIII: Lung Volume Reduction...-Approved Ventricular Assist Device (Destination Therapy) Facilities (January Through March 2011) Addendum...

  3. 75 FR 79173 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-July Through September 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ... collections of information in CMS regulations and a list of Medicare- approved carotid stent facilities.... Questions concerning Medicare-approved carotid stent facilities in Addendum VIII may be addressed to Sarah J... 20 of the CFR. Addendum VIII includes listings of Medicare-approved carotid stent facilities. All...

  4. Ethics and the Early Childhood Teacher Educator: A Proposed Addendum to the NAEYC Code of Ethical Conduct.

    ERIC Educational Resources Information Center

    Freeman, Nancy; Feeney, Stephanie; Moravcik, Eva

    2003-01-01

    Proposes an addendum to the National Association for the Education of Young Children's Code of Ethical Conduct concerning the unique ethical challenges facing teacher educators. Presents a conception of professional responsibility in six areas: children and families, adult students, programs hosting practicum students and programs' staffs and…

  5. Missisquoi Bay Phosphorus Model Addendum

    EPA Pesticide Factsheets

    This technical memorandum provides results of an extended load reduction simulation. The memorandum serves as an addendum to the main Missisquoi Bay Phosphorus Mass Balance Model report prepared for the Lake Champlain Basin Program by LimnoTech in 2012

  6. Pediatric Program Director Minimum Milestone Expectations before Allowing Supervision of Others and Unsupervised Practice.

    PubMed

    Li, Su-Ting T; Tancredi, Daniel J; Schwartz, Alan; Guillot, Ann; Burke, Ann E; Trimm, R Franklin; Guralnick, Susan; Mahan, John D; Gifford, Kimberly

    2018-04-25

    The Accreditation Council for Graduate Medical Education requires semiannual Milestone reporting on all residents. Milestone expectations of performance are unknown. Determine pediatric program director (PD) minimum Milestone expectations for residents prior to being ready to supervise and prior to being ready to graduate. Mixed methods survey of pediatric PDs on their programs' Milestone expectations before residents are ready to supervise and before they are ready to graduate, and in what ways PDs use Milestones to make supervision and graduation decisions. If programs had no established Milestone expectations, PDs indicated expectations they considered for use in their program. Mean minimum Milestone level expectations adjusted for program size, region, and clustering of Milestone expectations by program were calculated for prior to supervise and prior to graduate. Free-text questions were analyzed using thematic analysis. The response rate was 56.8% (113/199). Most programs had no required minimum Milestone level before residents are ready to supervise (80%; 76/95) or ready to graduate (84%; 80/95). For readiness to supervise, minimum Milestone expectations PDs considered establishing for their program were highest for humanism (2.46, 95% CI: 2.21-2.71) and professionalization (2.37, 2.15-2.60). Minimum Milestone expectations for graduates were highest for help-seeking (3.14, 2.83-3.46). Main themes included the use of Milestones in combination with other information to assess learner performance and Milestones are not equally weighted when making advancement decisions. Most PDs have not established program minimum Milestones, but would vary such expectations by competency. Copyright © 2018. Published by Elsevier Inc.

  7. Addendum to Site Assessment and Feasibility of a New Operations Base on the Greenland Ice Sheet: Addendum to Preliminary Report

    DTIC Science & Technology

    2015-11-01

    National Guard PLR Division of Polar Programs SMM /I Special Sensor Microwave/Imager SMMR Scanning Multi-channel Microwave Radiometer ERDC/CRREL...and the Special Sensor Microwave/Imager ( SMM /I). The satellite-based technique uses a difference in the passive microwave brightness temperatures

  8. 77 FR 1591 - Energy Conservation Program: Test Procedure for Automatic Commercial Ice Makers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-11

    .... Establishment of a Metric for Potable Water Used to Produce Ice 6. Standardization of Water Hardness for Measurement of Potable Water Used in Making Ice 7. Testing of Batch Type Ice Makers at the Highest Purge..., AHRI Standard 810 with Addendum 1. This addendum revised the definition of ``potable water use rate...

  9. 77 FR 36569 - Endangered and Threatened Wildlife and Plants; Thick-Billed Parrot Draft Recovery Plan Addendum

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ... Addendum for the Thick-billed Parrot under the Endangered Species Act of 1973, as amended (Act). We have... ecosystems is a primary goal of our endangered species program and the Act (16 U.S.C. 1531 et seq.). Recovery... Species Conservation Act (ESCA), the precursor of the Endangered Species Act. Based on the different...

  10. Eastern gas shales bibliography selected annotations: gas, oil, uranium, etc. Citations in bituminous shales worldwide

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

    Hall, V.S.

    1980-06-01

    This bibliography contains 2702 citations, most of which are annotated. They are arranged by author in numerical order with a geographical index following the listing. The work is international in scope and covers the early geological literature, continuing through 1979 with a few 1980 citations in Addendum II. Addendum I contains a listing of the reports, well logs and symposiums of the Unconventional Gas Recovery Program (UGR) through August 1979. There is an author-subject index for these publications following the listing. The second part of Addendum I is a listing of the UGR maps which also has a subject-author indexmore » following the map listing. Addendum II includes several important new titles on the Devonian shale as well as a few older citations which were not found until after the bibliography had been numbered and essentially completed. A geographic index for these citations follows this listing.« less

  11. A Stable Whole Building Performance Method for Standard 90.1-Part II

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

    Rosenberg, Michael I.; Eley, Charles

    2016-06-01

    In May of 2013 we introduced a new approach for compliance with Standard 90.1 that was under development based on the Performance Rating Method of Appendix G to Standard 90.11. Since then, the approach has been finalized through Addendum BM to Standard 90.1-2013 and will be published in the 2016 edition of the Standard. In the meantime, ASHRAE has published an advanced copy of Appendix G including Addendum BM and several other addenda so that software developers and energy program administrators can get a preview of what is coming in the 2016 edition of the Standard2. This article is anmore » update on Addendum BM, summarizes changes made to the original concept as introduced in May of 2013, and provides an approach for developing performance targets for code compliance and beyond code programs.« less

  12. International Aerospace and Ground Conference on Lightning and Static Electricity (15th) Held in Atlantic City, New Jersey on October 6 - 8, 1992. Addendum

    DTIC Science & Technology

    1992-11-01

    November 1992 1992 INTERNATIONAL AEROSPACE AND GROUND CONFERENCE 6. Perfrming Orgnis.aten Code ON LIGHTNING AND STATIC ELECTRICITY - ADDENDUM 111...October 6-8 1992 Program and the Federal Aviation Administration 14. Sponsoring Agency Code Technical Center ACD-230 15. Supplementary Metes The NICG...area]. The program runs well on an IBM PC or compatible 386 with a math co-processor 387 chip and a VGA monitor. For this study, streamers were added

  13. A Statement on the Posture of the United States Army 2007

    DTIC Science & Technology

    2007-01-01

    Command Training Program, which facilitates training through B-3 ARMY STRONG ADDENDUM B Multi-skilled Leader Strategic and creative thinker Builder ...their needs will be met. ADDENDUM C 20% Medically Disqualified 6% Morally Disqualified 7% Disqualified Due to Dependents 16% Require Medical or...Moral Waiver 29% Potentially Fully Qualified 22% Disqualified Due to Overweight Of the 15.4 million U.S. male population *(17 - 24 years old

  14. The New Accreditation Council for Graduate Medical Education Next Accreditation System Milestones Evaluation System: What Is Expected and How Are Plastic Surgery Residency Programs Preparing?

    PubMed

    Sillah, Nyama M; Ibrahim, Ahmed M S; Lau, Frank H; Shah, Jinesh; Medin, Caroline; Lee, Bernard T; Lin, Samuel J

    2015-07-01

    The Accreditation Council for Graduate Medical Education Next Accreditation System milestones were implemented for plastic surgery programs in July of 2014. Forward progress through the milestones is an indicator of trainee-appropriate development, whereas regression or stalling may indicate the need for concentrated, targeted training. Online software at www.surveymonkey.com was used to create a survey about the program's approaches to milestones and was distributed to program directors and administrators of 96 Accreditation Council for Graduate Medical Education-approved plastic surgery programs. The authors had a 63.5 percent response rate (61 of 96 plastic surgery programs). Most programs report some level of readiness, only 22 percent feel completely prepared for the Next Accreditation System milestones, and only 23 percent are completely satisfied with their planned approach for compliance. Seventy-five percent of programs claim to be using some form of electronic tracking system. Programs plan to use multiple tools to capture and report milestone data. Most programs (44.4 percent) plan to administer evaluations at the end of each rotation. Over 70 percent of respondents believe that the milestones approach would improve the quality of resident training. However, programs were less than confident that their current compliance systems would live up to their full potential. The Next Accreditation System has been implemented nationwide for plastic surgery training programs. Milestone-based resident training is a new paradigm for residency training evaluation; programs are in the process of making this transition to find ways to make milestone data meaningful for faculty and residents.

  15. Milestones: Critical Elements in Clinical Informatics Fellowship Programs

    PubMed Central

    Lehmann, Christoph U.; Munger, Benson

    2016-01-01

    Summary Background Milestones refer to points along a continuum of a competency from novice to expert. Resident and fellow assessment and program evaluation processes adopted by the ACGME include the mandate that programs report the educational progress of residents and fellows twice annually utilizing Milestones developed by a specialty specific ACGME working group of experts. Milestones in clinical training programs are largely unmapped to specific assessment tools. Residents and fellows are mainly assessed using locally derived assessment instruments. These assessments are then reviewed by the Clinical Competency Committee which assigns and reports trainee ratings using the specialty specific reporting Milestones. Methods and Results The challenge and opportunity facing the nascent specialty of Clinical Informatics is how to optimally utilize this framework across a growing number of accredited fellowships. The authors review how a mapped milestone framework, in which each required sub-competency is mapped to a single milestone assessment grid, can enable the use of milestones for multiple uses including individualized learning plans, fellow assessments, and program evaluation. Furthermore, such a mapped strategy will foster the ability to compare fellow progress within and between Clinical Informatics Fellowships in a structured and reliable fashion. Clinical Informatics currently has far less variability across programs and thus could easily utilize a more tightly defined set of milestones with a clear mapping to sub-competencies. This approach would enable greater standardization of assessment instruments and processes across programs while allowing for variability in how those sub-competencies are taught. Conclusions A mapped strategy for Milestones offers significant advantages for Clinical Informatics programs. PMID:27081414

  16. ASDS Cosmetic Dermatologic Surgery Fellowship Milestones.

    PubMed

    Waldman, Abigail; Arndt, Kenneth A; Avram, Mathew M; Brown, Mariah R; Dover, Jeffrey S; Fabi, Sabrina G; Friedmann, Daniel P; Geronemus, Roy G; Goldberg, David J; Goldman, Mitchel P; Green, Jeremy B; Ibrahimi, Omar A; Jones, Derek H; Kilmer, Suzanne L; McDaniel, David H; Obagi, Suzan; Ortiz, Arisa E; Rohrer, Thomas E; Taylor, Mark B; Torres, Abel; Weinkle, Susan H; Weiss, Margaret A; Weiss, Eduardo T; Weiss, Robert A; Poon, Emily; Alam, Murad

    2016-10-01

    The American Council of Graduate Medical Education, which oversees much of postgraduate medical education in the United States, has championed the concept of "milestones," standard levels of achievement keyed to particular time points, to assess trainee performance during residency. To develop a milestones document for the American Society for Dermatologic Surgery (ASDS) Cosmetic Dermatologic Surgery (CDS) fellowship program. An ad hoc milestone drafting committee was convened that included members of the ASDS Accreditation Work Group and program directors of ASDS-approved Cosmetic Dermatologic Surgery (CDC) fellowship training programs. Draft milestones were circulated through email in multiple rounds until consensus was achieved. Thirteen milestones were developed in the 6 Accreditation Council for Graduate Medical Education (ACGME) competency areas, with 8 of these being patient-care milestones. Additional instructions for milestone administration more specific to the CDS fellowship than general ACGME instructions were also approved. Implementation of semiannual milestones was scheduled for the fellowship class entering in July 2018. Milestones are now available for CDS fellowship directors to implement in combination with other tools for fellow evaluation.

  17. Milestone-specific, Observed data points for evaluating levels of performance (MODEL) assessment strategy for anesthesiology residency programs.

    PubMed

    Nagy, Christopher J; Fitzgerald, Brian M; Kraus, Gregory P

    2014-01-01

    Anesthesiology residency programs will be expected to have Milestones-based evaluation systems in place by July 2014 as part of the Next Accreditation System. The San Antonio Uniformed Services Health Education Consortium (SAUSHEC) anesthesiology residency program developed and implemented a Milestones-based feedback and evaluation system a year ahead of schedule. It has been named the Milestone-specific, Observed Data points for Evaluating Levels of performance (MODEL) assessment strategy. The "MODEL Menu" and the "MODEL Blueprint" are tools that other anesthesiology residency programs can use in developing their own Milestones-based feedback and evaluation systems prior to ACGME-required implementation. Data from our early experience with the streamlined MODEL blueprint assessment strategy showed substantially improved faculty compliance with reporting requirements. The MODEL assessment strategy provides programs with a workable assessment method for residents, and important Milestones data points to programs for ACGME reporting.

  18. Experimental clean combustor program, phase 2

    NASA Technical Reports Server (NTRS)

    Roberts, R.; Peduzzi, A.; Vitti, G. E.

    1976-01-01

    Combustor pollution reduction technology for commercial CTOL engines was generated and this technology was demonstrated in a full-scale JT9D engine in 1976. Component rig refinement of the two best combustor concepts were tested. These concepts are the vorbix combustor, and a hybrid combustor which combines the pilot zone of the staged premix combustor and the main zone of the swirl-can combustor. Both concepts significantly reduced all pollutant emissions relative to the JT9D-7 engine combustor. However, neither concept met all program goals. The hybrid combustor met pollution goals for unburned hydrocarbons and carbon monoxide but did not achieve the oxides of nitrogen goal. This combustor had significant performance deficiencies. The Vorbix combustor met goals for unburned hydrocarbons and oxides of nitrogen but did not achieve the carbon monoxide goal. Performance of the vorbix combustor approached the engine requirements. On the basis of these results, the vorbix combustor was selected for the engine demonstration program. A control study was conducted to establish fuel control requirements imposed by the low-emission combustor concepts and to identify conceptual control system designs. Concurrent efforts were also completed on two addendums: an alternate fuels addendum and a combustion noise addendum.

  19. National Water Program FY 2015 Performance, Trends and Best Practices Report

    EPA Pesticide Factsheets

    This Report includes final FY 2015 performance data for all U.S. Environmental Protection Agency (EPA) National Water Program measures included in EPA's 2014-2018 Strategic Plan and the FY 2015 National Water Program Guidance Addendum.

  20. Shortening the Miles to the Milestones: Connecting EPA-Based Evaluations to ACGME Milestone Reports for Internal Medicine Residency Programs.

    PubMed

    Choe, John H; Knight, Christopher L; Stiling, Rebekah; Corning, Kelli; Lock, Keli; Steinberg, Kenneth P

    2016-07-01

    The Next Accreditation System requires internal medicine training programs to provide the Accreditation Council for Graduate Medical Education (ACGME) with semiannual information about each resident's progress in 22 subcompetency domains. Evaluation of resident "trustworthiness" in performing entrustable professional activities (EPAs) may offer a more tangible assessment construct than evaluations based on expectations of usual progression toward competence. However, translating results from EPA-based evaluations into ACGME milestone progress reports has proven to be challenging because the constructs that underlay these two systems differ.The authors describe a process to bridge the gap between rotation-specific EPA-based evaluations and ACGME milestone reporting. Developed at the University of Washington in 2012 and 2013, this method involves mapping EPA-based evaluation responses to "milestone elements," the narrative descriptions within the columns of each of the 22 internal medicine subcompetencies. As faculty members complete EPA-based evaluations, the mapped milestone elements are automatically marked as "confirmed." Programs can maintain a database that tallies the number of times each milestone element is confirmed for a resident; these data can be used to produce graphical displays of resident progress along the internal medicine milestones.Using this count of milestone elements allows programs to bridge the gap between faculty assessments of residents based on rotation-specific observed activities and semiannual ACGME reports based on the internal medicine milestones. Although potentially useful for all programs, this method is especially beneficial to large programs where clinical competency committee members may not have the opportunity for direct observation of all residents.

  1. Tri-Lab Co-Design Milestone: In-Depth Performance Portability Analysis of Improved Integrated Codes on Advanced Architecture.

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

    Hoekstra, Robert J.; Hammond, Simon David; Richards, David

    2017-09-01

    This milestone is a tri-lab deliverable supporting ongoing Co-Design efforts impacting applications in the Integrated Codes (IC) program element Advanced Technology Development and Mitigation (ATDM) program element. In FY14, the trilabs looked at porting proxy application to technologies of interest for ATS procurements. In FY15, a milestone was completed evaluating proxy applications in multiple programming models and in FY16, a milestone was completed focusing on the migration of lessons learned back into production code development. This year, the co-design milestone focuses on extracting the knowledge gained and/or code revisions back into production applications.

  2. Developing a comprehensive resident education evaluation system in the era of milestone assessment.

    PubMed

    Gardner, Aimee K; Scott, Daniel J; Choti, Michael A; Mansour, John C

    2015-01-01

    In an effort to move training programs toward competency-based education, the Accreditation Council for Graduate Medical Education (ACGME) introduced the Next Accreditation System (NAS), which organizes specific milestones regarding resident skills, knowledge, and abilities along a continuum. In order to foster innovation and creativity, the ACGME has provided programs with minimal guidelines regarding the optimal way to approach these milestones. The education team at UT Southwestern embraced the milestones and developed a process in which performance assessment methods were critically evaluated, mapped onto an extrapolated performance list corresponding to the areas required by the ACGME milestones, and filled gaps in the previous system by modifying evaluation tools and creating new program components. Although the authors are early in the evolution of applying the new milestones system, this approach has thus far allowed them to comprehensively evaluate the residents and the program in an efficient and effective fashion, with notable improvements compared to the prior approach. The authors hope that these experiences can inform others embarking upon similar journeys with the milestones. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  3. ADDENDUM TO SUPERFUND INNOVATIVE TECHNOLOGY EVALUATION PROGRAM TECHNOLOGY PROFILES, TENTH EDITION, VOLUME 1 - DEMONSTRATION PROGRAM

    EPA Science Inventory

    The Superfund Innovative Technology Evaluation (SITE) Program, now in its thirteenth year, is an integral part of EPA's research into alternative cleanup methods for hazardous waste sites around the nation. The SITE Program was created to encourage the development and routine us...

  4. BOPACE 3-D addendum: The Boeing plastic analysis capabilities for 3-dimensional solids using isoparametric finite elements

    NASA Technical Reports Server (NTRS)

    Vos, R. G.; Straayer, J. W.

    1975-01-01

    Modifications and additions incorporated into the BOPACE 3-D program are described. Updates to the program input data formats, error messages, file usage, size limitations, and overlay schematic are included.

  5. DYNALIST II : A Computer Program for Stability and Dynamic Response Analysis of Rail Vehicle Systems : Volume 3. Technical Report Addendum.

    DOT National Transportation Integrated Search

    1976-07-01

    Several new capabilities have been added to the DYNALIST II computer program. These include: (1) a component matrix generator that operates as a 3-D finite element modeling program where elements consist of rigid bodies, flexural bodies, wheelsets, s...

  6. 48 CFR 819.202-5 - Data collection and reporting requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... VETERANS AFFAIRS SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Policies 819.202-5 Data collection and... responsibilities designated in FAR 19.202-5, cooperate with OSDBU in formulating specific small business program... goals with the Small Business Administration (SBA). (d) As an addendum to the report, each acquisition...

  7. 48 CFR 819.202-5 - Data collection and reporting requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... VETERANS AFFAIRS SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Policies 819.202-5 Data collection and... responsibilities designated in FAR 19.202-5, cooperate with OSDBU in formulating specific small business program... goals with the Small Business Administration (SBA). (d) As an addendum to the report, each acquisition...

  8. 48 CFR 819.202-5 - Data collection and reporting requirements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... VETERANS AFFAIRS SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Policies 819.202-5 Data collection and... responsibilities designated in FAR 19.202-5, cooperate with OSDBU in formulating specific small business program... goals with the Small Business Administration (SBA). (d) As an addendum to the report, each acquisition...

  9. 48 CFR 819.202-5 - Data collection and reporting requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... VETERANS AFFAIRS SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Policies 819.202-5 Data collection and... responsibilities designated in FAR 19.202-5, cooperate with OSDBU in formulating specific small business program... goals with the Small Business Administration (SBA). (d) As an addendum to the report, each acquisition...

  10. 48 CFR 819.202-5 - Data collection and reporting requirements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... VETERANS AFFAIRS SOCIOECONOMIC PROGRAMS SMALL BUSINESS PROGRAMS Policies 819.202-5 Data collection and... responsibilities designated in FAR 19.202-5, cooperate with OSDBU in formulating specific small business program... goals with the Small Business Administration (SBA). (d) As an addendum to the report, each acquisition...

  11. Competency Assessment in Family Medicine Residency: Observations, Knowledge-Based Examinations, and Advancement.

    PubMed

    Mainous, Arch G; Fang, Bo; Peterson, Lars E

    2017-12-01

    The Family Medicine (FM) Milestones are competency-based assessments of residents in key dimensions relevant to practice in the specialty. Residency programs use the milestones in semiannual reviews of resident performance from the time of entry into the program to graduation. Using a national sample, we investigated the relationship of FM competency-based assessments to resident progress and the complementarity of milestones with knowledge-based assessments in FM residencies. We used midyear and end-of-year milestone ratings for all FM residents in Accreditation Council for Graduate Medical Education-accredited programs during academic years 2014-2015 and 2015-2016. The milestones contain 22 items across 6 competencies. We created a summative index across the milestones. The American Board of Family Medicine database provided resident demographics and in-training examination (ITE) scores. We linked information to the milestone data. The sample encompassed 6630 FM residents. The summative milestone index increased, on average, for each cohort (postgraduate year 1 [PGY-1] to PGY-2 and PGY-2 to PGY-3) at each assessment. The correlation between the milestone index that excluded the medical knowledge milestone and ITE scores was r  = .195 ( P  < .001) for PGY-1 to PGY-2 cohort and r  = .254 ( P  < .001) for PGY-2 to PGY-3 cohort. For both cohorts, ITE scores and composite milestone assessments were higher for residents who advanced than for those who did not. Competency-based assessment using the milestones for FM residents seems to be a viable multidimensional tool to assess the successful progression of residents.

  12. The Road Ahead in Education: Milestones for Geriatric Psychiatry Subspecialty Training.

    PubMed

    Swantek, Sandra S; Maixner, Susan M; Llorente, Maria D; Cheong, Josepha A; Edgar, Laura; Thomas, Christopher R; Ahmed, Iqbal

    2016-09-01

    The Accreditation Council of Graduate Medical Education (ACGME) Milestone Project is the next step in a series of changes revamping the system of graduate medical education. In 2013 the ACGME completed the general psychiatry milestones. The ACGME then pursued creation of milestones for accredited psychiatric subspecialty fellowships. This article documents the work of the geriatric psychiatry subspecialty milestones work group. It reports the history and rationale supporting the milestones, the milestone development process, and the implications for geriatric psychiatry fellowship training. In consultation with the American Association for Geriatric Psychiatry, the American Board of Psychiatry and Neurology, and the ACGME Psychiatry Residency Review Committee, the ACGME appointed a working group to create the geriatric psychiatry milestones using the general psychiatry milestones as a guide. The geriatric psychiatry milestones are the result of an iterative process resulting in the definition of the characteristics vital to a fellowship-trained geriatric psychiatrist. It is premature to assess their effect on psychiatric training. The true impact of the milestones will be determined as each training director uses the milestones to re-evaluate their program curriculum and the educational and clinical learning environment. The ACGME is currently collecting the information about the milestone performance of residents and fellows to further refine and determine how the milestones can best be used to assist programs in improving training. Copyright © 2016 American Association for Geriatric Psychiatry. All rights reserved.

  13. Standard Transistor Array (Star): SIMLOG/TESTGN programmer's guide, volume 2, addendum 2

    NASA Technical Reports Server (NTRS)

    Carroll, B. D.

    1979-01-01

    A brief introduction to the SIMLOG/TESTGN system of programs is given. SIMLOG is a logic simulation program, whereas TESTGN is a program for generating test sequences from output produced by SIMLOG. The structures of the two programs are described. Data base, main program, and subprogram details are also given. Guidelines for program modifications are discussed. Commented program listings are included.

  14. SU-E-T-204: Comparison of Absorbed-Dose to Water in High-Energy Photon Beams Based On Addendum AAPM TG-51, IAEA TRS-398, and JSMP 12

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

    Kinoshita, N; Kita, A; Yoshioka, C

    Purpose: Several clinical reference dosimetry protocols for absorbed-dose to water have recently been published: The American Association of Physicists in Medicine (AAPM) published an Addendum to the AAPM’s TG-51 (Addendum TG-51) in April 2014, and the Japan Society of Medical Physics (JSMP) published the Japan Society of Medical Physics 12 (JSMP12), a clinical reference dosimetry protocol, in September 2012. This investigation compared and evaluated the absorbed-dose to water of high-energy photon beams according to Addendum TG-51, International Atomic Energy Agency Technical Report Series No. 398 (TRS-398), and JSMP12. Methods: Differences in the respective beam quality conversion factors with Addendum TG-51,more » TRS-398, and JSMP12 were analyzed and the absorbed-dose to water using 6- and 10-MV photon beams was measured according to the protocols recommended in Addendum TG-51, TRS-398, and JSMP12. The measurements were conducted using two Farmer-type ionization chambers, Exradin A12 and PTW 30013. Results: The beam quality conversion factors for both the 6- and 10-MV photon beams with Addendum TG-51 were within 0.6%, in agreement with the beam quality conversion factors with TRS-398 and JSMP12. The Exradin A12 provided an absorbed-dose to water ratio from 1.003 to 1.006 with TRS-398 / Addendum TG-51 and from 1.004 to 1.005 with JSMP 12 / Addendum TG-51, whereas the PTW 30013 provided a ratio of 1.001 with TRS-398 / Addendum TG-51 and a range from 0.997 to 0.999 with JSMP 12 / Addendum TG-51. Conclusion: Despite differences in the beam quality conversion factor, no major differences were seen in the absorbed-dose to water with Addendum TG-51, TRS-398, and JSMP12. However, Addendum TG-51 provides the most recent data for beam quality conversion factors based on Monte Carlo simulation and greater detail for the measurement protocol. Therefore, the absorbed-dose to water measured with Addendum TG-51 is an estimate with less uncertainty.« less

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

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

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

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

  16. 10 CFR 1045.41 - Use of classified addendums.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... simplify document handling procedures, document originators should segregate RD or FRD into an addendum whenever practical. When RD or FRD is segregated into an addendum, the originator shall acknowledge the...) When segregation of RD or FRD into an addendum is not practical, document originators are encouraged to...

  17. 10 CFR 1045.41 - Use of classified addendums.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... simplify document handling procedures, document originators should segregate RD or FRD into an addendum whenever practical. When RD or FRD is segregated into an addendum, the originator shall acknowledge the...) When segregation of RD or FRD into an addendum is not practical, document originators are encouraged to...

  18. 10 CFR 1045.41 - Use of classified addendums.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... simplify document handling procedures, document originators should segregate RD or FRD into an addendum whenever practical. When RD or FRD is segregated into an addendum, the originator shall acknowledge the...) When segregation of RD or FRD into an addendum is not practical, document originators are encouraged to...

  19. 10 CFR 1045.41 - Use of classified addendums.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... simplify document handling procedures, document originators should segregate RD or FRD into an addendum whenever practical. When RD or FRD is segregated into an addendum, the originator shall acknowledge the...) When segregation of RD or FRD into an addendum is not practical, document originators are encouraged to...

  20. 10 CFR 1045.41 - Use of classified addendums.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... simplify document handling procedures, document originators should segregate RD or FRD into an addendum whenever practical. When RD or FRD is segregated into an addendum, the originator shall acknowledge the...) When segregation of RD or FRD into an addendum is not practical, document originators are encouraged to...

  1. The Milestones Passport: A Learner-Centered Application of the Milestone Framework to Prompt Real-Time Feedback in the Emergency Department.

    PubMed

    Yarris, Lalena M; Jones, David; Kornegay, Joshua G; Hansen, Matthew

    2014-09-01

    In July 2013, emergency medicine residency programs implemented the Milestone assessment as part of the Next Accreditation System. We hypothesized that applying the Milestone framework to real-time feedback in the emergency department (ED) could affect current feedback processes and culture. We describe the development and implementation of a Milestone-based, learner-centered intervention designed to prompt real-time feedback in the ED. We developed and implemented the Milestones Passport, a feedback intervention incorporating subcompetencies, in our residency program in July 2013. Our primary outcomes were feasibility, including faculty and staff time and costs, number of documented feedback encounters in the first 2 months of implementation, and user-reported time required to complete the intervention. We also assessed learner and faculty acceptability. Development and implementation of the Milestones Passport required 10 hours of program coordinator time, 120 hours of software developer time, and 20 hours of faculty time. Twenty-eight residents and 34 faculty members generated 257 Milestones Passport feedback encounters. Most residents and faculty reported that the encounters required fewer than 5 minutes to complete, and 48% (12 of 25) of the residents and 68% (19 of 28) of faculty reported satisfaction with the Milestones Passport intervention. Faculty satisfaction with overall feedback in the ED improved after the intervention (93% versus 54%, P  =  .003), whereas resident satisfaction with feedback did not change significantly. The Milestones Passport feedback intervention was feasible and acceptable to users; however, learner satisfaction with the Milestone assessment in the ED was modest.

  2. Charting the Road to Competence: Developmental Milestones for Internal Medicine Residency Training

    PubMed Central

    Green, Michael L.; Aagaard, Eva M.; Caverzagie, Kelly J.; Chick, Davoren A.; Holmboe, Eric; Kane, Gregory; Smith, Cynthia D.; Iobst, William

    2009-01-01

    Background The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project requires that residency program directors objectively document that their residents achieve competence in 6 general dimensions of practice. Intervention In November 2007, the American Board of Internal Medicine (ABIM) and the ACGME initiated the development of milestones for internal medicine residency training. ABIM and ACGME convened a 33-member milestones task force made up of program directors, experts in evaluation and quality, and representatives of internal medicine stakeholder organizations. This article reports on the development process and the resulting list of proposed milestones for each ACGME competency. Outcomes The task force adopted the Dreyfus model of skill acquisition as a framework the internal medicine milestones, and calibrated the milestones with the expectation that residents achieve, at a minimum, the “competency” level in the 5-step progression by the completion of residency. The task force also developed general recommendations for strategies to evaluate the milestones. Discussion The milestones resulting from this effort will promote competency-based resident education in internal medicine, and will allow program directors to track the progress of residents and inform decisions regarding promotion and readiness for independent practice. In addition, the milestones may guide curriculum development, suggest specific assessment strategies, provide benchmarks for resident self-directed assessment-seeking, and assist remediation by facilitating identification of specific deficits. Finally, by making explicit the profession's expectations for graduates and providing a degree of national standardization in evaluation, the milestones may improve public accountability for residency training. PMID:21975701

  3. The Milestones Passport: A Learner-Centered Application of the Milestone Framework to Prompt Real-Time Feedback in the Emergency Department

    PubMed Central

    Yarris, Lalena M.; Jones, David; Kornegay, Joshua G.; Hansen, Matthew

    2014-01-01

    Background In July 2013, emergency medicine residency programs implemented the Milestone assessment as part of the Next Accreditation System. Objective We hypothesized that applying the Milestone framework to real-time feedback in the emergency department (ED) could affect current feedback processes and culture. We describe the development and implementation of a Milestone-based, learner-centered intervention designed to prompt real-time feedback in the ED. Methods We developed and implemented the Milestones Passport, a feedback intervention incorporating subcompetencies, in our residency program in July 2013. Our primary outcomes were feasibility, including faculty and staff time and costs, number of documented feedback encounters in the first 2 months of implementation, and user-reported time required to complete the intervention. We also assessed learner and faculty acceptability. Results Development and implementation of the Milestones Passport required 10 hours of program coordinator time, 120 hours of software developer time, and 20 hours of faculty time. Twenty-eight residents and 34 faculty members generated 257 Milestones Passport feedback encounters. Most residents and faculty reported that the encounters required fewer than 5 minutes to complete, and 48% (12 of 25) of the residents and 68% (19 of 28) of faculty reported satisfaction with the Milestones Passport intervention. Faculty satisfaction with overall feedback in the ED improved after the intervention (93% versus 54%, P  =  .003), whereas resident satisfaction with feedback did not change significantly. Conclusions The Milestones Passport feedback intervention was feasible and acceptable to users; however, learner satisfaction with the Milestone assessment in the ED was modest. PMID:26279784

  4. 76 FR 17870 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-October Through December 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-31

    ... Registry (NOPR) Sites. Addendum XIII: Medicare-approved Ventricular Assist Device (Destination Therapy... Therapy) Facilities (October Through December 2010) On October 1, 2003, we issued our decision memorandum on ventricular assist devices (VADs) for the clinical indication of destination therapy. We...

  5. Addendum: Parker Charter Essential School's Wellness Program

    ERIC Educational Resources Information Center

    Horace, 2008

    2008-01-01

    Wellness is an integrated curriculum combining aspects of traditional health classes with physical education, games, fitness skills and other mind-body connection skills. The goals of Parker Charter Essential School's Wellness program developed by members of the Parker community are: (1) to develop and nurture resilience; (2) to foster and promote…

  6. Competency champions in the clinical competency committee: a successful strategy to implement milestone evaluations and competency coaching.

    PubMed

    Ketteler, Erika R; Auyang, Edward D; Beard, Kathy E; McBride, Erica L; McKee, Rohini; Russell, John C; Szoka, Nova L; Nelson, M Timothy

    2014-01-01

    To create a clinical competency committee (CCC) that (1) centers on the competency-based milestones, (2) is simple to implement, (3) creates competency expertise, and (4) guides remediation and coaching of residents who are not progressing in milestone performance evaluations. We created a CCC that meets monthly and at each meeting reviews a resident class for milestone performance, a competency (by a faculty competency champion), a resident rotation service, and any other resident or issue of concern. University surgical residency program. The CCC members include the program director, associate program directors, director of surgical curriculum, competency champions, departmental chair, 2 at-large faculty members, and the administrative chief residents. Seven residents were placed on remediation (later renamed as coaching) during the academic year after falling behind on milestone progression in one or more competencies. An additional 4 residents voluntarily placed themselves on remediation for medical knowledge after receiving in-training examination scores that the residents (not the CCC membership) considered substandard. All but 2 of the remediated/coached residents successfully completed all area milestone performance but some chose to stay on the medical knowledge competency strategy. Monthly meetings of the CCC make milestone evaluation less burdensome. In addition, the expectations of the residents are clearer and more tangible. "Competency champions" who are familiar with the milestones allow effective coaching strategies and documentation of clear performance improvements in competencies for successful completion of residency training. Residents who do not reach appropriate milestone performance can then be placed in remediation for more formal performance evaluation. The function of our CCC has also allowed us opportunity to evaluate the required rotations to ensure that they offer experiences that help residents achieve competency performance necessary to be safe and effective surgeons upon completion of training. © 2013 Published by Association of Program Directors in Surgery on behalf of Association of Program Directors in Surgery.

  7. Communication Platform Payload Definition (CPPD) study. Volume 3: Addendum

    NASA Technical Reports Server (NTRS)

    Hunter, E. M.; Driggers, T.; Jorasch, R.

    1986-01-01

    This is Volume 3 (Addendum) of the Ford Aerospace & Communications Corporation Final Report for the Communication Platform Payload Definition (CPPD) Study Program conducted for NASA Lewis Research Center under contract No. NAS3-24235. This report presents the results of the study effort leading to five potential platform payloads to service CONUS and WARC Region 2 traffic demand as projected to the year 2008. The report addresses establishing the data bases, developing service aggregation scenarios, selecting and developing 5 payload concepts, performing detailed definition of the 5 payloads, costing them, identifying critical technology, and finally comparing the payloads with each other and also with non-aggregated equivalent services.

  8. Site inspection addendum. Fort Meade feasibility study and remedial investigation/site inspection Fort George G. Meade, Maryland. Revision 1. Final report

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

    NONE

    1995-12-01

    This Site Inspection Addendum Report has been prepared to address the Site Inspection portion of the Feasibility Study (FS) and Remedial Investigation/Site Inspection (RI/SI) activities at Fort George G. Meade. It has been prepared under Delivery Order No. 009 and a Change Order dated July 15, 1993, for the U.S. Army Environmental Center (USAEC), formerly known as the U.S. Army Toxic and Hazardous Materials Agency (USATHAMA). This report fulfills the requirements of deliverable ELIN A004 under Delivery Order 0009 of the Total Environmental Program Support (TEPS) contract DAAAl5-91-D-00l6. The purpose of this Site Inspection Addendum (SIA) report is to reportmore » the findings of Arthur D. Little`s SIA investigation. The overall purpose of an SI is to evaluate if chemical releases or potential contamination has occurred at suspected sites and to determine if further investigation is warranted. This study is an addendum to a previous SI and addresses data gaps remaining from or identified in that document. Six sites at Fort George G. Meade (FGGM) are included in the SIA: DPDO Salvage Yard and Transform Storage Area; DPDO Salvage Yard and Transformer Storage Area; Fire Training Area; Helicopter Hangar Area; Inactive Landfill No. 2, Ordnance Demolition Area Soldiers Lake.« less

  9. Maintenance & construction operations user service : an addendum to the ITS program plan

    DOT National Transportation Integrated Search

    2001-01-26

    The Maintenance and Construction Operations User Service describes the need for integrating key activities. Generally, key Maintenance and Construction Operations (MCO) activities include monitoring, operating, maintaining, improving, and managing th...

  10. Guidelines for the Effective Implementation and Administration of Law-Related Education: Including an Addendum for Guidelines for LRE Instructor Training and Program Evaluation.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Education, Denver.

    This booklet defines law-related education as an educational program for teaching non-lawyers about law, the legal system, and the fundamental principles and values on which constitutional democracy is based. The program's approach is characterized by relevant curriculum materials, interactive teaching strategies, and extensive use of the…

  11. 75 FR 14905 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-October Through December 2009

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-26

    ... stent facilities. Included in this notice is a list of the American College of Cardiology's National... 21244-1850, or you can call (410) 786-6962. Questions concerning Medicare-approved carotid stent... 20 of the CFR. Addendum VIII includes listings of Medicare-approved carotid stent facilities. All...

  12. Waste Isolation Pilot Plant No-migration variance petition. Addendum: Volume 7, Revision 1

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

    Not Available

    1990-03-01

    This report describes various aspects of the Waste Isolation Pilot Plant (WIPP) including design data, waste characterization, dissolution features, ground water hydrology, natural resources, monitoring, general geology, and the gas generation/test program.

  13. Contracts and Management Services FY 1996 Site Support Program Plan: WBS 6.10.14. Revision 1

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

    Knoll, J.M. Jr.

    1995-09-01

    This is the Contracts and Management Services site support program plan for the US DOE Hanford site. The topics addressed in the program plan include a mission statement, program objectives, planning assumptions, program constraints, work breakdown structure, milestone list, milestone description sheets, and activity detail including cost accounting narrative summary, approved funding budget, and activity detailed description.

  14. The pathology milestones and the next accreditation system.

    PubMed

    Naritoku, Wesley Y; Alexander, C Bruce; Bennett, Betsy D; Black-Schaffer, W Stephen; Brissette, Mark D; Grimes, Margaret M; Hoffman, Robert D; Hunt, Jennifer L; Iezzoni, Julia C; Johnson, Rebecca; Kozel, Jessica; Mendoza, Ricardo M; Post, Miriam D; Powell, Suzanne Z; Procop, Gary W; Steinberg, Jacob J; Thorsen, Linda M; Nestler, Steven P

    2014-03-01

    In the late 1990s, the Accreditation Council for Graduate Medical Education developed the Outcomes Project and the 6 general competencies with the intent to improve the outcome of graduate medical education in the United States. The competencies were used as the basis for developing learning goals and objectives and tools to evaluate residents' performance. By the mid-2000s the stakeholders in resident education and the general public felt that the Outcomes Project had fallen short of expectations. To develop a new evaluation method to track trainee progress throughout residency using benchmarks called milestones. A change in leadership at the Accreditation Council for Graduate Medical Education brought a new vision for the accreditation of training programs and a radically different approach to the evaluation of residents. The Pathology Milestones Working Group reviewed examples of developing milestones in other specialties, the literature, and the Accreditation Council for Graduate Medical Education program requirements for pathology to develop pathology milestones. The pathology milestones are a set of objective descriptors for measuring progress in the development of competency in patient care, procedural skill sets, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. The milestones provide a national standard for evaluation that will be used for the assessment of all residents in Accreditation Council for Graduate Medical Education-accredited pathology training programs.

  15. A pilot study of orthopaedic resident self-assessment using a milestones’ survey just prior to milestones implementation

    PubMed Central

    Bradley, Kendall E.

    2016-01-01

    Objectives To pilot test if Orthopaedic Surgery residents could self-assess their performance using newly created milestones, as defined by the Accreditation Council on Graduate Medical Education.  Methods In June 2012, an email was sent to Program Directors and administrative coordinators of the154 accredited Orthopaedic Surgery Programs, asking them to send their residents a link to an online survey. The survey was adapted from the Orthopaedic Surgery Milestone Project. Completed surveys were aggregated in an anonymous, confidential database. SAS 9.3 was used to perform the analyses. Results Responses from 71 residents were analyzed. First and second year residents indicated through self-assessment that they had substantially achieved Level 1 and Level 2 milestones. Third year residents reported they had substantially achieved 30/41, and fourth year residents, all Level 3 milestones. Fifth year, graduating residents, reported they had substantially achieved 17 Level 4 milestones, and were extremely close on another 15. No milestone was rated at Level 5, the maximum possible.  Earlier in training, Patient Care and Medical Knowledge milestones were rated lower than the milestones reflecting the other four competencies of Practice Based Learning and Improvement, Systems Based Practice, Professionalism, and Interpersonal Communication. The gap was closed by the fourth year. Conclusions Residents were able to successfully self-assess using the 41 Orthopaedic Surgery milestones. Respondents’ rate improved proficiency over time. Graduating residents report they have substantially, or close to substantially, achieved all Level 4 milestones.  Milestone self-assessment may be a useful tool as one component of a program’s overall performance assessment strategy. PMID:26752012

  16. Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties.

    PubMed

    Baker-Genaw, Kimberly; Kokas, Maria S; Ahsan, Syed F; Darnley-Fisch, Deborah; Drake, Sean; Goyal, Nikhil; Inamdar, Kedar; Moutzouros, Vasilios; Prabhakar, Deepak; Rolland, Laurie; Sangha, Roopina; Shreve, Maria; Woodward, Ann

    2016-07-01

    Little is known about residents' performance on the milestones at the institutional level. Our institution formed a work group to explore this using an institutional-level curriculum and residents' evaluation of the milestones. We assessed whether beginner-level milestones for interpersonal and communication skills (ICS) related to observable behaviors in ICS-focused objective structured clinical examinations (OSCEs) for postgraduate year (PGY) 1 residents across specialties. The work group compared ICS subcompetencies across 12 programs to identify common beginner-level physician-patient communication milestones. The selected ICS milestone sets were compared for common language with the ICS-OSCE assessment tool-the Kalamazoo Essential Elements of Communication Checklist-Adapted (KEECC-A). To assess whether OSCE scores related to ICS milestone scores, all PGY-1 residents from programs that were part of Next Accreditation System Phase 1 were identified; their OSCE scores from July 2013 to June 2014 and ICS subcompetency scores from December 2014 were compared. The milestones for 10 specialties and the transitional year had at least 1 ICS subcompetency that related to physician-patient communication. The language of the ICS beginner-level milestones appears similar to behaviors outlined in the KEECC-A. All 60 residents with complete data received at least a beginner-level ICS subcompetency score and at least a satisfactory score on all 3 OSCEs. The ICS-OSCE scores for PGY-1 residents appear to relate to beginner-level milestones for physician-patient communication across multiple specialties.

  17. Resident dashboards: helping your clinical competency committee visualize trainees' key performance indicators.

    PubMed

    Friedman, Karen A; Raimo, John; Spielmann, Kelly; Chaudhry, Saima

    2016-01-01

    Introduction Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC) through the creation of a resident dashboard. Methods Program leadership at a large university-based program developed four new end of rotation evaluations based on the American Board of Internal Medicine (ABIM) and Accreditation Council of Graduated Medical Education's (ACGME) 22 reportable milestones. A resident dashboard was then created to pull together both milestone- and non-milestone-based quantitative data and qualitative data compiled from faculty, nurses, peers, staff, and patients. Results Dashboards were distributed to the members of the CCC in preparation for the semiannual CCC meeting. CCC members adjudicated quantitative and qualitative data to present their cohort of residents at the CCC meeting. Based on the committee's response, evaluation scores remained the same or were adjusted. Final milestone scores were then entered into the accreditation data system (ADS) on the ACGME website. Conclusions The process of resident assessment is complex and should comprise both quantitative and qualitative data. The dashboard is a valuable tool for program leadership to use both when evaluating house staff on a semiannual basis at the CCC and to the resident in person.

  18. Resident dashboards: helping your clinical competency committee visualize trainees' key performance indicators.

    PubMed

    Friedman, Karen A; Raimo, John; Spielmann, Kelly; Chaudhry, Saima

    2016-01-01

    Under the Next Accreditation System, programs need to find ways to collect and assess meaningful reportable information on its residents to assist the program director regarding resident milestone progression. This paper discusses the process that one large Internal Medicine Residency Program used to provide both quantitative and qualitative data to its clinical competency committee (CCC) through the creation of a resident dashboard. Program leadership at a large university-based program developed four new end of rotation evaluations based on the American Board of Internal Medicine (ABIM) and Accreditation Council of Graduated Medical Education's (ACGME) 22 reportable milestones. A resident dashboard was then created to pull together both milestone- and non-milestone-based quantitative data and qualitative data compiled from faculty, nurses, peers, staff, and patients. Dashboards were distributed to the members of the CCC in preparation for the semiannual CCC meeting. CCC members adjudicated quantitative and qualitative data to present their cohort of residents at the CCC meeting. Based on the committee's response, evaluation scores remained the same or were adjusted. Final milestone scores were then entered into the accreditation data system (ADS) on the ACGME website. The process of resident assessment is complex and should comprise both quantitative and qualitative data. The dashboard is a valuable tool for program leadership to use both when evaluating house staff on a semiannual basis at the CCC and to the resident in person.

