Sample records for program onsite reviews

  1. Nutrition Program Quality Assurance through a Formalized Process of On-Site Program Review

    ERIC Educational Resources Information Center

    Paddock, Joan Doyle; Dollahite, Jamie

    2012-01-01

    A protocol for a systematic onsite review of the Expanded Food and Nutrition Education Program and Supplemental Nutrition Assistance Program-Education was developed to support quality programming and ensure compliance with state guidelines and federal regulations. Onsite review of local nutrition program operations is one strategy to meet this…

  2. 13 CFR 120.1050 - On-site reviews and examinations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... operations management; (3) Credit administration; and (4) Compliance with Loan Program Requirements. (b) On... reviews. SBA may conduct on-site reviews of the SBA loan operations of SBA Lenders. The on-site review may... losses); (3) Management quality (including internal controls, loan portfolio management, and asset...

  3. Comparison of Onsite Versus Online Chart Reviews as Part of the American College of Radiation Oncology Accreditation Program.

    PubMed

    Hepel, Jaroslaw T; Heron, Dwight E; Mundt, Arno J; Yashar, Catheryn; Feigenberg, Steven; Koltis, Gordon; Regine, William F; Prasad, Dheerendra; Patel, Shilpen; Sharma, Navesh; Hebert, Mary; Wallis, Norman; Kuettel, Michael

    2017-05-01

    Accreditation based on peer review of professional standards of care is essential in ensuring quality and safety in administration of radiation therapy. Traditionally, medical chart reviews have been performed by a physical onsite visit. The American College of Radiation Oncology Accreditation Program has remodeled its process whereby electronic charts are reviewed remotely. Twenty-eight radiation oncology practices undergoing accreditation had three charts per practice undergo both onsite and online review. Onsite review was performed by a single reviewer for each practice. Online review consisted of one or more disease site-specific reviewers for each practice. Onsite and online reviews were blinded and scored on a 100-point scale on the basis of 20 categories. A score of less than 75 was failing, and a score of 75 to 79 was marginal. Any failed charts underwent rereview by a disease site team leader. Eighty-four charts underwent both onsite and online review. The mean scores were 86.0 and 86.9 points for charts reviewed onsite and online, respectively. Comparison of onsite and online reviews revealed no statistical difference in chart scores ( P = .43). Of charts reviewed, 21% had a marginal (n = 8) or failing (n = 10) score. There was no difference in failing charts ( P = .48) or combined marginal and failing charts ( P = .13) comparing onsite and online reviews. The American College of Radiation Oncology accreditation process of online chart review results in comparable review scores and rate of failing scores compared with traditional on-site review. However, the modern online process holds less potential for bias by using multiple reviewers per practice and allows for greater oversight via disease site team leader rereview.

  4. 13 CFR 109.510 - On-site and off-site reviews.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 13 Business Credit and Assistance 1 2013-01-01 2013-01-01 false On-site and off-site reviews. 109.510 Section 109.510 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION INTERMEDIARY LENDING PILOT PROGRAM Oversight § 109.510 On-site and off-site reviews. (a) General. SBA may conduct off-site...

  5. 75 FR 5637 - Bureau of Educational and Cultural Affairs; Secondary School Student Sponsor On-Site Reviews

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-03

    ... School Student Sponsor On-Site Reviews ACTION: Notice. SUMMARY: The Department has designated United States organizations to conduct Secondary School Student exchange programs since 1949, following passage... foreign exchange students have lived in and learned about America through these Secondary School Student...

  6. 45 CFR 1388.9 - Peer review.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... PROGRAM THE UNIVERSITY AFFILIATED PROGRAMS § 1388.9 Peer review. (a) The purpose of the peer review..., including on-site visits or inspections as necessary. (b) Applications for funding opportunities under part...

  7. 45 CFR 1388.9 - Peer review.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... PROGRAM THE UNIVERSITY AFFILIATED PROGRAMS § 1388.9 Peer review. (a) The purpose of the peer review..., including on-site visits or inspections as necessary. (b) Applications for funding opportunities under part...

  8. 45 CFR 1388.9 - Peer review.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... PROGRAM THE UNIVERSITY AFFILIATED PROGRAMS § 1388.9 Peer review. (a) The purpose of the peer review..., including on-site visits or inspections as necessary. (b) Applications for funding opportunities under part...

  9. 45 CFR 1388.9 - Peer review.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... PROGRAM THE UNIVERSITY AFFILIATED PROGRAMS § 1388.9 Peer review. (a) The purpose of the peer review..., including on-site visits or inspections as necessary. (b) Applications for funding opportunities under part...

  10. 24 CFR 214.307 - Performance review.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Performance review. 214.307 Section... COUNSELING PROGRAM Program Administration § 214.307 Performance review. (a) HUD may conduct periodic on-site or desk performance reviews of all participating agencies. (b) The performance review will consist of...

  11. 24 CFR 214.307 - Performance review.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Performance review. 214.307 Section... COUNSELING PROGRAM Program Administration § 214.307 Performance review. (a) HUD may conduct periodic on-site or desk performance reviews of all participating agencies. (b) The performance review will consist of...

  12. 24 CFR 214.307 - Performance review.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 2 2012-04-01 2012-04-01 false Performance review. 214.307 Section... COUNSELING PROGRAM Program Administration § 214.307 Performance review. (a) HUD may conduct periodic on-site or desk performance reviews of all participating agencies. (b) The performance review will consist of...

  13. 76 FR 59182 - Bureau of Educational and Cultural Affairs; Exchange Visitor Program; Summer Work Travel Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-23

    ... Visitor Program; Summer Work Travel Program Sponsor On-Site Reviews ACTION: Notice. SUMMARY: Pursuant to..., the Department announces its intent to conduct on- site reviews of sponsors in the Summer Work Travel... Work Travel Program provides foreign college and university students the opportunity to work and travel...

  14. 7 CFR 249.17 - Management evaluations and reviews.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....17 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS SENIOR FARMERS' MARKET NUTRITION PROGRAM (SFMNP..., and on-site reviews of selected farmers, farmers' markets, roadside stands, and community supported...