  19. Assessment Report Sandia National Laboratories Fuel Cycle Technologies Quality Assurance Evaluation of FY15 SNL FCT M2 Milestone Deliverables

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

    Appel, Gordon John

    Sandia National Laboratories (SNL) Fuel Cycle Technologies (FCT) program activities are conducted in accordance with FCT Quality Assurance Program Document (FCT-QAPD) requirements. The FCT-QAPD interfaces with SNL approved Quality Assurance Program Description (SNL-QAPD) as explained in the Sandia National Laboratories QA Program Interface Document for FCT Activities (Interface Document). This plan describes SNL's FY16 assessment of SNL's FY15 FCT M2 milestone deliverable's compliance with program QA requirements, including SNL R&A requirements. The assessment is intended to confirm that SNL's FY15 milestone deliverables contain the appropriate authenticated review documentation and that there is a copy marked with SNL R&A numbers.

  20. 32 CFR Appendix E to Part 68 - Addendum for Education Services Between [Name of Educational Institution] and the U.S. Navy

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...; (3) Manage the Navy College Program Distance Learning Partnership (NCPDLP) agreements. b. Navy...) If a distance learning partner institution: (i) Comply with NCPDLP agreements, if an institution...

  1. FHWA Traffic Noise Model user's guide (version 2.0 addendum).

    DOT National Transportation Integrated Search

    2002-03-01

    In March 1998, the Federal Highway Administration (FHWA) Office of Natural : Environment, released the FHWA Traffic Noise Model (FHWA TNM) Version 1.0, a : state-of-the-art computer program for highway traffic noise prediction and : analysis. Since t...

  2. 48 CFR 1352.239-70 - Software license addendum.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Software license addendum. 1352.239-70 Section 1352.239-70 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CLAUSES... Software license addendum. As prescribed in 48 CFR 1339.107, insert the following clause: Software License...

  3. 48 CFR 1352.239-70 - Software license addendum.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Software license addendum. 1352.239-70 Section 1352.239-70 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CLAUSES... Software license addendum. As prescribed in 48 CFR 1339.107, insert the following clause: Software License...

  4. 48 CFR 1352.239-70 - Software license addendum.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Software license addendum. 1352.239-70 Section 1352.239-70 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CLAUSES... Software license addendum. As prescribed in 48 CFR 1339.107, insert the following clause: Software License...

  5. 48 CFR 1352.239-70 - Software license addendum.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Software license addendum. 1352.239-70 Section 1352.239-70 Federal Acquisition Regulations System DEPARTMENT OF COMMERCE CLAUSES... Software license addendum. As prescribed in 48 CFR 1339.107, insert the following clause: Software License...

  6. FHWA Traffic Noise Model version 1.1 user's guide (Addendum)

    DOT National Transportation Integrated Search

    2000-09-30

    In March 1998, the Federal Highway Administration (FHWA) Office of Natural Environment, released the FHWA Traffic Noise Model (FHWA TNM) Version 1.0, a state-of-the-art computer program for highway traffic noise prediction and analysis. Since then, t...

  7. Milestone-Based Assessments Are Superior to Likert-Type Assessments in Illustrating Trainee Progression

    PubMed Central

    Bartlett, Kathleen W.; Whicker, Shari A.; Bookman, Jack; Narayan, Aditee P.; Staples, Betty B.; Hering, Holly; McGann, Kathleen A.

    2015-01-01

    Background The Pediatrics Milestone Project uses behavioral anchors, narrative descriptions of observable behaviors, to describe learner progression through the Accreditation Council for Graduate Medical Education competencies. Starting June 2014, pediatrics programs were required to submit milestone reports for their trainees semiannually. Likert-type scale assessment tools were not designed to inform milestone reporting, creating a challenge for Clinical Competency Committees. Objective To determine if milestone-based assessments better stratify trainees by training level compared to Likert-type assessments. Methods We compared assessment results for 3 subcompetencies after changing from a 5-point Likert scale to milestone-based behavioral anchors in July 2013. Program leadership evaluated the new system by (1) comparing PGY-1 mean scores on Likert-type versus milestone-based assessments; and (2) comparing mean scores on the Likert-type versus milestone-based assessments across PGY levels. Results Mean scores for PGY-1 residents were significantly higher on the prior year's Likert-type assessments than milestone-based assessments for all 3 subcompetencies (P < .01). Stratification by PGY level was not observed with Likert-type assessments (eg, interpersonal and communication skills 1 [ICS1] mean score for PGY-1, 3.99 versus PGY-3, 3.98; P  =  .98). In contrast, milestone-based assessments demonstrated stratification by PGY level (eg, the ICS1 mean score was 3.06 for PGY-1, 3.83 for PGY-2, and 3.99 for PGY-3; P < .01 for PGY-1 versus PGY-3). Significantly different means by trainee level were noted across 21 subcompetencies on milestone-based assessments (P < .01 for PGY-1 versus PGY-3). Conclusions Initial results indicate milestone-based assessments stratify trainee performance by level better than Likert-type assessments. Average PGY-level scores from milestone-based assessments may ultimately provide guidance for determining whether trainees are progressing at the expected pace. PMID:26217427

  8. Correlations Between Ratings on the Resident Annual Evaluation Summary and the Internal Medicine Milestones and Association With ABIM Certification Examination Scores Among US Internal Medicine Residents, 2013-2014.

    PubMed

    Hauer, Karen E; Vandergrift, Jonathan; Hess, Brian; Lipner, Rebecca S; Holmboe, Eric S; Hood, Sarah; Iobst, William; Hamstra, Stanley J; McDonald, Furman S

    2016-12-06

    US internal medicine residency programs are now required to rate residents using milestones. Evidence of validity of milestone ratings is needed. To compare ratings of internal medicine residents using the pre-2015 resident annual evaluation summary (RAES), a nondevelopmental rating scale, with developmental milestone ratings. Cross-sectional study of US internal medicine residency programs in the 2013-2014 academic year, including 21 284 internal medicine residents (7048 postgraduate-year 1 [PGY-1], 7233 PGY-2, and 7003 PGY-3). Program director ratings on the RAES and milestone ratings. Correlations of RAES and milestone ratings by training year; correlations of medical knowledge ratings with American Board of Internal Medicine (ABIM) certification examination scores; rating of unprofessional behavior using the 2 systems. Corresponding RAES ratings and milestone ratings showed progressively higher correlations across training years, ranging among competencies from 0.31 (95% CI, 0.29 to 0.33) to 0.35 (95% CI, 0.33 to 0.37) for PGY-1 residents to 0.43 (95% CI, 0.41 to 0.45) to 0.52 (95% CI, 0.50 to 0.54) for PGY-3 residents (all P values <.05). Linear regression showed ratings differed more between PGY-1 and PGY-3 years using milestone ratings than the RAES (all P values <.001). Of the 6260 residents who attempted the certification examination, the 618 who failed had lower ratings using both systems for medical knowledge than did those who passed (RAES difference, -0.9; 95% CI, -1.0 to -0.8; P < .001; milestone medical knowledge 1 difference, -0.3; 95% CI, -0.3 to -0.3; P < .001; and medical knowledge 2 difference, -0.2; 95% CI, -0.3 to -0.2; P < .001). Of the 26 PGY-3 residents with milestone ratings indicating deficiencies on either of the 2 medical knowledge subcompetencies, 12 failed the certification examination. Correlation of RAES ratings for professionalism with residents' lowest professionalism milestone ratings was 0.44 (95% CI, 0.43 to 0.45; P < .001). Among US internal medicine residents in the 2013-2014 academic year, milestone-based ratings correlated with RAES ratings but with a greater difference across training years. Both rating systems for medical knowledge correlated with ABIM certification examination scores. Milestone ratings may better detect problems with professionalism. These preliminary findings may inform establishment of the validity of milestone-based assessment.

  9. 46 CFR Appendix IV to Part 390 - Sample Addendum to Maritime Administration Capital Construction Fund Agreement

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Sample Addendum to Maritime Administration Capital Construction Fund Agreement IV Appendix IV to Part 390 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF... 390—Sample Addendum to Maritime Administration Capital Construction Fund Agreement This Agreement...

  10. 78 FR 39763 - Recovery Plan Addendum; Thick-Billed Parrot

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-02

    ... addendum to comply with a December 14, 2010, Stipulated Settlement Agreement between WildEarth Guardians... plan addendum to comply with the December 14, 2010, Stipulated Settlement Agreement between WildEarth...-billed parrots live in gregarious flocks in old-growth mixed- conifer forests and require a diversity of...

  11. 77 FR 35699 - Proposed Information Collection; Request for Public Comment: Addendum to Declaration for Federal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-14

    ...; Request for Public Comment: Addendum to Declaration for Federal Employment, Child Care and Indian Child...) for review. Proposed Collection: Title: Addendum to Declaration for Federal Employment, Child Care and Indian Child Care Worker Positions (OMB No. 0917-0028). Type of Information Collection Request: Extension...

  12. 48 CFR 1352.239-70 - Software license addendum.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Software license addendum... Software license addendum. As prescribed in 48 CFR 1339.107, insert the following clause: Software License....S.C. Section 516). (h) Renewal of Support after Expiration of this Award: Service will not...

  13. 37 CFR 202.17 - Renewals

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...://www.copyright.gov. Copies of Form RE are also available free upon request to the Copyright Information... copyright for the original term of the work. The Form RE/Addendum is used to provide this information. (3... by submission of a Form RE/Addendum. The Addendum, an adjunct to the renewal form, concerns the facts...

  14. 37 CFR 202.17 - Renewals

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... http://www.copyright.gov. Copies of Form RE are also available free upon Request. Requests should be... copyright for the original term of the work. The Form RE/Addendum is used to provide this information. (3... by submission of a Form RE/Addendum. The Addendum, an adjunct to the renewal form, concerns the facts...

  15. 37 CFR 202.17 - Renewals

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...://www.copyright.gov. Copies of Form RE are also available free upon request to the Copyright Information... copyright for the original term of the work. The Form RE/Addendum is used to provide this information. (3... by submission of a Form RE/Addendum. The Addendum, an adjunct to the renewal form, concerns the facts...

  16. SAFETY ANALYSIS REPORT FOR PACKAGING, MODEL 9977, ADDENDUM 3, JUSTIFICATION FOR SMALL GRAM QUANTITY CONTENTS

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

    Abramczyk, G.

    2011-10-31

    This Addendum establishes a new family of content envelopes consisting of small quantities of radioactive materials. These content envelopes and specific packing configurations are shown to be subcritical. However, the dose rates of some payloads must be measured and shown to comply with applicable radiation limits. Authorization for shipment of the content envelop requires acceptance of this Addendum by the DOE-HQ certifying official as a supplement to the 9977 SARP Revision 2 and DOE-HQ's subsequent revision of the CoC Revision 10 (which is based on SARP Addendum 2 and SARP Addendum 4) to authorize the additional content envelope. The Smallmore » Gram Quantity Content Envelopes and packing configurations will be incorporated in the next revision of the 9977 SARP.« less

  17. Learnings From the Pilot Implementation of Mobile Medical Milestones Application.

    PubMed

    Page, Cristen P; Reid, Alfred; Coe, Catherine L; Carlough, Martha; Rosenbaum, Daryl; Beste, Janalynn; Fagan, Blake; Steinbacher, Erika; Jones, Geoffrey; Newton, Warren P

    2016-10-01

    Implementation of the educational milestones benefits from mobile technology that facilitates ready assessments in the clinical environment. We developed a point-of-care resident evaluation tool, the Mobile Medical Milestones Application (M3App), and piloted it in 8 North Carolina family medicine residency programs. We sought to examine variations we found in the use of the tool across programs and explored the experiences of program directors, faculty, and residents to better understand the perceived benefits and challenges of implementing the new tool. Residents and faculty completed presurveys and postsurveys about the tool and the evaluation process in their program. Program directors were interviewed individually. Interviews and open-ended survey responses were analyzed and coded using the constant comparative method, and responses were tabulated under themes. Common perceptions included increased data collection, enhanced efficiency, and increased perceived quality of the information gathered with the M3App. Residents appreciated the timely, high-quality feedback they received. Faculty reported becoming more comfortable with the tool over time, and a more favorable evaluation of the tool was associated with higher utilization. Program directors reported improvements in faculty knowledge of the milestones and resident satisfaction with feedback. Faculty and residents credited the M3App with improving the quality and efficiency of resident feedback. Residents appreciated the frequency, proximity, and specificity of feedback, and faculty reported the app improved their familiarity with the milestones. Implementation challenges included lack of a physician champion and competing demands on faculty time.

  18. Maintenance and construction operations user service : an addendum to the ITS program plan

    DOT National Transportation Integrated Search

    1997-09-01

    Technological advances, changing roles of men and women in society, increases in the elderly population, and our increased knowledge of human behavior have significantly impacted our lives in the last quarter of the 20th century. Our travel behavior ...

  19. 78 FR 57873 - 60-Day Notice of Proposed Information Collection: HUD-Owned Real Estate-Sales Contract and Addendums

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-20

    ... Information Collection: HUD-Owned Real Estate--Sales Contract and Addendums AGENCY: Office of the Assistant... Information Collection Title of Information Collection: HUD-Owned Real Estate--Sales Contract and Addendums... Information and Proposed Use: This collection of information consists of the sales contracts and addenda that...

  20. ACHP | News | BLM Nationwide Programmatic Agreement Addendum Signed

    Science.gov Websites

    , determined it should be updated to incorporate further the role of Indian tribes. Through this addendum BLM committed to developing revisions to the PA, in consultation with the signatories and Indian tribes, within developing subsequent implementing actions. The addendum also recognizes that the BLM initiated an outreach

  1. 76 FR 65512 - Record of Decision Addendum for the Department of Homeland Security Headquarters Consolidation at...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... parts 1500-1508), GSA Order PBS P 1095.1F (Environmental considerations in decision-making, dated... Decision Addendum for the Department of Homeland Security Headquarters Consolidation at St. Elizabeths in...). ACTION: Record of Decision Addendum. SUMMARY: Pursuant to the requirements of the National Environmental...

  2. Computer Program Development Specification for IDAMST Operational Flight Programs. Addendum 1. Executive Software.

    DTIC Science & Technology

    1976-11-01

    system. b. Read different program configurations to reconfigure the software during flight. c. Write Digital Integrated Test System (DITS) results...associated witn > inor C):l.e Event must be Unlatched. The sole difference between a Latched ana an lnratcrec Condition is that upon the Scheduling...Table. Furthermore, the block of pointers for one Minor Cycle may be wholly contained witnir the Diock of ocinters for a different Minor Cycle. For

  3. Report on Activities and Programs for Countering Proliferation and NBC Terrorism. Volume 1, Executive Summary, Addendum to 2011 Report

    DTIC Science & Technology

    2013-06-01

    Executive Branch report on research , development, and acquisition (RDA) programs to Combat Weapons of Mass Destruction (WMD). Other interagency committees...characterize, secure, disable , and/or destroy a state or non-state actor’s WMD programs and related capabilities in hostile or uncertain environments. Threat...special operations, and security operations to defend against conventionally and unconventionally delivered WMD. WMD Consequence Management. Actions

  4. Acquisition Program Transition Workshops: An Element of the DSMC Program Manager Mission Assistance Capability

    DTIC Science & Technology

    2011-10-01

    specific modules as needed. The term “startup” is inclusive of any point in a DoD acquisition program. As noted above, methodology for conducting...Acquisition Sustainment =Decision Point =Milestone Review =Decision Point if PDR is not conducted before Milestone B ProgramA B Initiation) C IOC FOC...start a new program 2.2 Background Conclusions flowing from these observations led the Office of the Secretary of Defense, the De - fense Acquisition

  5. Educational Milestone Development in the First 7 Specialties to Enter the Next Accreditation System

    PubMed Central

    Swing, Susan R.; Beeson, Michael S.; Carraccio, Carol; Coburn, Michael; Iobst, William; Selden, Nathan R.; Stern, Peter J.; Vydareny, Kay

    2013-01-01

    Background The Accreditation Council for Graduate Medical Education (ACGME) Outcome Project introduced 6 general competencies relevant to medical practice but fell short of its goal to create a robust assessment system that would allow program accreditation based on outcomes. In response, the ACGME, the specialty boards, and other stakeholders collaborated to develop educational milestones, observable steps in residents' professional development that describe progress from entry to graduation and beyond. Objectives We summarize the development of the milestones, focusing on 7 specialties, moving to the next accreditation system in July 2013, and offer evidence of their validity. Methods Specialty workgroups with broad representation used a 5-level developmental framework and incorporated information from literature reviews, specialty curricula, dialogue with constituents, and pilot testing. Results The workgroups produced richly diverse sets of milestones that reflect the community's consideration of attributes of competence relevant to practice in the given specialty. Both their development process and the milestones themselves establish a validity argument, when contemporary views of validity for complex performance assessment are used. Conclusions Initial evidence for validity emerges from the development processes and the resulting milestones. Further advancing a validity argument will require research on the use of milestone data in resident assessment and program accreditation. PMID:24404235

  6. 78 FR 64145 - 30-Day Notice of Proposed Information Collection: HUD-Owned Real Estate-Sales Contract and Addendums

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-25

    ... Information Collection: HUD-Owned Real Estate--Sales Contract and Addendums AGENCY: Office of the Chief... Collection Title of Information Collection: HUD-Owned Real Estate--Sales Contract and Addendums. OMB Approval... sales contracts and addenda that will be used in binding contracts between purchasers of acquired single...

  7. 7 CFR 246.25 - Records and reports.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... year of food and NSA funds available for expenditure; and, (E) NSA expenditures and unliquidated... information as is necessary for the efficient management of food and NSA funds expenditures. (2) Annual... agencies must submit itemized NSA expenditure reports annually as an addendum to their WIC Program closeout...

  8. Developmental milestones record - 2 years

    MedlinePlus

    ... hour or less is better. Avoid programming with violent content. Redirect the child to reading or play activities. Control the type of games the child plays. Alternative Names Growth milestones for ...

  9. Pacific Armies Management Seminar IV, Held at Honolulu, Hawaii, on 3-7 November 1980. Addendum to Final Report.

    DTIC Science & Technology

    1980-11-07

    qualifications, stepped in to fill the shoes of mentors for the less privileged and this program was later institutionalized as the Army literacy ...program was later institutionalized as the Army literacy patrol program. Conclusion The acceptance of a "protracted struggle" and the commitment of the...other administrative officials can all provide informacion about known or suspected insurgents, organizations, and plans. The intelligence officer does

  10. A Media MIX Test of Paid Radio Advertising for Armed Services Recruitment. Volume 3. Addendum.

    DTIC Science & Technology

    1976-07-01

    This was a test of the effectiveness of paid radio recruiting advertising . The four active military services (Army, Navy, Air Force, Marine Corps...service, awareness and knowledge of specific programs and benefits offered by individual services and awareness of armed forces advertising . (Author)

  11. Correlation of DCPI with deformation under proof roller loading to assess soft subgrade stabilization criterion : addendum to NCDOT final report 2011-05, entitled : "Field verification of undercut criteria and alternatives for subgrade stabilization in th

    DOT National Transportation Integrated Search

    2016-11-21

    Work presented herein is an addendum to the final report for NCDOT Project 2011-05 entitled : Field Verification of Undercut Criteria and Alternatives for Subgrade Stabilization in the : Piedmont Area. The objective of the addendum work is to p...

  12. 32 CFR Appendix C to Part 68 - Addendum for Education Services Between [Name of Educational Institution] and the U.S. Army

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 1 2013-07-01 2013-07-01 false Addendum for Education Services Between [Name of Educational Institution] and the U.S. Army C Appendix C to Part 68 National Defense Department of Defense..., App. C Appendix C to Part 68—Addendum for Education Services Between [Name of Educational Institution...

  13. Reforming the American Military Officer Personnel System: Addendum: Thoughts on Contractors

    DTIC Science & Technology

    2016-05-24

    Testimony Reforming the American Military Officer Personnel System Addendum: Thoughts on Contractors Bernard D. Rostker CT-446/1 Document...1 Reforming the American Military Officer Personnel System Addendum: Thoughts on Contractors Testimony of Bernard D. Rostker 1 The RAND...Reform and Strengthening the All-Volunteer Force” on December 2, 2015, comment on the need to understand when contractors are being utilized and

  14. Multidisciplinary Analysis and Optimization Generation 1 and Next Steps

    NASA Technical Reports Server (NTRS)

    Naiman, Cynthia Gutierrez

    2008-01-01

    The Multidisciplinary Analysis & Optimization Working Group (MDAO WG) of the Systems Analysis Design & Optimization (SAD&O) discipline in the Fundamental Aeronautics Program s Subsonic Fixed Wing (SFW) project completed three major milestones during Fiscal Year (FY)08: "Requirements Definition" Milestone (1/31/08); "GEN 1 Integrated Multi-disciplinary Toolset" (Annual Performance Goal) (6/30/08); and "Define Architecture & Interfaces for Next Generation Open Source MDAO Framework" Milestone (9/30/08). Details of all three milestones are explained including documentation available, potential partner collaborations, and next steps in FY09.

  15. Impact on house staff evaluation scores when changing from a Dreyfus- to a Milestone-based evaluation model: one internal medicine residency program's findings.

    PubMed

    Friedman, Karen A; Balwan, Sandy; Cacace, Frank; Katona, Kyle; Sunday, Suzanne; Chaudhry, Saima

    2014-01-01

    As graduate medical education (GME) moves into the Next Accreditation System (NAS), programs must take a critical look at their current models of evaluation and assess how well they align with reporting outcomes. Our objective was to assess the impact on house staff evaluation scores when transitioning from a Dreyfus-based model of evaluation to a Milestone-based model of evaluation. Milestones are a key component of the NAS. We analyzed all end of rotation evaluations of house staff completed by faculty for academic years 2010-2011 (pre-Dreyfus model) and 2011-2012 (post-Milestone model) in one large university-based internal medicine residency training program. Main measures included change in PGY-level average score; slope, range, and separation of average scores across all six Accreditation Council for Graduate Medical Education (ACGME) competencies. Transitioning from a Dreyfus-based model to a Milestone-based model resulted in a larger separation in the scores between our three post-graduate year classes, a steeper progression of scores in the PGY-1 class, a wider use of the 5-point scale on our global end of rotation evaluation form, and a downward shift in the PGY-1 scores and an upward shift in the PGY-3 scores. For faculty trained in both models of assessment, the Milestone-based model had greater discriminatory ability as evidenced by the larger separation in the scores for all the classes, in particular the PGY-1 class.

  16. Quality Space and Launch Requirements, Addendum to AS9100C

    DTIC Science & Technology

    2015-05-08

    45 8.9.1 Statistical Process Control (SPC) .......................................................................... 45...SMC Space and Missile Systems Center SME Subject Matter Expert SOW Statement of Work SPC Statistical Process Control SPO System Program Office SRP...occur without any individual data exceeding the control limits. Control limits are developed using standard statistical methods or other approved

  17. SEPEC conference proceedings: Hypermedia and Information Reconstruction. Aerospace applications and research directions. Addendum

    NASA Technical Reports Server (NTRS)

    1990-01-01

    The papers presented at the conference on hypermedia and information reconstruction are compiled. The following subject areas are covered: hypertext, typographic man, and the notion of literacy; a knowledge base browser using hypermedia; Ai GERM - a logic programming front end for GERM; and HEAVENS system for software artifacts.

  18. 76 FR 59265 - Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-26

    ... Skilled Nursing Facilities for FY 2012; Correction AGENCY: Centers for Medicare & Medicaid Services (CMS... Nursing Facilities for FY 2012'' that appeared in the August 8, 2011 Federal Register. DATES: Effective... October 1, 2011. II. Summary of Errors The Addendum to the Skilled Nursing Facility (SNF) Prospective...

  19. A Review of Gas-Cooled Reactor Concepts for SDI Applications

    DTIC Science & Technology

    1989-08-01

    710 program .) Wire- Core Reactor (proposed by Rockwell). The wire- core reactor utilizes thin fuel wires woven between spacer wires to form an open...reactor is based on results of developmental studies of nuclear rocket propulsion systems. The reactor core is made up of annular fuel assemblies of...XE Addendum to Volume II. NERVA Fuel Development , Westinghouse Astronuclear Laboratory, TNR-230, July 15’ 1972. J I8- Rover Program Reactor Tests

  20. Impact on house staff evaluation scores when changing from a Dreyfus- to a Milestone-based evaluation model: one internal medicine residency program's findings.

    PubMed

    Friedman, Karen A; Balwan, Sandy; Cacace, Frank; Katona, Kyle; Sunday, Suzanne; Chaudhry, Saima

    2014-01-01

    Purpose As graduate medical education (GME) moves into the Next Accreditation System (NAS), programs must take a critical look at their current models of evaluation and assess how well they align with reporting outcomes. Our objective was to assess the impact on house staff evaluation scores when transitioning from a Dreyfus-based model of evaluation to a Milestone-based model of evaluation. Milestones are a key component of the NAS. Method We analyzed all end of rotation evaluations of house staff completed by faculty for academic years 2010-2011 (pre-Dreyfus model) and 2011-2012 (post-Milestone model) in one large university-based internal medicine residency training program. Main measures included change in PGY-level average score; slope, range, and separation of average scores across all six Accreditation Council for Graduate Medical Education (ACGME) competencies. Results Transitioning from a Dreyfus-based model to a Milestone-based model resulted in a larger separation in the scores between our three post-graduate year classes, a steeper progression of scores in the PGY-1 class, a wider use of the 5-point scale on our global end of rotation evaluation form, and a downward shift in the PGY-1 scores and an upward shift in the PGY-3 scores. Conclusions For faculty trained in both models of assessment, the Milestone-based model had greater discriminatory ability as evidenced by the larger separation in the scores for all the classes, in particular the PGY-1 class.

  1. Practical Implications for an Effective Radiology Residency Quality Improvement Program for Milestone Assessment.

    PubMed

    Leddy, Rebecca; Lewis, Madelene; Ackerman, Susan; Hill, Jeanne; Thacker, Paul; Matheus, Maria; Tipnis, Sameer; Gordon, Leonie

    2017-01-01

    Utilization of a radiology resident-specific quality improvement (QI) program and curriculum based on the Accreditation Council for Graduate Medical Education (ACGME) milestones can enable a program's assessment of the systems-based practice component and prepare residents for QI implementation post graduation. This article outlines the development process, curriculum, QI committee formation, and resident QI project requirements of one institution's designated radiology resident QI program. A method of mapping the curriculum to the ACGME milestones and assessment of resident competence by postgraduate year level is provided. Sample projects, challenges to success, and lessons learned are also described. Survey data of current trainees and alumni about the program reveal that the majority of residents and alumni responders valued the QI curriculum and felt comfortable with principles and understanding of QI. The most highly valued aspect of the program was the utilization of a resident education committee. The majority of alumni responders felt the residency quality curriculum improved understanding of QI, assisted with preparation for the American Board of Radiology examination, and prepared them for QI in their careers. In addition to the survey results, outcomes of resident project completion and resident scholarly activity in QI are evidence of the success of this program. It is hoped that this description of our experiences with a radiology resident QI program, in accordance with the ACGME milestones, may facilitate the development of successful QI programs in other diagnostic radiology residencies. Copyright © 2017 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  2. Trainees May Add Value to Patient Care by Decreasing Addendum Utilization in Radiology Reports.

    PubMed

    Balthazar, Patricia; Konstantopoulos, Christina; Wick, Carson A; DeSimone, Ariadne K; Tridandapani, Srini; Simoneaux, Stephen; Applegate, Kimberly E

    2017-11-01

    The purpose of this study was to evaluate the impact of trainee involvement and other factors on addendum rates in radiology reports. This retrospective study was performed in a tertiary care pediatric hospital. From the institutional radiology data repository, we extracted all radiology reports from January 1 to June 30, 2016, as well as trainee (resident or fellow) involvement, imaging modality, patient setting (emergency, inpatient, or outpatient), order status (routine vs immediate), time of interpretation (regular work hours vs off-hours), radiologist's years of experience, and sex. We grouped imaging modalities as advanced (CT, MRI, and PET) or nonadvanced (any modality that was not CT, MRI, or PET) and radiologist experience level as ≤ 20 years or > 20 years. Our outcome measure was the rate of addenda in radiology reports. Statistical analysis was performed using multivariate logistic regression. From 129,033 reports finalized during the study period, 418 (0.3%) had addenda. Reports generated without trainees were 12 times more likely than reports with trainee involvement to have addenda (odds ratio [OR] = 12.2, p < 0.001). Advanced imaging studies were more likely than nonadvanced studies to be associated with addendum use (OR = 4.7, p < 0.001). Reports generated for patients in emergency or outpatient settings had a slightly higher likelihood of addendum use than those in an inpatient setting (OR = 1.5, p = 0.04; and OR = 1.3, p = 0.04, respectively). Routine orders had a slightly higher likelihood of addendum use compared with immediate orders (OR = 1.3, p = 0.01). We found no difference in addendum use by radiologist's sex, radiologist's years of experience, emergency versus outpatient setting, or time of interpretation. Trainees may add value to patient care by decreasing addendum rates in radiology reports.

  3. Reference Mission Version 3.0 Addendum to the Human Exploration of Mars: The Reference Mission of the NASA Mars Exploration Study Team. Addendum; 3.0

    NASA Technical Reports Server (NTRS)

    Drake, Bret G. (Editor)

    1998-01-01

    This Addendum to the Mars Reference Mission was developed as a companion document to the NASA Special Publication 6107, "Human Exploration of Mars: The Reference Mission of the NASA Mars Exploration Study Team." It summarizes changes and updates to the Mars Reference Missions that were developed by the Exploration Office since the final draft of SP 6107 was printed in early 1999. The Reference Mission is a tool used by the exploration community to compare and evaluate approaches to mission and system concepts that could be used for human missions to Mars. It is intended to identify and clarify system drivers, significant sources of cost, performance, risk, and schedule variation. Several alternative scenarios, employing different technical approaches to solving mission and technology challenges, are discussed in this Addendum. Comparing alternative approaches provides the basis for continual improvement to technology investment plan and a general understanding of future human missions to Mars. The Addendum represents a snapshot of work in progress in support of planning for future human exploration missions through May 1998.

  4. Addendum to the AAPM's TG-51 protocol for clinical reference dosimetry of high-energy photon beams

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

    McEwen, Malcolm, E-mail: malcolm.mcewen@nrc-cnrc.gc.ca; DeWerd, Larry; Ibbott, Geoffrey

    2014-04-15

    An addendum to the AAPM's TG-51 protocol for the determination of absorbed dose to water in megavoltage photon beams is presented. This addendum continues the procedure laid out in TG-51 but new k{sub Q} data for photon beams, based on Monte Carlo simulations, are presented and recommendations are given to improve the accuracy and consistency of the protocol's implementation. The components of the uncertainty budget in determining absorbed dose to water at the reference point are introduced and the magnitude of each component discussed. Finally, the consistency of experimental determination of N{sub D,w} coefficients is discussed. It is expected thatmore » the implementation of this addendum will be straightforward, assuming that the user is already familiar with TG-51. The changes introduced by this report are generally minor, although new recommendations could result in procedural changes for individual users. It is expected that the effort on the medical physicist's part to implement this addendum will not be significant and could be done as part of the annual linac calibration.« less

  5. Addendum report to atmospheric science facility pallet-only mode space transportation system payload feasibility study, volume 3, revision A

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The feasibility of accomplishing selected atmospheric science mission using a pallet-only mode was studied. Certain unresolved issues were identified. The first issue was that of assuring that the on-board computer facility was adequate to process scientific data, control subsystems such as instrument pointing, provide mission operational program capability, and accomplish display and control. The second issue evolved from an investigation of the availability of existing substitute instruments that could be used instead of the prime instrumentation where the development tests and schedules are incompatible with the realistic budgets and shuttle vehicle schedules. Some effort was expended on identifying candidate substitute instruments, and the performance, cost, and development schedule trade-offs found during that effort were significant enough to warrant a follow-on investigation. This addendum documents the results of that follow-on effort, as it applies to the Atmospheric Sciences Facility.

  6. Addendum to ESEA Title I Program Evaluation [Phoenix Union High School System, Arizona].

    ERIC Educational Resources Information Center

    Estes, Gary D.

    An Elementary Secondary Education Act Title I English/Writing project was continued at two Phoenix Union high schools, Carl Hayden and North High Schools, in 1974-75. Although the objectives and instructional method (individualized, diagnostic, prescriptive approach) were the same at the two schools, the entry level skills and abilities of the…

  7. Some Selected Economic Benefits and Characteristics of Junior College Programs.

    ERIC Educational Resources Information Center

    Forgey, George W.

    This report is an addendum to a study whose purpose was to determine variables that contribute to the earning capacity of Illinois junior college graduates. Data were gathered from the Illinois Junior College Board and Bureau of the Budget, and from questionnaires sent to the 1968 graduates of three junior colleges in areas of high youth…

  8. Community Eligibility Provision Evaluation: Year 3 Addendum. Nutrition Assistance Program Report

    ERIC Educational Resources Information Center

    Harkness, Joseph; Logan, Christopher W.; Shivji, Azim; Nisar, Hiren; Connor, Patty

    2015-01-01

    Section 104(a) of the Healthy, Hunger Free Kids Act (HHFKA) of 2010 made the Community Eligibility Provision (CEP) available to Local Educational Agencies (LEAs) and schools in high poverty areas. Under the CEP, families are not required to submit applications for free or reduced-price meals, and schools must provide free lunch and breakfast to…

  9. Competent for Unsupervised Practice: Use of Pediatric Residency Training Milestones to Assess Readiness.

    PubMed

    Li, Su-Ting T; Tancredi, Daniel J; Schwartz, Alan; Guillot, Ann P; Burke, Ann E; Trimm, R Franklin; Guralnick, Susan; Mahan, John D; Gifford, Kimberly A

    2017-03-01

    To describe clinical skills progression during pediatric residency using the distribution of pediatric milestone assessments by subcompetency and year of training and to determine reasonable milestone expectations at time of graduation. Multi-institutional cohort study of the milestones reported to the Accreditation Council for Graduate Medical Education for all 21 pediatric subcompetencies. Most subcompetencies were measured using five milestone levels (1 = novice, 2 = advanced beginner, 3 = competent, 4 = proficient, 5 = master); 3 subcompetencies had only four levels defined. Milestone assessments for 2,030 pediatric residents in 47 programs during academic year 2013-2014 were obtained. There was significant variation in end-of-year milestone ratings for residents within each level of training, which decreased as training level increased. Most (78.9%; 434/550) graduating third-year pediatric residents received a milestone rating of ≥ 3 in all 21 subcompetencies; fewer (21.1%; 116/550) received a rating of ≥ 4 in all subcompetencies. Across all training levels, professionalism and interpersonal communication skills were rated highest; quality improvement was rated lowest. Trainees entered residency with a wide range of skills. As they advanced, skill variability within a training level decreased. Most graduating pediatric residents were still advancing on the milestone continuum toward proficiency and mastery, and an expectation of milestone ratings ≥ 4 in all categories upon graduation is unrealistic; milestone ratings ≥ 3 upon graduation may be more realistic. Understanding current pediatric residents' and graduates' skills can help to identify key areas that should be specifically targeted during training.

  10. Putting the pediatrics milestones into practice: a consensus roadmap and resource analysis.

    PubMed

    Schumacher, Daniel J; Spector, Nancy D; Calaman, Sharon; West, Daniel C; Cruz, Mario; Frohna, John G; Gonzalez Del Rey, Javier; Gustafson, Kristina K; Poynter, Sue Ellen; Rosenbluth, Glenn; Southgate, W Michael; Vinci, Robert J; Sectish, Theodore C

    2014-05-01

    The Accreditation Council for Graduate Medical Education has partnered with member boards of the American Board of Medical Specialties to initiate the next steps in advancing competency-based assessment in residency programs. This initiative, known as the Milestone Project, is a paradigm shift from traditional assessment efforts and requires all pediatrics residency programs to report individual resident progression along a series of 4 to 5 developmental levels of performance, or milestones, for individual competencies every 6 months beginning in June 2014. The effort required to successfully make this shift is tremendous given the number of training programs, training institutions, and trainees. However, it holds great promise for achieving training outcomes that align with patient needs; developing a valid, reliable, and meaningful way to track residents' development; and providing trainees with a roadmap for learning. Recognizing the resources needed to implement this new system, the authors, all residency program leaders, provide their consensus view of the components necessary for implementing and sustaining this effort, including resource estimates for completing this work. The authors have identified 4 domains: (1) Program Review and Development of Stakeholders and Participants, (2) Assessment Methods and Validation, (3) Data and Assessment System Development, and (4) Summative Assessment and Feedback. This work can serve as a starting point and framework for collaboration with program, department, and institutional leaders to identify and garner necessary resources and plan for local and national efforts that will ensure successful transition to milestones-based assessment. Copyright © 2014 by the American Academy of Pediatrics.

  11. 20 CFR 411.581 - Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.581 Can an EN receive milestone and outcome payments for months...

  12. 20 CFR 411.580 - Can an EN receive payments for milestones or outcome payment months that occur before the...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ....580 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.580 Can an EN receive payments for milestones or outcome payment...

  13. 20 CFR 411.580 - Can an EN receive payments for milestones or outcome payment months that occur before the...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ....580 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.580 Can an EN receive payments for milestones or outcome payment...

  14. 20 CFR 411.580 - Can an EN receive payments for milestones or outcome payment months that occur before the...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ....580 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.580 Can an EN receive payments for milestones or outcome payment...

  15. 20 CFR 411.581 - Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.581 Can an EN receive milestone and outcome payments for months...

  16. 20 CFR 411.581 - Can an EN receive milestone and outcome payments for months after a beneficiary takes his or her...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.581 Can an EN receive milestone and outcome payments for months...

  17. The technology application process as applied to a firefighter's breathing system

    NASA Technical Reports Server (NTRS)

    Mclaughlan, P. B.

    1974-01-01

    The FBS Program indicated that applications of advanced technology can result in an improved FBS that will satisfy the requirements defined by municipal fire departments. To accomplish this technology transfer, a substantial commitment of resources over an extended period of time has been required. This program has indicated that the ability of NASA in terms of program management such as requirement definition, system analysis, and industry coordination may play as important a role as specific sources of hardware technology. As a result of the FBS program, a sequence of milestones was passed that may have applications as generalized milestones and objectives for any technical application program.

  18. KSC-2012-4583

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. -- Inside the Space Exploration Technologies, or SpaceX, processing facility near NASA’s Kennedy Space Center in Florida, Scott Thurston, partner integration office manager with the Commercial Crew Program, talks to the media prior to an announcement from NASA Administrator Charles Bolden about new milestones in the nation’s commercial space initiatives. Bolden announced that SpaceX has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  19. CVN 78 Gerald R. Ford Class Nuclear Aircraft Carrier (CVN 78)

    DTIC Science & Technology

    2013-12-01

    Capabil... -Follow-on Ship (CVN 79) DAB Program Review - • Start Construction - • Delivery .-:K IOT &E IOT &E Start .-:41 IOT &E Complete e(41 Follow-on...Ship (CVN 80) DAB Program Review -Platform-Level Integration D ... ....., Milestone C .. EMALS EMALS Delivery (with Ship) .-:o; IOC ..:<! IOT ...E IOT &E Start ..:<! IOT &E Complete -· Platform-Level Integration .. ...:<! CVN 78 Milestones SAR Baseline Dev Est Current APB Development

  20. KSC-2012-4585

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. -- Inside the Space Exploration Technologies, or SpaceX, processing facility near NASA’s Kennedy Space Center in Florida, NASA Administrator Charlie Bolden announced new milestones in the nation’s commercial space initiatives. Bolden announced that SpaceX has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  1. KSC-2012-4584

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. -- Inside the Space Exploration Technologies, or SpaceX, processing facility near NASA’s Kennedy Space Center in Florida, NASA Administrator Charlie Bolden announced new milestones in the nation’s commercial space initiatives. Bolden announced that SpaceX has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  2. KSC-2012-4586

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. -- Inside the Space Exploration Technologies, or SpaceX, processing facility near NASA’s Kennedy Space Center in Florida, NASA Administrator Charlie Bolden announced new milestones in the nation’s commercial space initiatives. Bolden announced that SpaceX has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  3. Terry Turbopump Expanded Operating Band Full-Scale Component and Basic Science Detailed Test Plan - Final.

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

    Osborn, Douglas; Solom, Matthew

    This document details the milestone approach to define the true operating limitations (margins) of the Terry turbopump systems used in the nuclear industry for Milestone 3 (full-scale component experiments) and Milestone 4 (Terry turbopump basic science experiments) efforts. The overall multinational-sponsored program creates the technical basis to: (1) reduce and defer additional utility costs, (2) simplify plant operations, and (3) provide a better understanding of the true margin which could reduce overall risk of operations.

  4. Terry Turbopump Expanded Operating Band Full-Scale Component and Basic Science Detailed Test Plan-Revision 2

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

    Solom, Matthew; Ross, Kyle; Cardoni, Jeffrey N.

    This document details the milestone approach to define the true operating limitations (margins) of the Terry turbopump systems used in the nuclear industry for Milestone 3 (full-scale component experiments) and Milestone 4 (Terry turbopump basic science experiments) efforts. The overall multinational-sponsored program creates the technical basis to: (1) reduce and defer additional utility costs, (2) simplify plant operations, and (3) provide a better understanding of the true margin which could reduce overall risk of operations.

  5. Quality Space and Launch Requirements Addendum to AS9100C

    DTIC Science & Technology

    2015-03-05

    45 8.9.1 Statistical Process Control (SPC) .......................................................................... 45 8.9.1.1 Out of Control...Systems Center SME Subject Matter Expert SOW Statement of Work SPC Statistical Process Control SPO System Program Office SRP Standard Repair...individual data exceeding the control limits. Control limits are developed using standard statistical methods or other approved techniques and are based on

  6. Technical Report of Research Studies Related to the Revolving Door Identification Model. 2nd Edition and Addendum. Research Report Series.

    ERIC Educational Resources Information Center

    Renzulli, Joseph S., Ed.

    Six studies are presented which investigate factors in implementing the Revolving Door Identification Model (RDIM) and the Enrichment Triad Model in gifted education for children in grades 1-8. In "An Analysis of the Productivity of Gifted Students Participating in Programs Using the Revolving Door Identification Model," S. Reis reports,…

  7. Xenia Spacecraft Study Addendum: Spacecraft Cost Estimate

    NASA Technical Reports Server (NTRS)

    Hill, Spencer; Hopkins, Randall

    2009-01-01

    This slide presentation reviews the Xenia spacecraft cost estimates as an addendum for the Xenia Spacecraft study. The NASA/Air Force Cost model (NAFCPOM) was used to derive the cost estimates that are expressed in 2009 dollars.

  8. Selection criteria of the addendum modification coefficients of spur gear pairs with smaller number of pinion teeth

    NASA Astrophysics Data System (ADS)

    Atanasiu, V.; Oprişan, C.; Leohchi, D.

    2016-08-01

    A design procedure for the optimum distribution of the addendum modification coefficients of spur gear pairs with smaller number of pinion teeth is presented for the case of a fixed centred distance. The geometrical, kinematics and load capacity criteria are considered in the design analysis. The geometric and kinematics criteria are used to prevent the negative phenomena of the generating and engagement processes. The relation between the contact pressure of meshing teeth and specific sliding are analysed in relation with addendum modification coefficients. A dynamic model is developed to simulate the load sharing characteristics through a mesh cycle. The specific phenomenon of contact tooth pairs alternation during mesh cycle is integrated in this dynamic load modelling. A comparative study is included, which shows the effects of the distribution factor of the addendum modification coefficients on the contact surface characteristics of the gear pairs.

  9. FIELD MEASUREMENT TECHNOLOGY FOR MERCURY IN SOIL AND SEDIMENT MILESTONE INC.'S DIRECT MERCURY ANALYZER (DMA)-80

    EPA Science Inventory

    Milestone's Direct Mercury Analyzer (DMA-80) was demonstrated under the U.S. Environmental Protection Agency Superfund Innovative Technology Evaluation Program in May 2003 at the Oak Ridge National Laboratory (ORNL) in Oak Ridge, Tennessee. The purpose of the Demonstration was to...

  10. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  11. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  12. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  13. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  14. 20 CFR 411.535 - Under what circumstances will milestones be paid?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Under what circumstances will milestones be paid? 411.535 Section 411.535 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.535 Under what circumstances will...

  15. Statistical Models of At-Grade Intersection Accidents. Addendum.

    DOT National Transportation Integrated Search

    2000-03-01

    This report is an addendum to the work published in FHWA-RD-96-125 titled Statistical Models of At-Grade Intersection Accidents. The objective of both research studies was to develop statistical models of the relationship between traffic accide...

  16. 77 FR 29665 - International Conference on Harmonisation; Addendum to International Conference on Harmonisation...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-18

    ... Preclinical Safety Evaluation of Biotechnology-Derived Pharmaceuticals; Availability AGENCY: Food and Drug... availability of a guidance entitled ``S6 Addendum to Preclinical Safety Evaluation of Biotechnology-Derived... implementation of the ICH guidance [[Page 29666

  17. A multi-source feedback tool for measuring a subset of Pediatrics Milestones.

    PubMed

    Schwartz, Alan; Margolis, Melissa J; Multerer, Sara; Haftel, Hilary M; Schumacher, Daniel J

    2016-10-01

    The Pediatrics Milestones Assessment Pilot employed a new multisource feedback (MSF) instrument to assess nine Pediatrics Milestones among interns and subinterns in the inpatient context. To report validity evidence for the MSF tool for informing milestone classification decisions. We obtained MSF instruments by different raters per learner per rotation. We present evidence for validity based on the unified validity framework. One hundred and ninety two interns and 41 subinterns at 18 Pediatrics residency programs received a total of 1084 MSF forms from faculty (40%), senior residents (34%), nurses (22%), and other staff (4%). Variance in ratings was associated primarily with rater (32%) and learner (22%). The milestone factor structure fit data better than simpler structures. In domains except professionalism, ratings by nurses were significantly lower than those by faculty and ratings by other staff were significantly higher. Ratings were higher when the rater observed the learner for longer periods and had a positive global opinion of the learner. Ratings of interns and subinterns did not differ, except for ratings by senior residents. MSF-based scales correlated with summative milestone scores. We obtain moderately reliable MSF ratings of interns and subinterns in the inpatient context to inform some milestone assignments.

  18. 77 FR 7131 - Addendum to Environmental Technologies Trade Advisory Committee Public Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ... DEPARTMENT OF COMMERCE International Trade Administration Addendum to Environmental Technologies... agenda of a meeting of the Environmental Technologies Trade Advisory Committee (ETTAC) will be changed to... & Environmental Industries, International Trade Administration, Room 4053, 1401 Constitution Avenue NW...

  19. Liquid rocket booster study addendum

    NASA Technical Reports Server (NTRS)

    1990-01-01

    Liquid rocket booster study (LRB) addendum to final report is presented in the form of the view-graphs. The following subject areas are covered: LRB launch vehicle concepts; LRB design; propulsion system configurations; LRB boattail for Shuttle-C application; and manned transportation systems.

  20. Hardware Based Technology Assessment in Support of Near-Term Space Fission Missions

    NASA Technical Reports Server (NTRS)

    Houts, Mike; VanDyke, Melissa; Godfroy, Tom; Martin, James; BraggSitton, Shannon; Carter, Robert; Dickens, Ricky; Salvail, Pat; Williams, Eric; Harper, Roger

    2003-01-01

    Fission technology can enable rapid, affordable access to any point in the solar system. If fission propulsion systems are to be developed to their full potential; however, near-term customers must be identified and initial fission systems successfully developed, launched, and utilized. Successful utilization will most likely occur if frequent, significant hardware-based milestones can be achieved throughout the program. Achieving these milestones will depend on the capability to perform highly realistic non-nuclear testing of nuclear systems. This paper discusses ongoing and potential research that could help achieve these milestones.

  1. Multi-Disciplinary Analysis and Optimization Frameworks

    NASA Technical Reports Server (NTRS)

    Naiman, Cynthia Gutierrez

    2009-01-01

    Since July 2008, the Multidisciplinary Analysis & Optimization Working Group (MDAO WG) of the Systems Analysis Design & Optimization (SAD&O) discipline in the Fundamental Aeronautics Program s Subsonic Fixed Wing (SFW) project completed one major milestone, Define Architecture & Interfaces for Next Generation Open Source MDAO Framework Milestone (9/30/08), and is completing the Generation 1 Framework validation milestone, which is due December 2008. Included in the presentation are: details of progress on developing the Open MDAO framework, modeling and testing the Generation 1 Framework, progress toward establishing partnerships with external parties, and discussion of additional potential collaborations

  2. AIM-120 Advanced Medium Range Air-to-Air Missile (AMRAAM)

    DTIC Science & Technology

    2013-12-01

    lilA (DAB) DAE Program Review Start Production Deliveries Complete DAOT&E (Air Force) Complete IOT &E!Captive Ca ... Initial EQuipage Milestone... IOT &E OCT 1983 N/A N/A OCT 1983 Certification FEB 1986 FEB 1986 AUG 1986 FEB 1986 Milestone IIIA (DAB) JUN 1987 JUN 1987 DEC 1987 JUN 1987 DAE...Program Review MAY 1988 MAY 1988 NOV 1988 MAY 1988 Start Production Deliveries SEP 1988 SEP 1988 MAR 1989 SEP 1988 Complete D/ IOT &E (Air Force) JAN 1989 JAN

  3. Milestone-compatible neurology resident assessments: A role for observable practice activities.

    PubMed

    Jones, Lyell K; Dimberg, Elliot L; Boes, Christopher J; Eggers, Scott D Z; Dodick, David W; Cutsforth-Gregory, Jeremy K; Leep Hunderfund, Andrea N; Capobianco, David J

    2015-06-02

    Beginning in 2014, US neurology residency programs were required to report each trainee's educational progression within 29 neurology Milestone competency domains. Trainee assessment systems will need to be adapted to inform these requirements. The primary aims of this study were to validate neurology resident assessment content using observable practice activities (OPAs) and to develop assessment formats easily translated to the Neurology Milestones. A modified Delphi technique was used to establish consensus perceptions of importance of 73 neurology OPAs among neurology educators and trainees at 3 neurology residency programs. A content validity score (CVS) was derived for each neurology OPA, with scores ≥4.0 determined in advance to indicate sufficient content validity. The mean CVS for all OPAs was 4.4 (range 3.5-5.0). Fifty-seven (78%) OPAs had a CVS ≥4.0, leaving 16 (22%) below the pre-established threshold for content validity. Trainees assigned a higher importance to individual OPAs (mean CVS 4.6) compared to faculty (mean 4.4, p = 0.016), but the effect size was small (η(2) = 0.10). There was no demonstrated effect of length of education experience on perceived importance of neurology OPAs (p = 0.23). Two sample resident assessment formats were developed, one using neurology OPAs alone and another using a combination of neurology OPAs and the Neurology Milestones. This study provides neurology training programs with content validity evidence for items to include in resident assessments, and sample assessment formats that directly translate to the Neurology Milestones. Length of education experience has little effect on perceptions of neurology OPA importance. © 2015 American Academy of Neurology.

  4. From Early to Current Developments in Online Learning at Nova Southeastern University: Reflections on Historical Milestones.

    ERIC Educational Resources Information Center

    Dringus, Laurie P.; Scigliano, John A.

    2000-01-01

    Traces the major historical milestones achieved by Nova Southeastern University in its pioneering of graduate level online learning programs. Highlights include delivery systems; Web-based electronic classrooms; overview of the technology, including telecommunications through UNIX; evaluation and research; and technology used in the School of…

  5. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  6. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  7. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  8. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  9. 20 CFR 411.545 - How are the outcome payments calculated under the outcome-milestone payment system?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... the outcome-milestone payment system? 411.545 Section 411.545 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.545 How... of the Social Security Act for all beneficiaries for months during the preceding calendar year; and...

  10. Acquisition of specialized testing equipment for advanced cement-based materials : addendum.

    DOT National Transportation Integrated Search

    2014-07-01

    The purpose of this addendum is to cover the installation cost associated with several of the specialized pieces of : equipment purchased in project 00038844. See report below from Missouri S&T Physical Facilities itemizing the scope of : work and as...

  11. Mapping Residency Global Health Experiences to the ACGME Family Medicine Milestones.

    PubMed

    Grissom, Maureen O; Iroku-Malize, Tochi; Peila, Rita; Perez, Marco; Philippe, Neubert

    2017-07-01

    Global health (GH) experiences are a unique part of family medicine (FM) training that offer an opportunity for residents to demonstrate development across a multitude of the milestones recently implemented by the Accreditation Council for Graduate Medical Education (ACGME). The GH experience presents an opportunity for resident development, and including a component of written reflection can provide tangible evidence of development in areas that can be difficult to assess. A mixed methods approach was used to integrate quantitative (frequency) data with qualitative content from the written reflections of 12 of our FM residents who participated in GH experiences. Written reflections touched on each of the 22 milestones, although some milestones were noted more frequently than others. The most commonly identified milestones fell within the competency areas of systems-based practice, professionalism, and practice-based learning and improvement. Our qualitative approach allowed us to gain an appreciation of the unique experiences that demonstrated growth across the various milestones. We conclude that any program that offers GH experiences should incorporate some form of written reflection to maximize resident growth and offer evaluative faculty a window into that development.

  12. Comparison of AAPM Addendum to TG-51, IAEA TRS-398, and JSMP 12: Calibration of photon beams in water.

    PubMed

    Kinoshita, Naoki; Oguchi, Hiroshi; Nishimoto, Yasuhiro; Adachi, Toshiki; Shioura, Hiroki; Kimura, Hirohiko; Doi, Kunio

    2017-09-01

    The American Association of Physicists in Medicine (AAPM) Working Group on TG-51 published an Addendum to the AAPM's TG-51 protocol (Addendum to TG-51) in 2014, and the Japan Society of Medical Physics (JSMP) published a new dosimetry protocol JSMP 12 in 2012. In this study, we compared the absorbed dose to water determined at the reference depth for high-energy photon beams following the recommendations given in AAPM TG-51 and the Addendum to TG-51, IAEA TRS-398, and JSMP 12. This study was performed using measurements with flattened photon beams with nominal energies of 6 and 10 MV. Three widely used ionization chambers with different compositions, Exradin A12, PTW 30013, and IBA FC65-P, were employed. Fully corrected charge readings obtained for the three chambers according to AAPM TG-51 and the Addendum to TG-51, which included the correction for the radiation beam profile (P rp ), showed variations of 0.2% and 0.3% at 6 and 10 MV, respectively, from the readings corresponding to IAEA TRS-398 and JSMP 12. The values for the beam quality conversion factor k Q obtained according to the three protocols agreed within 0.5%; the only exception was a 0.6% difference between the results obtained at 10 MV for Exradin A12 according to IAEA TRS-398 and AAPM TG-51 and the Addendum to TG-51. Consequently, the values for the absorbed dose to water obtained for the three protocols agreed within 0.4%; the only exception was a 0.6% difference between the values obtained at 10 MV for PTW 30013 according to AAPM TG-51 and the Addendum to TG-51, and JSMP 12. While the difference in the absorbed dose to water determined by the three protocols depends on the k Q and P rp values, the absorbed dose to water obtained according to the three protocols agrees within the relative uncertainties for the three protocols. © 2017 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

  13. Human Exploration of Mars Design Reference Architecture 5.0, Addendum #2

    NASA Technical Reports Server (NTRS)

    Drake, Bret G. (Editor); Watts Kevin D. (Editor)

    2014-01-01

    This report serves as the second Addendum to NASA-SP-2009-566, "Human Exploration of Mars Design Reference Architecture 5.0." The data and descriptions contained within this Addendum capture some of the key assessments and studies produced since publication of the original document, predominately covering those conducted from 2009 through 2012. The assessments and studies described herein are for the most part independent stand-alone contributions. Effort has not been made to assimilate the findings to provide an updated integrated strategy. That is a recognized future effort. This report should not be viewed as constituting a formal plan for the human exploration of Mars.

  14. Addendum to the Handbook of Accreditation. Second Edition.

    ERIC Educational Resources Information Center

    North Central Association of Colleges and Schools, Chicago, IL. Higher Learning Commission.

    This document supplements information provided in the "Handbook of Accreditation," Second Edition (Commission on Institutions of Higher Education). The Addendum contains the information necessary to keep readers informed of changes in policies and procedures while the Commission is engaged in an initiative to revise its Eligibility…

  15. ADDENDUM TO ASSESSMENT OF STYRENE EMISSION CONTROLS FOR FRP/C AND BOAT BUILDING INDUSTRIES

    EPA Science Inventory

    This report is an addendum to a 1996 report, Assessment of Styrene Emission Controls for FRP/C and Boat Building Industries. It presents additional evaluation of the biological treatment of styrene emissions, Dow Chemical Company's Sorbathene solvent vapor recovery system, Occupa...

  16. Education in Utah: A Call to Action. Addendum.

    ERIC Educational Resources Information Center

    Utah State Board of Education, Salt Lake City.

    Clarifications to recommendations made in the Utah Education Reform Committee report, "A Call to Action," are presented in this addendum. Earlier recommendations relating to teachers are revised and clarified and new ones relating to class size, teachers' duties, instructional materials, and the student-parent-school relationship are…

  17. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  18. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  19. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  20. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  1. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  2. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  3. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  4. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  5. 20 CFR 411.536 - Under what circumstances can we make a reconciliation payment under the outcome-milestone payment...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Under what circumstances can we make a reconciliation payment under the outcome-milestone payment system? 411.536 Section 411.536 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment...

  6. 20 CFR 411.540 - How are the payment amounts calculated for each of the milestones?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false How are the payment amounts calculated for each of the milestones? 411.540 Section 411.540 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.540 How are the...

  7. Targeting MRS-Defined Dominant Intraprostatic Lesions with Inverse-Planned High Dose Rate Brachytherapy. Addendum

    DTIC Science & Technology

    2009-06-01

    imagining) into the HDR brachytherapy treatment planning has been demonstrated. Using the inverse planning program IPSA , dose escalation of target...Principles and Clinical Applications of IPSA ; Nucletron International Physics Seminar, Vaals, Netherlands, Sept 13-16, 2006. 7 IPSA ...experience with IPSA for prostate cancer treatment in HDR Brachytherapy, 4ième séminaire francophone de curiethérapie, Arcachon, France, June 15, 2006

  8. Military Vision Research Program. Addendum

    DTIC Science & Technology

    2011-08-01

    keratitis, ocular cicatricial pemphigoid and dry eye syndromes. In some diseases, overproduction of mucin owing to excessive goblet cell proliferation and...cell density and mucin secretion has been observed in dry eye patients and inflammation can lead to goblet cell apoptosis; 2. A reduced goblet cell...of goblet cell mucin secretion in severe dry eye patients.3 It was therefore of interest to investigate the role of goblet cells in regulating

  9. Questions and Answers for Reporting for the 2006 Partial Updating of the TSCA Chemical Inventory Database: Inorganic Chemicals Addendum

    EPA Pesticide Factsheets

    This document addresses specific questions related to reporting inorganic chemicals under the IUR and is an addendum to the Questions and Answers for Reporting for the 2006 Partial Updating of the TSCA Chemical Inventory Database (Questions and Answers Document).

  10. 75 FR 4896 - Self-Regulatory Organizations; National Securities Clearing Corporation; Notice of Filing of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ... To Eliminate Guarantee of Payment in Connection With the Envelope Settlement Service January 25, 2010...'s Rules & Procedures (``Rules'') to eliminate NSCC's guarantee of payment in connection with the... in Addendum D have been eliminated. The change to Addendum K deletes the provision that formerly...

  11. Earth Observing System (EOS)/Advanced Microwave Sounding Unit-A (AMSU-A) Stress Analysis Report, A1 Module. Addendum 1

    NASA Technical Reports Server (NTRS)

    Ely, W.

    1996-01-01

    This addendum reports the structural margins of safety and natural frequency predictions for the design following the EOS AMSU-A1 Mechanical/Structural Subsystem Critical Design Review (CDR), based on a new and more refined finite element model.

  12. Effects of Alaska Oil and Natural Gas Provisions of H. R. 4 and S. 1766 on U.S. Energy Markets, Addendum

    EIA Publications

    2002-01-01

    This addendum provides projections on the increase in U.S. oil production from opening the Arctic National Wildlife Refuge, the decease in net petroleum imports, and the change in net petroleum expenditures across a range of cases.

  13. FRA/Volpe Center Task Force Observation of Operations at TVE Transrapid Test Facility, Addendum

    DOT National Transportation Integrated Search

    1993-12-01

    This report is an addendum to a report (No. DOT-VNTSC-RR393-PM-93-1) prepared in April : 1993 describing the operations witnessed and the relevant information obtained by nine members : of the FRA/Volpe Center High Speed Guided Ground Transportation ...

  14. 9 CFR 116.1 - Applicability and general considerations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... imported products, each permittee shall maintain at the permittee's place of business detailed and accurate... manufacturer may maintain and retain records required under this part at an alternative location. Such authorization shall be confirmed by the filing of an addendum to the plot plan legend. The addendum shall list...

  15. A Milestone-Based Evaluation System-The Cure for Grade Inflation?

    PubMed

    Kuo, Lindsay E; Hoffman, Rebecca L; Morris, Jon B; Williams, Noel N; Malachesky, Mark; Huth, Laura E; Kelz, Rachel R

    2015-01-01

    Controversy exists over the optimal use of the Milestones in the process of resident evaluation and feedback. We sought to evaluate the performance of a Milestones-based feedback system in comparison to a traditional model. The traditional evaluation system (TES) consisted of a generic 16-item survey using a 5-point Likert scale ranging from 1 to 5, and a free-text comments section. The Milestones-based evaluation system (MBES) was launched in July 2014, ranging from 0 to 4. Individual milestones were mapped to rotations based on resident educational goals by postgraduate year (PGY). The MBES consisted of a survey with a maximum of 7 items, followed by a free-text comment section. Within each evaluation system, an overall composite score was calculated for each categorical general surgical resident. To scale the 2 systems for comparison, TES scores were adjusted downward by 1 point. Descriptive statistics were performed. Univariate analysis was performed with the Wilcoxon signed-rank test. A test for trend across PGY was used for the MBES only. In the traditional system, the median score was 3.66 (range: 3.2-4.0). There was no meaningful difference in the median score by PGY. In the new system, the median score was 2.69 (range: 1.5-3.7, p < 0.01). The median score differed across PGY and increased by PGY of training (p < 0.01). There was an increase in differences between median scores by PGY. On using the milestones to facilitate faculty evaluation of resident knowledge and skill, there was a trend in increasing score by PGY of training. In the MBES, scores could be used to better discriminate resident skill and knowledge levels and resulted in improved differentiation in scoring by PGY. The use of the milestones as a basis for evaluation enabled the program to provide more meaningful feedback to residents and represents an improvement in surgical education. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  16. Analysis of a 10% Renewable Portfolio Standard, Addendum

    EIA Publications

    2003-01-01

    On May 8, 2003, Senator Jeff Bingaman, the Ranking Minority Member of the Senate Committee on Energy and Natural Resources, requested an analysis of a nationwide Renewable Portfolio Standard (RPS) program proposed to be amended to energy legislation currently pending before the U.S. Senate. With his request Sen. Bingaman provided specific information on the program to be analyzed. This analysis was prepared in response to his request and projects the impact of the proposed program on energy supply, demand, prices, and emissions. The analysis is based on the Annual Energy Outlook 2003 (AEO2003) projections of energy supply, demand, and prices through 2025, as updated in May 2003.

  17. An assessment of the government liquid hydrogen requirements for the 1995-2005 time frame including addendum, liquid hydrogen production and commercial demand in the United States

    NASA Technical Reports Server (NTRS)

    Bain, Addison

    1990-01-01

    Liquid hydrogen will continue to be an integral element in virtually every major space program, and it has also become a significant merchant product for certain commercial markets. Liquid hydrogen is not a universally available commodity, and the number of supply sources historically have been limited to regions having concentrated consumption patterns. With the increased space program activity it becomes necessary to assess all future programs on a collective and unified basis. An initial attempt to identify projected requirements on a long range basis is presented.

  18. Comparison of Male vs Female Resident Milestone Evaluations by Faculty During Emergency Medicine Residency Training

    PubMed Central

    Dayal, Arjun; O’Connor, Daniel M.; Qadri, Usama

    2017-01-01

    Importance Although implicit bias in medical training has long been suspected, it has been difficult to study using objective measures, and the influence of sex and gender in the evaluation of medical trainees is unknown. The emergency medicine (EM) milestones provide a standardized framework for longitudinal resident assessment, allowing for analysis of resident performance across all years and programs at a scope and level of detail never previously possible. Objective To compare faculty-observed training milestone attainment of male vs female residency training Design, Setting, and Participants This multicenter, longitudinal, retrospective cohort study took place at 8 community and academic EM training programs across the United States from July 1, 2013, to July 1, 2015, using a real-time, mobile-based, direct-observation evaluation tool. The study examined 33 456 direct-observation subcompetency evaluations of 359 EM residents by 285 faculty members. Main Outcomes and Measures Milestone attainment for male and female EM residents as observed by male and female faculty throughout residency and analyzed using multilevel mixed-effects linear regression modeling. Results A total of 33 456 direct-observation evaluations were collected from 359 EM residents (237 men [66.0%] and 122 women [34.0%]) by 285 faculty members (194 men [68.1%] and 91 women [31.9%]) during the study period. Female and male residents achieved similar milestone levels during the first year of residency. However, the rate of milestone attainment was 12.7% (0.07 levels per year) higher for male residents through all of residency (95% CI, 0.04-0.09). By graduation, men scored approximately 0.15 milestone levels higher than women, which is equivalent to 3 to 4 months of additional training, given that the average resident gains approximately 0.52 levels per year using our model (95% CI, 0.49-0.54). No statistically significant differences in scores were found based on faculty evaluator gender (effect size difference, 0.02 milestone levels; 95% CI for males, −0.09 to 0.11) or evaluator-evaluatee gender pairing (effect size difference, −0.02 milestone levels; 95% CI for interaction, −0.05 to 0.01). Conclusions and Relevance Although male and female residents receive similar evaluations at the beginning of residency, the rate of milestone attainment throughout training was higher for male than female residents across all EM subcompetencies, leading to a gender gap in evaluations that continues until graduation. Faculty should be cognizant of possible gender bias when evaluating medical trainees. PMID:28264090

  19. ELITE Program: Electric Insertion Transfer Experiment

    NASA Technical Reports Server (NTRS)

    Vondra, Robert

    1992-01-01

    The topics are presented in viewgraph form and include the following: the Cooperative Research & Development Agreement (CRDA); spacecraft; benefits; program milestones; subsystem status; partners; and payloads.

  20. 20 CFR 411.575 - How does the EN request payment for milestones or outcome payment months achieved by a...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Section 411.575 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.575 How does the EN request payment for milestones or... payment for a month if— (i)(A) Social Security disability benefits and Federal SSI cash benefits are not...

  1. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  2. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  3. 20 CFR 411.575 - How does the EN request payment for milestones or outcome payment months achieved by a...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Section 411.575 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.575 How does the EN request payment for milestones or... payment for a month if— (i)(A) Social Security disability benefits and Federal SSI cash benefits are not...

  4. 20 CFR 411.575 - How does the EN request payment for milestones or outcome payment months achieved by a...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Section 411.575 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.575 How does the EN request payment for milestones or... payment for a month if— (i)(A) Social Security disability benefits and Federal SSI cash benefits are not...

  5. 20 CFR 411.555 - Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months? 411.555 Section 411.555 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network...

  6. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  7. 20 CFR 411.555 - Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months? 411.555 Section 411.555 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network...

  8. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  9. 20 CFR 411.555 - Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Can the EN keep the milestone and outcome payments even if the beneficiary does not achieve all outcome months? 411.555 Section 411.555 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network...

  10. 20 CFR 411.566 - May an EN use outcome or milestone payments to make payments to the beneficiary?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false May an EN use outcome or milestone payments to make payments to the beneficiary? 411.566 Section 411.566 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.566 May...

  11. Milestones on a Shoestring: A Cost-Effective, Semi-automated Implementation of the New ACGME Requirements for Radiology.

    PubMed

    Schmitt, J Eric; Scanlon, Mary H; Servaes, Sabah; Levin, Dayna; Cook, Tessa S

    2015-10-01

    The advent of the ACGME's Next Accreditation System represents a significant new challenge for residencies and fellowships, owing to its requirements for more complex and detailed information. We developed a system of online assessment tools to provide comprehensive coverage of the twelve ACGME Milestones and digitized them using freely available cloud-based productivity tools. These tools include a combination of point-of-care procedural assessments, electronic quizzes, online modules, and other data entry forms. Using free statistical analytic tools, we also developed an automated system for management, processing, and data reporting. After one year of use, our Milestones project has resulted in the submission of over 20,000 individual data points. The use of automated statistical methods to generate resident-specific profiles has allowed for dynamic reports of individual residents' progress. These profiles both summarize data and also allow program directors access to more granular information as needed. Informatics-driven strategies for data assessment and processing represent feasible solutions to Milestones assessment and analysis, reducing the potential administrative burden for program directors, residents, and staff. Copyright © 2015 AUR. Published by Elsevier Inc. All rights reserved.

  12. Significance of Objective Structured Clinical Examinations to Plastic Surgery Residency Training.

    PubMed

    Simmons, Brian J; Zoghbi, Yasmina; Askari, Morad; Birnbach, David J; Shekhter, Ilya; Thaller, Seth R

    2017-09-01

    Objective structured clinical examinations (OSCEs) have proven to be a powerful tool. They possess more than a 30-year track record in assessing the competency of medical students, residents, and fellows. Objective structured clinical examinations have been used successfully in a variety of medical specialties, including surgery. They have recently found their way into the subspecialty of plastic surgery. This article uses a systematic review of the available literature on OSCEs and their recent use in plastic surgery. It incorporates survey results assessing program directors' views on the use of OSCEs. Approximately 40% of programs surveyed use OSCEs to assess the Accreditation Council for Graduate Medical Education core competencies. We found that 40% use OSCEs to evaluate specific plastic surgery milestones. Objective structured clinical examinations are usually performed annually. They cost anywhere between $100 and more than $1000 per resident. Four milestones giving residents the most difficulties on OSCEs were congenital anomalies, noncancer breast surgery, breast reconstruction, and practice-based learning and improvement. It was determined that challenges with milestones were due to lack of adequate general knowledge and surgical ward patient care, as well as deficits in professionalism and system-based problems. Programs were able to remediate weakness found by OSCEs using a variety of methods. Objective structured clinical examinations offer a unique tool to objectively assess the proficiency of residents in key areas of the Accreditation Council for Graduate Medical Education core competencies. In addition, they can be used to assess the specific milestones that plastic surgery residents must meet. This allows programs to identify and improve identified areas of weakness.

  13. Midwest Research-to-Practice Conference (10th, St. Paul, Minnesota, October 3-4, 1991). Conference Proceedings [and] Addendum.

    ERIC Educational Resources Information Center

    Minnesota Univ., Minneapolis. Coll. of Education.

    These proceedings and addendum contain 31 papers: "Linking Motivation and Participation in Adult Education" (Babchuk, Courtney); "Workplace Literacy Education as Contextual Learning" (Babchuk, Dirkx); "Model for Focusing Research in Adult Agricultural Education" (Birkenholz et al.); "A Research Agenda for Adult Civic Education" (Boggs,…

  14. Action Plan for Florida's Public Libraries. Addendum.

    ERIC Educational Resources Information Center

    Florida Library Study Commission, Tallahassee.

    The introduction to this addendum (the Action Plan is LI 004 521) discusses the present use by libraries of information-handling technology and identifies some of the trends taking place in performing essential library services. While some limited inroads have been made in automating certain public library functions, the bulk of services is still…

  15. Volpe Aircraft Noise Certification Instrumentation Validation, Data Submittal Guidance; [Addendum to Letter Report V324-FB48B3-LR2

    DOT National Transportation Integrated Search

    2017-09-15

    This addendum to Volpe Letter Report V324-FB48B3-LR2 provides guidance for applicants submitting data and information for validation of noise measurement, recording, and analysis instrumentation systems. Such validation is required by Federal Aviatio...

  16. 77 FR 52749 - 30-Day Proposed Information Collection: Addendum to Declaration for Federal Employment, Child...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-30

    ... Collection: Addendum to Declaration for Federal Employment, Child Care and Indian Child Care Worker Positions... Care and Indian Child Care Worker Positions (OMB No. 0917-0028). Type of Information Collection Request... Declaration for Federal Employment, Child Care and Indian Child Care Worker Positions.'' Although there was a...

  17. 78 FR 30362 - Self-Regulatory Organizations; National Securities Clearing Corporation; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-22

    ... SECURITIES AND EXCHANGE COMMISSION [Release No. 34-69596; File No. SR-NSCC-2013-06] Self... Effectiveness of Proposed Rule Change To Modify Fees Related to Portfolio Composition File Reporting in Addendum... Portfolio Composition File Reporting in Addendum A of NSCC's Rules and Procedures (``Rules''), as described...

  18. 77 FR 21782 - International Conference on Harmonisation; Draft Guidance for Industry on E2C(R2) Periodic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-11

    ... electronic submission of individual case safety reports to regulatory authorities, automated data mining... Safety Data Management: Periodic Safety Update Reports for Marketed Drugs'' (E2C guidance) and ``Addendum to E2C Clinical Safety Data Management: Periodic Safety Update Reports for Marketed Drugs'' (addendum...

  19. Peacekeeper Quantity-Distance Verification Program and Addendum.

    DTIC Science & Technology

    1984-06-01

    Zelasko, Project Manager, Geomechanics Division (GD). Structural designs and details were furnished to WES by TRW. Field support was provided to WES by...discontinuities in the direction in which the internal pressure is applied . The SDOF result described in Figure 6-12B supported this assumption. Next, to estimate... apply scale factors based on a drag coefficient of 0.5 toward development of Q-D estimates. During a presentation to the Department of Defense

  20. Progress toward improved leadership and management training in pathology.

    PubMed

    Weiss, Ronald L; Hassell, Lewis A; Parks, Eric R

    2014-04-01

    Competency gaps in leadership and laboratory management skills continue to exist between what training programs deliver and what recent graduates and future employers expect. A number of recent surveys substantiate this. Interest in delivering content in these areas is challenged by time constraints, the presence of knowledgeable faculty role models, and the necessary importance placed on diagnostic skills development, which overshadows any priority trainees have toward developing these skills. To describe the problem, the near-future horizon, the current solutions, and the recommendations for improving resident training in laboratory management. The demands of new health care delivery models and the value being placed on these skills by the Pathology Milestones and Next Accreditation System initiative of the Accreditation Council for Graduate Medical Education for training programs emphasizes their importance. This initiative includes 6 milestone competencies in laboratory management. Organizations like the American Society for Clinical Pathology, the American Pathology Foundation, the College of American Pathologists, and the Association of Pathology Chairs Program Directors Section recognize these competencies and are working to create new tools for training programs to deploy. It is our recommendation that (1) every training program develop a formal educational strategy for management training, (2) greater opportunity and visibility be afforded for peer-reviewed publications on management topics in mainstream pathology literature, and (3) pathology milestones-oriented tools be developed to assist program directors and their trainees in developing this necessary knowledge and skills.

  1. 20 CFR 411.560 - Is it possible to pay a milestone or outcome payment to more than one EN?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Is it possible to pay a milestone or outcome payment to more than one EN? 411.560 Section 411.560 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.560 Is it...

  2. 20 CFR 411.560 - Is it possible to pay a milestone or outcome payment to more than one EN?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Is it possible to pay a milestone or outcome payment to more than one EN? 411.560 Section 411.560 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.560 Is it...

  3. 20 CFR 411.560 - Is it possible to pay a milestone or outcome payment to more than one EN?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Is it possible to pay a milestone or outcome payment to more than one EN? 411.560 Section 411.560 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.560 Is it...

  4. Study of solid rocket motors for a space shuttle booster. Volume 2, book 3, addendum 1: Cost estimating data

    NASA Technical Reports Server (NTRS)

    Vonderesch, A. H.

    1972-01-01

    A second iteration of the program baseline configuration and cost for the solid propellant rocket engines used with the space shuttle booster system is presented. The purpose of the study was to ensure that total program costs were complete and to review areas where costs might be overly conservative and could be reduced. Labor and material were analyzed in more depth, more definition was prepared to separate recurring from nonrecurring costs, and the operations portions of the engine and stage were separated into more identifiable activities.

  5. Addendum to: Centrality dependence of high-pT D-meson suppression in Pb-Pb collisions at √{{s}_{NN}}=2.76 TeV

    NASA Astrophysics Data System (ADS)

    Adam, J.; Adamová, D.; Aggarwal, M. M.; Aglieri Rinella, G.; Agnello, M.; Agrawal, N.; Ahammed, Z.; Ahn, S. U.; Aimo, I.; Aiola, S.; Ajaz, M.; Akindinov, A.; Alam, S. N.; Aleksandrov, D.; Alessandro, B.; Alexandre, D.; Alfaro Molina, R.; Alici, A.; Alkin, A.; Almaraz, J. R. M.; Alme, J.; Alt, T.; Altinpinar, S.; Altsybeev, I.; Alves Garcia Prado, C.; Andrei, C.; Andronic, A.; Anguelov, V.; Anielski, J.; Antičić, T.; Antinori, F.; Antonioli, P.; Aphecetche, L.; Appelshäuser, H.; Arcelli, S.; Armesto, N.; Arnaldi, R.; Arsene, I. C.; Arslandok, M.; Audurier, B.; Augustinus, A.; Averbeck, R.; Azmi, M. D.; Bach, M.; Badalà, A.; Baek, Y. W.; Bagnasco, S.; Bailhache, R.; Bala, R.; Baldisseri, A.; Baltasar Dos Santos Pedrosa, F.; Baral, R. C.; Barbano, A. M.; Barbera, R.; Barile, F.; Barnaföldi, G. G.; Barnby, L. S.; Barret, V.; Bartalini, P.; Barth, K.; Bartke, J.; Bartsch, E.; Basile, M.; Bastid, N.; Basu, S.; Bathen, B.; Batigne, G.; Batista Camejo, A.; Batyunya, B.; Batzing, P. C.; Bearden, I. G.; Beck, H.; Bedda, C.; Behera, N. K.; Belikov, I.; Bellini, F.; Bello Martinez, H.; Bellwied, R.; Belmont, R.; Belmont-Moreno, E.; Belyaev, V.; Bencedi, G.; Beole, S.; Berceanu, I.; Bercuci, A.; Berdnikov, Y.; Berenyi, D.; Bertens, R. A.; Berzano, D.; Betev, L.; Bhasin, A.; Bhat, I. R.; Bhati, A. K.; Bhattacharjee, B.; Bhom, J.; Bianchi, L.; Bianchi, N.; Bianchin, C.; Bielčík, J.; Bielčíková, J.; Bilandzic, A.; Biswas, R.; Biswas, S.; Bjelogrlic, S.; Blanco, F.; Blau, D.; Blume, C.; Bock, F.; Bogdanov, A.; Bøggild, H.; Boldizsár, L.; Bombara, M.; Book, J.; Borel, H.; Borissov, A.; Borri, M.; Bossú, F.; Botta, E.; Böttger, S.; Braun-Munzinger, P.; Bregant, M.; Breitner, T.; Broker, T. A.; Browning, T. A.; Broz, M.; Brucken, E. J.; Bruna, E.; Bruno, G. E.; Budnikov, D.; Buesching, H.; Bufalino, S.; Buncic, P.; Busch, O.; Buthelezi, Z.; Butt, J. B.; Buxton, J. T.; Caffarri, D.; Cai, X.; Caines, H.; Calero Diaz, L.; Caliva, A.; Calvo Villar, E.; Camerini, P.; Carena, F.; Carena, W.; Castillo Castellanos, J.; Castro, A. J.; Casula, E. A. R.; Cavicchioli, C.; Ceballos Sanchez, C.; Cepila, J.; Cerello, P.; Cerkala, J.; Chang, B.; Chapeland, S.; Chartier, M.; Charvet, J. L.; Chattopadhyay, S.; Chattopadhyay, S.; Chelnokov, V.; Cherney, M.; Cheshkov, C.; Cheynis, B.; Chibante Barroso, V.; Chinellato, D. D.; Chochula, P.; Choi, K.; Chojnacki, M.; Choudhury, S.; Christakoglou, P.; Christensen, C. H.; Christiansen, P.; Chujo, T.; Chung, S. U.; Chunhui, Z.; Cicalo, C.; Cifarelli, L.; Cindolo, F.; Cleymans, J.; Colamaria, F.; Colella, D.; Collu, A.; Colocci, M.; Conesa Balbastre, G.; Conesa del Valle, Z.; Connors, M. E.; Contreras, J. G.; Cormier, T. M.; Corrales Morales, Y.; Cortés Maldonado, I.; Cortese, P.; Cosentino, M. R.; Costa, F.; Crochet, P.; Cruz Albino, R.; Cuautle, E.; Cunqueiro, L.; Dahms, T.; Dainese, A.; Danu, A.; Das, D.; Das, I.; Das, S.; Dash, A.; Dash, S.; De, S.; De Caro, A.; de Cataldo, G.; de Cuveland, J.; De Falco, A.; De Gruttola, D.; De Marco, N.; De Pasquale, S.; Deisting, A.; Deloff, A.; Dénes, E.; D'Erasmo, G.; Di Bari, D.; Di Mauro, A.; Di Nezza, P.; Diaz Corchero, M. A.; Dietel, T.; Dillenseger, P.; Divià, R.; Djuvsland, Ø.; Dobrin, A.; Dobrowolski, T.; Domenicis Gimenez, D.; Dönigus, B.; Dordic, O.; Dubey, A. K.; Dubla, A.; Ducroux, L.; Dupieux, P.; Ehlers, R. J.; Elia, D.; Engel, H.; Erazmus, B.; Erdemir, I.; Erhardt, F.; Eschweiler, D.; Espagnon, B.; Estienne, M.; Esumi, S.; Eum, J.; Evans, D.; Evdokimov, S.; Eyyubova, G.; Fabbietti, L.; Fabris, D.; Faivre, J.; Fantoni, A.; Fasel, M.; Feldkamp, L.; Felea, D.; Feliciello, A.; Feofilov, G.; Ferencei, J.; Fernández Téllez, A.; Ferreiro, E. G.; Ferretti, A.; Festanti, A.; Feuillard, V. J. G.; Figiel, J.; Figueredo, M. A. S.; Filchagin, S.; Finogeev, D.; Fiore, E. M.; Fleck, M. G.; Floris, M.; Foertsch, S.; Foka, P.; Fokin, S.; Fragiacomo, E.; Francescon, A.; Frankenfeld, U.; Fuchs, U.; Furget, C.; Furs, A.; Fusco Girard, M.; Gaardhøje, J. J.; Gagliardi, M.; Gago, A. M.; Gallio, M.; Gangadharan, D. R.; Ganoti, P.; Gao, C.; Garabatos, C.; Garcia-Solis, E.; Gargiulo, C.; Gasik, P.; Germain, M.; Gheata, A.; Gheata, M.; Ghosh, P.; Ghosh, S. K.; Gianotti, P.; Giubellino, P.; Giubilato, P.; Gladysz-Dziadus, E.; Glässel, P.; Gomez Ramirez, A.; González-Zamora, P.; Gorbunov, S.; Görlich, L.; Gotovac, S.; Grabski, V.; Graczykowski, L. K.; Graham, K. L.; Grelli, A.; Grigoras, A.; Grigoras, C.; Grigoriev, V.; Grigoryan, A.; Grigoryan, S.; Grinyov, B.; Grion, N.; Grosse-Oetringhaus, J. F.; Grossiord, J.-Y.; Grosso, R.; Guber, F.; Guernane, R.; Guerzoni, B.; Gulbrandsen, K.; Gulkanyan, H.; Gunji, T.; Gupta, A.; Gupta, R.; Haake, R.; Haaland, Ø.; Hadjidakis, C.; Haiduc, M.; Hamagaki, H.; Hamar, G.; Hansen, A.; Harris, J. W.; Hartmann, H.; Harton, A.; Hatzifotiadou, D.; Hayashi, S.; Heckel, S. T.; Heide, M.; Helstrup, H.; Herghelegiu, A.; Herrera Corral, G.; Hess, B. A.; Hetland, K. F.; Hilden, T. E.; Hillemanns, H.; Hippolyte, B.; Hosokawa, R.; Hristov, P.; Huang, M.; Humanic, T. J.; Hussain, N.; Hussain, T.; Hutter, D.; Hwang, D. S.; Ilkaev, R.; Ilkiv, I.; Inaba, M.; Ippolitov, M.; Irfan, M.; Ivanov, M.; Ivanov, V.; Izucheev, V.; Jacobs, P. M.; Jadlovska, S.; Jahnke, C.; Jang, H. J.; Janik, M. A.; Jayarathna, P. H. S. Y.; Jena, C.; Jena, S.; Jimenez Bustamante, R. T.; Jones, P. G.; Jung, H.; Jusko, A.; Kalinak, P.; Kalweit, A.; Kamin, J.; Kang, J. H.; Kaplin, V.; Kar, S.; Karasu Uysal, A.; Karavichev, O.; Karavicheva, T.; Karayan, L.; Karpechev, E.; Kebschull, U.; Keidel, R.; Keijdener, D. L. D.; Keil, M.; Khan, K. H.; Khan, M. M.; Khan, P.; Khan, S. A.; Khanzadeev, A.; Kharlov, Y.; Kileng, B.; Kim, B.; Kim, D. W.; Kim, D. J.; Kim, H.; Kim, J. S.; Kim, M.; Kim, M.; Kim, S.; Kim, T.; Kirsch, S.; Kisel, I.; Kiselev, S.; Kisiel, A.; Kiss, G.; Klay, J. L.; Klein, C.; Klein, J.; Klein-Bösing, C.; Kluge, A.; Knichel, M. L.; Knospe, A. G.; Kobayashi, T.; Kobdaj, C.; Kofarago, M.; Kollegger, T.; Kolojvari, A.; Kondratiev, V.; Kondratyeva, N.; Kondratyuk, E.; Konevskikh, A.; Kopcik, M.; Kour, M.; Kouzinopoulos, C.; Kovalenko, O.; Kovalenko, V.; Kowalski, M.; Koyithatta Meethaleveedu, G.; Kral, J.; Králik, I.; Kravčáková, A.; Krelina, M.; Kretz, M.; Krivda, M.; Krizek, F.; Kryshen, E.; Krzewicki, M.; Kubera, A. M.; Kučera, V.; Kugathasan, T.; Kuhn, C.; Kuijer, P. G.; Kulakov, I.; Kumar, A.; Kumar, J.; Kumar, L.; Kurashvili, P.; Kurepin, A.; Kurepin, A. B.; Kuryakin, A.; Kushpil, S.; Kweon, M. J.; Kwon, Y.; La Pointe, S. L.; La Rocca, P.; Lagana Fernandes, C.; Lakomov, I.; Langoy, R.; Lara, C.; Lardeux, A.; Lattuca, A.; Laudi, E.; Lea, R.; Leardini, L.; Lee, G. R.; Lee, S.; Legrand, I.; Lehas, F.; Lemmon, R. C.; Lenti, V.; Leogrande, E.; León Monzón, I.; Leoncino, M.; Lévai, P.; Li, S.; Li, X.; Lien, J.; Lietava, R.; Lindal, S.; Lindenstruth, V.; Lippmann, C.; Lisa, M. A.; Ljunggren, H. M.; Lodato, D. F.; Loenne, P. I.; Loginov, V.; Loizides, C.; Lopez, X.; López Torres, E.; Lowe, A.; Luettig, P.; Lunardon, M.; Luparello, G.; Luz, P. H. F. N. D.; Maevskaya, A.; Mager, M.; Mahajan, S.; Mahmood, S. M.; Maire, A.; Majka, R. D.; Malaev, M.; Maldonado Cervantes, I.; Malinina, L.; Mal'Kevich, D.; Malzacher, P.; Mamonov, A.; Manko, V.; Manso, F.; Manzari, V.; Marchisone, M.; Mareš, J.; Margagliotti, G. V.; Margotti, A.; Margutti, J.; Marín, A.; Markert, C.; Marquard, M.; Martin, N. A.; Martin Blanco, J.; Martinengo, P.; Martínez, M. I.; Martínez García, G.; Martinez Pedreira, M.; Martynov, Y.; Mas, A.; Masciocchi, S.; Masera, M.; Masoni, A.; Massacrier, L.; Mastroserio, A.; Masui, H.; Matyja, A.; Mayer, C.; Mazer, J.; Mazzoni, M. A.; Mcdonald, D.; Meddi, F.; Melikyan, Y.; Menchaca-Rocha, A.; Meninno, E.; Mercado Pérez, J.; Meres, M.; Miake, Y.; Mieskolainen, M. M.; Mikhaylov, K.; Milano, L.; Milosevic, J.; Minervini, L. M.; Mischke, A.; Mishra, A. N.; Miskowiec, D.; Mitra, J.; Mitu, C. M.; Mohammadi, N.; Mohanty, B.; Molnar, L.; Montaño Zetina, L.; Montes, E.; Morando, M.; Moreira De Godoy, D. A.; Moretto, S.; Morreale, A.; Morsch, A.; Muccifora, V.; Mudnic, E.; Mühlheim, D.; Muhuri, S.; Mukherjee, M.; Mulligan, J. D.; Munhoz, M. G.; Murray, S.; Musa, L.; Musinsky, J.; Nandi, B. K.; Nania, R.; Nappi, E.; Naru, M. U.; Nattrass, C.; Nayak, K.; Nayak, T. K.; Nazarenko, S.; Nedosekin, A.; Nellen, L.; Ng, F.; Nicassio, M.; Niculescu, M.; Niedziela, J.; Nielsen, B. S.; Nikolaev, S.; Nikulin, S.; Nikulin, V.; Noferini, F.; Nomokonov, P.; Nooren, G.; Noris, J. C. C.; Norman, J.; Nyanin, A.; Nystrand, J.; Oeschler, H.; Oh, S.; Oh, S. K.; Ohlson, A.; Okatan, A.; Okubo, T.; Olah, L.; Oleniacz, J.; Oliveira Da Silva, A. C.; Oliver, M. H.; Onderwaater, J.; Oppedisano, C.; Orava, R.; Ortiz Velasquez, A.; Oskarsson, A.; Otwinowski, J.; Oyama, K.; Ozdemir, M.; Pachmayer, Y.; Pagano, P.; Paić, G.; Pajares, C.; Pal, S. K.; Pan, J.; Pandey, A. K.; Pant, D.; Papcun, P.; Papikyan, V.; Pappalardo, G. S.; Pareek, P.; Park, W. J.; Parmar, S.; Passfeld, A.; Paticchio, V.; Patra, R. N.; Paul, B.; Peitzmann, T.; Pereira Da Costa, H.; Pereira De Oliveira Filho, E.; Peresunko, D.; Pérez Lara, C. E.; Perez Lezama, E.; Peskov, V.; Pestov, Y.; Petráček, V.; Petrov, V.; Petrovici, M.; Petta, C.; Piano, S.; Pikna, M.; Pillot, P.; Pinazza, O.; Pinsky, L.; Piyarathna, D. B.; Ploskon, M.; Planinic, M.; Pluta, J.; Pochybova, S.; Podesta-Lerma, P. L. M.; Poghosyan, M. G.; Polichtchouk, B.; Poljak, N.; Poonsawat, W.; Pop, A.; Porteboeuf-Houssais, S.; Porter, J.; Pospisil, J.; Prasad, S. K.; Preghenella, R.; Prino, F.; Pruneau, C. A.; Pshenichnov, I.; Puccio, M.; Puddu, G.; Pujahari, P.; Punin, V.; Putschke, J.; Qvigstad, H.; Rachevski, A.; Raha, S.; Rajput, S.; Rak, J.; Rakotozafindrabe, A.; Ramello, L.; Raniwala, R.; Raniwala, S.; Räsänen, S. S.; Rascanu, B. T.; Rathee, D.; Read, K. F.; Real, J. S.; Redlich, K.; Reed, R. J.; Rehman, A.; Reichelt, P.; Reidt, F.; Ren, X.; Renfordt, R.; Reolon, A. R.; Reshetin, A.; Rettig, F.; Revol, J.-P.; Reygers, K.; Riabov, V.; Ricci, R. A.; Richert, T.; Richter, M.; Riedler, P.; Riegler, W.; Riggi, F.; Ristea, C.; Rivetti, A.; Rocco, E.; Rodríguez Cahuantzi, M.; Rodriguez Manso, A.; Røed, K.; Rogochaya, E.; Rohr, D.; Röhrich, D.; Romita, R.; Ronchetti, F.; Ronflette, L.; Rosnet, P.; Rossi, A.; Roukoutakis, F.; Roy, A.; Roy, C.; Roy, P.; Rubio Montero, A. J.; Rui, R.; Russo, R.; Ryabinkin, E.; Ryabov, Y.; Rybicki, A.; Sadovsky, S.; Šafařík, K.; Sahlmuller, B.; Sahoo, P.; Sahoo, R.; Sahoo, S.; Sahu, P. K.; Saini, J.; Sakai, S.; Saleh, M. A.; Salgado, C. A.; Salzwedel, J.; Sambyal, S.; Samsonov, V.; Sanchez Castro, X.; Šándor, L.; Sandoval, A.; Sano, M.; Sarkar, D.; Scapparone, E.; Scarlassara, F.; Scharenberg, R. P.; Schiaua, C.; Schicker, R.; Schmidt, C.; Schmidt, H. R.; Schuchmann, S.; Schukraft, J.; Schulc, M.; Schuster, T.; Schutz, Y.; Schwarz, K.; Schweda, K.; Scioli, G.; Scomparin, E.; Scott, R.; Seeder, K. S.; Seger, J. E.; Sekiguchi, Y.; Sekihata, D.; Selyuzhenkov, I.; Senosi, K.; Seo, J.; Serradilla, E.; Sevcenco, A.; Shabanov, A.; Shabetai, A.; Shadura, O.; Shahoyan, R.; Shangaraev, A.; Sharma, A.; Sharma, M.; Sharma, M.; Sharma, N.; Shigaki, K.; Shtejer, K.; Sibiriak, Y.; Siddhanta, S.; Sielewicz, K. M.; Siemiarczuk, T.; Silvermyr, D.; Silvestre, C.; Simatovic, G.; Simonetti, G.; Singaraju, R.; Singh, R.; Singha, S.; Singhal, V.; Sinha, B. C.; Sinha, T.; Sitar, B.; Sitta, M.; Skaali, T. B.; Slupecki, M.; Smirnov, N.; Snellings, R. J. M.; Snellman, T. W.; Søgaard, C.; Soltz, R.; Song, J.; Song, M.; Song, Z.; Soramel, F.; Sorensen, S.; Spacek, M.; Spiriti, E.; Sputowska, I.; Spyropoulou-Stassinaki, M.; Srivastava, B. K.; Stachel, J.; Stan, I.; Stefanek, G.; Steinpreis, M.; Stenlund, E.; Steyn, G.; Stiller, J. H.; Stocco, D.; Strmen, P.; Suaide, A. A. P.; Sugitate, T.; Suire, C.; Suleymanov, M.; Sultanov, R.; Šumbera, M.; Symons, T. J. M.; Szabo, A.; Szanto de Toledo, A.; Szarka, I.; Szczepankiewicz, A.; Szymanski, M.; Takahashi, J.; Tanaka, N.; Tangaro, M. A.; Tapia Takaki, J. D.; Tarantola Peloni, A.; Tarhini, M.; Tariq, M.; Tarzila, M. G.; Tauro, A.; Tejeda Muñoz, G.; Telesca, A.; Terasaki, K.; Terrevoli, C.; Teyssier, B.; Thäder, J.; Thomas, D.; Tieulent, R.; Timmins, A. R.; Toia, A.; Trogolo, S.; Trubnikov, V.; Trzaska, W. H.; Tsuji, T.; Tumkin, A.; Turrisi, R.; Tveter, T. S.; Ullaland, K.; Uras, A.; Usai, G. L.; Utrobicic, A.; Vajzer, M.; Vala, M.; Valencia Palomo, L.; Vallero, S.; Van Der Maarel, J.; Van Hoorne, J. W.; van Leeuwen, M.; Vanat, T.; Vande Vyvre, P.; Varga, D.; Vargas, A.; Vargyas, M.; Varma, R.; Vasileiou, M.; Vasiliev, A.; Vauthier, A.; Vechernin, V.; Veen, A. M.; Veldhoen, M.; Velure, A.; Venaruzzo, M.; Vercellin, E.; Vergara Limón, S.; Vernet, R.; Verweij, M.; Vickovic, L.; Viesti, G.; Viinikainen, J.; Vilakazi, Z.; Villalobos Baillie, O.; Vinogradov, A.; Vinogradov, L.; Vinogradov, Y.; Virgili, T.; Vislavicius, V.; Viyogi, Y. P.; Vodopyanov, A.; Völkl, M. A.; Voloshin, K.; Voloshin, S. A.; Volpe, G.; von Haller, B.; Vorobyev, I.; Vranic, D.; Vrláková, J.; Vulpescu, B.; Vyushin, A.; Wagner, B.; Wagner, J.; Wang, H.; Wang, M.; Wang, Y.; Watanabe, D.; Watanabe, Y.; Weber, M.; Weber, S. G.; Wessels, J. P.; Westerhoff, U.; Wiechula, J.; Wikne, J.; Wilde, M.; Wilk, G.; Wilkinson, J.; Williams, M. C. S.; Windelband, B.; Winn, M.; Yaldo, C. G.; Yang, H.; Yang, P.; Yano, S.; Yin, Z.; Yokoyama, H.; Yoo, I.-K.; Yurchenko, V.; Yushmanov, I.; Zaborowska, A.; Zaccolo, V.; Zaman, A.; Zampolli, C.; Zanoli, H. J. C.; Zaporozhets, S.; Zardoshti, N.; Zarochentsev, A.; Závada, P.; Zaviyalov, N.; Zbroszczyk, H.; Zgura, I. S.; Zhalov, M.; Zhang, H.; Zhang, X.; Zhang, Y.; Zhao, C.; Zhigareva, N.; Zhou, D.; Zhou, Y.; Zhou, Z.; Zhu, H.; Zhu, J.; Zhu, X.; Zichichi, A.; Zimmermann, A.; Zimmermann, M. B.; Zinovjev, G.; Zyzak, M.