  15. Computerized NCLEX-RN and NCLEX-PN preparation programs. Comparative review, 1997.

    PubMed

    Riner, M E; Mueller, C; Ihrke, B; Smolen, R A; Wilson, M; Richardson, V; Stone, C; Zwirn, E E

    1997-01-01

    The computerized test taking market continues to expand to meet the needs of nursing students studying to prepare for the NCLEX-RN and the NCLEX-PN. In addition, currently registered nurses may choose to use these software programs to review clinical knowledge in areas in which they are not currently practicing. This article reviewed software designed for personal use, review books with complete disks, on-site institutional testing and consultation, and school of nursing LANs. The costs of software for personal use is priced reasonably and provides flexibility for students to use as their schedule permits. The cost of institutional licenses is moderate and most programs provide multiple on-site use rights. The marketplace has responded to the computerized NCLEX testing now in place nationally. As new formats are developed and new uses identified, nursing faculty and students can expect to see an expanded use of computerized testing.

  16. 23 CFR 230.415 - Consolidated compliance reviews.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CIVIL RIGHTS EXTERNAL PROGRAMS... established. (3) Obtain background information. EEO-3's Local Union Reports, should be obtained from regional... appropriate. It is of particular importance during the onsite reviews that the review team provide for...

  17. 7 CFR 3560.353 - Scheduling of on-site monitoring reviews.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Scheduling of on-site monitoring reviews. 3560.353....353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior notice of an on-site monitoring review and will conduct the on-site monitoring review in the presence of...

  18. 7 CFR 1484.74 - How is Cooperator program compliance monitored?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... compliance monitored? (a) The Compliance Review Staff (CRS), FAS, performs periodic on-site reviews of... Cooperator do not supplant private or U.S. industry funds or contributions pursuant to § 1550.20(a)(14), FAS...

  19. 7 CFR 1484.74 - How is Cooperator program compliance monitored?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... compliance monitored? (a) The Compliance Review Staff (CRS), FAS, performs periodic on-site reviews of... Cooperator do not supplant private or U.S. industry funds or contributions pursuant to § 1550.20(a)(14), FAS...

  20. 7 CFR 1484.74 - How is Cooperator program compliance monitored?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... compliance monitored? (a) The Compliance Review Staff (CRS), FAS, performs periodic on-site reviews of... Cooperator do not supplant private or U.S. industry funds or contributions pursuant to § 1550.20(a)(14), FAS...

  1. 42 CFR 456.653 - Acceptable reasons for not meeting requirements for annual on-site review.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... for Failure To Make a Satisfactory Showing of an Effective Institutional Utilization Control Program... will find an agency's showing satisfactory, even if it failed to meet the annual review requirements of...

  2. 20 CFR 404.1519s - Authorizing and monitoring the consultative examination.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... evaluating claimant reactions to key providers; and (11) A program of systematic, onsite reviews of key...) A process for orientation, training, and review of new consultative examination providers, with....1519m. (7) Procedures for the ongoing review of consultative examination results to ensure compliance...

  3. 20 CFR 404.1230 - Onsite review program.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ....1230 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL OLD-AGE, SURVIVORS AND DISABILITY... State's agreement are reported and that those employees receive Social Security credit for their covered... reports are based. These reviews are designed: (a) To measure the effectiveness of the State's systems for...

  4. 20 CFR 416.919s - Authorizing and monitoring the consultative examination.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) A process for orientation, training, and review of new consultative examination providers, with.... (7) procedures for the ongoing review of consultative examination results to ensure compliance with...) Procedures for evaluating claimant reactions to key providers; and (11) A program of systematic, onsite...

  5. 42 CFR 8.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID... body that has been approved by SAMHSA under § 8.3 to accredit opioid treatment programs using opioid... SAMHSA. Accreditation survey means an onsite review and evaluation of an opioid treatment program by an...

  6. 42 CFR 8.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID... body that has been approved by SAMHSA under § 8.3 to accredit opioid treatment programs using opioid... SAMHSA. Accreditation survey means an onsite review and evaluation of an opioid treatment program by an...

  7. 42 CFR 8.2 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID... body that has been approved by SAMHSA under § 8.3 to accredit opioid treatment programs using opioid... SAMHSA. Accreditation survey means an onsite review and evaluation of an opioid treatment program by an...

  8. 42 CFR 8.2 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL PROVISIONS CERTIFICATION OF OPIOID... body that has been approved by SAMHSA under § 8.3 to accredit opioid treatment programs using opioid... SAMHSA. Accreditation survey means an onsite review and evaluation of an opioid treatment program by an...

  9. 42 CFR 424.517 - Onsite review.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Onsite review. 424.517 Section 424.517 Public... Billing Privileges § 424.517 Onsite review. (a) CMS reserves the right, when deemed necessary, to perform onsite review of a provider or supplier to verify that the enrollment information submitted to CMS or its...

  10. 40 CFR 35.3570 - Reports and audits.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... on-site visits as deemed necessary to perform the annual review. (d) Information management system—(1) Purpose. The purpose of the information management system is to assess the DWSRF programs, to monitor.... Information provided in the Biennial Report on other EPA programs eligible for assistance from the DWSRF...

  11. 40 CFR 35.3570 - Reports and audits.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... on-site visits as deemed necessary to perform the annual review. (d) Information management system—(1) Purpose. The purpose of the information management system is to assess the DWSRF programs, to monitor.... Information provided in the Biennial Report on other EPA programs eligible for assistance from the DWSRF...

  12. 40 CFR 35.3570 - Reports and audits.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... on-site visits as deemed necessary to perform the annual review. (d) Information management system—(1) Purpose. The purpose of the information management system is to assess the DWSRF programs, to monitor.... Information provided in the Biennial Report on other EPA programs eligible for assistance from the DWSRF...

  13. 40 CFR 35.3570 - Reports and audits.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... on-site visits as deemed necessary to perform the annual review. (d) Information management system—(1) Purpose. The purpose of the information management system is to assess the DWSRF programs, to monitor.... Information provided in the Biennial Report on other EPA programs eligible for assistance from the DWSRF...

  14. 40 CFR 35.3570 - Reports and audits.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... on-site visits as deemed necessary to perform the annual review. (d) Information management system—(1) Purpose. The purpose of the information management system is to assess the DWSRF programs, to monitor.... Information provided in the Biennial Report on other EPA programs eligible for assistance from the DWSRF...

  15. Integrated Programs for Mothers with Substance Abuse Issues and Their Children: A Systematic Review of Studies Reporting on Child Outcomes

    ERIC Educational Resources Information Center

    Niccols, Alison; Milligan, Karen; Smith, Ainsley; Sword, Wendy; Thabane, Lehana; Henderson, Joanna

    2012-01-01

    Background: Integrated treatment programs (those that include on-site pregnancy-, parenting-, or child-related services with addiction services) were developed to break the intergenerational cycle of addiction, potential child maltreatment, and poor outcomes for children. Objectives: To examine the impact and effects of integrated programs for…

  16. 75 FR 9638 - Surface Transportation Project Delivery Pilot Program; Caltrans Audit Report

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-03

    ... practice on a case- by-case basis. The FHWA recommends that Caltrans develop a departmentwide, holistic corrective action management approach and system that will develop and implement an internal process review... the Pilot Program. During the on-site audit, Caltrans staff and management continued to express...

  17. 34 CFR 602.17 - Application of standards in reaching an accrediting decision.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... program to prepare, following guidance provided by the agency, an in-depth self-study that includes the... on-site review; (e) Conducts its own analysis of the self-study and supporting documentation... standards, including areas needing improvement; and (2) The institution's or program's performance with...

  18. 34 CFR 602.17 - Application of standards in reaching an accrediting decision.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... program to prepare, following guidance provided by the agency, an in-depth self-study that includes the... on-site review; (e) Conducts its own analysis of the self-study and supporting documentation... standards, including areas needing improvement; and (2) The institution's or program's performance with...

  19. 34 CFR 602.17 - Application of standards in reaching an accrediting decision.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... program to prepare, following guidance provided by the agency, an in-depth self-study that includes the... on-site review; (e) Conducts its own analysis of the self-study and supporting documentation... standards, including areas needing improvement; and (2) The institution's or program's performance with...

  20. 34 CFR 602.17 - Application of standards in reaching an accrediting decision.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... program to prepare, following guidance provided by the agency, an in-depth self-study that includes the... on-site review; (e) Conducts its own analysis of the self-study and supporting documentation... standards, including areas needing improvement; and (2) The institution's or program's performance with...

  1. A doctor in the house: rationale for providing on-site urological consultation to geriatric patients in nursing health care facilities.

    PubMed

    Watson, Richard A; Suchak, Nihirika; Steel, Knight

    2010-08-01

    To establish a rationale for providing on-site urological care on a regular basis in the nursing health care center setting and to share "lessons learned," which we have garnered in providing that care over a 5-year experience. We have reviewed and assessed our experiences in providing urological outreach to nursing health care center patients. Our outreach program has been well received both by patients and by health care center personnel. Over this time, we have capitalized on many advantages that this initiative offers, and we have gained, through this experience, several "lessons learned," not only regarding what to do, but also what to avoid. Advantages to on-site urological care include: (1) timely, targeted clinical intervention; (2) significant disease prevention; (3) expedition of treatment; (4) health care provider education; and (5) rich opportunities for clinical investigation. In addition, the on-site urologist can provide the health care center with helpful advice and validation in meeting federal and state health care requirements. Unfortunately, to date, remuneration for such programs has been discouraging. Federal and state regulations continue to impede innovative change. Copyright (c) 2010 Elsevier Inc. All rights reserved.

  2. 7 CFR 3560.353 - Scheduling of on-site monitoring reviews.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 15 2012-01-01 2012-01-01 false Scheduling of on-site monitoring reviews. 3560.353... SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Agency Monitoring § 3560.353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior...

  3. 7 CFR 3560.353 - Scheduling of on-site monitoring reviews.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Scheduling of on-site monitoring reviews. 3560.353... SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Agency Monitoring § 3560.353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior...

  4. 7 CFR 3560.353 - Scheduling of on-site monitoring reviews.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 15 2014-01-01 2014-01-01 false Scheduling of on-site monitoring reviews. 3560.353... SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Agency Monitoring § 3560.353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior...

  5. 7 CFR 3560.353 - Scheduling of on-site monitoring reviews.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 15 2013-01-01 2013-01-01 false Scheduling of on-site monitoring reviews. 3560.353... SERVICE, DEPARTMENT OF AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Agency Monitoring § 3560.353 Scheduling of on-site monitoring reviews. Generally, the Agency will provide the borrower prior...

  6. 77 FR 32628 - Columbia Gas Transmission, LLC; Notice of Environmental Onsite Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PF12-6-000] Columbia Gas Transmission, LLC; Notice of Environmental Onsite Review On June 13 and 14, 2012, the Office of Energy Projects (OEP) staff will conduct site visits of the proposed Line MB Loop Extension Project. The purpose of the onsite review is to review...

  7. Advanced on-site power plant development technology program

    NASA Technical Reports Server (NTRS)

    1984-01-01

    A 30-cell, full area short stack containing advanced cell features was tested for 2900 hours. A stack acid addition approach was selected and will be evaluated on the stack at 5000 hours test time. A brassboard inverter was designed and fabrication was initiated. Evaluation of this brassboard inverter will take place in 1984. A Teflon coated commercial heat exchanger was selected as the preferred approach for the acid condenser. A reformer catalyst with significantly less pressure drop and equivalent performance relative to the 40-K baseline catalyst was selected for the development reformer. The early 40-kW field power plant history was reviewed and adjustments were made to the On-Site Technology Development Program to address critical component issues.

  8. 13 CFR 120.1051 - Frequency of on-site reviews and examinations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Frequency of on-site reviews and examinations. 120.1051 Section 120.1051 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Risk-Based Lender Oversight Supervision § 120.1051 Frequency of on-site reviews and examinations...

  9. Understanding the Experience of CACREP On-Site Visiting Review Team Chairpersons

    ERIC Educational Resources Information Center

    Minor, Amanda J.