    2017-06-01

    This is an addendum to the article JHEP 11 (2015) 205 [1]. The figures 3 (right), 4 (right) and 5 are updated with published results on non-prompt J/ ψ-meson production from the CMS collaboration [2]. [Figure not available: see fulltext.

  6. State Implementation Plans; General Preamble & Lead (Pb) Addendum for the Implementation of Title I of the Clean Air Act (CAA) Amendments of 1990 (57 FR 13498 & 58 FR 67748)

    EPA Pesticide Factsheets

    This page contains a copy of the 1993 & 1993 Federal Register publications of the State Implementation Plans (SIPs); General Preamble & Lead (Pb) Addendum for the Implementation of Title I of the Clean Air Act (CAA) Amendments of 1990.

  7. 78 FR 76889 - Proposed Addendum to the Interagency Policy Statement on Income Tax Allocation in a Holding...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-19

    ... Interagency Policy Statement on Income Tax Allocation in a Holding Company Structure AGENCY: Board of... ``Interagency Policy Statement on Income Tax Allocation in a Holding Company Structure'' (63 FR 64757, Nov. 23... appropriate relationship regarding the payment of taxes and treatment of tax refunds. The Proposed Addendum...

  8. 76 FR 31379 - Notice of Availability of Environmental Assessment and Finding of No Significant Impact for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ... for approval as an addendum to the DP, Revision 2 (Derivation of the Site-Specific Soil DCGLs Addendum Soil DCGLs for Thorium and Radium). The revised DP does not change any previously approved remediation... ensures safety and protection of the public and the environment. Environmental Impacts of the Proposed...

  9. Addendum to Effectiveness of Cognitive Tutor Algebra I at Scale. Working Paper WR-1050-DEIES

    ERIC Educational Resources Information Center

    Pane, John F.; Griffin, Beth Ann; McCaffrey, Daniel F.; Karam, Rita

    2014-01-01

    This addendum to previously published results presents alternative analyses of data from large-scale effectiveness studies of Cognitive Tutor Algebra I in middle schools and high schools. These alternative analyses produce results that are substantively the same as previously reported. We find a significant positive effect of 0.21 standard…

  10. 76 FR 53942 - Notice of Lodging of First Addendum to Consent Decree Under the Emergency Planning and Community...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-30

    ... DEPARTMENT OF JUSTICE Notice of Lodging of First Addendum to Consent Decree Under the Emergency Planning and Community Right-To-Know Act, the Clean Water Act, the Resource Conservation and Recovery Act, the Federal Insecticide, Fungicide, and Rodenticide Act, the Comprehensive Environmental Response, Compensation, and Liability Act, the Safe...

  11. Methods for Analyzing the Attainment of Graduate School Milestones: A Case Study. GRE Board Professional Report No. 86-3P.

    ERIC Educational Resources Information Center

    Zwick, Rebecca; Braun, Henry I.

    Using a data base compiled by the Graduate School of Northwestern University, a longitudinal study of the graduate school careers of 2,211 students in 14 programs was conducted. Among the most prominent findings was the increase in the enrollment of foreign students. The patterns of attainment of graduate school milestones, such as Ph. D.…

  12. Use of Key Performance Indicators to Improve Milestone Assessment in Semi-Annual Clinical Competency Committee Meetings.

    PubMed

    Chen, Fei; Arora, Harendra; Martinelli, Susan M

    2017-01-01

    The Accreditation Council for Graduate Medical Education's Next Accreditation System requires residency programs to semiannually submit composite milestone data on each resident's performance. This report describes and evaluates a new assessment review procedure piloted in our departmental Clinical Competency Committee (CCC) semi-annual meeting in June 2016. A modified Delphi technique was utilized to develop key performance indicators (KPI) linking milestone descriptors to clinical practice. In addition, the CCC identified six specific milestone sub-competencies that would be prescored with objective data prior to the meeting. Each resident was independently placed on the milestones by 3 different CCC faculty members. Milestone placement data of the same cohort of 42 residents (Clinical Anesthesia Years 1-3) were collected to calculate inter-rater reliability of the assessment procedures before and after the implemented changes. A survey was administrated to collect CCC feedback on the new procedure. The procedure assisted in reducing meeting time from 8 to 3.5 hours. Survey of the CCC members revealed positive perception of the procedure. Higher inter-rater reliability of the milestone placement was obtained using the implemented KPIs (Intraclass correlation coefficient [ICC] single measure range: before=.53-.94, after=.74-.98). We found the new assessment procedure beneficial to the efficiency and transparency of the assessment process. Further improvement of the procedure involves refinement of KPIs and additional faculty development on KPIs to allow non-CCC faculty to provide more accurate resident evaluations.

  13. Use of Key Performance Indicators to Improve Milestone Assessment in Semi-Annual Clinical Competency Committee Meetings

    PubMed Central

    Arora, Harendra; Martinelli, Susan M.

    2017-01-01

    Background: The Accreditation Council for Graduate Medical Education's Next Accreditation System requires residency programs to semiannually submit composite milestone data on each resident's performance. This report describes and evaluates a new assessment review procedure piloted in our departmental Clinical Competency Committee (CCC) semi-annual meeting in June 2016. Methods: A modified Delphi technique was utilized to develop key performance indicators (KPI) linking milestone descriptors to clinical practice. In addition, the CCC identified six specific milestone sub-competencies that would be prescored with objective data prior to the meeting. Each resident was independently placed on the milestones by 3 different CCC faculty members. Milestone placement data of the same cohort of 42 residents (Clinical Anesthesia Years 1–3) were collected to calculate inter-rater reliability of the assessment procedures before and after the implemented changes. A survey was administrated to collect CCC feedback on the new procedure. Results: The procedure assisted in reducing meeting time from 8 to 3.5 hours. Survey of the CCC members revealed positive perception of the procedure. Higher inter-rater reliability of the milestone placement was obtained using the implemented KPIs (Intraclass correlation coefficient [ICC] single measure range: before=.53–.94, after=.74–.98). Conclusion: We found the new assessment procedure beneficial to the efficiency and transparency of the assessment process. Further improvement of the procedure involves refinement of KPIs and additional faculty development on KPIs to allow non-CCC faculty to provide more accurate resident evaluations. PMID:29766033

  14. Twin Valley, Wild Rice River, Minnesota. Addendum.

    DTIC Science & Technology

    1976-05-01

    acres each and one having a drainage area of over 13,000 acres. Along with the impoundment program, p!-oper management of soil and water is stressed ...diversity of both plants and animals associated with this ecotone and stresses its importance: first, because it is an ecotone, and second, because it...1969. Pole stage aspen woods. Thirty-third breeding bird census. Aud. Field Notes 23: 712-713. Cumins , K.W. 1962. An evaluation of some techniques for

  15. Munitions Test Area and Incendiary Drop Site, Site 36-2, Data Addendum, Phase 2.

    DTIC Science & Technology

    1988-09-01

    MUNITIONS TEST AREA AND INCENDIARY DROP SITE (NI September 1988 Contract Number DAAK11-84-D-0016 | • (Version 3.1) Environmental Science And Engineering, Inc...SITE, September 1988 Contract Number DAAK11-84-D-0016 (Version 3.1)I PREPARED BY ENVIRONMENTAL SCIENCE AND ENGINEERING, INC. Harding Lawson Associates I...the Program Managers Office (PMO). Environmental Science and Engineering (ESE), Morrison-Knudsen Engineers (MKE), and Harding Lawson Associates (HLA

  16. Southern Africa: A Study of the Educational Systems of Botswana, Lesotho, South Africa, Southwest Africa/Namibia and Swaziland with an Addendum on Zimbabwe-Rhodesia: A Guide to the Academic Placement of Students in Educational Institutions of the United States.

    ERIC Educational Resources Information Center

    Cranmer, David J.; Woolston, Valerie A.

    The educational systems of Southern African countries are described, and guidelines concerning the placement of students who wish to study in U.S. institutions are provided. Information is provided on educational levels (primary, secondary, and higher education); and types of programs (technical/vocational education, teacher training, and…

  17. NLS-72-Postsecondary Education Transcript Files. Data User's Manual for Revised Transcript, Term, and Course Files. Supplementary Addendum.

    ERIC Educational Resources Information Center

    Adelman, Clifford

    This addendum describes the nature, rationale, and results of the second cleaning and revision of the National Longitudinal Study of 1972 (NLS-72) Postsecondary Education Transcript Files (PETS). This project, conducted for nearly 3 years, followed an initial cleaning and reduction in 1987, which came about as a reaction to the idiosyncratic…

  18. Revised Evaluation of Health Effects Associated with Carbon Monoxide Exposure: An Addendum to the 1979 U.S. EPA Air Quality Criteria Document for Carbon Monoxide (1984)

    EPA Science Inventory

    The addendum re-evaluates the scientific data base concerning health effects associated with exposure to carbon monoxide (CO) at ambient or near ambient levels by providing: (1) a concise summary of key health effects information pertaining to relatively low-level CO exposure; an...

  19. Revolutionary opportunities for materials and structures study, addendum

    NASA Technical Reports Server (NTRS)

    Feig, P. D.

    1987-01-01

    This report is an addendum to the Revolutionary Opportunities for Materials and Structures Study (ROMS), modifying the original by the addition of two tasks. The primary purpose of these tasks was to conduct additional aircraft/engine sizing and mission analysis to obtain contributory aircraft performance data such as fuel burns and direct operating costs for both the subsonic and supersonic engines.

  20. 75 FR 13312 - National Endowment for the Arts; National Council on the Arts 169th Meeting-Addendum

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-19

    ... NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES National Endowment for the Arts; National Council on the Arts 169th Meeting--Addendum Pursuant to section 10(a)(2) of the Federal Advisory Committee... (March 9, 2010--Vol. 75 No. 45) regarding the 169th meeting of the National Council on the Arts. A...

  1. Addendum to Richard D. Altick's Chapter Six on Libraries in "The Art of Literary Research."

    ERIC Educational Resources Information Center

    Moore-Smith, Mary

    This addendum is designed to compensate for Altick's omission of materials by or about black writers in "The Art of Literary Research" and to identify some of the most outstanding public, university, and private library holdings in the United States on American blacks, as well as major Afro-American collections. Major public library…

  2. The Pediatrics Milestones Assessment Pilot: Development of Workplace-Based Assessment Content, Instruments, and Processes.

    PubMed

    Hicks, Patricia J; Margolis, Melissa; Poynter, Sue E; Chaffinch, Christa; Tenney-Soeiro, Rebecca; Turner, Teri L; Waggoner-Fountain, Linda; Lockridge, Robin; Clyman, Stephen G; Schwartz, Alan

    2016-05-01

    To report on the development of content and user feedback regarding the assessment process and utility of the workplace-based assessment instruments of the Pediatrics Milestones Assessment Pilot (PMAP). One multisource feedback instrument and two structured clinical observation instruments were developed and refined by experts in pediatrics and assessment to provide evidence for nine competencies based on the Pediatrics Milestones (PMs) and chosen to inform residency program faculty decisions about learners' readiness to serve as pediatric interns in the inpatient setting. During the 2012-2013 PMAP study, 18 U.S. pediatric residency programs enrolled interns and subinterns. Faculty, residents, nurses, and other observers used the instruments to assess learner performance through direct observation during a one-month rotation. At the end of the rotation, data were aggregated for each learner, milestone levels were assigned using a milestone classification form, and feedback was provided to learners. Learners and site leads were surveyed and/or interviewed about their experience as participants. Across the sites, 2,338 instruments assessing 239 learners were completed by 630 unique observers. Regarding end-of-rotation feedback, 93% of learners (128/137) agreed the assessments and feedback "helped me understand how those with whom I work perceive my performance," and 85% (117/137) agreed they were "useful for constructing future goals or identifying a developmental path." Site leads identified several benefits and challenges to the assessment process. PM-based instruments used in workplace-based assessment provide a meaningful and acceptable approach to collecting evidence of learner competency development. Learners valued feedback provided by PM-based assessment.

  3. Realization of entry-to-practice milestones by Canadians who studied medicine abroad and other international medical graduates: a retrospective cohort study.

    PubMed

    Mathews, Maria; Kandar, Rima; Slade, Steve; Yi, Yanqing; Beardall, Sue; Bourgeault, Ivy

    2017-06-19

    International medical graduates must realize a series of milestones to obtain full licensure. We examined the realization of milestones by Canadian and non-Canadian graduates of Western or Caribbean medical schools, and Canadian and non-Canadian graduates from other medical schools. Using the National IMG Database (data available for 2005-2011), we created 2 cohorts: 1) international medical graduates who had passed the Medical Council of Canada Qualifying Examination Part I between 2005 and 2010 and 2) those who had first entered a family medicine postgraduate program between 2005 and 2009, or had first entered a specialty postgraduate program in 2005 or 2006. We examined 3 entry-to-practice milestones; obtaining a postgraduate position, passing the Medical Council of Canada Qualifying Examination Part II and obtaining a specialty designation. Of the 6925 eligible graduates in cohort 1, 2144 (31.0%) had obtained a postgraduate position. Of the 1214 eligible graduates in cohort 2, 1126 (92.8%) had passed the Qualifying Examination Part II, and 889 (73.2%) had obtained a specialty designation. In multivariate analyses, Canadian graduates of Western or Caribbean medical schools (odds ratio [OR] 4.69, 95% confidence interval [CI] 3.82-5.71) and Canadian graduates of other medical schools (OR 1.49, 95% CI 1.31-1.70) were more likely to obtain a postgraduate position than non-Canadian graduates of other (not Western or Caribbean) medical schools. There was no difference among the groups in passing the Qualifying Examination Part II or obtaining a specialty designation. Canadians who studied abroad were more likely than other international medical graduates to obtain a postgraduate position; there were no differences among the groups in realizing milestones once in a postgraduate program. These findings support policies that do not distinguish postgraduate applicants by citizenship or permanent residency status before medical school. Copyright 2017, Joule Inc. or its licensors.

  4. Have First-Year Emergency Medicine Residents Achieved Level 1 on Care-Based Milestones?

    PubMed Central

    Weizberg, Moshe; Bond, Michael C.; Cassara, Michael; Doty, Christopher; Seamon, Jason

    2015-01-01

    Background Residents in Accreditation Council for Graduate Medical Education accredited emergency medicine (EM) residencies were assessed on 23 educational milestones to capture their progression from medical student level (Level 1) to that of an EM attending physician (Level 5). Level 1 was conceptualized to be at the level of an incoming postgraduate year (PGY)-1 resident; however, this has not been confirmed. Objectives Our primary objective in this study was to assess incoming PGY-1 residents to determine what percentage achieved Level 1 for the 8 emergency department (ED) patient care–based milestones (PC 1–8), as assessed by faculty. Secondary objectives involved assessing what percentage of residents had achieved Level 1 as assessed by themselves, and finally, we calculated the absolute differences between self- and faculty assessments. Methods Incoming PGY-1 residents at 4 EM residencies were assessed by faculty and themselves during their first month of residency. Performance anchors were adapted from ACGME milestones. Results Forty-one residents from 4 programs were included. The percentage of residents who achieved Level 1 for each subcompetency on faculty assessment ranged from 20% to 73%, and on self-assessment from 34% to 92%. The majority did not achieve Level 1 on faculty assessment of milestones PC-2, PC-3, PC-5a, and PC-6, and on self-assessment of PC-3 and PC-5a. Self-assessment was higher than faculty assessment for PC-2, PC-5b, and PC-6. Conclusions Less than 75% of PGY-1 residents achieved Level 1 for ED care-based milestones. The majority did not achieve Level 1 on 4 milestones. Self-assessments were higher than faculty assessments for several milestones. PMID:26692971

  5. Flavonoid Values for USDA Survey Foods and Beverages 2007-2008: Provisional Flavonoid Addendum, FNDDS 4.1 and Flavonoid Intake Data, WWEIA, NHANES 2007-2008

    USDA-ARS?s Scientific Manuscript database

    This release of the Flavonoid Values for Survey Foods and Beverages 2007-2008 makes possible, for the first time, calculation of flavonoid intakes based on all foods and beverages reported in national surveys. This release has two components. The first component is an addendum to USDA’s Food and N...

  6. Note: Derivation of two-photon circular dichroism—Addendum to “Two-photon circular dichroism” [J. Chem. Phys. 62, 1006 (1975)

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

    Friese, Daniel H., E-mail: daniel.h.friese@uit.no

    2015-09-07

    This addendum shows the detailed derivation of the fundamental equations for two-photon circular dichroism which are given in a very condensed form in the original publication [I. Tinoco, J. Chem. Phys. 62, 1006 (1975)]. In addition, some minor errors are corrected and some of the derivations in the original publication are commented.

  7. Vaccine Immunotherapy for Prostate Cancer. Addendum

    DTIC Science & Technology

    2007-07-01

    a hemostatic agent. It is a water-insoluble, off-white, non- elastic, porous, pliable product prepared from purified pork skin. The Gelfoam gelatin ...increasing gelatin volume (27). PROTOCOL #1 Lubaroff; final addendum report, page 8 The mechanism of action of surface-mediated hemostatic devices is...and the clinical protocol. 3.2.14 Allergy or religious objection to pork products; Gelfoam is produced from pork. 4. Registration Procedures

  8. Some Thoughts on Stability in Nonlinear Periodic Focusing Systems [Addendum

    DOE R&D Accomplishments Database

    McMillan, Edwin M.

    1968-03-29

    Addendum to September 5, 1967 report with the same title and with the abstract: A brief discussion is given of the long-term stability of particle motions through periodic focusing structures containing lumped nonlinear elements. A method is presented whereby one can specify the nonlinear elements in such a way as to generate a variety of structures in which the motion has long-term stability.

  9. Integrating Quality Improvement Education into the Nephrology Curricular Milestones Framework and the Clinical Learning Environment Review

    PubMed Central

    Prince, Lisa K.; Little, Dustin J.; Schexneider, Katherine I.

    2017-01-01

    The Accreditation Council for Graduate Medical Education requires that trainees show progressive milestone attainment in the practice–based learning and systems–based practice competencies. As part of the Clinical Learning Environment Review, sponsoring hospitals must educate trainees in health care quality improvement, provide them with specialty–specific quality data, and ensure trainee participation in quality improvement activities and committees. Subspecialty–specific quality improvement curricula in nephrology training programs have not been reported, although considerable curricular and assessment material exists for specialty residencies, including tools for assessing trainee and faculty competence. Nephrology–specific didactic material exists to assist nephrology fellows and faculty mentors in designing and implementing quality improvement projects. Nephrology is notable among internal medicine subspecialties for the emphasis placed on adherence to quality thresholds—specifically for chronic RRT shown by the Centers for Medicare and Medicaid Services Quality Incentive Program. We have developed a nephrology-specific curriculum that meets Accreditation Council for Graduate Medical Education and Clinical Learning Environment Review requirements, acknowledges regulatory quality improvement requirements, integrates with ongoing divisional quality improvement activities, and has improved clinical care and the training program. In addition to didactic training in quality improvement, we track trainee compliance with Kidney Disease Improving Global Outcomes CKD and ESRD quality indicators (emphasizing Quality Improvement Program indicators), and fellows collaborate on a yearly multidisciplinary quality improvement project. Over the past 6 years, each fellowship class has, on the basis of a successful quality improvement project, shown milestone achievement in Systems-Based Practice and Practice-Based Learning. Fellow quality improvement projects have improved nephrology clinical care within the institution and introduced new educational and assessment tools to the training program. All have been opportunities for quality improvement scholarship. The curriculum prepares fellows to apply quality improvement principals in independent clinical practice—while showing milestone advancement and divisional compliance with Clinical Learning Environment Review requirements. PMID:28174318

  10. Susan Hinnen | NREL

    Science.gov Websites

    Technology to Market subprogram. Sue focuses on effective management, planning, milestone tracking, reporting Market programs, the Federal Energy Management Program Office, and the Office of Strategic Programs administration, planning and financial analysis. Education Human Resources Management, Employee Relations and

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

    Not Available

    This outreach publication highlights federal program milestones and accomplishments of the DOE Geothermal Technologies Program for 2003. This is a special 8-page Spanish supplement for the audience at the Geothermal Resources Council/Geothermal Energy Association Annual Meeting and Industry Exhibit, Morelia, Mexico.

  12. The problem resident behavior guide: strategies for remediation.

    PubMed

    Williamson, Kelly; Quattromani, Erin; Aldeen, Amer

    2016-04-01

    In 2012, the ACGME supplemented the core competencies with outcomes-based milestones for resident performance within the six competency domains. These milestones address the knowledge, skills, abilities, attitudes, and experiences that a resident is expected to progress through during the course of training. Even prior to the initiation of the milestones, there was a paucity of EM literature addressing the remediation of problem resident behaviors and there remain few readily accessible tools to aid in the implementation of a remediation plan. The goal of the "Problem Resident Behavior Guide" is to provide specific strategies for resident remediation based on deficiencies identified within the framework of the EM milestones. The "Problem Resident Behavior Guide" is a written instructional manual that provides concrete examples of remediation strategies to address specific milestone deficiencies. The more than 200 strategies stem from the experiences of the authors who have professional experience at three different academic hospitals and emergency medicine residency programs, supplemented by recommendations from educational leaders as well as utilization of valuable education adjuncts, such as focused simulation exercises, lecture preparation, and themed ED shifts. Most recommendations require active participation by the resident with guidance by faculty to achieve the remediation expectations. The ACGME outcomes-based milestones aid in the identification of deficiencies with regards to resident performance without providing recommendations on remediation. The Problem Resident Behavior Guide can therefore have a significant impact by filling in this gap.

  13. Computer Program Development Specification for IDAMST Operational Flight Program Application, Software Type B5. Addendum 1.

    DTIC Science & Technology

    1976-07-30

    Interface Requirements 4 3.1.1.1 Interface Block Diagram 4 3.1.1.2 Detailed Interface Definition 7 3.1.1.2.1 Subsystems 7 3.1.1.2.2 Controls & Displays 11 r...116 3.2.3.2 Navigation Brute Force 121 3.2.3.3 Cargo Brute Force 125 3.2.3.4 Sensor Brute Force 129 3.2.3.5 Controls /Displays Brute Force 135 3.2.3.6...STD-T553 Multiplex Data Bus, with the avionic subsystems, flight * control system, the controls /displays, engine sensors, and airframe sensors. 3.1

  14. Space shuttle phase B. Volume 2: Technical summary, addendum A

    NASA Technical Reports Server (NTRS)

    1971-01-01

    A study was conducted to analyze the characteristics and performance data for the booster vehicles to be used with the space shuttle operations. It was determined that the single pressure-fed booster offered the lowest program cost per flight of the pressure-fed booster arrangements studied. The fly back booster required the highest peak annual funding and highest program cost. It was recommended that the pressure-fed booster, series burn with liquid oxygen phase, be continued for further study. The flyback booster study was discontinued. Both solid and liquid propelled booster vehicles with 14 by 45 foot and 15 by 60 foot payload orbiters were considered.

  15. Solid State Division progress report for period ending March 31, 1997

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

    Green, P.H.; Hinton, L.W.

    1997-12-01

    This report covers research progress in the Solid State Division from April 1, 1995, through March 31, 1997. During this period, the division conducted a broad, interdisciplinary materials research program in support of Department of Energy science and technology missions. The report includes brief summaries of research activities in condensed matter theory, neutron scattering, synthesis and characterization of materials, ion beam and laser processing, and the structure of solids and surfaces. An addendum includes listings of division publications and professional activities.

  16. Steady, Oscillatory, and Unsteady Subsonic and Supersonic Aerodynamics, production version 1.1 (SOUSSA-P1.1). Volume 2: User/programmer manual. Addendum 1: Analytical treatment of wake influence

    NASA Technical Reports Server (NTRS)

    Cunningham, H. J.; Vesmarais, R. N.; Yates, E. C., Jr.

    1982-01-01

    The influence of the trailing wake at each wing panel center is investigated. The effect of the wake is calculated by analyzing the wake as being subdivided into trailing wake strips. With the improved program there are two optional ways of calculating the wake effect, and the choice is controlled by an added parameter KANW that is part of the input data.

  17. Milestones: a rapid assessment method for the Clinical Competency Committee

    PubMed Central

    Nabors, Christopher; Forman, Leanne; Peterson, Stephen J.; Gennarelli, Melissa; Aronow, Wilbert S.; DeLorenzo, Lawrence; Chandy, Dipak; Ahn, Chul; Sule, Sachin; Stallings, Gary W.; Khera, Sahil; Palaniswamy, Chandrasekar; Frishman, William H.

    2016-01-01

    Introduction Educational milestones are now used to assess the developmental progress of all U.S. graduate medical residents during training. Twice annually, each program’s Clinical Competency Committee (CCC) makes these determinations and reports its findings to the Accreditation Council for Graduate Medical Education (ACGME). The ideal way to conduct the CCC is not known. After finding that deliberations reliant upon the new milestones were time intensive, our internal medicine residency program tested an approach designed to produce rapid but accurate assessments. Material and methods For this study, we modified our usual CCC process to include pre-meeting faculty ratings of resident milestones progress with in-meeting reconciliation of their ratings. Data were considered largely via standard report and presented in a pre-arranged pattern. Participants were surveyed regarding their perceptions of data management strategies and use of milestones. Reliability of competence assessments was estimated by comparing pre-/post-intervention class rank lists produced by individual committee members with a master class rank list produced by the collective CCC after full deliberation. Results Use of the study CCC approach reduced committee deliberation time from 25 min to 9 min per resident (p < 0.001). Committee members believed milestones improved their ability to identify and assess expected elements of competency development (p = 0.026). Individual committee member assessments of trainee progress agreed well with collective CCC assessments. Conclusions Modification of the clinical competency process to include pre-meeting competence ratings with in-meeting reconciliation of these ratings led to shorter deliberation times, improved evaluator satisfaction and resulted in reliable milestone assessments. PMID:28144272

  18. Sierra/SolidMechanics 4.48 User's Guide: Addendum for Shock Capabilities.

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

    Plews, Julia A.; Crane, Nathan K; de Frias, Gabriel Jose

    This is an addendum to the Sierra/SolidMechanics 4.48 User's Guide that documents additional capabilities available only in alternate versions of the Sierra/SolidMechanics (Sierra/SM) code. These alternate versions are enhanced to provide capabilities that are regulated under the U.S. Department of State's International Traffic in Arms Regulations (ITAR) export-control rules. The ITAR regulated codes are only distributed to entities that comply with the ITAR export-control requirements. The ITAR enhancements to Sierra/SM in- clude material models with an energy-dependent pressure response (appropriate for very large deformations and strain rates) and capabilities for blast modeling. Since this is an addendum to the standardmore » Sierra/SM user's guide, please refer to that document first for general descriptions of code capability and use.« less

  19. A physics-based crystallographic modeling framework for describing the thermal creep behavior of Fe-Cr alloys

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

    Wen, Wei; Capolungo, Laurent; Patra, Anirban

    This Report addresses the Milestone M2MS-16LA0501032 of NEAMS Program (“Develop hardening model for FeCrAl cladding), with a deadline of 09/30/2016. Here we report a constitutive law for thermal creep of FeCrAl. This Report adds to and complements the one for Milestone M3MS-16LA0501034 (“Interface hardening models with MOOSE-BISON”), where we presented a hardening law for irradiated FeCrAl. The last component of our polycrystal-based constitutive behavior, namely, an irradiation creep model for FeCrAl, will be developed as part of the FY17 Milestones, and the three regimes will be coupled and interfaced with MOOSE-BISON.

  20. 32 CFR Appendix B to Part 68 - Addendum for Education Services Between [Name of Educational Institution] and the U.S. Air Force

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Educational Institution] and the U.S. Air Force B Appendix B to Part 68 National Defense Department of Defense...] and the U.S. Air Force 1. Purpose. This addendum is between (Name of Educational Institution), hereafter referred to as the “Institution,” and the United States Air Force (USAF). The purpose of this...

  1. MR 201424 Final Report Addendum

    DTIC Science & Technology

    2016-09-01

    FINAL REPORT ADDENDUM Munitions Classification Library ESTCP Project MR-201424 SEPTEMBER 2016 Mr. Craig Murray Dr. Nagi Khadr Parsons Dr...solver and multi-solver library databases, and only the TEMTADS 2X2 and the MetalMapper advanced TEM systems are supported by UX-Analyze, data on...other steps (section 3.4) before getting into the data collection activities (sections 3.5-3.7). All inversions of library quality data collected over

  2. Supplement to the Second Addendum (1986) to Air Quality Criteria for Particulate Matter and Sulfur Oxides (1982): Assessment of New Findings on Sulfur Dioxide and Acute Exposure Health Effects in Asthmatic Individuals (1994)

    EPA Science Inventory

    The present Supplement to the Second Addendum (1986) to the document Air Quality Criteria for Particulate Matter and Sulfur Oxides (1982) focuses on evaluation of newly available controlled human exposure studies of acute (a\\1h) sulfur dioxide (SO2) exposure effects on pulmonary ...

  3. Beyond Word Processing. In Microsoft Word 5.0 with Word 5.1 Addendum.

    ERIC Educational Resources Information Center

    Hall, Jean Marie; Yoder, Sharon

    This book is designed for use with Microsoft Word 5.0; it includes an addendum covering the new features of Word 5.1. The contents of the book are designed to get individuals started using some of the more advanced techniques available in Word. Some of the ideas presented in the book will be of immediate use and others are more complex. All of the…

  4. AGARD Index of Publications (1952-1970). Part III: Author Index, Part IV: Addendum to Part I,

    DTIC Science & Technology

    When the AGARD Index of Publications 1952-1970 was published in June 1972, no Author Index was provided. Experience with the basic document has...therefore contains both an Author Index of all publications and papers from 1952-1970 and, in addition, an Addendum containing a listing of the titles of all individual papers that were omitted from the basic document.

  5. Addendum to the Closure Report for Corrective Action Unit 357: Mud Pits and Waste Dump, Nevada Test Site, Nevada, Revision 0

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

    Krauss, Mark J

    This document constitutes an addendum to the Closure Report for Corrective Action Unit 357: Mud Pits and Waste Dump, Nevada Test Site, Nevada as described in the document Recommendations and Justifications To Remove Use Restrictions Established under the U.S. Department of Energy, National Nuclear Security Administration Nevada Field Office Federal Facility Agreement and Consent Order dated September 2013. The Use Restriction Removal document was approved by the Nevada Division of Environmental Protection on October 16, 2013. The approval of the UR Removal document constituted approval of each of the recommended UR removals. In conformance with the UR Removal document, thismore » addendum consists of: This page that refers the reader to the UR Removal document for additional information The cover, title, and signature pages of the UR Removal document The NDEP approval letter The corresponding section of the UR Removal document This addendum provides the documentation justifying the cancellation of the UR for CAS 04-26-03, Lead Bricks. This UR was established as part of FFACO corrective actions and was based on the presence of lead contamination at concentrations greater than the action level established at the time of the initial investigation.« less

  6. Space shuttle requirements/configuration evolution

    NASA Technical Reports Server (NTRS)

    Andrews, E. P.

    1991-01-01

    Space Shuttle chronology; Space Shuttle comparison; Cost comparison; Performance; Program ground rules; Sizing criteria; Crew/passenger provisions; Space Shuttle Main Engine (SSME) characteristics; Space Shuttle program milestones; and Space Shuttle requirements are outlined. This presentation is represented by viewgraphs.

  7. Space research and technology overview

    NASA Technical Reports Server (NTRS)

    Reck, Gregory M.

    1992-01-01

    A series of viewgraphs are presented that describe NASA's space research and technology activities. The following areas are covered: NASA organizational structure, overall program/mission objectives, program elements and milestones, planning and resources, accomplishments, and the role of NASA Centers.

  8. History of the numerical aerodynamic simulation program

    NASA Technical Reports Server (NTRS)

    Peterson, Victor L.; Ballhaus, William F., Jr.

    1987-01-01

    The Numerical Aerodynamic Simulation (NAS) program has reached a milestone with the completion of the initial operating configuration of the NAS Processing System Network. This achievement is the first major milestone in the continuing effort to provide a state-of-the-art supercomputer facility for the national aerospace community and to serve as a pathfinder for the development and use of future supercomputer systems. The underlying factors that motivated the initiation of the program are first identified and then discussed. These include the emergence and evolution of computational aerodynamics as a powerful new capability in aerodynamics research and development, the computer power required for advances in the discipline, the complementary nature of computation and wind tunnel testing, and the need for the government to play a pathfinding role in the development and use of large-scale scientific computing systems. Finally, the history of the NAS program is traced from its inception in 1975 to the present time.

  9. ASC Tri-lab Co-design Level 2 Milestone Report 2015

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

    Hornung, Rich; Jones, Holger; Keasler, Jeff

    2015-09-23

    In 2015, the three Department of Energy (DOE) National Laboratories that make up the Advanced Sci- enti c Computing (ASC) Program (Sandia, Lawrence Livermore, and Los Alamos) collaboratively explored performance portability programming environments in the context of several ASC co-design proxy applica- tions as part of a tri-lab L2 milestone executed by the co-design teams at each laboratory. The programming environments that were studied included Kokkos (developed at Sandia), RAJA (LLNL), and Legion (Stan- ford University). The proxy apps studied included: miniAero, LULESH, CoMD, Kripke, and SNAP. These programming models and proxy-apps are described herein. Each lab focused on amore » particular combination of abstractions and proxy apps, with the goal of assessing performance portability using those. Performance portability was determined by: a) the ability to run a single application source code on multiple advanced architectures, b) comparing runtime performance between \

  10. Navigating the Next Accreditation System: A Dashboard for the Milestones.

    PubMed

    Johna, Samir; Woodward, Brandon

    2015-01-01

    In July 2014, all residency programs accredited by the Accreditation Council for Graduate Medical Education (ACGME) were enrolled in a new system called the Next Accreditation System. Residency programs may not be clear on how best to comply with these new accreditation requirements. Large amounts of data must be collected, evaluated, and submitted twice a year to the council's Web-based data collection system. One challenge is that the new "end-of-rotation" evaluations must reflect specialty-specific milestones, on which many faculty members are not well versed. Like other residency programs, we tried to address the challenges using our local resources. We used our existing electronic goals and objectives for each rotation coupled with appropriate end-of-rotation evaluations reflecting the specialty-specific milestones through a process of editing and mapping. Data extracted from these evaluations were added to an interactive dashboard that also contained evaluations on additional program-specific modifiers of residents' performance. A resident's final overall performance was visually represented on a plot graph. The novel dashboard included features to save evaluations for future comparisons and to track residents' progress during their entire training. It proved simple to use and was able to reduce the time needed for each resident evaluation to 5 to 10 minutes. This tool has made it much easier and less challenging for the members of our Clinical Competency Committee to start deliberation about each resident's performance.

  11. 48 CFR 234.004 - Acquisition strategy.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... acquisition strategy. The documentation— (A) Shall include an explanation of the level of program risk; and (B... the reasons for proceeding with Milestone B approval despite the high level of program risk; and (iii...'s written determination that— (A) The program is so complex and technically challenging that it...

  12. Structures and Dynamics Division research and technology plans, fiscal year, 1981

    NASA Technical Reports Server (NTRS)

    Bales, K. S.

    1981-01-01

    The objectives, expected results, approach, and FY 81 milestones for the Structures and Dynamics Division's research program are presented. This information will be useful in program coordination with other government organizations in areas of mutual interest.

  13. Decommissioning of eight surplus production reactors at the Hanford Site, Richland, Washington. Addendum (Final Environmental Impact Statement)

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

    Not Available

    1992-12-01

    The first section of this volume summarizes the content of the draft environmental impact statement (DEIS) and this Addendum, which together constitute the final environmental impact statement (FEIS) prepared on the decommissioning of eight surplus plutonium production reactors at Hanford. The FEIS consists of two volumes. The first volume is the DEIS as written. The second volume (this Addendum) consists of a summary; Chapter 9, which contains comments on the DEIS and provides DOE`s responses to the comments; Appendix F, which provides additional health effects information; Appendix K, which contains costs of decommissioning in 1990 dollars; Appendix L, which containsmore » additional graphite leaching data; Appendix M, which contains a discussion of accident scenarios; Appendix N, which contains errata; and Appendix 0, which contains reproductions of the letters, transcripts, and exhibits that constitute the record for the public comment period.« less

  14. Terry Turbopump Analytical Modeling Efforts in Fiscal Year 2016 ? Progress Report.

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

    Osborn, Douglas; Ross, Kyle; Cardoni, Jeffrey N

    This document details the Fiscal Year 2016 modeling efforts to define the true operating limitations (margins) of the Terry turbopump systems used in the nuclear industry for Milestone 3 (full-scale component experiments) and Milestone 4 (Terry turbopump basic science experiments) experiments. The overall multinational-sponsored program creates the technical basis to: (1) reduce and defer additional utility costs, (2) simplify plant operations, and (3) provide a better understanding of the true margin which could reduce overall risk of operations.

  15. MQ-9 Reaper Unmanned Aircraft System (MQ-9 Reaper)

    DTIC Science & Technology

    2013-12-01

    Milestone C ACAT II Block 1 FEB 2008 FEB 2008 FEB 2008 FEB 2008 IOT&E for Block 1 MAY 2008 MAY 2008 MAY 2008 MAY 2008 RAA SEP 2010 JUN 2012 JUN 2012 JUN...milestone change. Memo MQ-9 Reaper December 2013 SAR April 16, 2014 17:17:09 UNCLASSIFIED 9 RAA includes two fixed GCSs, two mobile GCSs...Control Station IOT&E - Initial Operational Test and Evaluation PMAI - Primary Mission Aircraft Inventory PO - Program Office RAA - Required Assets

  16. Level-2 Milestone 3244: Deploy Dawn ID Machine for Initial Science Runs

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

    Fox, D

    2009-09-21

    This report documents the delivery, installation, integration, testing, and acceptance of the Dawn system, ASC L2 milestone 3244: Deploy Dawn ID Machine for Initial Science Runs, due September 30, 2009. The full text of the milestone is included in Attachment 1. The description of the milestone is: This milestone will be a result of work started three years ago with the planning for a multi-petaFLOPS UQ-focused platform (Sequoia) and will be satisfied when a smaller ID version of the final system is delivered, installed, integrated, tested, accepted, and deployed at LLNL for initial science runs in support of SSP mission.more » The deliverable for this milestone will be a LA petascale computing system (named Dawn) usable for code development and scaling necessary to ensure effective use of a final Sequoia platform (expected in 2011-2012), and for urgent SSP program needs. Allocation and scheduling of Dawn as an LA system will likely be performed informally, similar to what has been used for BlueGene/L. However, provision will be made to allow for dedicated access times for application scaling studies across the entire Dawn resource. The milestone was completed on April 1, 2009, when science runs began running on the Dawn system. The following sections describe the Dawn system architecture, current status, installation and integration time line, and testing and acceptance process. A project plan is included as Attachment 2. Attachment 3 is a letter certifying the handoff of the system to a nuclear weapons stockpile customer. Attachment 4 presents the results of science runs completed on the system.« less

  17. Effectiveness of a parenting program in Bangladesh to address early childhood health, growth and development.

    PubMed

    Aboud, Frances E; Singla, Daisy R; Nahil, Md Imam; Borisova, Ivelina

    2013-11-01

    A stratified cluster design was used to evaluate a 10-month parenting program delivered to mothers of children in rural Bangladesh. Intervention mothers through a combination of group meetings and home visits received messages along with an illustrative card concerning hygiene, responsive feeding, play, communication, gentle discipline, and nutritious foods. Control mothers received the standard government care. Three months prior, 463 children between 4 and 14 months in a subdistrict of western Bangladesh were administered the cognitive, receptive language and expressive language Bayley III subtests, their length was taken and past week illness recorded. Gross motor milestones were reported by the mother and verified through observation. Mothers were interviewed concerning their practices: preventive health practices, dietary diversity, home stimulation, and knowledge about development milestones. Maternal depressive symptoms were assessed as a measure of emotional availability. Family sociodemographic variables included maternal education, family assets, decision-making and mobility autonomy. One month after the end of the program, mothers and their children were again assessed. Comparisons were made between intervention and control children who were under-12 months vs. 12 months and older at the start of the program. This may be a critical age, when children begin to be upright and mobile enough to explore on their own and be less dependent on parenting stimulation. Analyses yielded strong intervention effects on the three Bayley subtests and on parenting practices related to stimulation and knowledge of development milestones. Age effects were found only for dietary diversity in that younger children in the program benefited more than older ones. However, all children became more stunted. Findings are discussed in terms of theories of behaviour change and parenting, critical ages for parenting programs, and implications for program delivery. Copyright © 2013 Elsevier Ltd. All rights reserved.