    2012-01-01

    Understanding the experience of CACREP on-site review team members provides insight into the phenomenon of four counselor educators who have each served as a CACREP on-site visiting review team chairperson a minimum of three times. In total, the participants had been within the counselor education field for approximately 95 years and active within…

  10. Shared Opportunities on Institutional Lands: On-Site Food Production, Its Benefits, Barriers, and Opportunities.

    PubMed

    Knezevic, Irena; Mount, Phil; Clement, Chantal

    2016-10-01

    This article outlines preliminary findings of a 3-year project that explored on-site food production on institutional properties, primarily healthcare facilities. There are growing pressures on healthcare facilities to improve their food offerings and incorporate food gardens into their health programs. While several healthcare facilities produce food on-site, there are few studies that explore opportunities, capacities, and institutional barriers related to on-site food production. The study employed mixed methods including historical review, case studies, surveys, interviews, pilot garden projects, and Geographic Information System mapping. The number of participating institutions varied by method. Benefits associated with on-site food production can be health, economic, environmental, and social. There are also institutional barriers including administrative roadblocks, perceived obstacles, and the difficulty in quantitatively, measuring the qualitatively documented benefits. The benefits of food gardens far outweigh the challenges. On-site food production has tremendous potential to improve nutrition for staff and patients, offer healing spaces, better connect institutions with the communities in which they are located, and provide the long-professed benefits of gardening for all involved-from therapeutic benefits and outdoor physical activities to developing skills and social relationships in ways that few other activities do. © The Author(s) 2016.

  11. Evaluation of accountability measurements

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

    Cacic, C.G.

    The New Brunswick Laboratory (NBL) is programmatically responsible to the U.S. Department of Energy (DOE) Office of Safeguards and Security (OSS) for providing independent review and evaluation of accountability measurement technology in DOE nuclear facilities. This function is addressed in part through the NBL Safegaurds Measurement Evaluation (SME) Program. The SME Program utilizes both on-site review of measurement methods along with material-specific measurement evaluation studies to provide information concerning the adequacy of subject accountability measurements. This paper reviews SME Program activities for the 1986-87 time period, with emphasis on noted improvements in measurement capabilities. Continued evolution of the SME Programmore » to respond to changing safeguards concerns is discussed.« less

  12. HIV/AIDS Services in Private Substance Abuse Treatment Programs

    PubMed Central

    Abraham, Amanda J.; O’Brien, Lauren A.; Bride, Brian E.; Roman, Paul M.

    2010-01-01

    Background HIV infection among substance abusers is a growing concern in the United States. Little research, however, has examined the provision of HIV/AIDS services in substance abuse treatment programs. Methods This study examines the provision of onsite HIV/AIDS services in a nationally representative sample of 345 privately funded substance abuse treatment programs. Data were collected via face-to-face interviews with administrators and clinical directors of treatment programs in 2007–2008. Results Results show that larger programs and programs with a higher percentage of both African American and injection drug using (IDU) patients were more likely to offer onsite HIV/AIDS support groups and a dedicated HIV/AIDS treatment track. Multinomial logistic regression reveals that the odds of offering onsite HIV testing services were higher for hospital based programs, programs providing medical services onsite, and programs with higher percentages of African American patients, relative to the odds of offering no HIV testing or referring patients to an external provider for HIV testing services. The odds of providing onsite testing were lower for outpatient-only treatment programs, relative to the odds of offering no HIV testing or referring patients to an external provider for HIV testing services. Conclusions Our findings highlight critical barriers to the adoption of onsite HIV/AIDS services and suggest treatment programs are missing the opportunity to significantly impact HIV-related health outcomes. PMID:21145179

  13. 76 FR 58515 - Agency Forms Undergoing Paperwork Reduction Act Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-21

    ... regulations governing the NIOSH Health Hazard Evaluation program (42 CFR 85.3-1). In general, if employees are... occupational health hazards. In most on-site evaluations employees are interviewed to help further define...: requesters, employers, employee representatives; the Department of Labor (Occupational Safety and Health...

  14. Los Angeles Community College District Campus Child Development Centers' Measures of Effectiveness Project. Second Evaluation Report, Fiscal Year 1983-1984.

    ERIC Educational Resources Information Center

    Carfagna-Hunt, Karen; And Others

    The Los Angeles Community College District (LACCD) provides a Campus Child Development Center (CCDC) educational program for the preschool children of its college students at all nine of its campuses. In 1983-84, on-site, peer review team visits were conducted to evaluate the centers in terms of their achievement of six program objectives. The…

  15. 34 CFR 602.17 - Application of standards in reaching an accrediting decision.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... program to prepare, following guidance provided by the agency, an in-depth self-study that includes the... on-site review; (e) Conducts its own analysis of the self-study and supporting documentation... associated with the verification of student identity at the time of registration or enrollment. (Authority...

  16. 49 CFR 26.84 - How do recipients process applications submitted pursuant to the DOT/SBA MOU?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... either the 8(a) BD or SDB programs, in lieu of requiring the applicant firm to complete your own... 8(a) BD or SDB certification, you must conduct an on-site review of the firm (see § 26.83(c)(1)). If...

  17. 78 FR 12157 - RFS Renewable Identification Number (RIN) Quality Assurance Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... conducting their own audits of renewable fuel production facilities. Given the time and effort to conduct... that invalid RINs are replaced with valid RINs. Requirements for audits of renewable fuel production... production and RIN generation. Most conduct some form of on-site audit including a review of production...

  18. Using communication technology to support professional development in teaching science

    NASA Astrophysics Data System (ADS)

    Sundberg, Cheryl White

    The impact of collaboration via communication technology on follow-up to on-site professional development was the central focus of this hypothesis-generating study. The study used a combination of quantitative methodology and qualitative methodology. A convenient sample of 18 teachers was drawn from 208 teachers in an existing professional development program in science in a southeastern state. The statewide professional development program focused on energy education with a strong emphasis on using technology to enhance learning. Data sources included E-mail messages, lesson plans, photographs, workshop evaluations, surveys, and the report of an external reviewer. The study focused on two on-site workshops, February and June 2000 that were designed to model constructivist pedagogy and instruct teachers in effective utilization of computer-based laboratories in science classrooms. Follow-up to the on-site workshops was facilitated with several communication technologies (Internet, E-mail, telephone, and mail). The research found E-mail was the preferred mode for follow-up to on-site workshops because of the convenience of the medium. Barriers to effective distance professional development were time constraints, equipment failure, and lack of consistent Internet access to teachers in rural and under-served areas. Teacher characteristics of the sample, teacher efficacy, technical skill, experience, and constructivist pedagogy did not appear to impact the use of communication technologies as a means of follow-up to on-site professional development workshops. However, teacher efficacy might have negatively impacted effective implementation of calculator-based laboratory technology in the classroom. The study found E-mail was the most convenient and efficient way to facilitate follow-up to on-site professional development. Teacher characteristics (efficacy, technical skill, experience, and constructivist pedagogy) did not appear to impact the use of E-mail to facilitate follow-up to on-site professional development. Consistent access to the Internet was problematic for teachers in rural and under-served areas.