  18. Campaign 2 Level 2 Milestone Review 2009: Milestone # 3131 Grain Scale Simulation of Pore Collapse

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

    Schwartz, A J

    2009-09-28

    The milestone reviewed on Sept. 16, 2009 was 'High-fidelity simulation of shock initiation of high explosives at the grain scale using coupled hydrodynamics, thermal transport and chemistry'. It is the opinion of the committee that the team has satisfied the milestone. A detailed description of how the goals were met is provided. The milestone leveraged capabilities from ASC Physics and Engineering Materials program combined with experimental input from Campaign 2. A combined experimental-multiscale simulation approach was used to create and validate the various TATB model components. At the lowest length scale, quantum chemical calculations were used to determine equations ofmore » state, thermal transport properties and reaction rates for TATB as it is decomposing. High-pressure experiments conducted in diamond anvil cells, gas guns and the Z machine were used to validate the EOS, thermal conductivity, specific heat and predictions of water formation. The predicted reaction networks and chemical kinetic equations were implemented in Cheetah and validated against the lower length scale data. Cheetah was then used within the ASC code ALE3D for high-resolution, thermo-mechanically coupled simulations of pore collapse at the micron size scale to predict conditions for detonation initiation.« less

  19. SU-G-TeP2-03: Comparison of Standard Dosimetry Protocol in Japan and AAPM TG-51 Addendum in Order to Establish Optimal Dosimetry for FFF Beam

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

    Matsunaga, T; Adachi, Y; Hayashi, N

    Purpose: Japan Standard Dosimetry of Absorbed dose to water in external beam radiotherapy (JSDP12) is widely used to measure radiation dose in radiotherapy. However, JSDP12 does not take flattening-filter-free (FFF) beam into consideration. In addition, JSDP12 applied TPR20,10 for dose quality index for photon beam. The purpose of this study is to compare JSDP12 with AAPM TG-51 addendum in order to establish optimal dosimetry procedure for FFF beam. Method: We evaluated the ion-recombination factor (ks) and the correction factor of radial beam profile (Prp) in FFF beam dosimetry. The ks was introduced by 2 voltages method and verified by Jaffe’smore » plot. The Prp was given by both film measurement and calculation of treatment planning system, and compared them. Next, we compared the dose quality indexes (kQ) between TPR20,10 method and PDD(10)x method. Finally we considered optimal dosimetry protocol for FFF photon beam using JSDP12 with referring TG-51 addendum protocols. The FFF photon beams of 6 MV (6X-FFF) and 10 MV (10X-FFF) from TrueBeam were investigated in this study. Results: The ks for 6X-FFF and 10X-FFF beams were 1.005 and 1.010, respectively. The Prp of 0.6 cc ionization chamber for 6X-FFF and 10X-FFF beams (Film, TPS) were (1.004, 1.008) and (1.005, 1.008), respectively. The kQ for 6X-FFF and 10X-FFF beams (JSDP12, TG-51 addendum) were (0.9950, 0.9947) and (0.9851, 0.9845), respectively. The most effective factor for uncertainty in FFF photon beam measurement was Prp for JSDP12 formalism. Total dosimetric differences between JSDP12 and TG-51 addendum for 6X-FFF and 10X-FFF were -0.47% and -0.73%, respectively. Conclusion: The total dosimetric difference between JSDP12 and TG-51 addendum was within 1%. The introduction of kQ given by JSDP is feasible for FFF photon beam dosimetry. However, we think Prp should be considered for optimal dosimetry procedure even if JSDP12 is used for FFF photon beam dosimetry.« less

  20. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... requests for approval which affect only one approving component of HHS (CMS, OCSE, or Children's Bureau... days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  1. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... requests for approval which affect only one approving component of HHS (CMS, OCSE, or Children's Bureau... days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  2. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... requests for approval which affect only one approving component of HHS (CMS, OCSE, or Children's Bureau... days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  3. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... requests for approval which affect only one approving component of HHS (CMS, OCSE, or Children's Bureau... days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  4. Space agency notes 20th anniversary

    NASA Technical Reports Server (NTRS)

    Frosch, R. A.

    1978-01-01

    The twentieth anniversary of NASA is announced. A chronology of major milestones of the NASA program is given along with a brief outline of the programs and responsibilities of NASA Headquarters and the NASA centers and facilities. The NASA launch record is included.

  5. Addendum to the Corrective Action Decision Document/Closure Report for Corrective Action Unit 529: Area 25 Contaminated Materials, Nevada Test Site, Nevada, Revision 1

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

    Krauss, Mark J

    This document constitutes an addendum to the Corrective Action Decision Document/Closure Report for Corrective Action Unit 529: Area 25 Contaminated Materials, Nevada Test Site, Nevada as described in the document Recommendations and Justifications To Remove Use Restrictions Established under the U.S. Department of Energy, National Nuclear Security Administration Nevada Field Office Federal Facility Agreement and Consent Order dated September 2013. The Use Restriction (UR) Removal document was approved by the Nevada Division of Environmental Protection on October 16, 2013. The approval of the UR Removal document constituted approval of each of the recommended UR removals. In conformance with the URmore » Removal document, this addendum consists of: This page that refers the reader to the UR Removal document for additional information The cover, title, and signature pages of the UR Removal document The NDEP approval letter The corresponding section of the UR Removal document This addendum provides the documentation justifying the cancellation of the UR for CAS 25-23-17, Contaminated Wash (Parcel H). This UR was established as part of FFACO corrective actions and was based on the presence of total petroleum hydrocarbon diesel-range organics contamination at concentrations greater than the NDEP action level at the time of the initial investigation.« less

  6. Addendum Guidelines for the Prevention of Peanut Allergy in the United States

    PubMed Central

    Togias, Alkis; Cooper, Susan F.; Acebal, Maria L.; Assa’ad, Amal; Baker, James R.; Beck, Lisa A.; Block, Julie; Byrd-Bredbenner, Carol; Chan, Edmond S.; Eichenfield, Lawrence F.; Fleischer, David M.; Fuchs, George J.; Furuta, Glenn T.; Greenhawt, Matthew J.; Gupta, Ruchi S.; Habich, Michele; Jones, Stacie M.; Keaton, Kari; Muraro, Antonella; Plaut, Marshall; Rosenwasser, Lanny J.; Rotrosen, Daniel; Sampson, Hugh A.; Schneider, Lynda C.; Sicherer, Scott H.; Sidbury, Robert; Spergel, Jonathan; Stukus, David R.; Venter, Carina; Boyce, Joshua A.

    2016-01-01

    Background Food allergy is an important public health problem because it affects children and adults, it may be severe and even life-threatening, and it may be increasing in prevalence. Beginning in 2008, the National Institute of Allergy and Infectious Diseases (NIAID), working with other organizations and advocacy groups, led the development of the first clinical guidelines for the diagnosis and management of food allergy. A recent landmark clinical trial and other emerging data suggest that peanut allergy can be prevented through introduction of peanut-containing foods beginning in infancy. Objectives Prompted by these findings, along with 25 professional organizations, federal agencies, and patient advocacy groups, NIAID facilitated development of Addendum Guidelines to specifically address the prevention of peanut allergy. Results The Addendum provides three separate guidelines for infants at various risk levels for development of peanut allergy and is intended for use by a wide variety of health care providers. Topics addressed include the definition of risk categories, appropriate use of testing (specific IgE, skin prick testing, and oral food challenge) and the timing and approaches for introduction of peanut-containing foods in the health care provider’s office or at home. The Addendum Guidelines provide the background, rationale, and strength of evidence for each recommendation. Conclusions Guidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy. PMID:28065278

  7. From Technical Assistants to Critical Thinkers: The Journey to World War II.

    PubMed

    Butina, Michelle; Leibach, Elizabeth Kenimer

    2014-01-01

    A review of professional literature was conducted to examine the history of the education of medical laboratory practitioners. This comprehensive review included historical educational milestones from the birth of medical technology to the advent of World War II. During this time period standards were developed by clinical pathologists for laboratory personnel and training programs. In addition, a formal educational model began to form and by the 1940's two years of college was required for matriculation into a medical technology program. Intertwined within the educational milestones are imprints of the evolution of critical thinking requirements and skills within the profession. For the first laboratory practitioners, critical thinking was not developed, discussed, or encouraged as duties were primarily repetitive promoting psychomotor skills.

  8. Teaching the Healthcare Economics Milestones to Radiology Residents: Our Pilot Curriculum Experience.

    PubMed

    Prober, Allen S; Mehan, William A; Bedi, Harprit S

    2016-07-01

    Since July 2013, the Accreditation Council for Graduate Medical Education (ACGME) has required radiology residency programs to implement a set of educational milestones to track residents' educational advancement in six core competencies, including Systems-based Practice. The healthcare economics subcompetency of Systems-based Practice has traditionally been relatively neglected, and given the new increased ACGME oversight, will specifically require greater focused attention. A multi-institutional health-care economics pilot curriculum combining didactic and practical components was implemented across five residency programs. The didactic portion included a package of online recorded presentations, reading, and testing materials developed by the American College of Radiology (ACR's) Radiology Leadership Institute. The practical component involved a series of local meetings led by program faculty with the production of a deliverable based on research of local reimbursement for a noncontrast head computed tomography. The capstone entailed the presentation of each program's deliverable during a live teleconference webcast with a Radiology Leadership Institute content expert acting as moderator and discussion leader. The pilot curriculum was well received by residents and faculty moderators, with 100% of survey respondents agreeing that the pilot met its objective of introducing how reimbursement works in American radiology in 2015 and how business terminology applies to their particular institutions. A health-care economics curriculum in the style of a Massive Open Online Course has strong potential to serve as many residency programs' method of choice in meeting the health-care economics milestones. Copyright © 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  9. ARIES Oxide Production Program Annual Report - FY14

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

    Kelley, Evelyn A.; Dinehart, Steven Mark

    A summary of the major accomplishments (September), milestones, financial summary, project performance and issues facing the ARIES Oxide Production Program at the close of FY14 is presented in this Executive Summary. Annual accomplishments are summarized in the body of the report.

  10. Design definition study of a NASA/Navy lift/cruise fan technology V/STOL airplane: Risk assessment addendum to the final report

    NASA Technical Reports Server (NTRS)

    Zabinsky, J. M.; Burnham, R. W.; Flora, C. C.; Gotlieb, P.; Grande, D. L.; Gunnarson, D. W.; Howard, W. M.; Hunt, D.; Jakubowski, G. W.; Johnson, P. E.

    1975-01-01

    An assessment of risk, in terms of delivery delays, cost overrun, and performance achievement, associated with the V/STOL technology airplane is presented. The risk is discussed in terms of weight, structure, aerodynamics, propulsion, mechanical drive, and flight controls. The analysis ensures that risks associated with the design and development of the airplane will be eliminated in the course of the program and a useful technology airplane that meets the predicted cost, schedule, and performance can be produced.

  11. Installation Restoration Program: Rickenbacker Air National Guard Base, Columbus, Ohio. Additional Site Inspection Sampling. Addendum Number 1 to SI/RI/FS/RD Work Plan

    DTIC Science & Technology

    1989-10-01

    Coord: Elev.PROTECTIVE CSG He~qht I Material /Type El e~. ________Diameter Elie.hI____ Depth BGS ___________Weep Hole (YIN) HSe.ht __ GUARD POSTS (YIN...Tremied I Y/14) SCR EE N Type Dimeter - --Slot Size Ck Type SUMP (YIN) Interval OGS Lcngth - 90tt0m Cop (YIN) BACKFILL PLUG Material ...for transport to the laboratory. The remaining liners will then be extruded and the material used for lithologic description and other analyses. The

  12. TU-D-201-03: Results of a Survey On the Implementation of the TG-51 Protocol and Associated Addendum On Reference Dosimetry of External Beams

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

    Kim, G; Muir, B; Culberson, W

    Purpose: The working group on the review and extension of the TG-51 protocol (WGTG51) collected data from American Association of Physicists in Medicine (AAPM) members with respect to their current TG-51 and associated addendum usage in the interest of considering future protocol addenda and guidance on reference dosimetry best practices. This study reports an overview of this survey on dosimetry of external beams. Methods: Fourteen survey questions were developed by WGTG51 and released in November 2015. The questions collected information on reference dosimetry, beam quality specification, and ancillary calibration equipment. Results: Of the 190 submissions completed worldwide (U.S. 70%), 83%more » were AAPM members. Of the respondents, 33.5% implemented the TG-51 addendum, with the maximum calibration difference for any photon beam, with respect to the original TG-51 protocol, being <1% for 97.4% of responses. One major finding is that 81.8% of respondents used the same cylindrical ionization chamber for photon and electron dosimetry, implying that many clinics are foregoing the use of parallel-plate chambers. Other evidence suggests equivalent dosimetric results can be obtained with both cylindrical and parallel-plate chambers in electron beams. This, combined with users comfort with cylindrical chambers for electrons will likely impact recommendations put forward in an upcoming electron beam addendum to the TG-51 protocol. Data collected on ancillary equipment showed 58.2% (45.0%) of the thermometers (barometers) in use for beam calibration had NIST traceable calibration certificates, but 48.4% (42.7%) were never recalibrated. Conclusion: This survey provides a snapshot of TG-51 external beam reference dosimetry practice in radiotherapy centers. Findings demonstrate the rapid take-up of the TG-51 photon beam addendum and raise issues for the WGTG51 to focus on going forward, including guidelines on ancillary equipment and the choice of chamber for electron beam dosimetry.« less

  13. A Taxonomy of Injuries for Public Health Monitoring and Reporting. Addendum 1, Body Regions and Injury Types. Addendum 2, Fiscal Year 2018 Update

    DTIC Science & Technology

    2017-12-01

    abnormalities Primary 18 [16] R00-R99 [780-799] Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified Primary 19† [17...criteria: • Behavioral, emotional, moral, and other psychological trauma. • Illness or disease associated with infectious agents, genetic conditions...medical treatment, and resolves in days or months with full recovery (i.e., body tissues have recovered full structural and functional integrity

  14. Mariner Mars 1971 television picture catalog: Sequence design and picture coverage, volume 2, addendum 1

    NASA Technical Reports Server (NTRS)

    Koskela, P. E.

    1973-01-01

    This addendum to the Mariner Mars 1971 Television Picture Catalog, Volume 2 (for abstract, see N73-20850) contains data for the Mariner 9 TV pictures taken after Rev 262. Some of the data presented in Volume 2 is brought up to date. The new provisional mapping pole is discussed, and tables provide the latitude and longitude with respect to the new pole, prime meridian, and rotation rate for the centerpoints of all the Mariner 9 TV pictures.

  15. Joint Air-to-Surface Standoff Missile (JASSM)

    DTIC Science & Technology

    2013-12-01

    LRIP Decision/Contract Award JAN 2001 JAN 2001 JAN 2002 DEC 2001 Lot II Contract Award JAN 2002 JAN 2002 JAN 2003 NOV 2002 RAA /B-52 SEP 2002 SEP 2002...SEP 2003 SEP 2003 Milestone III OCT 2003 OCT 2003 JUL 2004 APR 2004 RAA /F-16 DEC 2003 DEC 2003 DEC 2004 DEC 2004 IOC/F/A-18 E/F JUN 2009 N/A N/A N/A...Engineering and Manufacturing Development PDRR - Program Definition and Risk Reduction RAA - Required Assets Available JASSM-ER Milestones SAR Baseline Prod

  16. Automated fiber placement: Evolution and current demonstrations

    NASA Technical Reports Server (NTRS)

    Grant, Carroll G.; Benson, Vernon M.

    1993-01-01

    The automated fiber placement process has been in development at Hercules since 1980. Fiber placement is being developed specifically for aircraft and other high performance structural applications. Several major milestones have been achieved during process development. These milestones are discussed in this paper. The automated fiber placement process is currently being demonstrated on the NASA ACT program. All demonstration projects to date have focused on fiber placement of transport aircraft fuselage structures. Hercules has worked closely with Boeing and Douglas on these demonstration projects. This paper gives a description of demonstration projects and results achieved.

  17. PAT-1 safety analysis report addendum.

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

    Weiner, Ruth F.; Schmale, David T.; Kalan, Robert J.

    2010-09-01

    The Plutonium Air Transportable Package, Model PAT-1, is certified under Title 10, Code of Federal Regulations Part 71 by the U.S. Nuclear Regulatory Commission (NRC) per Certificate of Compliance (CoC) USA/0361B(U)F-96 (currently Revision 9). The purpose of this SAR Addendum is to incorporate plutonium (Pu) metal as a new payload for the PAT-1 package. The Pu metal is packed in an inner container (designated the T-Ampoule) that replaces the PC-1 inner container. The documentation and results from analysis contained in this addendum demonstrate that the replacement of the PC-1 and associated packaging material with the T-Ampoule and associated packaging withmore » the addition of the plutonium metal content are not significant with respect to the design, operating characteristics, or safe performance of the containment system and prevention of criticality when the package is subjected to the tests specified in 10 CFR 71.71, 71.73 and 71.74.« less

  18. [Child development in poor areas of Peru].

    PubMed

    Díaz, Adrián Alberto; Gallestey, Jorge Bacallao; Vargas-Machuca, Rocío; Velarde, Roxana Aguilar

    2017-06-08

    The objective of the study was to demonstrate the influence of several socioeconomic factors on the motor and language development of children under 5 from the baseline study conducted within the framework of the Joint Program for Children, Food Security, and Nutrition, implemented by five United Nations agencies across 65 districts in the departments of Loreto, Ayacucho, Huancavelica, and Apurímac, Peru. Dichotomous logistic regression models were used to estimate the likelihood of achievement of motor and language milestones, while polynomial regression models were used to estimate the last milestone achieved and the number of milestones achieved. The study analyzes the influence that maternal education, urban vs. rural housing, and unmet basic needs have on the difference between actual results and expected results for age was analyzed. Children living in rural areas, those whose mothers had low educational attainment, and those from households with unmet basic needs exhibited poorer outcomes in the two areas of development assessed. As the number of risk factors increased, so did the developmental delay. Evaluation of child development and follow-up of families during the child-rearing process should be prioritized by health systems and social programs. The instruments used were sensitive to three criteria for validation.

  19. Targeted Feedback in the Milestones Era: Utilization of the Ask-Tell-Ask Feedback Model to Promote Reflection and Self-Assessment.

    PubMed

    French, Judith C; Colbert, Colleen Y; Pien, Lily C; Dannefer, Elaine F; Taylor, Christine A

    2015-01-01

    The Accreditation Council for Graduate Medical Education's Milestones Project focuses trainee education on the formation of valued behaviors and skills believed to be necessary for trainees to become independent practitioners. The development and refinement of behaviors and skills outlined within the milestones will require learners to monitor, reflect, and assess their own performance over time. External feedback provides an opportunity for learners to recalibrate their self-assessments, thereby enabling them to develop better self-monitoring and self-assessment skills. Yet, feedback to trainees is frequently generic, such as "great job," "nice work," or "you need to read more." In this article, we describe a feedback model that faculty can use to provide specific feedback, while increasing accountability for learners. We offer practical examples of its use in a variety of settings in the milestone era. The Ask-Tell-Ask (ATA) patient communication skills strategy, which was adapted for use as a trainee feedback model 10 years ago at our institution, is a learner-centered approach for reinforcing and modifying behaviors. The model is efficient, promotes learner accountability, and helps trainees develop reflection and self-assessment skills. A feedback agreement further enhances ATA by establishing a shared understanding of goals for the educational encounter. The ATA feedback model, combined with a feedback agreement, encourages learners to self-identify strengths and areas for improvement, before receiving feedback. Personal monitoring, reflection, self-assessment, and increased accountability make ATA an ideal learner-centered feedback model for the milestones era, which focuses on performance improvement over time. We believe the introduction of the ATA feedback model in surgical training programs is a step in the right direction towards meaningful programmatic culture change. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  20. 45 CFR 95.611 - Prior approval conditions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...-GRANT PROGRAMS (PUBLIC ASSISTANCE, MEDICAL ASSISTANCE AND STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... Children and Families, Office of State Systems. The State shall send to ACF one copy of the request for... than 60 days for major milestones. For Aid to Families with Dependent Children (AFDC) Family Assistance...

  1. Geothermal Today: 2003 Geothermal Technologies Program Highlights (Revised)

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

    Not Available

    2004-05-01

    This outreach publication highlights milestones and accomplishments of the DOE Geothermal Technologies Program for 2003. Included in this publication are discussions of geothermal fundamentals, enhanced geothermal systems, direct-use applications, geothermal potential in Idaho, coating technology, energy conversion R&D, and the GeoPowering the West initiative.

  2. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel.

    PubMed

    Togias, Alkis; Cooper, Susan F; Acebal, Maria L; Assa'ad, Amal; Baker, James R; Beck, Lisa A; Block, Julie; Byrd-Bredbenner, Carol; Chan, Edmond S; Eichenfield, Lawrence F; Fleischer, David M; Fuchs, George J; Furuta, Glenn T; Greenhawt, Matthew J; Gupta, Ruchi S; Habich, Michele; Jones, Stacie M; Keaton, Kari; Muraro, Antonella; Plaut, Marshall; Rosenwasser, Lanny J; Rotrosen, Daniel; Sampson, Hugh A; Schneider, Lynda C; Sicherer, Scott H; Sidbury, Robert; Spergel, Jonathan; Stukus, David R; Venter, Carina; Boyce, Joshua A

    2017-02-01

    Food allergy is an important public health problem because it affects children and adults, can be severe and even life-threatening, and may be increasing in prevalence. Beginning in 2008, the National Institute of Allergy and Infectious Diseases, working with other organizations and advocacy groups, led the development of the first clinical guidelines for the diagnosis and management of food allergy. A recent landmark clinical trial and other emerging data suggest that peanut allergy can be prevented through introduction of peanut-containing foods beginning in infancy. Prompted by these findings, along with 25 professional organizations, federal agencies, and patient advocacy groups, the National Institute of Allergy and Infectious Diseases facilitated development of addendum guidelines to specifically address the prevention of peanut allergy. The addendum provides 3 separate guidelines for infants at various risk levels for the development of peanut allergy and is intended for use by a wide variety of health care providers. Topics addressed include the definition of risk categories, appropriate use of testing (specific IgE measurement, skin prick tests, and oral food challenges), and the timing and approaches for introduction of peanut-containing foods in the health care provider's office or at home. The addendum guidelines provide the background, rationale, and strength of evidence for each recommendation. Guidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy. Published by Elsevier Inc.

  3. Addendum Guidelines for the Prevention of Peanut Allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-Sponsored Expert Panel.

    PubMed

    Togias, Alkis; Cooper, Susan F; Acebal, Maria L; Assa'ad, Amal; Baker, James R; Beck, Lisa A; Block, Julie; Byrd-Bredbenner, Carol; Chan, Edmond S; Eichenfield, Lawrence F; Fleischer, David M; Fuchs, George J; Furuta, Glenn T; Greenhawt, Matthew J; Gupta, Ruchi S; Habich, Michele; Jones, Stacie M; Keaton, Kari; Muraro, Antonella; Plaut, Marshall; Rosenwasser, Lanny J; Rotrosen, Daniel; Sampson, Hugh A; Schneider, Lynda C; Sicherer, Scott H; Sidbury, Robert; Spergel, Jonathan; Stukus, David R; Venter, Carina; Boyce, Joshua A

    Food allergy is an important public health problem because it affects children and adults, can be severe and even life-threatening, and may be increasing in prevalence. Beginning in 2008, the National Institute of Allergy and Infectious Diseases, working with other organizations and advocacy groups, led the development of the first clinical guidelines for the diagnosis and management of food allergy. A recent landmark clinical trial and other emerging data suggest that peanut allergy can be prevented through introduction of peanut-containing foods beginning in infancy. Prompted by these findings, along with 25 professional organizations, federal agencies, and patient advocacy groups, the National Institute of Allergy and Infectious Diseases facilitated development of addendum guidelines to specifically address the prevention of peanut allergy. The addendum provides 3 separate guidelines for infants at various risk levels for the development of peanut allergy and is intended for use by a wide variety of health care providers. Topics addressed include the definition of risk categories, appropriate use of testing (specific IgE measurement, skin prick tests, and oral food challenges), and the timing and approaches for introduction of peanut-containing foods in the health care provider's office or at home. The addendum guidelines provide the background, rationale, and strength of evidence for each recommendation. Guidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy. Published by Elsevier Inc.

  4. Addendum guidelines for the prevention of peanut allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-sponsored expert panel.

    PubMed

    Togias, Alkis; Cooper, Susan F; Acebal, Maria L; Assa'ad, Amal; Baker, James R; Beck, Lisa A; Block, Julie; Byrd-Bredbenner, Carol; Chan, Edmond S; Eichenfield, Lawrence F; Fleischer, David M; Fuchs, George J; Furuta, Glenn T; Greenhawt, Matthew J; Gupta, Ruchi S; Habich, Michele; Jones, Stacie M; Keaton, Kari; Muraro, Antonella; Plaut, Marshall; Rosenwasser, Lanny J; Rotrosen, Daniel; Sampson, Hugh A; Schneider, Lynda C; Sicherer, Scott H; Sidbury, Robert; Spergel, Jonathan; Stukus, David R; Venter, Carina; Boyce, Joshua A

    2017-01-01

    Food allergy is an important public health problem because it affects children and adults, can be severe and even life-threatening, and may be increasing in prevalence. Beginning in 2008, the National Institute of Allergy and Infectious Diseases, working with other organizations and advocacy groups, led the development of the first clinical guidelines for the diagnosis and management of food allergy. A recent landmark clinical trial and other emerging data suggest that peanut allergy can be prevented through introduction of peanut-containing foods beginning in infancy. Prompted by these findings, along with 25 professional organizations, federal agencies, and patient advocacy groups, the National Institute of Allergy and Infectious Diseases facilitated development of addendum guidelines to specifically address the prevention of peanut allergy. The addendum provides 3 separate guidelines for infants at various risk levels for the development of peanut allergy and is intended for use by a wide variety of health care providers. Topics addressed include the definition of risk categories, appropriate use of testing (specific IgE measurement, skin prick tests, and oral food challenges), and the timing and approaches for introduction of peanut-containing foods in the health care provider's office or at home. The addendum guidelines provide the background, rationale, and strength of evidence for each recommendation. Guidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy. Published by Elsevier Inc.

  5. A Financial Approach as an Alternative Organizational Development Intervention.

    DTIC Science & Technology

    1979-12-01

    Participants: (age group) (#Available) (# Program (#confirmed/ designed for) reserved) Program requested by: Board of Directors PSO Staff Community...Milestone chart approved by: on ’ name date 59 APPENDIX F PSO PROGRAM WORKSHEET INSTRUCTIONS Purpose: The Program Worksheet is designed to collect all inform...11. Grossman, Lee, The Change Agent, Amacom, New York, 1974. 12. Harvey, Donald F., and Brown, Donald R., An Eperimental Approach to Organization

  6. Scheduling: A guide for program managers

    NASA Technical Reports Server (NTRS)

    1994-01-01

    The following topics are discussed concerning scheduling: (1) milestone scheduling; (2) network scheduling; (3) program evaluation and review technique; (4) critical path method; (5) developing a network; (6) converting an ugly duckling to a swan; (7) network scheduling problem; (8) (9) network scheduling when resources are limited; (10) multi-program considerations; (11) influence on program performance; (12) line-of-balance technique; (13) time management; (14) recapitulization; and (15) analysis.

  7. Piloting a Structured Practice Audit to Assess ACGME Milestones in Written Handoff Communication in Internal Medicine

    PubMed Central

    Martin, Shannon K.; Farnan, Jeanne M.; McConville, John F.; Arora, Vineet M.

    2015-01-01

    Background Written communication skills are integral to patient care handoffs. Residency programs require feasible assessment tools that provide timely formative and summative feedback, ideally linked to the Accreditation Council for Graduate Medical Education Milestones. Objective We describe the use of 1 such tool—UPDATED—to assess written handoff communication skills in internal medicine interns. Methods During 2012–2013, the authors piloted a structured practice audit at 1 academic institution to audit written sign-outs completed by 45 interns, using the UPDATED tool, which scores 7 aspects of sign-out communication linked to milestones. Intern sign-outs were audited by trained faculty members throughout the year. Results were incorporated into intern performance reviews and Clinical Competency Committees. Results A total of 136 sign-outs were audited (averaging 3.1 audits per intern). In the first trimester, 14 interns (31%) had satisfactory audit results. Five interns (11%) had critical deficiencies and received immediate feedback, and the remaining 26 (58%) were assigned future audits due to missing audits or unsatisfactory scores. In the second trimester, 21 interns (68%) had satisfactory results, 1 had critical deficiencies, and 9 (29%) required future audits. Nine of the 10 remaining interns in the final trimester had satisfactory audits. Faculty time was estimated at 10 to 15 minutes per sign-out audited. Conclusions The UPDATED audit is a milestone-based tool that can be used to assess written sign-out communication skills in internal medicine residency programs. Future work is planned to adapt the tool for use by senior supervisory residents to appraise sign-outs in real time. PMID:26221442

  8. Piloting a Structured Practice Audit to Assess ACGME Milestones in Written Handoff Communication in Internal Medicine.

    PubMed

    Martin, Shannon K; Farnan, Jeanne M; McConville, John F; Arora, Vineet M

    2015-06-01

    Written communication skills are integral to patient care handoffs. Residency programs require feasible assessment tools that provide timely formative and summative feedback, ideally linked to the Accreditation Council for Graduate Medical Education Milestones. We describe the use of 1 such tool-UPDATED-to assess written handoff communication skills in internal medicine interns. During 2012-2013, the authors piloted a structured practice audit at 1 academic institution to audit written sign-outs completed by 45 interns, using the UPDATED tool, which scores 7 aspects of sign-out communication linked to milestones. Intern sign-outs were audited by trained faculty members throughout the year. Results were incorporated into intern performance reviews and Clinical Competency Committees. A total of 136 sign-outs were audited (averaging 3.1 audits per intern). In the first trimester, 14 interns (31%) had satisfactory audit results. Five interns (11%) had critical deficiencies and received immediate feedback, and the remaining 26 (58%) were assigned future audits due to missing audits or unsatisfactory scores. In the second trimester, 21 interns (68%) had satisfactory results, 1 had critical deficiencies, and 9 (29%) required future audits. Nine of the 10 remaining interns in the final trimester had satisfactory audits. Faculty time was estimated at 10 to 15 minutes per sign-out audited. The UPDATED audit is a milestone-based tool that can be used to assess written sign-out communication skills in internal medicine residency programs. Future work is planned to adapt the tool for use by senior supervisory residents to appraise sign-outs in real time.

  9. Thermonuclear milestones: (2) Beginnings of the Soviet H-bomb program

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

    Goncharov, G.A.

    1996-11-01

    Early Soviet theoretical work on thermonuclear ignition was adied by espionage, but many important ideas were conceived and developed independently {copyright} {ital 1996 American Institute of Physics.}

  10. Research and technology plans for FY 1989 and accomplishments for FY 1988. [Structural Mechanics Division

    NASA Technical Reports Server (NTRS)

    Bales, Kay S.

    1989-01-01

    The Objectives, FY 1989 Plans, Approach, and FY 1989 Milestones for the Structural Mechanics Division's research programs are presented. Fiscal year 1988 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  11. Structural Mechanics Division research and technology plans for FY 1990 and accomplishments for FY 1989

    NASA Technical Reports Server (NTRS)

    Bales, Kay S.

    1990-01-01

    The Objectives, FY 1990 Plans, Approach, and FY 1990 Milestones for the Structural Mechanics Division's research programs are presented. FY 1989 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  12. Summary of 1971 pattern recognition program development

    NASA Technical Reports Server (NTRS)

    Whitley, S. L.

    1972-01-01

    Eight areas related to pattern recognition analysis at the Earth Resources Laboratory are discussed: (1) background; (2) Earth Resources Laboratory goals; (3) software problems/limitations; (4) operational problems/limitations; (5) immediate future capabilities; (6) Earth Resources Laboratory data analysis system; (7) general program needs and recommendations; and (8) schedule and milestones.

  13. 75 FR 12743 - Office of Energy Efficiency and Renewable Energy; Request for Information; Weatherization...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-17

    ..., and realistic schedule and milestones. The specifics of the outreach/marketing strategy, the funding... on a non-attribution basis for program planning and funding opportunity strategy development. DOE will review and consider all responses in its formulation of program strategies in the pursuant FOA...

  14. 77 FR 56238 - Finance, Budget & Program. Committee Meeting of the Board of Directors; Sunshine Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-12

    ... NEIGHBORHOOD REINVESTMENT CORPORATION Finance, Budget & Program. Committee Meeting of the Board of..., Assistant Corporate Secretary, (202) 220-2376; [email protected] . AGENDA: I. Call to Order II. Executive Session... Associated Budget VI. FY 12 Corporate Milestone Report and Dashboard VII. National Foreclosure Mitigation...

  15. 78 FR 24438 - Board of Directors Finance, Budget & Program Committee: Sunshine Act Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-25

    ... NEIGHBORHOOD REINVESTMENT CORPORATION Board of Directors Finance, Budget & Program Committee... Corporate Secretary (202) 220-2376; [email protected] . AGENDA: I. CALL TO ORDER II. FY 2013 Budget Update III... Corporate Milestone Report and Dashboard IX. NFMC, EHLP & MHA X. NeighborhoodLIFT & CityLIFT XI. Recent...

  16. Structures and Dynamics Division research and technology plans for FY 1986 and accomplishments for FY 1985

    NASA Technical Reports Server (NTRS)

    Bales, K. S.

    1986-01-01

    Presented are the Objectives, FY 1986 Plans, Approach, and FY 1986 Milestones for the Structures and Dynamics Division's research programs. FY 1985 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  17. Addendum to ‘Understanding risks in the light of uncertainty: low-probability, high-impact coastal events in cities’

    NASA Astrophysics Data System (ADS)

    Galarraga, Ibon; Sainz de Murieta, Elisa; Markandya, Anil; María Abadie, Luis

    2018-02-01

    This addendum adds to the analysis presented in ‘Understanding risks in the light of uncertainty: low-probability, high-impact coastal events in cities’ Abadie et al (2017 Environ. Res. Lett. 12 014017). We propose to use the framework developed earlier to enhance communication and understanding of risks, with the aim of bridging the gap between highly technical risk management discussion to the public risk aversion debate. We also propose that the framework could be used for stress-testing resilience.

  18. Addendum to the Closure Report for Corrective Action Unit 411: Double Tracks Plutonium Dispersion (Nellis), Nevada Test and Training Range, Nevada, Revision 0

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

    Burmeister, Mark

    2016-11-01

    The Corrective Action Unit (CAU) 411 Closure Report (CR) was published in June 2016 (NNSA/NFO, 2016). The purpose of this addendum is to clarify language in the CR relating to the field instrument for the detection of low-energy radiation (FIDLER), provide the waste disposal documentation for waste generated during the corrective action investigation (CAI), and reference a letter from the U.S. Air Force (USAF) regarding the closure of CAU 411.

  19. 7 CFR 3403.8 - Proposal format for phase II applications.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... FOOD AND AGRICULTURE SMALL BUSINESS INNOVATION RESEARCH GRANTS PROGRAM Preparation of Proposals § 3403... of the innovation. (iii) Market. Milestone, target dates, analyses of market size, and estimated...

  20. 7 CFR 3403.8 - Proposal format for phase II applications.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... FOOD AND AGRICULTURE SMALL BUSINESS INNOVATION RESEARCH GRANTS PROGRAM Preparation of Proposals § 3403... of the innovation. (iii) Market. Milestone, target dates, analyses of market size, and estimated...

  1. 7 CFR 3403.8 - Proposal format for phase II applications.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... FOOD AND AGRICULTURE SMALL BUSINESS INNOVATION RESEARCH GRANTS PROGRAM Preparation of Proposals § 3403... of the innovation. (iii) Market. Milestone, target dates, analyses of market size, and estimated...

  2. 7 CFR 3403.8 - Proposal format for phase II applications.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... FOOD AND AGRICULTURE SMALL BUSINESS INNOVATION RESEARCH GRANTS PROGRAM Preparation of Proposals § 3403... of the innovation. (iii) Market. Milestone, target dates, analyses of market size, and estimated...

  3. Experimental clean combustor program, phase 3: Noise measurement addendum. [CF6-50 high bypass turbofan engine noise

    NASA Technical Reports Server (NTRS)

    Doyle, V. L.

    1978-01-01

    The acoustic characteristics of the double annular combustor in a CF6-50 high bypass turbofan engine were investigated. Internal fluctuating pressure measurements were made in the combustor region and in the core exhaust. The transmission loss across the turbine and nozzle was determined from the measurements and compared to previous component results and present theory. The primary noise source location in the combustor was investigated. Spectral comparisons of test rig results were made with the engine results. The measured overall power level was compared with component and engine correlating parameters.

  4. SU-F-T-488: Comparison of the TG-51 and TG-51 Addendum Calibration Protocols

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

    McCaw, T; Hwang, M; Jang, S

    Purpose: To quantify differences between the TG51 and TG51 addendum calibration protocols. Methods: Beam energies of 6X, 6XSRS, 10X, 15X, 23X, 6XFFF, and 10XFFF were calibrated following both the TG51 and TG51 addendum protocols using both a Farmer and a scanning ionization chamber with traceable absorbed dose-to-water calibrations. For the TG51 addendum procedure, the collimating jaws were positioned to define a 10×10cm{sup 2} radiation field, a lead foil was only used for kQ measurements of FFF energies, and a volume-averaging correction was applied based on crossline and inline dose profiles. For the TG51 procedure, the collimating jaws were set tomore » 10×10cm{sup 2} according to the digital readout, and a lead foil was used for kQ measurements of energies greater than 10MV. Results: For beam energies with a flattening filter, absorbed dose-to-water determined by the two protocols differed by 0.1%–0.3%. For FFF beam energies, differences between the protocols were up to 0.2% and 0.8% for the scanning and Farmer ionization chambers, respectively. Differences between the protocols were due to kQ determination, volume-averaging correction, and measurement of raw ionization. Differences in kQ values between the two protocols were up to 0.4% and 0.2% for the scanning and Farmer ionization chambers, respectively. Volume-averaging corrections were less than 0.1% for the scanning ionization chamber, and up to 0.4% and 0.6% for the Farmer ionization chamber in beams with a flattening filter and FFF beams, respectively. Raw ionization measurements differed up to 0.3%±0.07% due to differences in jaw settings. Conclusion: The TG51 and TG51 addendum calibration protocols differed less than 0.3% for the scanning ionization chamber. For the Farmer chamber in FFF energies, volume-averaging corrections of up to 0.6% contributed to calibration differences of up to 0.8%. Failure to verify the radiation field size can produce calibration differences of up to 0.3%.« less

  5. Developmental Milestones

    MedlinePlus

    ... 3 years 4 years 5 years Milestone Tracker App Milestones in Action: Photos & Videos 2 months 4 ... milestone checklists (PDF) Download the Milestone Tracker mobile app View the Milestones in Action photo and video ...

  6. Addendum to the Closure Report for Corrective Action Unit 165: Area 25 and 26 Dry Well and Washdown Areas, Nevada Test Site, Nevada, Revision 0

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

    Krauss, Mark J

    This document constitutes an addendum to the Closure Report for Corrective Action Unit 165: Area 25 and 26 Dry Well and Washdown Areas, Nevada Test Site, Nevada as described in the document Recommendations and Justifications To Remove Use Restrictions Established under the U.S. Department of Energy, National Nuclear Security Administration Nevada Field Office Federal Facility Agreement and Consent Order dated September 2013. The Use Restriction Removal document was approved by the Nevada Division of Environmental Protection on October 16, 2013. The approval of the UR Removal document constituted approval of each of the recommended UR removals. In conformance with themore » UR Removal document, this addendum consists of: This page that refers the reader to the UR Removal document for additional information The cover, title, and signature pages of the UR Removal document The NDEP approval letter The corresponding section of the UR Removal document This addendum provides the documentation justifying the cancellation of the UR for CAS 25-20-01, Lab Drain Dry Well. This UR was established as part of FFACO corrective actions and was based on the presence of tetrachloroethene contamination at concentrations greater than the action level established at the time of the initial investigation. Although total petroleum hydrocarbon diesel-range organics contamination at concentrations greater than the NDEP action level was present at the site, no hazardous constituents of TPH-DRO exceeded the U.S. Environmental Protection Agency (EPA) Region 9 preliminary remediation goals established at the time of the initial investigation.« less

  7. Addendum Guidelines for the Prevention of Peanut Allergy in the United States: Report of the National Institute of Allergy and Infectious Diseases-Sponsored Expert Panel.

    PubMed

    Togias, Alkis; Cooper, Susan F; Acebal, Maria L; Assa'ad, Amal; Baker, James R; Beck, Lisa A; Block, Julie; Byrd-Bredbenner, Carol; Chan, Edmond S; Eichenfield, Lawrence F; Fleischer, David M; Fuchs, George J; Furuta, Glenn T; Greenhawt, Matthew J; Gupta, Ruchi S; Habich, Michele; Jones, Stacie M; Keaton, Kari; Muraro, Antonella; Plaut, Marshall; Rosenwasser, Lanny J; Rotrosen, Daniel; Sampson, Hugh A; Schneider, Lynda C; Sicherer, Scott H; Sidbury, Robert; Spergel, Jonathan; Stukus, David R; Venter, Carina; Boyce, Joshua A

    2017-01-01

    Food allergy is an important public health problem because it affects children and adults, can be severe and even life-threatening, and may be increasing in prevalence. Beginning in 2008, the National Institute of Allergy and Infectious Diseases, working with other organizations and advocacy groups, led the development of the first clinical guidelines for the diagnosis and management of food allergy. A recent landmark clinical trial and other emerging data suggest that peanut allergy can be prevented through introduction of peanut-containing foods beginning in infancy. Prompted by these findings, along with 25 professional organizations, federal agencies, and patient advocacy groups, the National Institute of Allergy and Infectious Diseases facilitated development of addendum guidelines to specifically address the prevention of peanut allergy. The addendum provides three separate guidelines for infants at various risk levels for the development of peanut allergy and is intended for use by a wide variety of health care providers. Topics addressed include the definition of risk categories, appropriate use of testing (specific IgE measurement, skin prick tests, and oral food challenges), and the timing and approaches for introduction of peanut-containing foods in the health care provider's office or at home. The addendum guidelines provide the background, rationale, and strength of evidence for each recommendation. Guidelines have been developed for early introduction of peanut-containing foods into the diets of infants at various risk levels for peanut allergy. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

  8. [An analysis of residents' self-evaluation and faculty-evaluation in internal medicine standardized residency training program using Milestones evaluation system].

    PubMed

    Zhang, Y; Chu, X T; Zeng, X J; Li, H; Zhang, F C; Zhang, S Y; Shen, T

    2018-06-01

    Objective: To assess the value of internal medicine residency training program at Peking Union Medical College Hospital (PUMCH), and the feasibility of applying revised Milestones evaluation system. Methods: Postgraduate-year-one to four (PGY-1 to PGY-4) residents in PUMCH finished the revised Milestones evaluation scales in September 2017. Residents' self-evaluation and faculty-evaluation scores were calculated. Statistical analysis was conducted on the data. Results: A total of 207 residents were enrolled in this cross-sectional study. Both self and faculty scores showed an increasing trend in senior residents. PGY-1 residents were assessed during their first month of residency with scores of 4 points or higher, suggesting that residents have a high starting level. More strikingly, the mean score in PGY-4 was 7 points or higher, proving the career development of residency training program. There was no statistically significant difference between total self- and faculty-evaluation scores. Evaluation scores of learning ability and communication ability were lower in faculty group ( t =-2.627, -4.279, all P <0.05). The scores in graduate students were lower than those in standardized training residents. Conclusions: The goal of national standardized residency training is to improve the quality of healthcare and residents' career development. The evaluation results would guide curriculum design and emphasize the importance and necessity of multi-level teaching. Self-evaluation contributes to the understanding of training objectives and personal cognition.

  9. Attracting and Retaining Women in Science and Engineering

    ERIC Educational Resources Information Center

    Rosser, Sue V.

    2003-01-01

    Fiscal year 2001 marked an important milestone in policies to attract and retain women in science and engineering. That year, the National Science Foundation (NSF) initiated an awards program called ADVANCE at a funding level of $19 million. The program supports efforts by institutions and individuals to empower women to participate fully in…

  10. A Working Model for the Development, Implementation and Evaluation of an Art Program on the College Level.

    ERIC Educational Resources Information Center

    Demery, Marie; And Others

    Components of an art program that was developed with federal funding are outlined. The model contains information on the grant proposal, including the rationale for funding, implementation strategies, activity timetable, qualifications of key personnel, activity objectives and performance measures, intitutional goals, activity milestones, and…

  11. 78 FR 8193 - Sunshine Act Meeting; Finance, Budget & Program Committee Meeting of the Board of Directors

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... NEIGHBORHOOD REINVESTMENT CORPORATION Sunshine Act Meeting; Finance, Budget & Program Committee...: Erica Hall, Assistant Corporate Secretary, (202) 220-2376; [email protected] . AGENDA: I. Call To Order II.../Treasury Initiative VI. Lease and Move VII. FY 13 Corporate Milestone Report and Dashboard VIII. NFMC and...

  12. Structures and Dynamics Division research and technology plans for FY 1988 and accomplishments for FY 1987

    NASA Technical Reports Server (NTRS)

    Bales, Kay S.

    1988-01-01

    Presented are the Objectives, FY 1988 Plans, Approach, and FY 1988 Milestones for the Structures and Dynamics Division (Langley Research Center) research programs. FY 1987 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  13. Structures and Dynamics Division research and technology plans for FY 1987 and accomplishments for FY 1986

    NASA Technical Reports Server (NTRS)

    Bales, Kay S.

    1987-01-01

    This paper presents the Objectives, FY 1987 Plans, Approach, and FY 1987 Milestones for the Structures and Dynamics Division's research programs. FY 1986 Accomplishments are presented where applicable. This information is useful in program coordination with other governmental organizations in areas of mutual interest.

  14. Structures and Dynamics Division research and technology plans for FY 1985 and accomplishments for FY 1984

    NASA Technical Reports Server (NTRS)

    Bales, K. S.

    1985-01-01

    The objectives, FY 1985 plans, approach, and FY 1985 milestones for the Structures and Dynamics Division's research programs are presented. The FY 1984 accomplishments are presented where applicable. This information is useful in program coordination with other government organizations in areas of mutual interest.

  15. Case Study of the U.S. Army’s Should-Cost Management Implementation

    DTIC Science & Technology

    2013-12-03

    and Pelvic Protection Systems (PPS). After graduating from the Naval Postgraduate School, Major Choi will be assigned to the U.S. Army...Systems PMO Product/Project/Program Management Office PMT Program Management Training POA&M Plan of Action and Milestones POE Program Office...Intelligence, Electronic Warfare and Sensors  PEO Simulation, Training , and Instrumentation  JPEO Chemical and Biological Defense The researcher

  16. Post Milestone B Funding Climate and Cost Growth in Major Defense Acquisition Programs

    DTIC Science & Technology

    2017-03-01

    by P-5126 supposes that most of the growth in unit cost shown by programs that pass MS B in a bust funding climate is “ baked into” the baselines...that most of the growth in unit cost shown by programs that pass MS B in a bust funding climate is “ baked into” the baselines established at MS B

  17. Solar thermal power storage applications lead laboratory overview

    NASA Technical Reports Server (NTRS)

    Radosevich, L. G.

    1980-01-01

    The implementation of the applications elements of the thermal energy storage for Solar Thermal Applications program is described. The program includes the accelerated development of thermal storage technologies matched to solar thermal power system requirements and scheduled milestones. The program concentrates on storage development in the FY80 to 85 time period with emphasis on the more near-term solar thermal power system application.

  18. Identifying Gaps in the Performance of Pediatric Trainees Who Receive Marginal/Unsatisfactory Ratings.

    PubMed

    Li, Su-Ting T; Tancredi, Daniel J; Schwartz, Alan; Guillot, Ann; Burke, Ann; Trimm, R Franklin; Guralnick, Susan; Mahan, John D; Gifford, Kimberly A

    2018-01-01

    To perform a derivation study to determine in which subcompetencies marginal/unsatisfactory pediatric residents had the greatest deficits compared with their satisfactorily performing peers and which subcompetencies best discriminated between marginal/unsatisfactory and satisfactorily performing residents. Multi-institutional cohort study of all 21 milestones (rated on four or five levels) reported to the Accreditation Council for Graduate Medical Education, and global marginal/unsatisfactory versus satisfactory performance reported to the American Board of Pediatrics. Data were gathered in 2013-2014. For each level of training (postgraduate year [PGY] 1, 2, and 3), mean differences between milestone levels of residents with marginal/unsatisfactory and satisfactory performance adjusted for clustering by program and C-statistics (area under receiver operating characteristic curve) were calculated. A Bonferroni-corrected significance threshold of .0007963 was used to account for multiple comparisons. Milestone and overall performance evaluations for 1,704 pediatric residents in 41 programs were obtained. For PGY1s, two subcompetencies had almost a one-point difference in milestone levels between marginal/unsatisfactory and satisfactory trainees and outstanding discrimination (≥ 0.90): organize/prioritize (0.93; C-statistic: 0.91) and transfer of care (0.97; C-statistic: 0.90). The largest difference between marginal/unsatisfactory and satisfactory PGY2s was trustworthiness (0.78). The largest differences between marginal/unsatisfactory and satisfactory PGY3s were ethical behavior (1.17), incorporating feedback (1.03), and professionalization (0.96). For PGY2s and PGY3s, no subcompetencies had outstanding discrimination. Marginal/unsatisfactory pediatric residents had different subcompetency gaps at different training levels. While PGY1s may have global deficits, senior residents may have different performance deficiencies requiring individualized counseling and targeted performance improvement plans.

  19. Survey of Current Business. Volume 71, Number 10, October 1991

    DTIC Science & Technology

    1991-10-01

    3730 400.9 397-5 404.5 411.2 417.8 4238 429.1 State and local .. .............. 2570 261 261.7 262.7 2636 2,%4 264.9 2651 Rest of the world ...37.6 41.7 31.6 42.9 50.8 4.8 43.6 42.4 Rest of the world ....... . 30.2 31.9 24.5 32. 38.2 40.5 32.0 31.0 Addendum: Addendum: Gros domestic...government, and rust of the world , and includes asimali amount of final saes by fartms. rates 2 QuarterY tot as mronthly rates. Blusness finail sales

  20. Milestones for the Final Mile: Interspecialty Distinctions in Primary Palliative Care Skills Training.

    PubMed

    Harris, John A; Herrel, Lindsey A; Healy, Mark A; Wancata, Lauren M; Perumalswami, Chithra R

    2016-09-01

    Primary palliative care (PPC) skills are useful in a wide variety of medical and surgical specialties, and the expectations of PPC skill training are unknown across graduate medical education. We characterized the variation and quality of PPC skills in residency outcomes-based Accreditation Council for Graduate Medical Education (ACGME) milestones. We performed a content analysis with structured implicit review of 2015 ACGME milestone documents from 14 medical and surgical specialties chosen for their exposure to clinical situations requiring PPC. For each specialty milestone document, we characterized the variation and quality of PPC skills in residency outcomes-based ACGME milestones. We identified 959 occurrences of 29 palliative search terms within 14 specialty milestone documents. Within these milestone documents, implicit review characterized 104 milestones with direct saliency to PPC skills and 196 milestones with indirect saliency. Initial interrater agreement of the saliency rating among the primary reviewers was 89%. Specialty milestone documents varied widely in their incorporation of PPC skills within milestone documents. PPC milestones were most commonly found in milestone documents for Anesthesiology, Pediatrics, Urology, and Physical Medicine and Rehabilitation. PPC-relevant milestones were most commonly found in the Interpersonal and Communication Skills core competency with 108 (36%) relevant milestones classified under this core competency. Future revisions of specialty-specific ACGME milestone documents should focus on currently underrepresented, but important PPC skills. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  1. What Shape is Your Resident in? Using a Radar Plot to Guide a Milestone Clinical Competency Discussion.

    PubMed

    Harrington, David T; Miner, Thomas J; Ng, Thomas; Charpentier, Kevin P; Richardson, Pam; Cioffi, William G

    2015-01-01

    One of the challenges for program directors (PDs) is to sort and weight the tidal wave of assessments that training programs create in the modern Milestone era. We evaluated whether the use of a radar plot (RP) would be helpful in sorting data and providing a graphic representation of each resident's progress. Using at least 2 different types of assessments for each of the 16 surgical Milestones, the data were ranked and weighted by a predetermined method embedded in a computerized workbook (Excel). This process created a unique 16-spoked RP for each resident (Fig. below). The RP allowed the faculty to see areas of weakness (shown by concavity) and allowed an overall grade calculated as a ratio of the area of the smooth outer circle (faculty expectations, triangles) and the resident's unique radar shape (resident performance, squares). To help us validate our new tool, we looked at whether residents with recent remedial issues "looked" different from residents without remedial issues. Of our 30 categorical residents, 8 had significant areas of concavities, suggesting possible areas of improvement. Of these 8 residents, 4 had been on a remediation program in the last 18 months. The average ratio of performance/expectations was 0.709. The 4 residents on recent remediation had a ratio of 0.616 when compared with 0.723 for the residents without remedial issues (p < 0.009). Many exciting challenges await PDs, as we evolve to a competency-based evaluation system. The use of an evaluation summary tool using RPs may aid PDs in leading clinical competency discussions and in monitoring a resident's progress over time. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  2. Milestoning with coarse memory

    NASA Astrophysics Data System (ADS)

    Hawk, Alexander T.

    2013-04-01

    Milestoning is a method used to calculate the kinetics of molecular processes occurring on timescales inaccessible to traditional molecular dynamics (MD) simulations. In the method, the phase space of the system is partitioned by milestones (hypersurfaces), trajectories are initialized on each milestone, and short MD simulations are performed to calculate transitions between neighboring milestones. Long trajectories of the system are then reconstructed with a semi-Markov process from the observed statistics of transition. The procedure is typically justified by the assumption that trajectories lose memory between crossing successive milestones. Here we present Milestoning with Coarse Memory (MCM), a generalization of Milestoning that relaxes the memory loss assumption of conventional Milestoning. In the method, milestones are defined and sample transitions are calculated in the standard Milestoning way. Then, after it is clear where trajectories sample milestones, the milestones are broken up into distinct neighborhoods (clusters), and each sample transition is associated with two clusters: the cluster containing the coordinates the trajectory was initialized in, and the cluster (on the terminal milestone) containing trajectory's final coordinates. Long trajectories of the system are then reconstructed with a semi-Markov process in an extended state space built from milestone and cluster indices. To test the method, we apply it to a process that is particularly ill suited for Milestoning: the dynamics of a polymer confined to a narrow cylinder. We show that Milestoning calculations of both the mean first passage time and the mean transit time of reversal—which occurs when the end-to-end vector reverses direction—are significantly improved when MCM is applied. Finally, we note the overhead of performing MCM on top of conventional Milestoning is negligible.

  3. Database and Management Information Support for the U.S. Army SBIR program

    DTIC Science & Technology

    1994-06-10

    milestones under the new process. BRTRC also supported preparations for a video teleconference between Mr. George Singley, the Deputy Assistant...Bob Wrenn, the in the sotware package. It should go smoothly; however, DoD SBIR Program Manager, and the in the interest of safety, please do not...144,206 autostereoscopic video ...................................................... 139 beam processing

  4. Predicting Success: A Study of Admission Processes and Passing the National Physical Therapy Examination for Physical Therapist Assistants

    ERIC Educational Resources Information Center

    Shaab, Kathryn R.

    2013-01-01

    In order to practice physical therapy, physical therapist assistants (PTAs) must graduate from an accredited academic program and pass the National Physical Therapy Examination for Physical Therapist Assistants (PTA-NPTE). The primary objective of academic programs is to prepare students to successfully complete these two milestones to become…

  5. Development of flat conductor cable for commercial and residential wiring

    NASA Technical Reports Server (NTRS)

    Carden, J. R.

    1977-01-01

    The overall spectrum of the space technology spin-off development project: development of Flat Conductor Cable (FCC) for commercial and residential wiring, is presented. A discussion of the background, program milestones, industry participants, system outgrowth, hardware availability, cost estimates, and overall status of the program is presented for the 1970-to-present time period.

  6. Overview Presentation

    NASA Technical Reports Server (NTRS)

    Lytle, John

    2001-01-01

    This report provides an overview presentation of the 2000 NPSS (Numerical Propulsion System Simulation) Review and Planning Meeting. Topics include: 1) a background of the program; 2) 1999 Industry Feedback; 3) FY00 Status, including resource distribution and major accomplishments; 4) FY01 Major Milestones; and 5) Future direction for the program. Specifically, simulation environment/production software and NPSS CORBA Security Development are discussed.

  7. What Can Schools, Colleges, and Youth Programs Do with Predictive Analytics? Practitioner Brief

    ERIC Educational Resources Information Center

    Balu, Rekha; Porter, Kristin

    2017-01-01

    Many low-income young people are not reaching important milestones for success (for example, completing a program or graduating from school on time). But the social-service organizations and schools that serve them often struggle to identify who is at more or less risk. These institutions often either over- or underestimate risk, missing…

  8. Structures and Dynamics Division research and technology plans for FY 1894 and accomplishments for FY 1982

    NASA Technical Reports Server (NTRS)

    Bales, K. S.

    1984-01-01

    The Objectives, Expected Results, Approach, and Fiscal Year FY 1984 Milestones for the Structures and Dynamics Division's research programs are examined. The FY 1983 Accomplishments are presented where applicable.

  9. Balanced program plan: analysis for biomedical and environmental research. Volume 5. Oil shale technology

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

    Not Available

    1976-06-01

    Oil shale technology has been divided into two sub-technologies: surfaceprocessing and in-situ processing. Definition of the research programs is essentially an amplification of the five King-Muir categories: (A) pollutants: characterization, measurement, and monitoring; (B) physical and chemical processes and effects; (C) health effects; (D) ecological processes and effects; and (E) integrated assessment. Twenty-three biomedical and environmental research projects are described as to program title, scope, milestones, technology time frame, program unit priority, and estimated program unit cost.

  10. Molecular and Clinical Based Cardiovascular Care Program and Military Medical Molecular Initiative (M3I) - Integrative Cardiac Health Project. Addendum

    DTIC Science & Technology

    2008-11-01

    PLAC-1 k pravastatin 40 ~26 1918 + 292 -25.5 VCU e atorvastatin 10 12 2562 + 77 g -31.4 LZ (nm) PLAC-1 j pravastatin 20-40 ~26 20.7 + 0.5 +0.3...MC l diet & exercise --- 19 20.6 + 0.2 g +1.5 VCU e atorvastatin 10 12 19.8 + 0.1 g +1.5 TJU h niacin ER i 1000 12 20.0 +2.0 TJU h niacin ER i...University – 53 ( atorvastatin ) or 48 (niacin) men and women with atherogenic dyslipidemia, treatment followed a 6-week lead-in period on a National

  11. Making ITS/CVO happen : Pennsylvania's ITS/CVO business plan

    DOT National Transportation Integrated Search

    1998-12-31

    This business plan will be used to coordinate the deployment of CVO technologies in Pennsylvania. It provides a 'roadmap' for Pennsylvania's ITS/CVO program by defining broad goals and objectives, as well as specific projects, milestones, responsibil...

  12. Optical Communications and Detection Systems

    DOT National Transportation Integrated Search

    1971-08-01

    The two milestones of the program (1) development of a high quantum efficiency 1.06 micron photomissive surface and (2) narrow pulse propatation in the earth's atmosphere at 0.63 microns were completed. : Item 1 was completed in a contract award. : I...

  13. From alcohol initiation to tolerance to problems: Discordant twin modeling of a developmental process

    PubMed Central

    Deutsch, Arielle R.; Slutske, Wendy S.; Lynskey, Michael T.; Bucholz, Kathleen K.; Madden, Pamela A. F.; Heath, Andrew C.; Martin, Nicholas G.

    2017-01-01

    The current study examined a stage-based alcohol use trajectory model to test for potential causal effects of earlier drinking milestones on later drinking milestones in a combined sample of two cohorts of Australian monozygotic and same-sex dizygotic twins (N = 7,398, age M = 30.46, SD = 2.61, 61% mal 56% monozygotic twins). Ages of drinking, drunkenness, regular drinking, tolerance, first nontolerance alcohol use disorder symptom, and alcohol use disorder symptom onsets were assessed retrospectively. Ages of milestone attainment (i.e., age-of-onset) and time between milestones (i.e., time-to-even were examined via frailty models within a multilevel discordant twin design. For age-of-onset models, earlier ages of onset of antecedent drinking milestones increased hazards for earlier ages of onset for more proximal subsequent drinking milestones. For the time-to-event models, however, earlier ag of onset for the “starting” milestone decreased risk for a shorter time period between the starting and the “ending” milestone. Earlier age of onset of intermediate milestones between starting and ending drinking milestones had the opposite effect, increasing risk for a shorter time period between the starti and ending milestones. These results are consistent with a causal effect of an earlier age of drinking milestone onset on temporally proximal subsequent drinking milestones. PMID:27417028

  14. Addendum to the Closure Report for Corrective Action Unit 262: Area 25 Septic Systems and Underground Discharge Point, Nevada Test Site, Nevada

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

    Lynn Kidman

    2008-10-01

    This document constitutes an addendum to the July 2003, Closure Report for Corrective Action Unit 262: Area 25 Septic Systems and Underground Discharge Point as described in the document Recommendations and Justifications for Modifications for Use Restrictions Established under the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office Federal Facility Agreement and Consent Order (UR Modification document) dated February 2008. The UR Modification document was approved by NDEP on February 26, 2008. The approval of the UR Modification document constituted approval of each of the recommended UR modifications.

  15. Addendum to foundations of multidimensional wave field signal theory: Gaussian source function

    NASA Astrophysics Data System (ADS)

    Baddour, Natalie

    2018-02-01

    Many important physical phenomena are described by wave or diffusion-wave type equations. Recent work has shown that a transform domain signal description from linear system theory can give meaningful insight to multi-dimensional wave fields. In N. Baddour [AIP Adv. 1, 022120 (2011)], certain results were derived that are mathematically useful for the inversion of multi-dimensional Fourier transforms, but more importantly provide useful insight into how source functions are related to the resulting wave field. In this short addendum to that work, it is shown that these results can be applied with a Gaussian source function, which is often useful for modelling various physical phenomena.

  16. NASA satellite communications application research, phase 2 addendum. Efficient high power, solid state amplifier for EHF communications

    NASA Technical Reports Server (NTRS)

    Benet, James

    1994-01-01

    This document is an addendum to the NASA Satellite Communications Application Research (SCAR) Phase 2 Final Report, 'Efficient High Power, Solid State Amplifier for EHF Communications.' This report describes the work performed from 1 August 1993 to 11 March 1994, under contract number NASW-4513. During this reporting period an array of transistor amplifiers was repaired by replacing all MMIC amplifier chips. The amplifier array was then tested using three different feedhorn configurations. Descriptions, procedures, and results of this testing are presented in this report, and conclusions are drawn based on the test results obtained.

  17. Addendum to Air Quality: Decision Support Tools, Partner Plans, Working Groups, Committees

    NASA Technical Reports Server (NTRS)

    Holekamp, Kara; Frisbie, Troy; Estep, Lee

    2005-01-01

    In the original report dated February 11, 2005, the utility of NASA Earth science data in the air quality activities of other agencies and organizations was assessed by reviewing strategic and mission plans and by conducting personal interviews with agency experts to identify and investigate agencies with the potential for partnership with NASA. The overarching agency strategic plans were reviewed and commonalities such as the desire for partnerships and technology development were noted. This addendum to the original report contains such information about the Tennessee Valley Authority and will be inserted as Section 2.6 of "Air Quality: Decision Support Tools, Partner Plans, Working Groups, Committees."

  18. Addendum to Air Quality: Decision Support Tools, Partner Plans, Working Groups, Committees

    NASA Technical Reports Server (NTRS)

    Holekamp, Kara; Frisbie, Troy; Estep, Lee

    2005-01-01

    In the original report dated February 11, 2005, the utility of the NASA Earth science data in the air quality activities of other agencies and organizations was assessed by reviewing strategic and mission plans and by conducting personal interviews with agency experts to identify and investigate agencies with the potential for partnership with NASA. The overarching agency strategic plans were reviewed and commonalities such as the desire for partnerships and technology development were noted. The addendum to the original report contains such information about the Tennessee Valley Authority and will be inserted in Section 2.6 of "Air Quality Decision Support Tools, Partner Plans, Working Groups, Committees".

  19. Pseudomonas - current and emerging issues.

    PubMed

    Pearson, Susan

    2016-01-01

    Susan Pearson reports on some of the most interesting presentations at an International Biodeterioration and Biodegradation Society (IBBS) and Public Health England conference on 'Water microbiology - current and emerging issues in healthcare', held at the University of Winchester in early September. Two and a half years after the publication of the Addendum to HTM 04-01 - which gave advice on controlling and minimising the risk of morbidity and mortality due to P. aeruginosa in augmented care units - a major focus at the event was on how well the Addendum had been working for those 'at the frontline of infection control', and what improvements, if any, might be needed.

  20. Comparison of the recommendations of the AAPM TG-51 and TG-51 addendum reference dosimetry protocols.

    PubMed

    McCaw, Travis J; Hwang, Min-Sig; Jang, Si Young; Huq, M Saiful

    2017-07-01

    This work quantified differences between recommendations of the TG-51 and TG-51 addendum reference dosimetry protocols. Reference dosimetry was performed for flattened photon beams with nominal energies of 6, 10, 15, and 23 MV, as well as flattening-filter free (FFF) beam energies of 6 and 10 MV, following the recommendations of both the TG-51 and TG-51 addendum protocols using both a Farmer ® ionization chamber and a scanning ionization chamber with calibration coefficients traceable to absorbed dose-to-water (D w ) standards. Differences in D w determined by the two protocols were 0.1%-0.3% for beam energies with a flattening filter, and up to 0.2% and 0.8% for FFF beams measured with the scanning and Farmer ® ionization chambers, respectively, due to k Q determination, volume-averaging correction, and collimator jaw setting. Combined uncertainty was between 0.91% and 1.2% (k = 1), varying by protocol and detector. © 2017 The Authors. Journal of Applied Clinical Medical Physics published by Wiley Periodicals, Inc. on behalf of American Association of Physicists in Medicine.

  1. A Generalized Framework for Constrained Design Optimization of General Supersonic Configurations Using Adjoint Based Sensitivity Derivatives

    NASA Technical Reports Server (NTRS)

    Karman, Steve L., Jr.

    2011-01-01

    The Aeronautics Research Mission Directorate (ARMD) sent out an NASA Research Announcement (NRA) for proposals soliciting research and technical development. The proposed research program was aimed at addressing the desired milestones and outcomes of ROA (ROA-2006) Subtopic A.4.1.1 Advanced Computational Methods. The second milestone, SUP.1.06.02 Robust, validated mesh adaptation and error quantification for near field Computational Fluid Dynamics (CFD), was addressed by the proposed research. Additional research utilizing the direct links to geometry through a CAD interface enabled by this work will allow for geometric constraints to be applied and address the final milestone, SUP2.07.06 Constrained low-drag supersonic aerodynamic design capability. The original product of the proposed research program was an integrated system of tools that can be used for the mesh mechanics required for rapid high fidelity analysis and for design of supersonic cruise vehicles. These Euler and Navier-Stokes volume grid manipulation tools were proposed to efficiently use parallel processing. The mesh adaptation provides a systematic approach for achieving demonstrated levels of accuracy in the solutions. NASA chose to fund only the mesh generation/adaptation portion of the proposal. So this report describes the completion of the proposed tasks for mesh creation, manipulation and adaptation as it pertains to sonic boom prediction of supersonic configurations.

  2. Medicaid Long-Term Care Recipients Grew by 37%, Costs by 25% in 3 Years. Trends and Milestones.

    ERIC Educational Resources Information Center

    Anderson, Lynda; And Others

    1997-01-01

    This brief article presents data on trends in costs and numbers of recipients of Medicaid served by the Intermediate Care Facility/Mental Retardation program and the Medicaid Home and Community Based Services program. A table presents the data by state and a graph shows the increasing numbers of recipients and costs. (DB)

  3. Milestone report TCTP application to the SSME hydrogen system analysis

    NASA Technical Reports Server (NTRS)

    Richards, J. S.

    1975-01-01

    The Transient Cryogen Transfer Computer Program (TCTP) developed and verified for LOX systems by analyses of Skylab S-1B stage loading data from John F. Kennedy Space Center launches was extended to include hydrogen as the working fluid. The feasibility of incorporating TCTP into the space shuttle main engine dynamic model was studied. The program applications are documented.

  4. On the assumptions underlying milestoning.

    PubMed

    Vanden-Eijnden, Eric; Venturoli, Maddalena; Ciccotti, Giovanni; Elber, Ron

    2008-11-07

    Milestoning is a procedure to compute the time evolution of complicated processes such as barrier crossing events or long diffusive transitions between predefined states. Milestoning reduces the dynamics to transition events between intermediates (the milestones) and computes the local kinetic information to describe these transitions via short molecular dynamics (MD) runs between the milestones. The procedure relies on the ability to reinitialize MD trajectories on the milestones to get the right kinetic information about the transitions. It also rests on the assumptions that the transition events between successive milestones and the time lags between these transitions are statistically independent. In this paper, we analyze the validity of these assumptions. We show that sets of optimal milestones exist, i.e., sets such that successive transitions are indeed statistically independent. The proof of this claim relies on the results of transition path theory and uses the isocommittor surfaces of the reaction as milestones. For systems in the overdamped limit, we also obtain the probability distribution to reinitialize the MD trajectories on the milestones, and we discuss why this distribution is not available in closed form for systems with inertia. We explain why the time lags between transitions are not statistically independent even for optimal milestones, but we show that working with such milestones allows one to compute mean first passage times between milestones exactly. Finally, we discuss some practical implications of our results and we compare milestoning with Markov state models in view of our findings.

  5. The 25 kW power module evolution study. Part 3: Conceptual designs for power module evolution. Volume 2: Program plans

    NASA Technical Reports Server (NTRS)

    1979-01-01

    A plan is presented for the evolutionary development and deployment of the power module system with performance capabilities required to support the 1983 to 1990 user requirements. Aspects summarized include program functional, operational, and hardware elements; program work breakdown and specification items; development plans and schedules for developmental and technology milestones; test concepts and timeliness; and ground and orbit operations concepts.

  6. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  7. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  8. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  9. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  10. 20 CFR 411.597 - Will SSA periodically review the outcome payment system and the outcome-milestone payment system...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ....597 Employees' Benefits SOCIAL SECURITY ADMINISTRATION THE TICKET TO WORK AND SELF-SUFFICIENCY PROGRAM Employment Network Payment Systems § 411.597 Will SSA periodically review the outcome payment system and the...

  11. Skylab program earth resouces experiment package. Volume 4: Sensor performance evaluation (S193 R/S). [radiometer/scatterometer

    NASA Technical Reports Server (NTRS)

    Kenney, G. P.

    1975-01-01

    The results of the sensor performance evaluation of the 13.9 GHz radiometer/scatterometer, which was part of the earth resources experiment package on Skylab. Findings are presented in the areas of housekeeping parameters, antenna gain and scanning performance, dynamic range, linearity, precision, resolution, stability, integration time, and transmitter output. Supplementary analyses covering performance anomalies, data stream peculiarities, aircraft sensor data comparisons, scatterometer saturation characteristics, and RF heating effects are reported. Results of the evaluation show that instrument performance was generally as expected, but capability degradations were observed to result from three major anomalies. Conclusions are drawn from the evaluation results, and recommendations for improving the effectiveness of a future program are offered. An addendum describes the special evaluation techniques developed and applied in the sensor performance evaluation tasks.

  12. Notes from the field: the economic value chain in disease management organizations.

    PubMed

    Fetterolf, Donald

    2006-12-01

    The disease management (DM) "value chain" is composed of a linear series of steps that include operational milestones in the development of knowledge, each stage evolving from the preceding one. As an adaptation of Michael Porter's "value chain" model, the process flow in DM moves along the following path: (1) data/information technology, (2) information generation, (3) analysis, (4) assessment/recommendations, (5) actionable customer plan, and (6) program assessment/reassessment. Each of these stages is managed as a major line of product operations within a DM company or health plan. Metrics around each of the key production variables create benchmark milestones, ongoing management insight into program effectiveness, and potential drivers for activity-based cost accounting pricing models. The value chain process must remain robust from early entry of data and information into the system, through the final presentation and recommendations for our clients if the program is to be effective. For individuals involved in the evaluation or review of DM programs, this framework is an excellent method to visualize the key components and sequence in the process. The value chain model is an excellent way to establish the value of a formal DM program and to create a consultancy relationship with a client involved in purchasing these complex services.

  13. Mindfulness, burnout, and effects on performance evaluations in internal medicine residents

    PubMed Central

    Braun, Sarah E; Auerbach, Stephen M; Rybarczyk, Bruce; Lee, Bennett; Call, Stephanie

    2017-01-01

    Purpose Burnout has been documented at high levels in medical residents with negative effects on performance. Some dispositional qualities, like mindfulness, may protect against burnout. The purpose of the present study was to assess burnout prevalence among internal medicine residents at a single institution, examine the relationship between mindfulness and burnout, and provide preliminary findings on the relation between burnout and performance evaluations in internal medicine residents. Methods Residents (n = 38) completed validated measures of burnout at three time points separated by 2 months and a validated measure of dispositional mindfulness at baseline. Program director end-of-year performance evaluations were also obtained on 22 milestones used to evaluate internal medicine resident performance; notably, these milestones have not yet been validated for research purposes; therefore, the investigation here is exploratory. Results Overall, 71.1% (n = 27) of the residents met criteria for burnout during the study. Lower scores on the “acting with awareness” facet of dispositional mindfulness significantly predicted meeting burnout criteria χ2(5) = 11.88, p = 0.04. Lastly, meeting burnout criteria significantly predicted performance on three of the performance milestones, with positive effects on milestones from the “system-based practices” and “professionalism” domains and negative effects on a milestone from the “patient care” domain. Conclusion Burnout rates were high in this sample of internal medicine residents and rates were consistent with other reports of burnout during medical residency. Dispositional mindfulness was supported as a protective factor against burnout. Importantly, results from the exploratory investigation of the relationship between burnout and resident evaluations suggested that burnout may improve performance on some domains of resident evaluations while compromising performance on other domains. Implications and directions for future research are discussed. PMID:28860889

  14. The Decision to Incision Curriculum: Teaching Preoperative Skills and Achieving Level 1 Milestones.

    PubMed

    Skinner, Bethany; Morgan, Helen; Kobernik, Emily; Kamdar, Neil; Curran, Diana; Marzano, David; Hammoud, Maya

    2016-01-01

    To evaluate the effectiveness of a preoperative skills curriculum, and to assess and document competence in associated Obstetrics and Gynecology Level 1 Milestones. The Decision to Incision curriculum was developed by a team of medical educators with the goal of teaching and evaluating 5 skills pertinent to Milestone 1: Preoperative consent, patient positioning, Foley catheter placement, surgical scrub, and preoperative time-out. Competence, overall skill performance, and knowledge were assessed by evaluator rating using checklists before and after the educational intervention. Differences between preintervention and postintervention skills performance and competence were assessed using Wilcoxon rank test and Fisher exact test, respectively. Clinical Simulation Center at an academic medical center. Overall, 29 fourth year medical students matriculating into Obstetrics and Gynecology residencies. The proportion of participants meeting Milestone competence significantly increased in all 5 skills, with competence achieved in 95.6% (95% CI: 92.1-99.0) of posttest skills assessments. Median overall performance also significantly improved for all 5 skills, with 83.6% (95% CI: 77.3-89.9) earning scores of 4 out of 5 or greater on the posttest. For knowledge testing, the proportion of correct responses significantly increased for both topics evaluated, from 45.2% to 99.7% (p < 0.0001) for positioning and from 32.8% to 83.1% (p < 0.0001) for time-out. The decision to incision curriculum significantly improved preoperative skills, including skills that may be required on day 1 of residency. This curriculum also facilitated achievement and documentation of competence in multiple Milestones. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  15. Mindfulness, burnout, and effects on performance evaluations in internal medicine residents.

    PubMed

    Braun, Sarah E; Auerbach, Stephen M; Rybarczyk, Bruce; Lee, Bennett; Call, Stephanie

    2017-01-01

    Burnout has been documented at high levels in medical residents with negative effects on performance. Some dispositional qualities, like mindfulness, may protect against burnout. The purpose of the present study was to assess burnout prevalence among internal medicine residents at a single institution, examine the relationship between mindfulness and burnout, and provide preliminary findings on the relation between burnout and performance evaluations in internal medicine residents. Residents (n = 38) completed validated measures of burnout at three time points separated by 2 months and a validated measure of dispositional mindfulness at baseline. Program director end-of-year performance evaluations were also obtained on 22 milestones used to evaluate internal medicine resident performance; notably, these milestones have not yet been validated for research purposes; therefore, the investigation here is exploratory. Overall, 71.1% (n = 27) of the residents met criteria for burnout during the study. Lower scores on the "acting with awareness" facet of dispositional mindfulness significantly predicted meeting burnout criteria χ 2 (5) = 11.88, p = 0.04. Lastly, meeting burnout criteria significantly predicted performance on three of the performance milestones, with positive effects on milestones from the "system-based practices" and "professionalism" domains and negative effects on a milestone from the "patient care" domain. Burnout rates were high in this sample of internal medicine residents and rates were consistent with other reports of burnout during medical residency. Dispositional mindfulness was supported as a protective factor against burnout. Importantly, results from the exploratory investigation of the relationship between burnout and resident evaluations suggested that burnout may improve performance on some domains of resident evaluations while compromising performance on other domains. Implications and directions for future research are discussed.

  16. BER balanced program plan: oil shale technology. [23 suggested biomedical and environmental research projects

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

    Schulte, H.F.; Stoker, A.K.; Campbell, E.E.

    1976-06-01

    Oil shale technology has been divided into two sub-technologies: surface processing and in-situ processing. Definition of the research programs is essentially an amplification of the five King-Muir categories: (A) pollutants: characterization, measurement, and monitoring; (B) physical and chemical processes and effects; (C) health effects; (D) ecological processes and effects; and (E) integrated assessment. Twenty-three biomedical and environmental research projects are described as to program title, scope, milestones, technolgy time frame, program unit priority, and estimated program unit cost.

  17. 75 FR 968 - Notice of Public Information Collections Being Reviewed by the U.S. Agency for International...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-07

    ... . SUPPLEMENTARY INFORMATION: OMB No.: OMB 0412-New. Form No.: N/A. Title: Mentor-Prot[eacute]g[eacute] Program... the mentor-prot[eacute]g[eacute] agreement is meeting its milestones outlined in the original...

  18. Lean and Efficient Software: Whole-Program Optimization of Executables

    DTIC Science & Technology

    2013-01-03

    staffing for the project  Implementing the necessary infrastructure ( testing, performance evaluation, needed support software, bug and issue...in the SOW The result of the planning discussions is shown in the milestone table (section 6). In addition, we selected appropriate engineering

  19. Continuous Fiber Ceramic Composite (CFCC) Program: Gaseous Nitridation

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

    R. Suplinskas G. DiBona; W. Grant

    2001-10-29

    Textron has developed a mature process for the fabrication of continuous fiber ceramic composite (CFCC) tubes for application in the aluminum processing and casting industry. The major milestones in this project are System Composition; Matrix Formulation; Preform Fabrication; Nitridation; Material Characterization; Component Evaluation

  20. Toward Affordable Systems: Portfolio Analysis and Management for Army Science and Technology Programs

    DTIC Science & Technology

    2009-01-01

    PROGRAM ELEMENT NUMBER 6. AUTHOR (S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Rand...Decision Authority MDAP major defense acquisition program Abbreviations xxvii MIC marginal implementation cost MOMC marginal operating and...the Milestone Decision Authority (MDA).1 1 This section is based on U.S. Army, 2003, pp. 30–33. This 2003 Army document had taken into account the

  1. Capturing Creative Program Management Best Practices

    DTIC Science & Technology

    2013-04-01

    Maryland Bottleneck Analysis on the DoD Pre-Milestone B Acquisition Processes Danielle Worger and Teresa Wu, Arizona State University Eugene Rex Jalao...Creative Program Management Best Practices Brandon Keller and J. Robert Wirthlin Air Force Institute of Technology The RITE Approach to Agile ...Mechanism for Adaptive Change Kathryn Aten and John T . Dillard Naval Postgraduate School A Comparative Assessment of the Navy’s Future Naval Capabilities

  2. Tank waste remediation system nuclear criticality safety program management review

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

    BRADY RAAP, M.C.

    1999-06-24

    This document provides the results of an internal management review of the Tank Waste Remediation System (TWRS) criticality safety program, performed in advance of the DOE/RL assessment for closure of the TWRS Nuclear Criticality Safety Issue, March 1994. Resolution of the safety issue was identified as Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) Milestone M-40-12, due September 1999.

  3. First NASA/Industry High Speed Research Program Nozzle Symposium

    NASA Technical Reports Server (NTRS)

    Long-Davis, Mary Jo

    1999-01-01

    The First High Speed Research (HSR) Nozzle Symposium was hosted by NASA Lewis Research Center on November 17-19, 1992 in Cleveland, Ohio, and was sponsored by the HSR Source Noise Working Group. The purpose of this symposium was to provide a national forum for the government, industry, and university participants in the program to present and discuss important low noise nozzle research results and technology issues related to the development of appropriate nozzles for a commercially viable, environmentally compatible, U.S. High-Speed Civil Transport. The HSR Phase I research program was initiated in FY90 and is approaching the first major milestone (end of FY92) relative to an initial FAR 36 Stage 3 nozzle noise assessment. Significant research results relative to that milestone were presented. The opening session provided a brief overview of the Program and status of the Phase H plan. The next five sessions were technically oriented and highlighted recent significant analytical and experimental accomplishments. The last Session included a panel discussion by the Session Chairs, summarizing the progress seen to date and discussing issues relative to further advances in technology necessary to achieve the Program Goals. Attendance at the Symposium was by invitation only and included only industry, academic, and government participants who are actively involved in the High-Speed Research Program. The technology presented in this meeting is considered commercially sensitive.

  4. GAMBIT: the global and modular beyond-the-standard-model inference tool. Addendum for GAMBIT 1.1: Mathematica backends, SUSYHD interface and updated likelihoods

    NASA Astrophysics Data System (ADS)

    Athron, Peter; Balazs, Csaba; Bringmann, Torsten; Buckley, Andy; Chrząszcz, Marcin; Conrad, Jan; Cornell, Jonathan M.; Dal, Lars A.; Dickinson, Hugh; Edsjö, Joakim; Farmer, Ben; Gonzalo, Tomás E.; Jackson, Paul; Krislock, Abram; Kvellestad, Anders; Lundberg, Johan; McKay, James; Mahmoudi, Farvah; Martinez, Gregory D.; Putze, Antje; Raklev, Are; Ripken, Joachim; Rogan, Christopher; Saavedra, Aldo; Savage, Christopher; Scott, Pat; Seo, Seon-Hee; Serra, Nicola; Weniger, Christoph; White, Martin; Wild, Sebastian

    2018-02-01

    In Ref. (GAMBIT Collaboration: Athron et. al., Eur. Phys. J. C. arXiv:1705.07908, 2017) we introduced the global-fitting framework GAMBIT. In this addendum, we describe a new minor version increment of this package. GAMBIT 1.1 includes full support for Mathematica backends, which we describe in some detail here. As an example, we backend SUSYHD (Vega and Villadoro, JHEP 07:159, 2015), which calculates the mass of the Higgs boson in the MSSM from effective field theory. We also describe updated likelihoods in PrecisionBit and DarkBit, and updated decay data included in DecayBit.

  5. Addendum to the Closure Report for Corrective Action Unit 113: Area 25 R-MAD Facility, Nevada National Security Site, Nevada

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

    NSTec Environmental Restoration

    2011-02-24

    This addendum to the Closure Report for Corrective Action Unit 113: Area 25, Reactor Maintenance, Assembly, and Disassembly Facility, Building 3110, Nevada Test Site, Nevada, DOE/NV--891-VOL I-Rev. 1, dated July 2003, provides details of demolition, waste disposal, and use restriction (UR) modification for Corrective Action Unit 113, Area 25 R-MAD Facility. Demolition was completed on July 15, 2010, when the last of the building debris was disposed. Final field activities were concluded on August 30, 2010, after all equipment was demobilized and UR signs were posted. This work was funded by the American Recovery and Reinvestment Act.

  6. Visuospatial Aptitude Testing Differentially Predicts Simulated Surgical Skill.

    PubMed

    Hinchcliff, Emily; Green, Isabel; Destephano, Christopher; Cox, Mary; Smink, Douglas; Kumar, Amanika; Hokenstad, Erik; Bengtson, Joan; Cohen, Sarah

    2018-02-05

    To determine if visuospatial perception (VSP) testing is correlated to simulated or intraoperative surgical performance as rated by the American College of Graduate Medical Education (ACGME) milestones. Classification II-2 SETTING: Two academic training institutions PARTICIPANTS: 41 residents, including 19 Brigham and Women's Hospital and 22 Mayo Clinic residents from three different specialties (OBGYN, general surgery, urology). Participants underwent three different tests: visuospatial perception testing (VSP), Fundamentals of Laparoscopic Surgery (FLS®) peg transfer, and DaVinci robotic simulation peg transfer. Surgical grading from the ACGME milestones tool was obtained for each participant. Demographic and subject background information was also collected including specialty, year of training, prior experience with simulated skills, and surgical interest. Standard statistical analysis using Student's t test were performed, and correlations were determined using adjusted linear regression models. In univariate analysis, BWH and Mayo training programs differed in both times and overall scores for both FLS® peg transfer and DaVinci robotic simulation peg transfer (p<0.05 for all). Additionally, type of residency training impacted time and overall score on robotic peg transfer. Familiarity with tasks correlated with higher score and faster task completion (p= 0.05 for all except VSP score). There was no difference in VSP scores by program, specialty, or year of training. In adjusted linear regression modeling, VSP testing was correlated only to robotic peg transfer skills (average time p=0.006, overall score p=0.001). Milestones did not correlate to either VSP or surgical simulation testing. VSP score was correlated with robotic simulation skills but not with FLS skills or ACGME milestones. This suggests that the ability of VSP score to predict competence differs between tasks. Therefore, further investigation is required into aptitude testing, especially prior to its integration as an entry examination into a surgical subspecialty. Copyright © 2018. Published by Elsevier Inc.

  7. Airport Noise Tech Challenge Overview

    NASA Technical Reports Server (NTRS)

    Bridges, James

    2011-01-01

    The Supersonics Project, operating under NASA Aeronautics Mission Directorate#s Fundamental Aero Program, has been organized around the Technical Challenges that have historically precluded commercial supersonic flight. One of these Challenges is making aircraft that are capable of such high aerodynamic performance quiet enough around airports that they will not be objectionable. It is recognized that a successful civilian supersonic aircraft will be a system where many new technologies will come together, and for this to happen not only will new low noise propulsion concepts be required, but new engineering tools that predict the noise of the aircraft as these technologies are combined and compromised with the rest of the aircraft design. These are the two main objectives of the Airport Noise Tech Challenge. " ! As a Project in the Fundamental Aero Program, we work at a relatively low level of technology readiness. However, we have high level milestones which force us to integrate our efforts to impact systems-level activities. To keep the low-level work tied to delivering engineering tools and low-noise concepts, we have structured our milestones around development of the concepts and organized our activities around developing and applying our engineering tools to these concepts. The final deliverables in these milestones are noise prediction modules validated against the best embodiment of each concept. These will then be used in cross-disciplinary exercises to demonstrate the viability of aircraft designs to meet all the Technical Challenges. Some of the concepts being developed are shown: Fan Flow Diverters, Multi-jet Shielding, High-Aspect Ratio Embedded Nozzles, Plasma Actuated Instability Manipulation, Highly Variable Cycle Mixer- Ejectors, and Inverted Velocity Profiles. These concepts are being developed for reduced jet noise along with the design tools which describe how they perform when used in various aircraft configurations. Several key upcoming events are highlighted, including tests of the Highly Variable Cycle Mixer-Ejectors, and Inverted Velocity Profiles. Other key events are milestones to be delivered within the next calendar year.

  8. Developmental milestones record - 6 months

    MedlinePlus

    Normal childhood growth milestones - 6 months; Childhood growth milestones - 6 months; Growth milestones for children - 6 months ... the weight on hands (often occurs by 4 months) Able to pick up a dropped object Able ...

  9. Addendum to NuMI shielding assessment

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

    Vaziri, Kamran; /Fermilab

    2007-10-01

    The original safety assessment and the Safety Envelope for the NuMI beam line corresponds to 400 kW of beam power. The Main Injector is currently capable of and approved for producing 500 kW of beam power2. However, operation of the NuMI beam line at 400 kW of power brings up the possibility of an occasional excursion above 400 kW due to better than usual tuning in one of the machines upstream of the NuMI beam line. An excursion above the DOE approved Safety Envelope will constitute a safety violation. The purpose of this addendum is to evaluate the radiological issuesmore » and modifications required to operate the NuMI beam line at 500 kW. This upgrade will allow 400 kW operations with a reasonable safety margin. Configuration of the NuMI beam line, boundaries, safety system and the methodologies used for the calculations are as described in the original NuMI SAD. While most of the calculations presented in the original shielding assessment were based on Monte Carlo simulations, which were based on the design geometries, most of the results presented in this addendum are based on the measurements conducted by the AD ES&H radiation safety group.« less

  10. KSC-2013-4519

    NASA Image and Video Library

    2013-12-20

    An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  11. Curriculum for the Special Education Early Childhood Center.

    ERIC Educational Resources Information Center

    Taulbee, Dianne R.; And Others

    This document presents Jackson County (Michigan) Intermediate School District's Special Education Early Childhood Center's 1988 curriculum. Sections focus on: (1) the center's program; (2) play observation; (3) eligibility; (4) classroom structure and function; (5) the importance of play; (6) developmental milestones; (7) planning and teaching…

  12. The Trade-off

    ERIC Educational Resources Information Center

    Stuart, Reginald

    2009-01-01

    When Lincoln University opened its state-of-the art $23 million International Cultural Center in November, the small liberal arts college reached another milestone in its sweeping modernization program aimed at boosting its appeal to students in an increasingly competitive higher education environment. To say Lincoln, a small, quasi-private…

  13. Cindy Gerk | NREL

    Science.gov Websites

    results, and working closely with industry and DOE serving as a Project Leader and a Principal Investigator Management of reporting requirements to DOE for financial forecasts, milestone reports, and annual operating plans Management of communications projects for the NREL Biomass program and Bioenergy

  14. A Longitudinal Emergency Medical Services Track in Emergency Medicine Residency.

    PubMed

    Adams, Daniel; Bischof, Jason; Larrimore, Ashley; Krebs, William; King, Andrew

    2017-03-30

    Emergency medicine residency programs offer Emergency Medical Services (EMS) curricula to address Accreditation Council for Graduate Medical Education (ACGME) milestones. While some programs offer advanced clinical tracks in EMS, no standard curriculum exists. We sought to establish a well-defined EMS curriculum to allow interested residents to develop advanced clinical skills and scholarship within this subspecialty. Core EMS fellowship trained faculty were recruited to help develop the curriculum. Building on ACGME graduation requirements and milestones, important elements of EMS fellowship training were incorporated into the curriculum to develop the final document. The final curriculum focuses on scholarly activities relating to the four core areas of EMS identified by The American Board of Emergency Medicine and serves as an intermediary between ACGME graduation requirements for education in EMS and fellowship level training. Standardization of the EMS scholarly track can provide residents with the potential to obtain competency beyond ACGME requirements and prepare them for success in fellowship training and/or leadership within EMS on graduation.