  19. Effectiveness of emergency response planning for sudden cardiac arrest in United States high schools with automated external defibrillators.

    PubMed

    Drezner, Jonathan A; Rao, Ashwin L; Heistand, Justin; Bloomingdale, Megan K; Harmon, Kimberly G

    2009-08-11

    US high schools are increasingly adopting automated external defibrillators (AEDs) for use in campus settings. We analyzed the effectiveness of emergency response planning for sudden cardiac arrest (SCA) in a large cohort of US high schools that had onsite AED programs. A cohort of US high schools with at least 1 onsite AED was identified from the National Registry for AED Use in Sports. A school representative completed a comprehensive survey on emergency planning and provided details of any SCA incident occurring within 6 months of survey completion. Surveys were completed between December 2006 and July 2007. In total, 1710 high schools with an onsite AED program were studied. Although 83% (1428 of 1710) of schools have an established emergency response plan for SCA, only 40% practice and review the plan at least annually with potential school responders. A case of SCA was reported by 36 of 1710 schools (2.1%). The 36 SCA victims included 14 high school student athletes (mean age, 16 years; range, 14 to 17 years) and 22 older nonstudents (mean age, 57 years; range, 42 to 71 years) such as employees and spectators. No cases were reported in student nonathletes. Of the 36 SCA cases, 35 (97%) were witnessed, 34 (94%) received bystander cardiopulmonary resuscitation, and 30 (83%) received an AED shock. Twenty-three SCA victims (64%) survived to hospital discharge, including 9 of the 14 student athletes and 14 of the 22 older nonstudents. School-based AED programs provide a high survival rate for both student athletes and older nonstudents who suffer SCA on school grounds. High schools are strongly encouraged to implement onsite AED programs as part of a comprehensive emergency response plan to SCA.

  20. Residency application screening tools: A survey of academic medical centers.

    PubMed

    Hillebrand, Kristen; Leinum, Corey J; Desai, Sonya; Pettit, Natasha N; Fuller, Patrick D

    2015-06-01

    The current use and content of screening tools utilized by ASHP-accredited pharmacy residency programs were assessed. A survey consisting of 19 questions assessing residency programs and the screening of pharmacy residency program applicants was e-mailed to residency directors of 362 pharmacy residency programs at 105 University HealthSystem Consortium (UHC)-member institutions. Questions gathered general program demographic information, data related to applicant growth from residency years 2010-11 to 2011-12, and information about the residency screening processes currently used. Responses were received from 73 residency program sites (69.5%) of the 105 UHC-member institutions to whom the e-mail was sent. Many sites used screening tools to calculate applicants' scores and then determined which candidates to invite for an onsite interview based on applicants' scores and group discussion. Seventy-eight percent (n = 57) of the 73 responding institutions reported the use of a screening tool or rubric to select applicants to invite for onsite interviews. The most common method of evaluation was individual applicant review before meeting as a group to discuss candidate selection. The most important factor for determining which residency candidate to interview was the overall impression based on the candidate's curriculum vitae (CV) and letters of recommendation. Most residency programs in UHC-member hospitals used a screening tool to determine which applicants to invite for an onsite interview. The most important factor for determining which residency candidate to interview was the overall impression based on the candidate's CV and letters of recommendation. Copyright © 2015 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  1. Comparing Person-Centered Communication Education in Long-Term Care Using Onsite and Online Formats.

    PubMed

    Coleman, Carissa K; Fanning, Kim; Williams, Kristine N

    2015-11-01

    Educating nursing home (NH) staff to provide person-centered care is complicated by scheduling, costs, and other feasibility issues. The current study compared outcomes for an in-service program focused on person-centered communication provided in onsite and online formats. The Changing Talk program was provided onsite in seven NHs (n = 327 staff). The online program included eight NHs (n = 211 staff). Analysis of variance revealed an interaction between format type and pre-/post-test scores with improved recognition of person-centered communication in the onsite group only. Group program evaluations based on the modified Diffusion of Innovation in Long-Term Care Battery indicated no significant differences between training formats. Staff perception of the program was similar. Although statistically significant gains were noted in posttest scores indicating awareness of person-centered communication for the onsite group, gains were of limited clinical significance. Feasibility and effectiveness are important considerations for in-service education supporting NH culture change. Copyright 2015, SLACK Incorporated.

  2. Initial Considerations for Developing Workplace Curriculum (Based on Whole Language Concepts).

    ERIC Educational Resources Information Center

    Jarvis, Mary I.

    Project ALERT, a 3-year Wayne State University workplace education program in partnership with 5 varied worksites in metropolitan Detroit, developed replicable workplace literacy models. A review of literature provided information on how and why adults learn. A needs assessment and on-site observations were conducted to determine which sets of…

  3. 20 CFR 404.2065 - How does your representative payee account for the use of benefits?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... year (except for certain State institutions that participate in a separate onsite review program). We... records of how benefits were used in order to make accounting reports and must make those records available upon our request. If your representative payee fails to provide an annual accounting of benefits...

  4. Provision of onsite HIV Services in Substance Use Disorder Treatment Programs: A Longitudinal Analysis.

    PubMed

    Aletraris, Lydia; Roman, Paul M

    2015-10-01

    The provision of HIV education and testing in substance use disorder (SUD) treatment programs is an important public health strategy for reducing HIV incidence. For many at-risk individuals, SUD treatment represents the primary point of access for testing and receiving HIV-related services. This study uses two waves of nationally representative data of 265 privately-funded SUD treatment programs in the U.S. to examine organizational and patient characteristics associated with offering a dedicated HIV/AIDS treatment track, onsite HIV/AIDS support groups, and onsite HIV testing. Our longitudinal analysis indicated that the majority of treatment programs reported providing education and prevention services, but there was a small, yet significant, decline in the number of programs providing these services. Programs placed more of an emphasis on providing information on the transmission of HIV rather than on acquiring risk-reduction skills. There was a notable and significant increase (from 26.0% to 31.7%) in programs that offered onsite HIV testing, including rapid HIV testing, and an increase in the percentage of patients who received testing in the programs. Larger programs were more likely to offer a dedicated HIV/AIDS treatment track and to offer onsite HIV/AIDS support groups, while accredited programs and programs with a medical infrastructure were more likely to provide HIV testing. The percentage of injection drug users was positively linked to the availability of specialized HIV/AIDS tracks and HIV/AIDS support groups, and the percentage of female clients was associated with the availability of onsite support groups. The odds of offering HIV/AIDS support groups were also greater in programs that had a dedicated LGBT track. The findings suggest that access to hospitals and medical care services is an effective way to facilitate adoption of HIV services and that programs are providing a needed service among a group of patients who have a heightened risk of HIV transmission. Nonetheless, the fact that fewer than one third of programs offered onsite testing, and, of the ones that did, fewer than one third of their patients received testing, raises concern in light of federal guidelines. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. Availability of pediatric rheumatology training in United States pediatric residencies.