  15. A Longitudinal Emergency Medical Services Track in Emergency Medicine Residency

    PubMed Central

    Bischof, Jason; Larrimore, Ashley; Krebs, William; King, Andrew

    2017-01-01

    Emergency medicine residency programs offer Emergency Medical Services (EMS) curricula to address Accreditation Council for Graduate Medical Education (ACGME) milestones. While some programs offer advanced clinical tracks in EMS, no standard curriculum exists. We sought to establish a well-defined EMS curriculum to allow interested residents to develop advanced clinical skills and scholarship within this subspecialty. Core EMS fellowship trained faculty were recruited to help develop the curriculum. Building on ACGME graduation requirements and milestones, important elements of EMS fellowship training were incorporated into the curriculum to develop the final document. The final curriculum focuses on scholarly activities relating to the four core areas of EMS identified by The American Board of Emergency Medicine and serves as an intermediary between ACGME graduation requirements for education in EMS and fellowship level training. Standardization of the EMS scholarly track can provide residents with the potential to obtain competency beyond ACGME requirements and prepare them for success in fellowship training and/or leadership within EMS on graduation. PMID:28465874

  16. Guide to DCP Study Close-Out: Milestones and Tasks | Division of Cancer Prevention

    Cancer.gov

    This guide assists Consortium Lead Organization (CLO) planning for DCP study close-out. Study close-out tasks are organized under milestones, which help mark progress toward completion of the close-out process. Once tasks associated with a milestone are underway, planning for the next milestone may begin. Click on a milestone to view the associated close-out tasks. |

  17. Pediatrics Milestone Project: Next Steps Toward Meaningful Outcomes Assessment

    PubMed Central

    Hicks, Patricia J.; Englander, Robert; Schumacher, Daniel J.; Burke, Ann; Benson, Bradley J.; Guralnick, Susan; Ludwig, Stephen; Carraccio, Carol

    2010-01-01

    In the September 2010 issue of JGME, the Pediatric Milestones Working Group published “The Pediatrics Milestones: Conceptual Framework, Guiding Principles, and Approach to Development”, a document that describes the construction of the first iteration of the Pediatric Milestones. These Milestones were developed by the Working Group as a group of practical behavioral expectations for each of the 52 sub-competencies. In constructing these Milestones, the authors were cognizant of the need to ground the Milestones themselves in evidence, theories or other conceptual frameworks that would provide the basis for the ontogeny of development for each sub-competency. During this next phase of the Milestones development, the process will continue with consultation with content experts and consideration of assessment of Milestones. We have described possible measurement tools, explored threats to validity, establishment of benchmarks, and possible approaches to reporting of performance. The vision of the Pediatrics Milestone Project is to understand the development of a pediatrician from entry into medical school through the twilight of a physician’s career, and the work will require a collaborative effort of the undergraduate and graduate medical education communities, and the accrediting and certifying bodies. PMID:22132281

  18. Variations in Sexual Identity Milestones among Lesbians, Gay Men and Bisexuals

    PubMed Central

    Martos, Alexander; Nezhad, Sheila; Meyer, Ilan H.

    2016-01-01

    Despite a large body of literature covering sexual identity development milestones, we know little about differences or similarities in patterns of identity development among subgroups of the lesbian, gay, and bisexual (LGB) population. For this study, we assessed identity milestones for 396 LGB New Yorkers, ages 18–59. Sexual identity and disclosure milestones, were measured across gender, sexual identity, race/ethnicity, and age cohort subgroups of the LGB sample. Men experienced most sexual identity milestones earlier than women, but they tended to take more time between milestones. LGBs in younger age cohorts experienced sexual identity milestones and disclosure milestones earlier than the older cohorts. Bisexual people experienced sexual identity and disclosure milestones later than gay and lesbian people. Timing of coming out milestones did not differ by race/ethnicity. By comparing differences within subpopulations, the results of this study help build understanding of the varied identity development experiences of people who are often referred to collectively as “the LGB community.” LGB people face unique health and social challenges; a more complete understanding of variations among LGB people allows health professionals and social service providers to provide services that better fit the needs of LGB communities. PMID:27695579

  19. A survey of resident perspectives on surgical case minimums and the impact on milestones, graduation, credentialing, and preparation for practice: AOA critical issues.

    PubMed

    Jeray, Kyle J; Frick, Steven L

    2014-12-03

    Residency education continues to evolve. Several major changes have occurred in the past several years, including emphasis on core competencies, duty-hour restrictions, and call. The Accreditation Council for Graduate Medical Education (ACGME) Next Accreditation System (NAS) implemented educational milestones in orthopaedic surgery in July 2013. Additionally, the Residency Review Committee for orthopaedic surgery published suggested surgical case minimums in 2012, which overlap with several of the milestones.We conducted a survey to assess the opinions of orthopaedic residents regarding the ACGME-suggested surgical case minimums and the effects that these may have on resident education and potential future privileges in hospitals. The survey was sent via e-mail to all of the residents participating in the American Orthopaedic Association (AOA) Resident Leadership Forum for both 2011 and 2012. Participants in the Resident Leadership Forum are in either postgraduate year 4 or postgraduate year 5, are selected by the program directors as resident leaders, and represent 80% of the orthopaedic residency programs in the United States. The survey was completed by 157 of the 314 participants. Sixty-nine percent of the participants believed that case logs with minimum numbers of surgical procedures were an effective way to monitor the work but were not necessarily the only way to monitor the educational progress of the residents. Thirty-two percent believed that the minimums should not be required. Overwhelmingly, there was agreement that important cases were missing from the currently proposed sixteen core surgical minimums. Specifically, the residents believed that a minimum number of cases are necessary for distal radial fracture fixation and proximal humeral fracture fixation and possibly have a milestone to reflect the progress of the residents for each fixation.Most residents thought that surgical case minimums are an effective tool in monitoring the progress of residents and measuring the effectiveness of residency programs. However, the surgical ability of an individual resident should not be evaluated on case minimums alone. The development of the milestones to assess competency should continue, but, as surgical skill is not a specific core competency, perhaps other methods for assessing surgical proficiency need to be developed rather than case minimums. Surgical skills laboratories and proctoring residents independently performing procedures may help to assess surgical proficiency, in addition to traditional faculty and 360° evaluations. Combining these types of assessments with surgical case logs documenting the residents' educational experience seems to be the best path going forward in assessing the development of young surgeons. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.

  20. XOPPS - OEL PROJECT PLANNER/SCHEDULER TOOL

    NASA Technical Reports Server (NTRS)

    Mulnix, C. L.

    1994-01-01

    XOPPS is a window-based graphics tool for scheduling and project planning that provides easy and fast on-screen WYSIWYG editing capabilities. It has a canvas area which displays the full image of the schedule being edited. The canvas contains a header area for text and a schedule area for plotting graphic representations of milestone objects in a flexible timeline. XOPPS is object-oriented, but it is unique in its capability for creating objects that have date attributes. Each object on the screen can be treated as a unit for moving, editing, etc. There is a mouse interface for simple control of pointer location. The user can position objects to pixel resolution, but objects with an associated date are positioned automatically in their correct timeline position in the schedule area. The schedule area has horizontal lines across the page with capabilities for multiple pages and for editing the number of lines per page and the line grid. The text on a line can be edited and a line can be moved with all objects on the line moving with it. The timeline display can be edited to plot any time period in a variety of formats from Fiscal year to Calendar Year and days to years. Text objects and image objects (rasterfiles and icons) can be created for placement anywhere on the page. Milestone event objects with a single associated date (and optional text and milestone symbol) and activity objects with start and end dates (and an optional completion date) have unique editing panels for entering data. A representation for schedule slips is also provided with the capability to automatically convert a milestone event to a slip. A milestone schedule on another computer can be saved to an ASCII file to be read by XOPPS. The program can print a schedule to a PostScript file. Dependencies between objects can also be displayed on the chart through the use of precedence lines. This program is not intended to replace a commercial scheduling/project management program. Because XOPPS has an ASCII file interface it can be used in conjunction with a project management tool to produce schedules with a quality appearance. XOPPS is written in C-language for Sun series workstations running SunOS. This package requires MIT's X Window System, Version 11 Revision 4, with OSF/Motif 1.1. A sample executable is included. XOPPS requires 375K main memory and 1.5Mb free disk space for execution. The standard distribution medium is a .25 inch streaming magnetic tape cartridge in UNIX tar format. XOPPS was developed in 1992, based on the Sunview version of OPPS (NPO-18439) developed in 1990. It is a copyrighted work with all copyright vested in NASA.

  1. Internal Medicine Residents' Perspectives on Receiving Feedback in Milestone Format

    PubMed Central

    Angus, Steven; Moriarty, John; Nardino, Robert J.; Chmielewski, Amy; Rosenblum, Michael J.

    2015-01-01

    Background In contrast to historical feedback, which was vague or provided residents' numerical scores without clear meaning, milestone-based feedback is focused on specific knowledge, skills, and behaviors that define developmental trajectory. It was anticipated that residents would welcome the more specific and actionable feedback provided by the milestone framework, but this has not been studied. Objective We assessed internal medicine (IM) residents' perceptions of receiving feedback in the milestone framework, particularly assessing perception of the utility of milestone-based feedback compared to non–milestone-based feedback. Methods We surveyed a total of 510 IM residents from 7 institutions. Survey questions assessed resident perception of milestone feedback in identifying strengths, weaknesses, and trajectory of professional development. Postgraduate years 2 and 3 (PGY-2 and PGY-3) residents were asked to compare milestones with prior methods of feedback. Results Of 510 residents, 356 (69.8%) responded. Slightly less than half of the residents found milestone-based feedback “extremely useful” or “very useful” in identifying strengths (44%), weaknesses (43%), specific areas for improvement (45%), and appropriate education progress (48%). Few residents found such feedback “not very useful” or “not at all useful” in these domains. A total of 51% of PGY-2 and PGY-3 residents agreed that receiving milestone-based feedback was more helpful than previous forms of feedback. Conclusions IM residents are aware of the concepts of milestones, and half of the residents surveyed found milestone feedback more helpful than previous forms of feedback. More work needs to be done to understand how milestone-based feedback could be delivered more effectively to enhance resident development. PMID:26221438

  2. Advanced composites technology program

    NASA Technical Reports Server (NTRS)

    Davis, John G., Jr.

    1993-01-01

    This paper provides a brief overview of the NASA Advanced Composites Technology (ACT) Program. Critical technology issues that must be addressed and solved to develop composite primary structures for transport aircraft are delineated. The program schedule and milestones are included. Work completed in the first 3 years of the program indicates the potential for achieving composite structures that weigh less and are cost effective relative to conventional aluminum structure. Selected technical accomplishments are noted. Readers who are seeking more in-depth technical information should study the other papers included in these proceedings.

  3. Summary of Pellet Technology Program Activities

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

    Gebhart, III, Gerald E.; Baylor, Larry R.; Bell, Gary L.

    This report summarizes the activities and budget information of ORNL’s pellet technology program from the start of FY2014 through FY2017. Cost summaries are broken down by year and spending category. Milestone activities are outlined and described by year and further described in the project narrative. The project narrative outlines the main pellet injection technology advances enabled by the pellet technology program. A list of published research products is included, along with biographies of personnel involved. This document was prepared in support of the April 24, 2018, review of the pellet technology program at ORNL.

  4. Supporting research and technology for automotive Stirling engine development

    NASA Technical Reports Server (NTRS)

    Tomazic, W. A.

    1980-01-01

    The technology advancement topics described are a part of the supporting research and technology (SRT) program conducted to support the major Stirling engine development program. This support focuses on developing alternatives or backups to the engine development in critical areas. These areas are materials, seals control, combustors and system analysis. Specific objectives and planned milestone schedules for future activities as now envisioned are described. These planned SRT activities are related to the timeline of the engine development program that they must support.

  5. Science of health care delivery milestones for undergraduate medical education.

    PubMed

    Havyer, Rachel D; Norby, Suzanne M; Leep Hunderfund, Andrea N; Starr, Stephanie R; Lang, Tara R; Wolanskyj, Alexandra P; Reed, Darcy A

    2017-08-25

    The changing healthcare landscape requires physicians to develop new knowledge and skills such as high-value care, systems improvement, population health, and team-based care, which together may be referred to as the Science of Health Care Delivery (SHCD). To engender public trust and confidence, educators must be able to meaningfully assess physicians' abilities in SHCD. We aimed to develop a novel set of SHCD milestones based on published Accreditation Council for Graduate Medical Education (ACGME) milestones that can be used by medical schools to assess medical students' competence in SHCD. We reviewed all ACGME milestones for 25 specialties available in September 2013. We used an iterative, qualitative process to group the ACGME milestones into SHCD content domains, from which SHCD milestones were derived. The SHCD milestones were categorized within the current ACGME core competencies and were also mapped to Association of American Medical Colleges' Entrustable Professional Activities (AAMC EPAs). Fifteen SHCD sub-competencies and corresponding milestones are provided, grouped within ACGME core competencies and mapped to multiple AAMC EPAs. This novel set of milestones, grounded within the existing ACGME competencies, defines fundamental expectations within SHCD that can be used and adapted by medical schools in the assessment of medical students in this emerging curricular area. These milestones provide a blueprint for SHCD content and assessment as ongoing revisions to milestones and curricula occur.

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

    Trott, Christian Robert; Lopez, Graham; Shipman, Galen

    This report documents the completion of milestone STPM12-2 Kokkos User Support Infrastructure. The goal of this milestone was to develop and deploy an initial Kokkos support infrastructure, which facilitates communication and growth of the user community, adds a central place for user documentation and manages access to technical experts. Multiple possible support infrastructure venues were considered and a solution was put into place by Q1 of FY 18 consisting of (1) a Wiki programming guide, (2) github issues and projects for development planning and bug tracking and (3) a “Slack” channel for low latency support communications with the Kokkos usermore » community. Furthermore, the desirability of a cloud based training infrastructure was recognized and put in place in order to support training events.« less

  7. Supersonics--Airport Noise

    NASA Technical Reports Server (NTRS)

    Bridges, James

    2007-01-01

    At this, the first year-end meeting of the Fundamental Aeronautics Program, an overview of the Airport Noise discipline of the Supersonics Project leads the presentation of technical plans and achievements in this area of the Project. The overview starts by defining the Technical Challenges targeted by Airport Noise efforts, and the Approaches planned to meet these challenges. These are fleshed out in Elements, namely Prediction, Diagnostics, and Engineering, and broken down into Tasks. The Tasks level is where individual researchers' work is defined and from whence the technical presentations to follow this presentation come. This overview also presents the Milestones accomplished to date and to be completed in the next year. Finally, the NASA Research Announcement cooperative agreement activities are covered and tied to the Tasks and Milestones.

  8. Space Launch System milestone on This Week @NASA - August 29, 2014

    NASA Image and Video Library

    2014-08-29

    On August 27, NASA announced a milestone in development of the Space Launch System heavy-lift rocket. The completion of a rigorous review known as Key Decision Point C, or KDP-C, means NASA can transition from formulation to development of the rocket that will send humans beyond Earth orbit and to Mars. KDP-C outlines a conservative development cost baseline and a launch readiness schedule based on an initial SLS flight no later than November 2018. This marks the country's first commitment to building an exploration class launch vehicle since the Space Shuttle Program. Also, 3-D printed rocket injector test, SLS scale model test, Composite fuel tank tests, Crossing Neptune’s orbit, New Horizons: Continuing Voyager’s legacy and more!

  9. Manufacturing process applications team (MATeam). [NASA/industry relations

    NASA Technical Reports Server (NTRS)

    Bangs, E. R.

    1978-01-01

    Forty additional statements were added to the list of 150 problem/opportunity statements identifying possibilities for transfer of NASA technology to various manufacturing industries. Selected statements that are considered to have a high potential for transfer in the 1978 program year are presented in the form of goals and milestones. The transfer of a flux used in the stud welding of aluminum is reported. Candidate RTOP programs are identified.

  10. Experimental clean combustor program: Noise study

    NASA Technical Reports Server (NTRS)

    Sofrin, T. G.; Riloff, N., Jr.

    1976-01-01

    Under a Noise Addendum to the NASA Experimental Clean Combustor Program (ECCP) internal pressure fluctuations were measured during tests of JT9D combustor designs conducted in a burner test rig. Measurements were correlated with burner operating parameters using an expression relating farfield noise to these parameters. For a given combustor, variation of internal noise with operating parameters was reasonably well predicted by this expression but the levels were higher than farfield predictions and differed significantly among several combustors. For two burners, discharge stream temperature fluctuations were obtained with fast-response thermocouples to allow calculation of indirect combustion noise which would be generated by passage of the temperature inhomogeneities through the high pressure turbine stages of a JT9D turbofan engine. Using a previously developed analysis, the computed indirect combustion noise was significantly lower than total low frequency core noise observed on this and several other engines.

  11. Energy Efficient Engine exhaust mixer model technology report addendum; phase 3 test program

    NASA Technical Reports Server (NTRS)

    Larkin, M. J.; Blatt, J. R.

    1984-01-01

    The Phase 3 exhaust mixer test program was conducted to explore the trends established during previous Phases 1 and 2. Combinations of mixer design parameters were tested. Phase 3 testing showed that the best performance achievable within tailpipe length and diameter constraints is 2.55 percent better than an optimized separate flow base line. A reduced penetration design achieved about the same overall performance level at a substantially lower level of excess pressure loss but with a small reduction in mixing. To improve reliability of the data, the hot and cold flow thrust coefficient analysis used in Phases 1 and 2 was augmented by calculating percent mixing from traverse data. Relative change in percent mixing between configurations was determined from thrust and flow coefficient increments. The calculation procedure developed was found to be a useful tool in assessing mixer performance. Detailed flow field data were obtained to facilitate calibration of computer codes.

  12. Experimental clean combustor program, phase 1

    NASA Technical Reports Server (NTRS)

    Bahr, D. W.; Gleason, C. C.

    1975-01-01

    Full annular versions of advanced combustor designs, sized to fit within the CF6-50 engine, were defined, manufactured, and tested at high pressure conditions. Configurations were screened, and significant reductions in CO, HC, and NOx emissions levels were achieved with two of these advanced combustor design concepts. Emissions and performance data at a typical AST cruise condition were also obtained along with combustor noise data as a part of an addendum to the basic program. The two promising combustor design approaches evolved in these efforts were the Double Annular Combustor and the Radial/Axial Combustor. With versions of these two basic combustor designs, CO and HC emissions levels at or near the target levels were obtained. Although the low target NOx emissions level was not obtained with these two advanced combustor designs, significant reductions were relative to the NOx levels of current technology combustors. Smoke emission levels below the target value were obtained.

  13. Competency-based goals, objectives, and linked evaluations for rheumatology training programs: a standardized template of learning activities from the Carolinas Fellows Collaborative.

    PubMed

    Criscione-Schreiber, Lisa G; Bolster, Marcy B; Jonas, Beth L; O'Rourke, Kenneth S

    2013-06-01

    American Council on Graduate Medical Education program requirements mandate that rheumatology training programs have written goals, objectives, and performance evaluations for each learning activity. Since learning activities are similar across rheumatology programs, we aimed to create competency-based goals and objectives (CBGO) and evaluations that would be generalizable nationally. Through an established collaboration of the 4 training programs' directors in North Carolina and South Carolina, we collaboratively composed CBGO and evaluations for each learning activity for rheumatology training programs. CBGO and linked evaluations were written using appropriate verbs based on Bloom's taxonomy. Draft documents were peer reviewed by faculty at the 4 institutions and by members of the American College of Rheumatology (ACR) Clinician Scholar Educator Group. We completed templates of CBGO for core and elective rotations and conferences. Templates detail progressive fellow performance improvement appropriate to educational level. Specific CBGO are mirrored in learning activity evaluations. Templates are easily modified to fit individual program attributes, have been successfully implemented by our 4 programs, and have proven their value in 4 residency review committee reviews. We propose adoption of these template CBGO by the ACR, with access available to all rheumatology training programs. Evaluation forms that exactly reflect stated objectives ensure that trainees are assessed using standardized measures and that trainees are aware of the learning expectations. The objectives mirrored in the evaluations closely align with the proposed milestones for internal medicine training, and will therefore be a useful starting point for creating these milestones in rheumatology. Copyright © 2013 by the American College of Rheumatology.

  14. Developing an Experiential Learning Program: Milestones and Challenges

    ERIC Educational Resources Information Center

    Austin, M. Jill; Rust, Dianna Zeh

    2015-01-01

    College and University faculty members have increasingly adopted experiential learning teaching methods that are designed to engage students in the learning process. Experiential learning is simply defined as "hands-on" learning and may involve any of the following activities: service learning, applied learning in the discipline,…

  15. Future HIV Mentoring Programs to Enhance Diversity.

    PubMed

    Stoff, David M; Cargill, Victoria A

    2016-09-01

    This paper proposes a general template to guide future mentoring program development addressing: (i) considerations to ensure an adequate research workforce; (ii) key guidelines and principles of mentoring; and (iii) use of a logic model to develop program milestones, outcomes and evaluation. We focus on these areas to guide and inform the most effective mentoring program components, which we find to be more helpful than identifying specific features and ingredients. Although the focus is on the development of a new generation of investigators from diverse backgrounds, this template may also apply to mentoring programs for other investigators and for disciplines beyond HIV.

  16. Theoretical evaluation of the vapor compression cycle with a liquid-line/suction-line heat exchanger, economizer, and ejector

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

    Domanski, P.A.

    1995-03-01

    The report presents a theoretical analysis of three vapor compression cycles which are derived from the Rankine cycle by incorporating a liquid-line/suction-line heat exchanger, economizer, or ejector. These addendums to the basic cycle reduce throttling losses using different principles, and they require different mechanical hardware of different complexity and cost. The theoretical merits of the three modified cycles were evaluated in relation to the reversed Carnot and Rankine cycle. Thirty-eight fluids were included in the study using the Carnahan-Starling-DeSantis equation of state. In general, the benefit of these addendums increases with the amount of the throttling losses realized by themore » refrigerant in the Rankine cycle.« less

  17. Addendum: New approach to the resummation of logarithms in Higgs-boson decays to a vector quarkonium plus a photon [Phys. Rev. D 95, 054018 (2017)

    DOE PAGES

    Bodwin, Geoffrey T.; Chung, Hee Sok; Ee, June-Haak; ...

    2017-12-20

    In this addendum to Phys. Rev. D 95, 054018 (2017) we recompute the rates for the decays of the Higgs boson to a vector quarkonium plus a photon, where the vector quarkonium is J/psi, Upsilon(1S) Upsilon(2S). We correct an error in the Abel-Pad'e summation formula that was used to carry out the evolution of the quarkonium light-cone distribution amplitude in Phys. Rev. D 95, 054018 (2017). We also correct an error in the scale of quarkonium wave function at the origin in Phys. Rev. D 95, 054018 (2017) and introduce several additional refinements in the calculation.

  18. Annual Status Report (Fiscal Year 2011) Composite Analysis of Low-Level Waste Disposal in the Central Plateau at the Hanford Site

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

    Nichols, W. E.

    2012-03-12

    In accordance with the U.S. Department of Energy (DOE) requirements in DOE O 435.1 Chg 11, and as implemented by DOE/RL-2000-29, Rev. 22, the DOE Richland Operations Office (DOE-RL) has prepared this annual summary of the composite analysis for fiscal year (FY) 2011 as originally reported in PNNL-118003 (henceforth referred to as the Composite Analysis). The main emphasis of DOE/RL-2000-29, Rev. 2 is to identify additional data and information to enhance the Composite Analysis and the subsequent PNNL-11800 Addendum 14 (hereinafter referred to as the Addendum), and to address secondary issues identified during the review of the Composite Analysis.

  19. Signal-processing analysis of the MC2823 radar fuze: an addendum concerning clutter effects

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

    Jelinek, D.A.

    1978-07-01

    A detailed analysis of the signal processing of the MC2823 radar fuze was published by Thompson in 1976 which enabled the computation of dud probability versus signal-to-noise ratio where the noise was receiver noise. An addendum to Thompson's work was published by Williams in 1978 that modified the weighting function used by Thompson. The analysis presented herein extends the work of Thompson to include the effects of clutter (the non-signal portion of the echo from a terrain) using the new weighting function. This extension enables computation of dud probability versus signal-to-total-noise ratio where total noise is the sum of themore » receiver-noise power and the clutter power.« less

  20. International Aerospace and Ground Conference on Lightning and Static Electricity (8th), Lightning Technology Roundup. Held in Fort Worth, Texas on 21-23 June 1983. Addendum

    DTIC Science & Technology

    1983-10-01

    PHOTOGRAPH THIS SHEET !𔃻P...vTEjAT//V,41 AEP.oSPfqc-/ &rJ Raulvn (C MFCeAX.NC; CA) D LEVEL INVENTORY’z.~~F/ er-/lcn I - CD . A-DDENDUM L’&/NTCJG...061 DATE RECEIVED IN I)TI( REGISTERED OR CERTIFIED NO. PHOTOGRAPH THIS SHEET AM) RI-TURN TO I)TIC-I)I)AC OTIC FORM 70A I’IMNT PRO(ESSIN( SHI’ET...New Jersey 08405 15. Supplementary Noses The NICG consists of members from the U.S. Air Force, U.S. Army, U.S. Navy, NASA , NOAA, and the FAA. lt 16

  1. Addendum: New approach to the resummation of logarithms in Higgs-boson decays to a vector quarkonium plus a photon [Phys. Rev. D 95, 054018 (2017)

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

    Bodwin, Geoffrey T.; Chung, Hee Sok; Ee, June-Haak

    In this addendum to Phys. Rev. D 95, 054018 (2017) we recompute the rates for the decays of the Higgs boson to a vector quarkonium plus a photon, where the vector quarkonium is J/psi, Upsilon(1S) Upsilon(2S). We correct an error in the Abel-Pad'e summation formula that was used to carry out the evolution of the quarkonium light-cone distribution amplitude in Phys. Rev. D 95, 054018 (2017). We also correct an error in the scale of quarkonium wave function at the origin in Phys. Rev. D 95, 054018 (2017) and introduce several additional refinements in the calculation.

  2. Die Starter: A New System to Manage Early Feasibility in Sheet Metal Forming

    NASA Astrophysics Data System (ADS)

    Narainen, Rodrigue; Porzner, Harald

    2016-08-01

    Die Starter, a new system developed by ESI Group, allows the user to drastically reduce the number of iterations during the early tool process feasibility. This innovative system automatically designs the first quick die face, generating binder and addendum surfaces (NURBS surfaces) by taking account the full die process. Die Starter also improves the initial die face based on feasibility criteria (avoiding splits, wrinkles) by automatically generating the geometrical modifications of the binder and addendum and the bead restraining forces with minimal material usage. This paper presents a description of the new system and the methodology of Die Starter. Some industrial examples are presented from the part geometry to final die face including automatic developed flanges, part on binder and inner binder.

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

    Smith, Thomas M.; Berndt, Markus; Baglietto, Emilio

    The purpose of this report is to document a multi-year plan for enhancing turbulence modeling in Hydra-TH for the Consortium for Advanced Simulation of Light Water Reactors (CASL) program. Hydra-TH is being developed to the meet the high- fidelity, high-Reynolds number CFD based thermal hydraulic simulation needs of the program. This work is being conducted within the thermal hydraulics methods (THM) focus area. This report is an extension of THM CASL milestone L3:THM.CFD.P10.02 [33] (March, 2015) and picks up where it left off. It will also serve to meet the requirements of CASL THM level three milestone, L3:THM.CFD.P11.04, scheduled formore » completion September 30, 2015. The objectives of this plan will be met by: maturation of recently added turbulence models, strategic design/development of new models and systematic and rigorous testing of existing and new models and model extensions. While multi-phase turbulent flow simulations are important to the program, only single-phase modeling will be considered in this report. Large Eddy Simulation (LES) is also an important modeling methodology. However, at least in the first year, the focus is on steady-state Reynolds Averaged Navier-Stokes (RANS) turbulence modeling.« less

  4. [Educational model to develop trustworthy professional activities].

    PubMed

    Hamui-Sutton, Alicia; Varela-Ruiz, Margarita; Ortiz-Montalvo, Armando; Torruco-García, Uri

    2015-01-01

    The reorganization of the national health system (SNS), enforces reflection and transformation on medical education in clinical contexts. The study presents an educational model to develop entrusted professionals activities (MEDAPROC) to train human resources in health with reliable knowledge, skills and attitudes to work in the shifting scenario of the SNS. The paper discusses international and national documents on skills in medicine. Based on the analysis of 8 domains, 50 skills and 13 entrusted professional activities (RPA) proposed by the Association of the American Medical College (AAMC) we propose a curriculum design, with the example of the undergraduate program of Gynecology and Obstetrics, with the intention to advance to internship and residency in a continuum that marks milestones and clinical practices. The pedagogical design of MEDAPROC was developed within three areas: 1) proposal of the AAMC; 2) curricular content of programs in pre and postgraduate education 3) organization of the daily agenda with academic mechanisms to develop the competencies, cover program items and develop clinical practice in deliberate learning activities, as well as milestones. The MEDAPROC offers versatility, student mobility and curricular flexibility in a system planed by academic units in diverse clinical settings.

  5. Modeling Spatial Maps Inspired by the Hippocampal System

    DTIC Science & Technology

    2015-08-24

    assigned to the award James Lawton Reporting Period Start Date 04/01/2012 Reporting Period End Date 03/31/2015 Abstract How the hippocampus encodes both...Manager, if any: During this project the Program Manager was changed from Dr. Jay Ayung to Dr. James Lawton . Extensions granted or milestones slipped

  6. KSC-2013-4510

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  7. KSC-2013-4509

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  8. KSC-2013-4521

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. - An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  9. KSC-2013-4520

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. - An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  10. KSC-2013-4511

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter returns the SpaceX Dragon test article to Morro Bay, Cailf., following a test to evaluate the spacecraft's parachute deployment system. The test was part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  11. KSC-2013-4495

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – Drogue chutes open above Dragon test article during a test to evaluate the spacecraft's parachute deployment system. The drogue chutes stabilized the vehicle, in preparation for main chute deployment as part of a milestone under SpaceX's Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  12. KSC-2013-4496

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – Drogue chutes open above Dragon test article during a test to evaluate the spacecraft's parachute deployment system. The drogue chutes stabilized the vehicle, in preparation for main chute deployment as part of a milestone under SpaceX's Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  13. KSC-2013-4497

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – Drogue chutes open above Dragon test article during a test to evaluate the spacecraft's parachute deployment system. The drogue chutes stabilized the vehicle, in preparation for main chute deployment as part of a milestone under SpaceX's Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  14. 3 CFR 9058 - Proclamation 9058 of November 15, 2013. American Education Week, 2013

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... every child in America; and working to strengthen programs in science, technology, engineering, and... an increasingly competitive world, it gives our children the tools to thrive and our Nation the... throughout America, our children mark the many milestones of learning—from scribbling their first attempts at...

  15. Enhancing Child Development: The Beginning Years. Fostering Families.

    ERIC Educational Resources Information Center

    Schatz, Mona Struhsaker; And Others

    This module is part of a training program for foster parents and foster care workers offered at Colorado State University. The module's learning objectives address: (1) factors that interact to affect child development; (2) developmental milestones for infants and young children; (3) parenting processes appropriate to the childhood years; (4)…

  16. 40 CFR 270.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... milestone events) leading to compliance with the Act and regulations. SDWA means the Safe Drinking Water Act... hazardous waste so as to neutralize such wastes, or so as to recover energy or material resources from the... Underground Injection Control Program under part C of the Safe Drinking Water Act, including an approved...

  17. 40 CFR 270.2 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... milestone events) leading to compliance with the Act and regulations. SDWA means the Safe Drinking Water Act... hazardous waste so as to neutralize such wastes, or so as to recover energy or material resources from the... Underground Injection Control Program under part C of the Safe Drinking Water Act, including an approved...

  18. 40 CFR 270.2 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... milestone events) leading to compliance with the Act and regulations. SDWA means the Safe Drinking Water Act... hazardous waste so as to neutralize such wastes, or so as to recover energy or material resources from the... Underground Injection Control Program under part C of the Safe Drinking Water Act, including an approved...

  19. Navy Underway

    Science.gov Websites

    Change of Command DDG-51 Program Marks Start of Construction Milestones at BIW, HII 2017 Sailors of the Deployed NETSAFA Holds Change of Command Pacific Partnership 2018 Kicks-Off in Thailand for First Time Forrest Sherman Holds Change of Command Suicide Prevention: ASIST Course Teaches Service Members to

  20. Bringing Color into the Living Room: Analyzing "TV Guide" Covers, 1953 to 1997

    ERIC Educational Resources Information Center

    Upright, Craig

    2015-01-01

    Many contemporary students are unfamiliar with the cultural history of television programming in the United States. References to iconic series that represented significant milestones in minority representations and discussions of racial issues--such as "I Spy," "Julia," "All in the Family," or even "The Cosby…

  1. Trajectory Reconstruction Program Milestone 2/3 Report. Volume 1. Description and Overview

    DTIC Science & Technology

    1974-12-16

    Simulation Data Generation Missile Trajectory Error Analysis Modularized Program Guidance and Targeting Multiple Vehicle Simulation IBM 360/370 Numerical...consists of vehicle simulation subprograms designed and written in FORTRAN for CDC 6600/7600, IBM 360/370, and UNIVAC 1108/1110 series computers. The o-erall...vehicle simulation subprograms designed and written in FORTRAN fcr CDC 6600/7600, IBM 360/370, and UNIVAC l08/1110 series computers. The overall

  2. Technology transfer within the government

    NASA Technical Reports Server (NTRS)

    Russell, John

    1992-01-01

    The report of a workshop panel concerned with technology transfer within the government is presented. The presentation is made in vugraph form. The assigned subtopic for this panel are as follows: (1) transfer from non-NASA US government technology developers to NASA space missions/programs; and (2) transfer from NASA to other US government space mission programs. A specific area of inquiry was Technology Maturation Milestones. Three areas were investigated: technology development; advanced development; and flight hardware development.

  3. Idaho National Laboratory Human Capitol Development Program Summary

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

    Rynes, Amanda R.

    2014-09-01

    The Next Generation Safeguards Initiative HCD Subprogram has successfully employed unique nuclear capabilities and employee expertise through INL to achieve multiple initiatives in FY14. These opportunities range from internship programs to university and training courses. One of the central facets of this work has been the international safeguards pre inspector training course. Another significant milestone is the INL led university engagement effort which resulted in courses being offered at ISU and University of Utah.

  4. New Technologies and the World Ahead: The Top 20 Plus 5

    DTIC Science & Technology

    2011-01-01

    Specialized Agent Software Programs. Bots represent the next great milestone in soft- ware development. The general deployment of bots is projected to be in...knowledge and areas of interest. Powerful personal- agent 206 Moving from Vision to Action programs will search the Internet and its databases based on...language- capable chatbot and avatar interfaces that can control electronic data and also change and manipulate things in the physical world. These

  5. Space station common module power system network topology and hardware development

    NASA Technical Reports Server (NTRS)

    Landis, D. M.

    1985-01-01

    Candidate power system newtork topologies for the space station common module are defined and developed and the necessary hardware for test and evaluation is provided. Martin Marietta's approach to performing the proposed program is presented. Performance of the tasks described will assure systematic development and evaluation of program results, and will provide the necessary management tools, visibility, and control techniques for performance assessment. The plan is submitted in accordance with the data requirements given and includes a comprehensive task logic flow diagram, time phased manpower requirements, a program milestone schedule, and detailed descriptions of each program task.

  6. The ordering of milestones in language development for children from 1 to 6 years of age.

    PubMed

    Luinge, Margreet R; Post, Wendy J; Wit, Hero P; Goorhuis-Brouwer, Sieneke M

    2006-10-01

    To scale language milestones in a group of 527 children to provide an instrument for screening language development. Procedure The questionnaire regarding these milestones was completed by parental report. It was evaluated whether the scaled milestones satisfied the assumptions of the Mokken item response model. The scalability of the final scale of 14 milestones was strong (H = .95), its reliability was high (rho = .96), and it satisfied the assumptions of the Mokken model. A single, unidimensional scale of diverse milestones was developed. It taps lexical, syntactic, and phonological skills, as well as both receptive and expressive language skills, and is well suited for mapping progress in language ability.

  7. Liquid Rocket Booster (LRB) for the Space Transportation System (STS) systems study. Volume 2: Addendum 1

    NASA Technical Reports Server (NTRS)

    1990-01-01

    The potential of a common Liquid Rocket Booster (LRB) design was evaluated for use with both the Space Transportation System (STS) and the Advanced Launch System (ALS). A goal is to have a common Liquid Oxygen/Liquid Hydrogen (LO2/LH2) engine developed for both the ALS booster and the core stage. The LO2/LH2 option for the STS was evaluated to identify potential LRB program cost reductions. The objective was to identify the structural impacts to the external tank (ET), and to determine if any significant ET re-development costs are required as a result of the larger LO2/LH2 LRB. The potential ET impacts evaluated are presented.

  8. Popular Astronomy

    NASA Astrophysics Data System (ADS)

    Newcomb, Simon

    2011-10-01

    Preface; Part I. The System of the World Historically Developed: Introduction; 1. The ancient astronomy, or the apparent motions of the heavenly bodies; 2. The Copernican system, or the true motions of the heavenly bodies; 3. Universal gravitation; Part II. Practical Astronomy: Introductory remarks; 1. The telescope; 2. Application of the telescope to celestial measurements; 3. Measuring distances in the heavens; 4. The motion of light; 5. The spectroscope; Part III. The Solar System: 1. General structure of the solar system; 2. The sun; 3. The inner group of planets; 4. The outer group of planets; 5. Comets and meteors; Part IV. The Stellar Universe: 1. The stars as they are seen; 2. The structure of the universe; 3. The cosmogony; Addendum to Part III chapter 2; Appendix; Index; Addendum II, the satellites of Mars; Explanation of the star maps.

  9. US effort on HTS power transformers

    NASA Astrophysics Data System (ADS)

    Mehta, S.

    2011-11-01

    Waukesha Electric Systems has been working in HTS power transformers development program under the auspices of US Government Department of Energy since 1994. This presentation will describe various milestones for this program and program history along with the lessons learned along the way. Our motivations for working on this development program based on man benefits offered by HTS power transformers to power delivery systems will be discussed. Based on various issues encountered during execution of many HTS projects, DOE has set up an independent program review process that is lead by team of experts. This team reviews are integral part of all DOE HTS projects. Success of all projects would be greatly enhanced by identifying critical issues early in the program. Requiring appropriate actions to mitigate the issues before processing further will lead to proactive interrogation and incorporation of expert's ideas in the project plans. Working of this review process will be also described in this presentation. Waukesha Electric Systems team including: Superpower-Inc, Oak Ridge National Laboratory, University of Houston Center for Superconductivity and Southern California Edison company was awarded a cost share grant by US Government in 2010 for development of a fault current limiting HTS power transformer. This multi year's program will require design, manufacture, installation, and monitoring of a 28 MVA tree phase transformer installed at Irvine CA. Smart Grid demonstration site. Transformer specifications along with requirements for fault current limiting and site requirement will be discussed. Design and development of various sub systems in support of this program including: HTS conductor performance specification, Dielectric system design approach, Dewar development for containing phase assemblies, cryo-cooling system design approach, etc. will be described. Finally; overall program schedule, critical milestone events, test plans and progress to date will be reported.

  10. NASA Systems Autonomy Demonstration Program - A step toward Space Station automation

    NASA Technical Reports Server (NTRS)

    Starks, S. A.; Rundus, D.; Erickson, W. K.; Healey, K. J.

    1987-01-01

    This paper addresses a multiyear NASA program, the Systems Autonomy Demonstration Program (SADP), whose main objectives include the development, integration, and demonstration of automation technology in Space Station flight and ground support systems. The role of automation in the Space Station is reviewed, and the main players in SADP and their roles are described. The core research and technology being promoted by SADP are discussed, and a planned 1988 milestone demonstration of the automated monitoring, operation, and control of a complete mission operations subsystem is addressed.

  11. An Innovative Injection and Mixing System for Diesel Fuel Reforming

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

    Spencer Pack

    2007-12-31

    This project focused on fuel stream preparation improvements prior to injection into a solid oxide fuel cell reformer. Each milestone and the results from each milestone are discussed in detail in this report. The first two milestones were the creation of a coking formation test rig and various testing performed on this rig. Initial tests indicated that three anti-carbon coatings showed improvement over an uncoated (bare metal) baseline. However, in follow-up 70 hour tests of the down selected coatings, Scanning Electron Microscope (SEM) analysis revealed that no carbon was generated on the test specimens. These follow-up tests were intended tomore » enable a down selection to a single best anti-carbon coating. Without the formation of carbon it was impossible to draw conclusions as to which anti-carbon coating showed the best performance. The final 70 hour tests did show that AMCX AMC26 demonstrated the lowest discoloration of the metal out of the three down selected anti-carbon coatings. This discoloration did not relate to carbon but could be a useful result when carbon growth rate is not the only concern. Unplanned variations in the series of tests must be considered and may have altered the results. Reliable conclusions could only be drawn from consistent, repeatable testing beyond the allotted time and funding for this project. Milestones 3 and 4 focused on the creation of a preheating pressure atomizer and mixing chamber. A design of experiment test helped identify a configuration of the preheating injector, Build 1, which showed a very uniform fuel spray flow field. This injector was improved upon by the creation of a Build 2 injector. Build 2 of the preheating injector demonstrated promising SMD results with only 22psi fuel pressure and 0.7 in H2O of Air. It was apparent from testing and CFD that this Build 2 has flow field recirculation zones. These recirculation zones may suggest that this Build 2 atomizer and mixer would require steam injection to reduce the auto ignition potential. It is also important to note that to achieve uniform mixing within a short distance, some recirculation is necessary. Milestone 5 generated CFD and FEA results that could be used to optimize the preheating injector. CFD results confirmed the recirculation zones seen in test data and confirmed that the flow field would not change when attached to a reformer. The FEA predicted fuel wetted wall temperatures which led to several suggested improvements that could possibly improve nozzle efficiency. Milestone 6 (originally an optional task) took a different approach than the preheating pressure atomizer. It focused on creation and optimization of a piezoelectric injector which could perform at extremely low fuel pressures. The piezoelectric atomizer showed acceptable SMD results with fuel pressure less than 1.0 psig and air pressure less than 1.0 in H2O. These SMD values were enhanced when a few components were changed, and it is expected would improve further still at elevated air temperatures. It was demonstrated that the piezoelectric injector could accomplish the desired task. The addition of phase tracking and a burst mode to the frequency controller increased the usability of the piezoelectric injector. This injector is ready to move on to the next phase of development. Engine Components has met the required program milestones of this project. Some of the Milestones were adjusted to allow Milestone 6 to be completed in parallel with the other Milestones. Because of this, Task 3.10 and 3.13 were made optional instead of Milestone 6. Engine Components was extremely grateful for the support that was provided by NETL in support of this work.« less

  12. The PLATO System: A Study in the Diffusion of an Innovation.

    ERIC Educational Resources Information Center

    Driscoll, Francis D.; Wolf, W. C., Jr.

    This study was designed to ascertain the relationships between the steps of a tool designed to link knowledge production and the needs of knowledge users (the Wolf-Welsh Linkage Methodology or WWLM) with milestones in the evolution of an innovative computer-assisted instructional system called PLATO (Programming Logic for Advanced Teaching…

  13. Better Buying Power: An Army Program Manager’s Perspective

    DTIC Science & Technology

    2012-05-01

    17. Set shorter timelines is comical . Give the PM the ability to manage to a set of requirements that are stable and with stable funding, and with...enforcing the rules at milestone decision time, not just telling the PMs the doctrine of doing these things. If we just go through the motions but

  14. Wells Fargo Innovation Incubator (IN²) | NREL

    Science.gov Websites

    Incubator (IN2) is now a $30 million program supporting innovative technologies and innovators. IN2 is buildings portfolio of Wells Fargo to help companies derisk technologies and ease their path to market companies' technologies to help them meet critical validation milestones on the path to market. Companies

  15. Development of Milestone Schedules for Selected Logistics Support Directorate Programs. Appendix A. Part 2. Task Summaries.

    DTIC Science & Technology

    1987-09-15

    MAC; CODE NUMBER: NONE AND REPAIR PARTS AND SPECIAL TOOLS LIST (RPSTL). RESPONSIBILITY: ROY & ILS DURATION: 32.00 WORK DAYS PRE PPPL SCHEDULE...ILS DURATION: 22.00 WORK DAYS R/V PPPL SCHEDULE: DVPMARPS REVIEW AND VALIDATE PRELIMINARY PROVISIONING PARTS LIST. CODE NUMBER: NONE RESPONSIBILITY

  16. Building America Residential System Research Results: Achieving 30% Whole House Energy Savings Level in Mixed-Humid Climates; January 2006 - December 2006

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

    Building America Industrialized Housing Partnership; Building Industry Research Alliance; Building Science Consortium

    2006-12-01

    The Building America program conducts the system research required to reduce risks associated with the design and construction of homes that use an average of 30% to 90% less total energy for all residential energy uses than the Building America Research Benchmark, including research on homes that will use zero net energy on annual basis. To measure the program's progress, annual research milestones have been established for five major climate regions in the United States. The system research activities required to reach each milestone take from 3 to 5 years to complete and include research in individual test houses, studiesmore » in pre-production prototypes, and research studies with lead builders that provide early examples that the specified energy savings level can be successfully achieved on a production basis. This report summarizes research results for the 30% energy savings level and demonstrates that lead builders can successfully provide 30% homes in the Mixed-Humid Climate Region on a cost-neutral basis.« less

  17. 77 FR 30272 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-22

    ..., Ameren Illinois Company, Union Electric Company. Description: Addendum to Triennial Market Power Update... Numbers: ER12-1780-000. Applicants: PPL Ironwood, LLC. Description: Notice of Succession and Change in...

  18. Milestone Completion Report STCO04-1 AAPS: engagements with code teams, vendors, collaborators, developers

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

    Draeger, E. W.

    The Advanced Architecture and Portability Specialists team (AAPS) worked with a select set of LLNL application teams to develop and/or implement a portability strategy for next-generation architectures. The team also investigated new and updated programming models and helped develop programming abstractions targeting maintainability and performance portability. Significant progress was made on both fronts in FY17, resulting in multiple applications being significantly more prepared for the nextgeneration machines than before.

  19. Large-Scale Behavior-Change Initiative for Infant and Young Child Feeding Advanced Language and Motor Development in a Cluster-Randomized Program Evaluation in Bangladesh.