    PubMed

    Mayer, Michelle L; Brogan, Laura; Sandborg, Christy I

    2006-12-15

    To characterize the availability of pediatric rheumatology training in general pediatric residencies. We surveyed 195 pediatric residency program directors in the US using a combined Web-based and paper-based survey format. The survey asked directors about the availability of an on-site pediatric rheumatologist in their institution, the availability of formal pediatric rheumatology rotations, and the types of physicians involved in teaching curriculum components related to pediatric rheumatology. Survey responses were analyzed using descriptive and bivariate statistics. Of the 195 program directors surveyed, 127 (65%) responded. More than 40% of responding programs did not have a pediatric rheumatologist on site. Programs with on-site pediatric rheumatologists were significantly more likely than those without on-site pediatric rheumatologists to have an on-site pediatric rheumatology rotation available (94% versus 9%; P < 0.001). Although pediatric rheumatologists' involvement in 4 curriculum areas relevant to pediatric rheumatology is nearly universal in programs with on-site pediatric rheumatologists, nearly two-thirds of programs without on-site pediatric rheumatologists rely on internist rheumatologists, general pediatricians, or other physicians to cover these areas. Programs without pediatric rheumatologists on site are less likely to have pediatric rheumatology rotations and are more likely to rely on internist rheumatologists and nonrheumatologists to address rheumatology-related curriculum components. Lack of exposure to pediatric rheumatology during residency may impede general pediatricians' ability to identify and treat children with rheumatic diseases, undermine resident interest in this field, and perpetuate low levels of supply.

  6. 20 CFR 416.665 - How does your representative payee account for the use of benefits?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... certain State institutions that participate in a separate onsite review program). We may verify how your... in order to make accounting reports and must make those records available upon our request. If your representative payee fails to provide an annual accounting of benefits or other required reports, we may require...

  7. The On-Site Review: NAC at IHB

    ERIC Educational Resources Information Center

    Monbeck, Michael E.

    1972-01-01

    Briefly explained and illustrated is the on-site review of the National Accreditation Council for Agencies Serving the Blind and Visually Handicapped at the Industrial Home for the Blind located in New York. (CB)

  8. USEPA Waste Disposal Shareware: Purdue University and USEPA (1988-1989).

    ERIC Educational Resources Information Center

    Rubleske, Joseph B.; Lindsey, Greg

    1997-01-01

    Describes and evaluates two USEPA shareware programs called Principles of On-Site Wastewater Treatment (ONSITE) and Residential Waste Treatment Evaluation (RWASTE). ONSITE, a tutorial, provides an overview of septic systems and their relationship to soils. RWASTE builds on ONSITE. Both are effective tools for persons interested in acquiring…

  9. On-site programmatic attendance to cardiac rehabilitation and the healthy-adherer effect.

    PubMed

    Alter, David A; Zagorski, Brandon; Marzolini, Susan; Forhan, Mary; Oh, Paul I

    2015-10-01

    On-site attendance to prescheduled cardiac rehabilitation visits has been shown to be associated with improved outcomes following cardiac rehabilitation. The extent to which on-site programmatic attendance represents a healthy-adherer effect remains unknown. This retrospective cohort study consisted of 17,000 consecutively referred patients to a cardiac rehabilitation program in Ontario, Canada. On-site attendance at prescheduled visits was our primary exposure variable. The primary outcome was all-cause death or hospitalization at two years following the expected program completion date, irrespective of drop-out. Secondary outcomes included adherence to statins, health-seeking preventative health visits, and changes in clinical risk-profiles. Cox proportional hazards adjusted for baseline sociodemographic, clinical and comorbid characteristics. Among the 12,440 patients who attended at least one prescheduled on-site visit, on-site attendance was inversely correlated with baseline smoking rates and body mass index at program entry. After adjustment for baseline factors, the risk of death or hospitalization progressively fell with incremental increases in on-site attendance (adjusted hazard ratio for each 10% increase in on-site attendance: 0.96; 95% confidence interval: 0.93-0.99, p = 0.007). Such associations were driven predominantly by differences in non-cardiovascular hospitalizations. Incremental increases in on-site attendance were associated with improvements in cardiopulmonary fitness and body mass index (both p < 0.001), better attendance of preventative care physician visits (p < 0.001) and higher medication adherence to statins (p = 0.007). Associations between on-site attendance at cardiac rehabilitation and outcomes may represent a healthy-adherer effect. Future research must evaluate the clinical utility of on-site attendance as a behavioral health-adherence metric for cardiac rehabilitation monitoring and surveillance. © The European Society of Cardiology 2014.

  10. The cost-effectiveness of rapid HIV testing in substance abuse treatment: results of a randomized trial.

    PubMed

    Schackman, Bruce R; Metsch, Lisa R; Colfax, Grant N; Leff, Jared A; Wong, Angela; Scott, Callie A; Feaster, Daniel J; Gooden, Lauren; Matheson, Tim; Haynes, Louise F; Paltiel, A David; Walensky, Rochelle P