    PubMed

    Frongillo, Edward A; Nguyen, Phuong H; Saha, Kuntal K; Sanghvi, Tina; Afsana, Kaosar; Haque, Raisul; Baker, Jean; Ruel, Marie T; Rawat, Rahul; Menon, Purnima

    2017-02-01

    Promoting adequate nutrition through interventions to improve infant and young child feeding (IYCF) has the potential to contribute to child development. We examined whether an intensive intervention package that was aimed at improving IYCF at scale through the Alive & Thrive initiative in Bangladesh also advanced language and gross motor development, and whether advancements in language and gross motor development were explained through improved complementary feeding. A cluster-randomized design compared 2 intervention packages: intensive interpersonal counseling on IYCF, mass media campaign, and community mobilization (intensive) compared with usual nutrition counseling and mass media campaign (nonintensive). Twenty subdistricts were randomly assigned to receive either the intensive or the nonintensive intervention. Household surveys were conducted at baseline (2010) and at endline (2014) in the same communities (n = ∼4000 children aged 0-47.9 mo for each round). Child development was measured by asking mothers if their child had reached each of multiple milestones, with some observed. Linear regression accounting for clustering was used to derive difference-in-differences (DID) impact estimates, and path analysis was used to examine developmental advancement through indicators of improved IYCF and other factors. The DID in language development between intensive and nonintensive groups was 1.05 milestones (P = 0.001) among children aged 6-23.9 mo and 0.76 milestones (P = 0.038) among children aged 24-47.9 mo. For gross motor development, the DID was 0.85 milestones (P = 0.035) among children aged 6-23.9 mo. The differences observed corresponded to age- and sex-adjusted effect sizes of 0.35 for language and 0.23 for gross motor development. Developmental advancement at 6-23.9 mo was partially explained through improved minimum dietary diversity and the consumption of iron-rich food. Intensive IYCF intervention differentially advanced language and gross motor development, which was partially explained through improved complementary feeding. Measuring a diverse set of child outcomes, including functional outcomes such as child development, is important when evaluating integrated nutrition programs. This trial was registered at clinicaltrials.gov as NCT01678716. © 2017 American Society for Nutrition.

  20. Addendum: Quality of Communication.

    ERIC Educational Resources Information Center

    Leveridge, Leo L.

    1981-01-01

    Replaces item 3, Treatment of Content, in "Attributes of Quality in Audiovisual Materials for Health Professionals" by Emanuel Suter and Wendy H. Waddell ("The Journal of Biocommunication," v8 n2, July 1981). (FM)

  1. Summary of International Waste Management Programs (LLNL Input to SNL L3 MS: System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW)

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

    Greenberg, Harris R.; Blink, James A.; Halsey, William G.

    2011-08-11

    The Used Fuel Disposition Campaign (UFDC) within the Department of Energy’s Office of Nuclear Energy (DOE-NE) Fuel Cycle Technology (FCT) program has been tasked with investigating the disposal of the nation’s spent nuclear fuel (SNF) and high-level nuclear waste (HLW) for a range of potential waste forms and geologic environments. This Lessons Learned task is part of a multi-laboratory effort, with this LLNL report providing input to a Level 3 SNL milestone (System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW). The work package number is: FTLL11UF0328; the work package title is: Technical Bases / Lessons Learned;more » the milestone number is: M41UF032802; and the milestone title is: “LLNL Input to SNL L3 MS: System-Wide Integration and Site Selection Concepts for Future Disposition Options for HLW”. The system-wide integration effort will integrate all aspects of waste management and disposal, integrating the waste generators, interim storage, transportation, and ultimate disposal at a repository site. The review of international experience in these areas is required to support future studies that address all of these components in an integrated manner. Note that this report is a snapshot of nuclear power infrastructure and international waste management programs that is current as of August 2011, with one notable exception. No attempt has been made to discuss the currently evolving world-wide response to the tragic consequences of the earthquake and tsunami that devastated Japan on March 11, 2011, leaving more than 15,000 people dead and more than 8,000 people missing, and severely damaging the Fukushima Daiichi nuclear power complex. Continuing efforts in FY 2012 will update the data, and summarize it in an Excel spreadsheet for easy comparison and assist in the knowledge management of the study cases.« less

  2. Ways to Write a Milestone: Approaches to Operationalizing the Development of Competence in Graduate Medical Education.

    PubMed

    Leep Hunderfund, Andrea N; Reed, Darcy A; Starr, Stephanie R; Havyer, Rachel D; Lang, Tara R; Norby, Suzanne M

    2017-09-01

    To identify approaches to operationalizing the development of competence in Accreditation Council for Graduate Medical Education (ACGME) milestones. The authors reviewed all 25 "Milestone Project" documents available on the ACGME Web site on September 11, 2013, using an iterative process to identify approaches to operationalizing the development of competence in the milestones associated with each of 601 subcompetencies. Fifteen approaches were identified. Ten focused on attributes and activities of the learner, such as their ability to perform different, increasingly difficult tasks (304/601; 51%), perform a task better and faster (171/601; 45%), or perform a task more consistently (123/601; 20%). Two approaches focused on context, inferring competence from performing a task in increasingly difficult situations (236/601; 29%) or an expanding scope of engagement (169/601; 28%). Two used socially defined indicators of competence such as progression from "learning" to "teaching," "leading," or "role modeling" (271/601; 45%). One approach focused on the supervisor's role, inferring competence from a decreasing need for supervision or assistance (151/601; 25%). Multiple approaches were often combined within a single set of milestones (mean 3.9, SD 1.6). Initial ACGME milestones operationalize the development of competence in many ways. These findings offer insights into how physicians understand and assess the developmental progression of competence and an opportunity to consider how different approaches may affect the validity of milestone-based assessments. The results of this analysis can inform the work of educators developing or revising milestones, interpreting milestone data, or creating assessment tools to inform milestone-based performance measures.

  3. Milestone achievement in emerging adulthood in spina bifida: a longitudinal investigation of parental expectations

    PubMed Central

    Holbein, Christina E; Zebracki, Kathy; Bechtel, Colleen F; Papadakis, Jaclyn Lennon; Bruno, Elizabeth Franks; Holmbeck, Grayson N

    2016-01-01

    Aim To assess changes over time in parents' expectations of adult milestone achievement (college attendance, full-time job attainment, independent living, marriage, parenthood) for young people with spina bifida, to examine how expectancies relate to actual milestone achievement, and to compare milestone achievement in emerging adults with spina bifida with that of peers with typical development. Method Sixty-eight families of children with spina bifida (mean=8.34y, 37 male, 31 female) and 68 families of children with typical development (mean=8.49y, 37 male, 31 female) participated at Time 1. At all subsequent timepoints, parents of young people with spina bifida were asked to rate their expectations of emerging adulthood milestone achievement. At Time 7, when participants were 22 to 23 years old, milestone achievement was assessed. Results Parents of young people with spina bifida lowered their expectations over time for most milestones; parents of children with higher cognitive ability reported decreases of lower magnitude. Parent expectancies were optimistic and unrelated to actual milestone achievement. Emerging adults with spina bifida were less likely than individuals with typical development to achieve all milestones. Interpretation Optimistic parental expectations may be adaptive for children with spina bifida and their families, although it is important for families to set realistic goals. Healthcare providers serve a key role in helping families of young people with spina bifida prepare for emerging adulthood. PMID:27651215

  4. Report on milestones for care and support under the U.S. National Plan to Address Alzheimer's Disease.

    PubMed

    Borson, Soo; Boustani, Malaz A; Buckwalter, Kathleen C; Burgio, Louis D; Chodosh, Joshua; Fortinsky, Richard H; Gifford, David R; Gwyther, Lisa P; Koren, Mary Jane; Lynn, Joanne; Phillips, Cheryl; Roherty, Martha; Ronch, Judah; Stahl, Claudia; Rodgers, Lauren; Kim, Hye; Baumgart, Matthew; Geiger, Angela

    2016-03-01

    Under the U.S. national Alzheimer's plan, the National Institutes of Health identified milestones required to meet the plan's biomedical research goal (Goal 1). However, similar milestones have not been created for the goals on care (Goal 2) and support (Goal 3). The Alzheimer's Association convened a workgroup with expertise in clinical care, long-term services and supports, dementia care and support research, and public policy. The workgroup reviewed the literature on Alzheimer's care and support; reviewed how other countries are addressing the issue; and identified public policies needed over the next 10 years to achieve a more ideal care and support system. The workgroup developed and recommended 73 milestones for Goal 2 and 56 milestones for Goal 3. To advance the implementation of the U.S. national Alzheimer's plan, the U.S. government should adopt these recommended milestones, or develop similar milestones, to be incorporated into the national plan. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  5. Pathology Informatics Essentials for Residents: A Flexible Informatics Curriculum Linked to Accreditation Council for Graduate Medical Education Milestones.

    PubMed

    Henricks, Walter H; Karcher, Donald S; Harrison, James H; Sinard, John H; Riben, Michael W; Boyer, Philip J; Plath, Sue; Thompson, Arlene; Pantanowitz, Liron

    2017-01-01

    -Recognition of the importance of informatics to the practice of pathology has surged. Training residents in pathology informatics has been a daunting task for most residency programs in the United States because faculty often lacks experience and training resources. Nevertheless, developing resident competence in informatics is essential for the future of pathology as a specialty. -To develop and deliver a pathology informatics curriculum and instructional framework that guides pathology residency programs in training residents in critical pathology informatics knowledge and skills, and meets Accreditation Council for Graduate Medical Education Informatics Milestones. -The College of American Pathologists, Association of Pathology Chairs, and Association for Pathology Informatics formed a partnership and expert work group to identify critical pathology informatics training outcomes and to create a highly adaptable curriculum and instructional approach, supported by a multiyear change management strategy. -Pathology Informatics Essentials for Residents (PIER) is a rigorous approach for educating all pathology residents in important pathology informatics knowledge and skills. PIER includes an instructional resource guide and toolkit for incorporating informatics training into residency programs that vary in needs, size, settings, and resources. PIER is available at http://www.apcprods.org/PIER (accessed April 6, 2016). -PIER is an important contribution to informatics training in pathology residency programs. PIER introduces pathology trainees to broadly useful informatics concepts and tools that are relevant to practice. PIER provides residency program directors with a means to implement a standardized informatics training curriculum, to adapt the approach to local program needs, and to evaluate resident performance and progress over time.

  6. Characteristics and Outcomes of an Innovative Train-in-Place Residency Program.

    PubMed

    Green-McKenzie, Judith; Emmett, Edward A

    2017-10-01

    Physicians who make a midcareer specialty change may find their options for formal training are limited. Here, we describe a train-in-place program, with measureable outcomes, created to train midcareer physicians who desire formal training in occupational medicine. We evaluated educational outcomes from a novel residency program for midcareer physicians seeking formal training and board certification in occupational medicine. Physicians train in place at selected clinical training sites where they practice, and participate in 18 visits to the primary training site over a 2-year period. Program components include competency-based training structured around rotations, mentored projects, and periodic auditing visits to train-in-site locations by program faculty. Main outcome measures are achievement of Accreditation Council for Graduate Medical Education Occupational Medicine Milestones, American College of Occupational and Environmental Medicine competencies, performance on the American College of Preventive Medicine examinations, diversity in selection, placement of graduates, and the number of graduates who remain in the field. Since inception of this program in 1997, there have been 109 graduates who comprise 7.2% of new American Board of Preventive Medicine diplomates over the past decade. Graduates scored competitively on the certifying examination, achieved all milestones, expressed satisfaction with training, and are geographically dispersed, representing every US region. Most practice outside the 25 largest standard metropolitan statistical areas. More than 95% have remained in the field. Training in place is an effective approach to provide midcareer physicians seeking comprehensive skills and board certification in occupational medicine formal training, and may be adaptable to other specialties.

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

    Vogel, R.E.

    This document is in two parts: the first is the data package entitled ``Concrete Samples for Organic Samples`` and the second is entitled ``Concrete Samples for Organic Samples -- Addendum 1A`` which is the 222-S validation summary report.

  8. SOFIA: Flying the Telescope

    NASA Technical Reports Server (NTRS)

    Asher, Troy A.; Cumming, Stephen B.

    2012-01-01

    The primary focus of this paper is how the flight test team for the Stratospheric Observatory For Infrared Astronomy (SOFIA) re-cast an extensive developmental test program to meet key milestones while simultaneously ensuring safe certification of the airframe and delivery of an operationally relevant platform, ultimately saving the overall program from financial demise. Following a brief introduction to the observatory and what it is designed to do, SOFIAs planned developmental test program is summarized, including analysis and design philosophy, envelope expansion, model validation and airframe certification. How NASA used lessons learned from other aircraft that employed open cavities in flight is explained as well as how and why the chosen design was selected. The approach to aerodynamic analysis, including bare airframe testing, wind tunnel testing, computational fluid dynamics and finite element modeling proved absolutely critical. Despite a solid analytical foundation, many unknowns remained. History provides several examples of disastrous effects on both systems and flight safety if cavity design is not approached properly. For these reasons, an extensive test plan was developed to ensure a safe and thorough build-up for envelope expansion, airframe certification and early science missions. Unfortunately, as is often the case, because of chronic delays in overall program execution, severe schedule and funding pressures were present. If critical milestones were not met, domestic as well as international funding was in serious jeopardy, and the demise of the entire program loomed large. Concentrating on rigorous model validation, the test team challenged certification requirements, increased test efficiency and streamlined engineering analysis. This resulted in the safe reduction of test point count by 72%, meeting all program milestones and a platform that soundly satisfied all operational science requirements. Results from early science missions are shown and a proof of concept mission for which SOFIA was opportunely positioned is showcased. Success on this time-critical mission to observe a rare astronomical event proved the usefulness of an airborne observatory and the value in waiting for the capability provided by SOFIA. Finally, lessons learned in the test program are presented with emphasis on how lessons from previous aircraft and successful test programs were applied to SOFIA. Effective application of these lessons was crucial to the success of the SOFIA flight test program. SOFIA is an international cooperative program between NASA and the German Space Agency, DLR. It is a 2.5 meter (100-inch) telescope mounted in a Boeing 747SP aircraft used for astronomical observations at altitudes above 35,000 feet. SOFIA will accommodate a host of scientific instruments from the international science community and has a planned operational lifespan of more than 20 years.

  9. Experimental clean combustor program, phase 2

    NASA Technical Reports Server (NTRS)

    Gleason, C. C.; Rogers, D. W.; Bahr, D. W.

    1976-01-01

    The primary objectives of this three-phase program are to develop technology for the design of advanced combustors with significantly lower pollutant emission levels than those of current combustors, and to demonstrate these pollutant emission reductions in CF6-50C engine tests. The purpose of the Phase 2 Program was to further develop the two most promising concepts identified in the Phase 1 Program, the double annular combustor and the radial/axial staged combustor, and to design a combustor and breadboard fuel splitter control for CF6-50 engine demonstration testing in the Phase 3 Program. Noise measurement and alternate fuels addendums to the basic program were conducted to obtain additional experimental data. Twenty-one full annular and fifty-two sector combustor configurations were evaluated. Both combustor types demonstrated the capability for significantly reducing pollutant emission levels. The most promising results were obtained with the double annular combustor. Rig test results corrected to CF-50C engine conditions produced EPA emission parameters for CO, HC, and NOX of 3.4, 0.4, and 4.5 respectively. These levels represent CO, HC, and NOX reductions of 69, 90, and 42 percent respectively from current combustor emission levels. The combustor also met smoke emission level requirements and development engine performance and installation requirements.

  10. Revisiting and Computing Reaction Coordinates with Directional Milestoning

    PubMed Central

    Kirmizialtin, Serdal; Elber, Ron

    2011-01-01

    The method of Directional Milestoning is revisited. We start from an exact and more general expression and state the conditions and validity of the memory-loss approximation. An algorithm to compute a reaction coordinate from Directional Milestoning data is presented. The reaction coordinate is calculated as a set of discrete jumps between Milestones that maximizes the flux between two stable states. As an application we consider a conformational transition in solvated Adenosine. We compare a long molecular dynamic trajectory with Directional Milestoning and discuss the differences between the maximum flux path and minimum energy coordinates. PMID:21500798

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

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

    Leininger, Matt

    2015-09-24

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

  12. Completion of Level 4 Milestone M4AT-15OR2301039 for the Johnson Noise Thermometry for Drift-free Temperature Measurements Work Package AT-15OR230103

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

    Britton Jr, Charles L.

    This memorandum constitutes our September 2015 level 4 milestone for the project entitled “Johnson Noise Thermometry for Drift-free Temperature Measurements” and satisfies the Milestone/Activity (Conclude HFIR field demonstration of JNT prototype). The progress summary describes the work performed to complete the subject milestone.

  13. Estrogen Effects after a Crush Muscle Injury and Acute Exposure to Hypobaric Hypoxia

    DTIC Science & Technology

    2015-03-01

    15 5.0 M13 /M15/M17...technical milestones that were later combined into one milestone, known as M13 /M15/M17. Research question 5 is as follows: Will estrogen promote...muscle of mice? In Phase 2, there were three technical milestones that were later combined into one milestone, known as M13 /M15/M17. Research

  14. Addendum: Are Supermarket Advertisements Designed to Deceive Consumers?

    ERIC Educational Resources Information Center

    Mason, J. Barry; Wilkinson, J. B.

    1978-01-01

    Assesses the magnitude and incidence of experimentally determined deceptive advertising decisions in supermarket advertisements. Shows that many reduced-priced items are displayed less prominently, lessening a consumer's ability to show economically. (RL)

  15. 45 CFR 1357.15 - Comprehensive child and family services plan requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... descriptive addendum addressing specifically the family preservation and family support services available. (3... must describe any evaluation and research activities underway or planned with which the State agency is...

  16. 45 CFR 1357.15 - Comprehensive child and family services plan requirements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... descriptive addendum addressing specifically the family preservation and family support services available. (3... must describe any evaluation and research activities underway or planned with which the State agency is...

  17. 45 CFR 1357.15 - Comprehensive child and family services plan requirements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... descriptive addendum addressing specifically the family preservation and family support services available. (3... must describe any evaluation and research activities underway or planned with which the State agency is...

  18. 45 CFR 1357.15 - Comprehensive child and family services plan requirements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... descriptive addendum addressing specifically the family preservation and family support services available. (3... must describe any evaluation and research activities underway or planned with which the State agency is...

  19. 45 CFR 1357.15 - Comprehensive child and family services plan requirements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... descriptive addendum addressing specifically the family preservation and family support services available. (3... must describe any evaluation and research activities underway or planned with which the State agency is...

  20. 48 CFR 852.236-89 - Buy American Act.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Form or addendum thereto. (End of clause) Alternate I (JAN 2008). As prescribed in Table 825.1102... contained in this clause 852.236-89 are waived for World Trade Organization (WTO) Government Procurement...

  1. 48 CFR 852.236-89 - Buy American Act.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Form or addendum thereto. (End of clause) Alterate I (JAN 2008). As prescribed in Table 825.1102... contained in this clause 852.236-89 are waived for World Trade Organization (WTO) Government Procurement...

  2. 48 CFR 852.236-89 - Buy American Act.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Form or addendum thereto. (End of clause) Alternate I (JAN 2008). As prescribed in Table 825.1102... contained in this clause 852.236-89 are waived for World Trade Organization (WTO) Government Procurement...

  3. 48 CFR 852.236-89 - Buy American Act.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Form or addendum thereto. (End of clause) Alternate I (JAN 2008). As prescribed in Table 825.1102... contained in this clause 852.236-89 are waived for World Trade Organization (WTO) Government Procurement...

  4. Optoelectronics research for communication programs at the Goddard Space Flight Center

    NASA Technical Reports Server (NTRS)

    Krainak, Michael A.

    1991-01-01

    Current optoelectronics research and development of high-power, high-bandwidth laser transmitters, high-bandwidth, high-sensitivity optical receivers, pointing, acquisition and tracking components, and experimental and theoretical system modeling at the NASA Goddard Space Flight Center is reviewed. Program hardware and space flight milestones are presented. It is believed that these experiments will pave the way for intersatellite optical communications links for both the NASA Advanced Tracking and Data Relay Satellite System and commercial users in the 21st century.

  5. Descriptive Model of Generic WAMS

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

    Hauer, John F.; DeSteese, John G.

    The Department of Energy’s (DOE) Transmission Reliability Program is supporting the research, deployment, and demonstration of various wide area measurement system (WAMS) technologies to enhance the reliability of the Nation’s electrical power grid. Pacific Northwest National Laboratory (PNNL) was tasked by the DOE National SCADA Test Bed Program to conduct a study of WAMS security. This report represents achievement of the milestone to develop a generic WAMS model description that will provide a basis for the security analysis planned in the next phase of this study.

  6. Program Helps Decompose Complicated Design Problems

    NASA Technical Reports Server (NTRS)

    Rogers, James L., Jr.

    1993-01-01

    Time saved by intelligent decomposition into smaller, interrelated problems. DeMAID is knowledge-based software system for ordering sequence of modules and identifying possible multilevel structure for design problem. Displays modules in N x N matrix format. Requires investment of time to generate and refine list of modules for input, it saves considerable amount of money and time in total design process, particularly new design problems in which ordering of modules has not been defined. Program also implemented to examine assembly-line process or ordering of tasks and milestones.

  7. Joint services electronics program

    NASA Astrophysics Data System (ADS)

    Flynn, George W.; Osgood, Richard M., Jr.

    1988-05-01

    Several milestones have been reached in GaAs research. The first active GaAs device, a 1 micrometer channel width MESFET, has been made at Columbia. This device is a basic building block in the GaAs CCD program. GaAs surface studies have also born fruit. UV light has been found to oxidize rapidly the surface of GaAs in an UHV environment containing traces of water vapor and O2. The mechanism appears to be related to the generation of hot photocarriers.

  8. Portfolio Acquisition - How the DoD Can Leverage the Commercial Product Line Model

    DTIC Science & Technology

    2015-04-30

    canceled (Harrison, 2011). A major contributing factor common to these failures is that the programs tried to do too much at once: they used a big - bang ...requirements in a single, big - bang approach. MDAPs take 10 to 15 years from Milestone A to initial operational capability, with many of the largest...2013). The block upgrade model for B-52, F-15, and F-16 proved successful over decades, yet with its big - bang structure the F-35 program is

  9. Recruiting a U.S. national sample of HIV-negative gay and bisexual men to complete at-home self-administered HIV/STI testing and surveys: Challenges and Opportunities

    PubMed Central

    Grov, Christian; Cain, Demetria; Whitfield, Thomas H. F.; Rendina, H. Jonathon; Pawson, Mark; Ventuneac, Ana; Parsons, Jeffrey T.

    2015-01-01

    We describe enrollment for the One Thousand Strong panel, present characteristics of the panel relative to other large U.S. national studies of gay and bisexual men (GBM), and examine demographic and behavioral characteristics that were associated with passing enrollment milestones. A U.S. national sample of HIV-negative men were enrolled via an established online panel of over 22,000 GBM. Participants (n = 1071) passed three milestones to join our panel. Milestone 1 was screening eligible and providing informed consent. Milestone 2 involved completing an hour-long at-home computer-assisted self-interview (CASI) survey. Milestone 3 involved completing at-home self-administered rapid HIV testing and collecting/returning urine and rectal samples for gonorrhea and chlamydia testing. Compared to those who completed milestones: those not passing milestone 1 were more likely to be non-White and older; those not passing milestone 2 were less likely to have insurance or a primary care physician; and those not passing milestone 3 were less educated, more likely to be bisexual as opposed to gay, more likely to live in the Midwest, had fewer male partners in the past year, and less likely to have tested for HIV in the past year. Effect sizes for significant findings were small. We successfully enrolled a national sample of HIV-negative GBM who completed at-home CASI assessments and at-home self-administered HIV and urine and rectal STI testing. This indicates high feasibility and acceptability of incorporating self-administered biological assays into otherwise fully online studies. Differences in completion of study milestones indicate a need for further investigation into the reasons for lower engagement by certain groups. PMID:26858776

  10. Windows of achievement for development milestones of Sri Lankan infants and toddlers: estimation through statistical modelling.

    PubMed

    Thalagala, N

    2015-11-01

    The normative age ranges during which cohorts of children achieve milestones are called windows of achievement. The patterns of these windows of achievement are known to be both genetically and environmentally dependent. This study aimed to determine the windows of achievement for motor, social emotional, language and cognitive development milestones for infants and toddlers in Sri Lanka. A set of 293 milestones identified through a literature review were subjected to content validation using parent and expert reviews, which resulted in the selection of a revised set of 277 milestones. Thereafter, a sample of 1036 children from 2 months to 30 months was examined to see whether or not they had attained the selected milestones. Percentile ages of attaining milestone were determined using a rearranged closed form equation related to the logistic regression. The parameters required for calculations were derived through the logistic regression of milestone achievement statuses against ages of children. These percentile ages were used to define the respective windows of achievement. A set of 178 robust indicators that represent motor, socio emotional, language and cognitive development skills and their windows of achievement relevant to 2 to 24 months of age were determined. Windows of achievement for six gross motor milestones determined in the study were shown to closely overlap a similar set of windows of achievement published by the World Health Organization indicating the validity of some findings. A methodology combining the content validation based on qualitative techniques and age validation based on regression modelling found to be effective for determining age percentiles for realizing milestones and determining respective windows of achievement. © 2015 John Wiley & Sons Ltd.

  11. Seven Research-Based Ways That Families Promote Early Literacy. Research-to-Practice Brief

    ERIC Educational Resources Information Center

    Caspe, Margaret; Lopez, M. Elena

    2017-01-01

    Positive early-literacy experiences--whether at home, in early-childhood programs, schools, or libraries--set children on a trajectory to become confident readers by the time they reach third grade, which is an important milestone on the pathway toward high school graduation. This review outlines seven practices that research shows families use to…

  12. KSC-2013-4518

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – An Erickson Sky Crane helicopter refuels following splash down of SpaceX Dragon test article. The test enables SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. The parachute test took place at Morro Bay, Calif. Photo credit: NASA/Kim Shiflett

  13. KSC-2013-4506

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – The SpaceX Dragon test article awaits recovery from the Pacific Ocean, off the coast of Morro Bay, Calif following splash down. The test enabled SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  14. KSC-2013-4504

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – The SpaceX Dragon test article splashes down following a test over the Pacific Ocean, off the coast of Morro Bay, Calif. The test enabled SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  15. KSC-2013-4505

    NASA Image and Video Library

    2013-12-20

    MORRO BAY, Calif. – The SpaceX Dragon test article splashes down following a test over the Pacific Ocean, off the coast of Morro Bay, Calif. The test enabled SpaceX engineers to evaluate the spacecraft's parachute deployment system as part of a milestone under its Commercial Crew Integrated Capability agreement with NASA's Commercial Crew Program. Photo credit: NASA/Kim Shiflett

  16. Translanguaging in an Infant Classroom: Using Multiple Languages to Make Meaning

    ERIC Educational Resources Information Center

    Garrity, Sarah; Aquino-Sterling, Cristian R.; Day, Ashley

    2015-01-01

    Numerous theories of development position infants as inherently driven to make sense of the world around them, and the acquisition of language is a fundamental developmental milestone of this period. The purpose of this study was to document the first year of implementation of a Spanish/English dual language program in an infant classroom, using a…

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

    none,

    The Fusion Energy Science Advisory Committee was asked to conduct a review of Fusion Materials Research Program (the Structural Materials portion of the Fusion Program) by Dr. Martha Krebs, Director of Energy Research for the Department of Energy. This request was motivated by the fact that significant changes have been made in the overall direction of the Fusion Program from one primarily focused on the milestones necessary to the construction of successively larger machines to one where the necessary scientific basis for an attractive fusion energy system is. better understood. It was in this context that the review of currentmore » scientific excellence and recommendations for future goals and balance within the Program was requested.« less

  18. Regional Geology Web Map Application Development: Javascript v2.0

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

    Russell, Glenn

    This is a milestone report for the FY2017 continuation of the Spent Fuel, Storage, and Waste, Technology (SFSWT) program (formerly Used Fuel Disposal (UFD) program) development of the Regional Geology Web Mapping Application by the Idaho National Laboratory Geospatial Science and Engineering group. This application was developed for general public use and is an interactive web-based application built in Javascript to visualize, reference, and analyze US pertinent geological features of the SFSWT program. This tool is a version upgrade from Adobe FLEX technology. It is designed to facilitate informed decision making of the geology of continental US relevant to themore » SFSWT program.« less

  19. Benchmarking of OEM Hybrid Electric Vehicles at NREL: Milestone Report

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

    Kelly, K. J.; Rajagopalan, A.

    2001-10-26

    A milestone report that describes the NREL's progress and activities related to the DOE FY2001 Annual Operating Plan milestone entitled ''Benchmark 2 new production or pre-production hybrids with ADVISOR.''

  20. Milestone achievement in emerging adulthood in spina bifida: a longitudinal investigation of parental expectations.

    PubMed

    Holbein, Christina E; Zebracki, Kathy; Bechtel, Colleen F; Lennon Papadakis, Jaclyn; Franks Bruno, Elizabeth; Holmbeck, Grayson N

    2017-03-01

    To assess changes over time in parents' expectations of adult milestone achievement (college attendance, full-time job attainment, independent living, marriage, parenthood) for young people with spina bifida, to examine how expectancies relate to actual milestone achievement, and to compare milestone achievement in emerging adults with spina bifida with that of peers with typical development. Sixty-eight families of children with spina bifida (mean age 8y 4mo, 37 males, 31 females) and 68 families of children with typical development (mean age 8y 6mo, 37 males, 31 females) participated at Time 1. At all subsequent timepoints, parents of young people with spina bifida were asked to rate their expectations of emerging adulthood milestone achievement. At Time 7, when participants were 22 to 23 years old, milestone achievement was assessed. Parents of young people with spina bifida lowered their expectations over time for most milestones; parents of children with higher cognitive ability reported decreases of lower magnitude. Parent expectancies were optimistic and unrelated to actual milestone achievement. Emerging adults with spina bifida were less likely than individuals with typical development to achieve all milestones. Optimistic parental expectations may be adaptive for children with spina bifida and their families, although it is important for families to set realistic goals. Healthcare providers serve a key role in helping families of young people with spina bifida prepare for emerging adulthood. © 2016 Mac Keith Press.

  1. A report documenting the completion of the Los Alamos National Laboratory portion of the ASC level II milestone ""Visualization on the supercomputing platform

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

    Ahrens, James P; Patchett, John M; Lo, Li - Ta

    2011-01-24

    This report provides documentation for the completion of the Los Alamos portion of the ASC Level II 'Visualization on the Supercomputing Platform' milestone. This ASC Level II milestone is a joint milestone between Sandia National Laboratory and Los Alamos National Laboratory. The milestone text is shown in Figure 1 with the Los Alamos portions highlighted in boldfaced text. Visualization and analysis of petascale data is limited by several factors which must be addressed as ACES delivers the Cielo platform. Two primary difficulties are: (1) Performance of interactive rendering, which is the most computationally intensive portion of the visualization process. Formore » terascale platforms, commodity clusters with graphics processors (GPUs) have been used for interactive rendering. For petascale platforms, visualization and rendering may be able to run efficiently on the supercomputer platform itself. (2) I/O bandwidth, which limits how much information can be written to disk. If we simply analyze the sparse information that is saved to disk we miss the opportunity to analyze the rich information produced every timestep by the simulation. For the first issue, we are pursuing in-situ analysis, in which simulations are coupled directly with analysis libraries at runtime. This milestone will evaluate the visualization and rendering performance of current and next generation supercomputers in contrast to GPU-based visualization clusters, and evaluate the perfromance of common analysis libraries coupled with the simulation that analyze and write data to disk during a running simulation. This milestone will explore, evaluate and advance the maturity level of these technologies and their applicability to problems of interest to the ASC program. In conclusion, we improved CPU-based rendering performance by a a factor of 2-10 times on our tests. In addition, we evaluated CPU and CPU-based rendering performance. We encourage production visualization experts to consider using CPU-based rendering solutions when it is appropriate. For example, on remote supercomputers CPU-based rendering can offer a means of viewing data without having to offload the data or geometry onto a CPU-based visualization system. In terms of comparative performance of the CPU and CPU we believe that further optimizations of the performance of both CPU or CPU-based rendering are possible. The simulation community is currently confronting this reality as they work to port their simulations to different hardware architectures. What is interesting about CPU rendering of massive datasets is that for part two decades CPU performance has significantly outperformed CPU-based systems. Based on our advancements, evaluations and explorations we believe that CPU-based rendering has returned as one viable option for the visualization of massive datasets.« less

  2. Milestone Report - Demonstrate Braided Material with 3.5 g U/kg Sorption Capacity under Seawater Testing Condition (Milestone M2FT-15OR0310041 - 1/30/2015)

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

    Janke, Christopher James; Das, Sadananda; Oyola, Yatsandra

    This report describes work on the successful completion of Milestone M2FT-15OR0310041 (1/30/2015) entitled, Demonstrate braided material with 3.5 g U/kg sorption capacity under seawater testing condition . This effort is part of the Seawater Uranium Recovery Program, sponsored by the U.S. Department of Energy, Office of Nuclear Energy, and involved the development of new adsorbent braided materials at the Oak Ridge National Laboratory (ORNL) and marine testing at the Pacific Northwest National Laboratory (PNNL). ORNL has recently developed four braided fiber adsorbents that have demonstrated uranium adsorption capacities greater than 3.5 g U/kg adsorbent after marine testing at PNNL. Themore » braided adsorbents were synthesized by braiding or leno weaving high surface area polyethylene fibers and conducting radiation-induced graft polymerization of itaconic acid and acrylonitrile monomers onto the braided materials followed by amidoximation and base conditioning. The four braided adsorbents demonstrated capacity values ranging from 3.7 to 4.2 g U/kg adsorbent after 56 days of exposure in natural coastal seawater at 20 oC. All data are normalized to a salinity of 35 psu.« less

  3. High performance computing and communications: FY 1997 implementation plan

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

    NONE

    1996-12-01

    The High Performance Computing and Communications (HPCC) Program was formally authorized by passage, with bipartisan support, of the High-Performance Computing Act of 1991, signed on December 9, 1991. The original Program, in which eight Federal agencies participated, has now grown to twelve agencies. This Plan provides a detailed description of the agencies` FY 1996 HPCC accomplishments and FY 1997 HPCC plans. Section 3 of this Plan provides an overview of the HPCC Program. Section 4 contains more detailed definitions of the Program Component Areas, with an emphasis on the overall directions and milestones planned for each PCA. Appendix A providesmore » a detailed look at HPCC Program activities within each agency.« less

  4. NAS-current status and future plans

    NASA Technical Reports Server (NTRS)

    Bailey, F. R.

    1987-01-01

    The Numerical Aerodynamic Simulation (NAS) has met its first major milestone, the NAS Processing System Network (NPSN) Initial Operating Configuration (IOC). The program has met its goal of providing a national supercomputer facility capable of greatly enhancing the Nation's research and development efforts. Furthermore, the program is fulfilling its pathfinder role by defining and implementing a paradigm for supercomputing system environments. The IOC is only the begining and the NAS Program will aggressively continue to develop and implement emerging supercomputer, communications, storage, and software technologies to strengthen computations as a critical element in supporting the Nation's leadership role in aeronautics.

  5. Surplus Highly Enriched Uranium Disposition Program plan

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

    NONE

    1996-10-01

    The purpose of this document is to provide upper level guidance for the program that will downblend surplus highly enriched uranium for use as commercial nuclear reactor fuel or low-level radioactive waste. The intent of this document is to outline the overall mission and program objectives. The document is also intended to provide a general basis for integration of disposition efforts among all applicable sites. This plan provides background information, establishes the scope of disposition activities, provides an approach to the mission and objectives, identifies programmatic assumptions, defines major roles, provides summary level schedules and milestones, and addresses budget requirements.

  6. Space Transportation Propulsion Systems

    NASA Technical Reports Server (NTRS)

    Liou, Meng-Sing; Stewart, Mark E.; Suresh, Ambady; Owen, A. Karl

    2001-01-01

    This report outlines the Space Transportation Propulsion Systems for the NPSS (Numerical Propulsion System Simulation) program. Topics include: 1) a review of Engine/Inlet Coupling Work; 2) Background/Organization of Space Transportation Initiative; 3) Synergy between High Performance Computing and Communications Program (HPCCP) and Advanced Space Transportation Program (ASTP); 4) Status of Space Transportation Effort, including planned deliverables for FY01-FY06, FY00 accomplishments (HPCCP Funded) and FY01 Major Milestones (HPCCP and ASTP); and 5) a review current technical efforts, including a review of the Rocket-Based Combined-Cycle (RBCC), Scope of Work, RBCC Concept Aerodynamic Analysis and RBCC Concept Multidisciplinary Analysis.

  7. Use of Developmental Milestones in Pediatric Residency Training and Practice: Time to Rethink the Meaning of the Mean

    PubMed Central

    Sices, Laura

    2009-01-01

    Objective Pediatricians frequently report the use of developmental milestones in monitoring young children’s development, despite evidence that use of screening tools improves detection of developmental delays. Methods Core texts in the field of pediatrics and developmental-behavioral pediatrics were reviewed for content and presentation on child development. Most texts included and many focused on developmental milestones, many with an emphasis on 50th percentile milestone data. Problems and limitations in the use of 50th percentile milestones to monitor young children’s development and to identify children whose development is suspicious for delay, include questionable utility in clinical decision making and the potential to increase parental anxiety. Results The recommendation is made to reconsider a focus on 50th percentile milestone data in pediatric training and practice, in favor of measures that have better clinical utility and are more psychometrically sound. Conclusion A conceptual approach to the presentation of developmental milestones differentiates the use of the 10th, 50th, and 90th percentiles of age of achievement of skills, based on the clinical purpose of surveillance. PMID:17353732

  8. 75 FR 70568 - Agency Information Collection Activities; Proposed Collection; Comment Request; Addendum for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... Antimicrobial Pesticides (NAICS code 32561); Producers of Nitrogen Stabilizers (NAICS code 32531); and Producers... Food, Drug, and Cosmetic Act (FFDCA), which requires endocrine screening of all pesticide chemicals and...

  9. Addendum to the Proceedings of the Third International Mobile Satellite Conference (IMSC 1993)

    NASA Technical Reports Server (NTRS)

    Kwan, Robert (Compiler); Rigley, Jack (Compiler); Cassingham, Randy (Editor)

    1993-01-01

    Satellite-based mobile communications systems provide voice and data communications to users over a vast geographic area. The users may communicate via mobile or hand-held terminals, which may also provide access to terrestrial cellular communications services. This Third IMSC focuses on the increasing worldwide commercial activities in Mobile Satellite Services, along with technical advances in the field. Because of the large service areas provided by such systems, it is important to consider political and regulatory issues in addition to technical and user requirements issues. The official Proceedings presented in 11 sessions include: direct broadcast of audio programming from satellites; spacecraft technology; regulatory and policy considerations; hybrid networks for personal and mobile applications; advanced system concepts and analysis; propagation; and mobile terminal technology; and mobile antenna technology.

  10. ERBS fuel addendum: Pollution reduction technology program small jet aircraft engines, phase 3

    NASA Technical Reports Server (NTRS)

    Bruce, T. W.; Davis, F. G.; Kuhn, T. E.; Mongia, H. C.

    1982-01-01

    A Model TFE731-2 engine with a low emission, variable geometry combustion system was tested to compare the effects of operating the engine on Commercial Jet-A aviation turbine fuel and experimental referee broad specification (ERBS) fuels. Low power emission levels were essentially identical while the high power NOx emission indexes were approximately 15% lower with the EBRS fuel. The exhaust smoke number was approximately 50% higher with ERBS at the takeoff thrust setting; however, both values were still below the EPA limit of 40 for the Model TFE731 engine. Primary zone liner wall temperature ran an average of 25 K higher with ERBS fuel than with Jet-A. The possible adoption of broadened proprties fuels for gas turbine applications is suggested.

  11. National Alliance for Advance Biofuels and Bio-Products Final Technical Report Addendum Hydrothermal Processing Pilot System

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

    Oyler, James R.

    2015-12-21

    The main objective of the NAABB was to combine science, technology, and engineering expertise from across the nation to break down critical technical barriers to commercialization of algae-based biofuels. As a part of the consortium, Genifuel’s NAABB goals was to fabricate and demonstrate a pilot-scale system to convert algae into fuels. The purpose of this pilot system was to show that processes developed in the laboratory at bench-scale during the program could be successfully scaled up to a pre-commercial level, and thereby provide visibility into the ultimate viability and cost of algae biofuels. The pilot system has now been completedmore » and tested, and this report documents what has been achieved.« less

  12. ATDM Rover Milestone Report STDA02-1 (FY2017 Q4)

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

    Larsen, Matt; Laney, Dan E.

    We have successfully completed the MS-4/Y1 Milestone STDA02-1 for the Rover Project. This document describes the milestone and provides an overview of the technical details and artifacts of the milestone. This milestone is focused on building a GPU accelerated ray tracing package capable of doing multi-group radiography, both back-lit and with self-emission as well as serving as a volume rendering plot in VisIt and other VTK-based visualization tools. The long term goal is a package with in-situ capability, but for this first version integration into VisIt is the primary goal. Milestone Execution Plan: Create API for GPU Raytracer that supportsmore » multi-group transport (up to hundreds of groups); Implement components into one or more of: VTK-m, VisIt, and a new library/package implementation to be hosted on LLNL Bitbucket (initially), before releasing to the wider community.« less

  13. Similarities and differences in child development from birth to age 3 years by sex and across four countries: a cross-sectional, observational study.

    PubMed

    Ertem, Ilgi Ozturk; Krishnamurthy, Vibha; Mulaudzi, Mphelekedzeni C; Sguassero, Yanina; Balta, Hakan; Gulumser, Ozlem; Bilik, Burcu; Srinivasan, Roopa; Johnson, Benjamin; Gan, Geliang; Calvocoressi, Lisa; Shabanova, Veronika; Forsyth, Brian W C

    2018-03-01

    Knowledge about typical development is of fundamental importance for understanding and promoting child health and development. We aimed to ascertain when healthy children in four culturally and linguistically different countries attain developmental milestones and to identify similarities and differences across sexes and countries. In this cross-sectional, observational study, we recruited children aged 0-42 months and their caregivers between March 3, 2011, and May 18, 2015, at 22 health clinics in Argentina, India, South Africa, and Turkey. We obtained a healthy subsample, which excluded children with a low birthweight, perinatal complications, chronic illness, undernutrition, or anaemia, and children with missing health data. Using the Guide for Monitoring Child Development, caregivers described their child's development in seven domains: expressive and receptive language, gross and fine motor, play, relating, and self-help. Clinicians examining the children also completed a checklist about the child's health status. We used logit and probit regression models based on the lowest deviance information criterion to generate Bayesian point estimates and 95% credible intervals for the 50th percentile ages of attainment of 106 milestones. We assessed the significance of differences between sexes and countries using predefined criteria and regions of practical equivalence. Of 10 246 children recruited, 4949 children (48·3%) were included in the healthy subsample. For the 106 milestones assessed, the median age of attainment was equivalent for 102 (96%) milestones across sexes and 81 (76%) milestones across the four countries. Across countries, median ages of attainment were equivalent for all play milestones, 20 (77%) of 26 expressive language milestones, ten (67%) of 15 receptive language milestones, nine (82%) of 11 fine motor milestones, 14 (88%) of 16 gross motor milestones, and eight (73%) of 11 relating milestones. However, across the four countries the median age of attainment was equivalent for only two (22%) of nine milestones in the self-help domain. The ages of attainment of developmental milestones in healthy children, and the similarities and differences across sexes and country samples might aid the development of international tools to guide policy, service delivery, and intervention research, particularly in low-income and middle-income countries. Eunice Kennedy Shriver National Institute of Child Health and Human Development. Copyright © 2018 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.

  14. The study on achievement of motor milestones and associated factors among children in rural North India

    PubMed Central

    Gupta, Arti; Kalaivani, Mani; Gupta, Sanjeev Kumar; Rai, Sanjay K.; Nongkynrih, Baridalyne

    2016-01-01

    Background: Nearly 14% of children worldwide do not reach their developmental potential in early childhood. The early identification of delays in achieving milestones is critical. The World Health Organization (WHO) has developed normal age ranges for the achievement of motor milestones by healthy children. This study aimed to assess the gross motor developmental achievements and associated factors among children in rural India. Materials and Methods: A cross-sectional study was conducted with rural children in North India. A pretested questionnaire was used to collect the data. The median age at the time of the highest observed milestone was calculated and compared with the WHO windows of achievement. Results: Overall, 221 children aged 4–18 months were included in the study. The median age of motor development exhibited a 0.1–2.1-month delay compared to the WHO median age of motor milestone achievement. The prevalence of the gross motor milestone achievements for each of the six milestones ranged from 91.6% to 98.4%. Developmental delay was observed in 6.3% of the children. After adjusting for different variables, children with birth order of second or more were found to be significantly associated with the timely achievement of gross motor milestones. Conclusion: The apparently healthy children of the rural area of Haryana achieved gross motor milestones with some delay with respect to the WHO windows of achievement. Although the median value of this delay was low, awareness campaigns should be implemented to promote timely identification of children with development delays. PMID:27843845

  15. KSC-2012-4601

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  16. KSC-2012-4606

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  17. KSC-2012-4600

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – NASA Administrator Charlie Bolden, right, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  18. KSC-2012-4607

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  19. KSC-2012-4602

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

  20. KSC-2012-4605

    NASA Image and Video Library

    2012-08-23

    CAPE CANAVERAL, Fla. – Space Florida President Frank DiBello, NASA Administrator Charlie Bolden, and Boeing's Vice President and General Manager of Space Exploration John Elbon address the media inside Orbiter Processing Facility-3, or OPF-3, at NASA's Kennedy Space Center in Florida. Bolden took a few dozen media on a road show tour of the center and adjacent Cape Canaveral Air Force Station to show the progress being made for future government and commercial space endeavors that will begin from Florida's Space Coast. Boeing is leasing OPF-3 through an agreement with Space Florida for the manufacturing and assembly of its CST-100 spacecraft, which is under development in collaboration with NASA's Commercial Crew Program. During his tour, Bolden announced that Space Exploration Technologies, or SpaceX, has completed its Space Act Agreement with NASA for Commercial Orbital Transportation Services. SpaceX is scheduled to launch the first of its 12 contracted cargo flights to the space station from Cape Canaveral this October, under NASA’s Commercial Resupply Services Program. Bolden also announced NASA partner Sierra Nevada Corp. has conducted its first milestone under the agency’s recently announced Commercial Crew Integrated Capability CCiCap initiative. The milestone, a program implementation plan review, marks an important first step in Sierra Nevada’s efforts to develop a crew transportation system with its Dream Chaser spacecraft. Through NASA’s commercial space initiatives and programs, the agency is providing investments to stimulate the American commercial space industry. Photo credit: NASA/Kim Shiflett

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