    2013-02-01

    The President's National HIV/AIDS Strategy calls for coupling HIV screening and prevention services with substance abuse treatment programs. Fewer than half of US community-based substance abuse treatment programs make HIV testing available on-site or through referral. We measured the cost-effectiveness of three HIV testing strategies evaluated in a randomized trial conducted in 12 community-based substance abuse treatment programs in 2009: off-site testing referral, on-site rapid testing with information only, on-site rapid testing with risk-reduction counseling. Data from the trial included patient demographics, prior testing history, test acceptance and receipt of results, undiagnosed HIV prevalence (0.4%) and program costs. The Cost-Effectiveness of Preventing AIDS Complications (CEPAC) computer simulation model was used to project life expectancy, lifetime costs, and quality-adjusted life years (QALYs) for HIV-infected individuals. Incremental cost-effectiveness ratios (2009 US $/QALY) were calculated after adding costs of testing HIV-uninfected individuals; costs and QALYs were discounted at 3% annually. Referral for off-site testing is less efficient (dominated) compared to offering on-site testing with information only. The cost-effectiveness ratio for on-site testing with information is $60,300/QALY in the base case, or $76,300/QALY with 0.1% undiagnosed HIV prevalence. HIV risk-reduction counseling costs $36 per person more without additional benefit. A strategy of on-site rapid HIV testing offer with information only in substance abuse treatment programs increases life expectancy at a cost-effectiveness ratio <$100,000/QALY. Policymakers and substance abuse treatment leaders should seek funding to implement on-site rapid HIV testing in substance abuse treatment programs for those not recently tested. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  11. The Cost-effectiveness of Rapid HIV Testing in Substance Abuse Treatment: Results of a Randomized Trial*

    PubMed Central

    Schackman, Bruce R.; Metsch, Lisa R.; Colfax, Grant N.; Leff, Jared A.; Wong, Angela; Scott, Callie A.; Feaster, Daniel J.; Gooden, Lauren; Matheson, Tim; Haynes, Louise F.; Paltiel, A. David; Walensky, Rochelle P.

    2012-01-01

    BACKGROUND The President’s National HIV/AIDS Strategy calls for coupling HIV screening and prevention services with substance abuse treatment programs. Fewer than half of US community-based substance abuse treatment programs make HIV testing available on-site or through referral. METHODS We measured the cost-effectiveness of three HIV testing strategies evaluated in a randomized trial conducted in 12 community-based substance abuse treatment programs in 2009: off-site testing referral, on-site rapid testing with information only, on-site rapid testing with risk reduction counseling. Data from the trial included patient demographics, prior testing history, test acceptance and receipt of results, undiagnosed HIV prevalence (0.4%) and program costs. The Cost Effectiveness of Preventing AIDS Complications (CEPAC) computer simulation model was used to project life expectancy, lifetime costs, and quality-adjusted life years (QALYs) for HIV-infected individuals. Incremental cost-effectiveness ratios (2009 US $/QALY) were calculated after adding costs of testing HIV-uninfected individuals; costs and QALYs were discounted at 3% annually. RESULTS Referral for off-site testing is less efficient (dominated) compared to offering on-site testing with information only. The cost-effectiveness ratio for on-site testing with information is $60,300/QALY in the base case, or $76,300/QALY with 0.1% undiagnosed HIV prevalence. HIV risk-reduction counseling costs $36 per person more without additional benefit. CONCLUSIONS A strategy of on-site rapid HIV testing offer with information only in substance abuse treatment programs increases life expectancy at a cost-effectiveness ratio <$100,000/QALY. Policymakers and substance abuse treatment leaders should seek funding to implement on-site rapid HIV testing in substance abuse treatment programs for those not recently tested. PMID:22971593

  12. Outcomes of nonemergent percutaneous coronary intervention with and without on-site surgical backup: a meta-analysis.

    PubMed

    Singh, Param Puneet; Singh, Mukesh; Bedi, Updesh Singh; Adigopula, Sasikanth; Singh, Sarabjeet; Kodumuri, Vamsi; Molnar, Janos; Ahmed, Aziz; Arora, Rohit; Khosla, Sandeep

    2011-01-01

    Despite major advances in percutaneous coronary intervention (PCI) techniques, the current guidelines recommend against elective PCI at hospitals without on-site cardiac surgery backup. Nonetheless, an increasing number of hospitals without on-site cardiac surgery in the United States have developed programs for elective PCI. Studies evaluating outcome in this setting have yielded mixed results, leaving the question unanswered. Hence, a meta-analysis comparing outcomes of nonemergent PCI in hospitals with and without on-site surgical backup was performed. A systematic review of literature identified four studies involving 6817 patients. Three clinical end points were extracted from each study and included in-hospital death, myocardial infarction, and the need for emergency coronary artery bypass grafting. The studies were homogenous for each outcome studied. Therefore, the combined relative risks (RRs) across all the studies and the 95% confidence intervals (CIs) were computed using the Mantel-Haenszel fixed-effect model. A two-sided alpha error less than 0.05 was considered to be statistically significant. Compared with facilities with on-site surgical backup, the risk of in-hospital death (RR, 2.7; CI, 0.6-12.9; P = 0.18), nonfatal myocardial infarction (RR, 1.3; CI, 0.7- 2.2; P = 0.29), and need of emergent coronary artery bypass grafting (RR, 0.46; CI, 0.06- 3.1; P = 0.43) was similar in those lacking on-site surgical backup. The present meta-analysis suggests that there is no difference in the outcome with regard to risk of nonfatal myocardial infarction, need for emergency coronary artery bypass grafting, and the risk of death in patients undergoing elective PCI in hospitals with and without on-site cardiac surgery backup.

  13. WE-G-BRA-05: IROC Houston On-Site Audits and Parameters That Affect Performance

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

    Kry, S; Dromgoole, L; Alvarez, P

    Purpose: To highlight the IROC Houston on-site dosimetry audit program, and to investigate the impact of clinical conditions on the frequency of errors/recommendations noted by IROC Houston. Methods: The results of IROC Houston on-site audits from 2000-present were abstracted and compared to clinical parameters, this included 409 institutions and 1020 linacs. In particular, we investigated the frequency of recommendations versus year, and the impact of repeat visits on the number of recommendations. We also investigated the impact on the number of recommendations of several clinical parameters: the number and age of the linacs, the linac/TPS combination, and the scope ofmore » the QA program. Results: The number of recommendations per institution (3.1 average) has shown decline between 2000 and present, although the number of recommendations per machine (0.89) has not changed. Previous IROC Houston site visits did not Result in fewer recommendations on a repeat visit, but IROC Houston tests have changed substantially during the last 15 years as radiotherapy technology has changed. There was no impact on the number of recommendations based on the number of machines at the institution or the age of a given machine. The fewest recommendations were observed for Varian-Eclipse combinations (0.71 recs/machine), while Elekta- Pinnacle combinations yielded the most (1.62 recs/machine). Finally, in the TG-142 era (post-2010), those institutions that had a QA recommendation (n=77) had significantly more other recommendations (1.83 per institution) than those that had no QA rec (n=12, 1.33 per institution). Conclusion: Establishing and maintaining a successful radiotherapy program is challenging and areas of improvement can routinely be identified. Clinical conditions such as linac-TPS combinations and the establishment of a good QA program impact the frequency of errors/deficiencies identified by IROC Houston during their on-site review process.« less

  14. 42 CFR 456.654 - Requirements for content of showings and procedures for submittal.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... provider number; (7) For each on-site review in a mental hospital, intermediate care facility that... one team member who is a physician; and (8) For each on-site review in an intermediate care facility...

  15. 42 CFR 456.654 - Requirements for content of showings and procedures for submittal.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... provider number; (7) For each on-site review in a mental hospital, intermediate care facility that... one team member who is a physician; and (8) For each on-site review in an intermediate care facility...

  16. 42 CFR 456.654 - Requirements for content of showings and procedures for submittal.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... provider number; (7) For each on-site review in a mental hospital, intermediate care facility that... one team member who is a physician; and (8) For each on-site review in an intermediate care facility...

  17. 76 FR 71058 - Notice of Submission of Proposed Information Collection to OMB Neighborhood Stabilization Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-16

    ... proposal. The information is being collected by telephone and on-site interviews to assess program design... Its Proposed Use: The information is being collected by telephone and on-site interviews to assess...

  18. SAM Technical Review Committee Final Report: Summary and Key Recommendations from the Onsite TRC Meeting Held April 22-23, 2013

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

    Blair, N.; Dobos, S.; Janzou, S.

    2013-08-01

    The System Advisor Model (SAM) is a broad and robust set of models and frameworks for analyzing both system performance and system financing. It does this across a range of technologies dominated by solar technologies including photovoltaics (PV) and concentrated solar power (CSP). The U.S. Department of Energy (DOE) Solar Energy Technology Program requested the SAM development team to review the photovoltaic performance modeling with the development community and specifically, with the independent engineering community. The report summarizes the major effort for this technical review committee (TRC).

  19. ON-SITE: Oklahoma Nucleus for School Involvement in Teacher Education.

    ERIC Educational Resources Information Center

    Roos, Marie C.; And Others

    ON-SITE (Oklahoma Nucleus for School Involvement in Teacher Education), an innovative teacher education program, is a cooperative effort between the College of Education at Oklahoma State University (OSU) and the Stillwater Public Schools (SPS). The program was initiated in 1973 and is maintained as a free partnership whose program development is…

  20. 7 CFR 205.403 - On-site inspections.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...

  1. 7 CFR 205.403 - On-site inspections.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...

  2. 7 CFR 205.403 - On-site inspections.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...

  3. 7 CFR 205.403 - On-site inspections.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...

  4. 7 CFR 205.403 - On-site inspections.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) ORGANIC FOODS PRODUCTION ACT PROVISIONS NATIONAL ORGANIC PROGRAM Certification § 205.403 On-site inspections. (a) On-site inspections. (1... site that produces or handles organic products and that is included in an operation for which...

  5. Review of pathogen treatment reductions for onsite non ...

    EPA Pesticide Factsheets

    Communities face a challenge when implementing onsite reuse of collected waters for non-potable purposes given the lack of national microbial standards. Quantitative Microbial Risk Assessment (QMRA) can be used to predict the pathogen risks associated with the non-potable reuse of onsite-collected waters; the present work reviewed the relevant QMRA literature to prioritize knowledge gaps and identify health-protective pathogen treatment reduction targets. The review indicated that ingestion of untreated, onsite-collected graywater, rainwater, seepage water and stormwater from a variety of exposure routes resulted in gastrointestinal infection risks greater than the traditional acceptable level of risk. We found no QMRAs that estimated the pathogen risks associated with onsite, non-potable reuse of blackwater. Pathogen treatment reduction targets for non-potable, onsite reuse that included a suite of reference pathogens (i.e., including relevant bacterial, protozoan, and viral hazards) were limited to graywater (for a limited set of domestic uses) and stormwater (for domestic and municipal uses). These treatment reductions corresponded with the health benchmark of a probability of infection or illness of 10−3 per person per year or less. The pathogen treatment reduction targets varied depending on the target health benchmark, reference pathogen, source water, and water reuse application. Overall, there remains a need for pathogen reduction targets that are heal

  6. Managing the risks of on-site health centers.

    PubMed

    Gorman, Kathleen M; Miller, Ross M

    2011-11-01

    This review sought to assess compliance concerns, determine risk management strategies, and identify opportunities for future research to contribute to employers' understanding of the laws and regulations that apply to on-site care. A comprehensive review of databases, professional organizations' websites, and journals resulted in 22 publications reporting on the consequences of noncompliance among on-site health centers accepted for inclusion. None of those studies reported a study design or quantifiable outcome data. Two noncompliance themes were repeated among the publications. First, direct penalties included fines, civil actions, loss of licensure, and, potentially, criminal charges. Second, noncompliance also resulted in indirect costs such as employee mistrust and lowered standards of care, which jeopardize on-site health centers' ability to demonstrate a return on investment. Further research with rigorous methodology is needed to inform employer decisions about on-site health services and associated risk management. Copyright 2011, SLACK Incorporated.

  7. Cost-effectiveness of rapid HCV testing and simultaneous rapid HCV and HIV testing in substance abuse treatment programs

    PubMed Central

    Schackman, Bruce R.; Leff, Jared A.; Barter, Devra M.; DiLorenzo, Madeline A.; Feaster, Daniel J.; Metsch, Lisa R.; Freedberg, Kenneth A.; Linas, Benjamin P.

    2014-01-01

    Aims To evaluate the cost-effectiveness of rapid hepatitis C virus (HCV) and simultaneous HCV/HIV antibody testing in substance abuse treatment programs. Design We used a decision analytic model to compare the cost-effectiveness of no HCV testing referral or offer, off-site HCV testing referral, on-site rapid HCV testing offer, and on-site rapid HCV and HIV testing offer. Base case inputs included 11% undetected chronic HCV, 0.4% undetected HIV, 35% HCV co-infection among HIV-infected, 53% linked to HCV care after testing antibody positive, and 67% linked to HIV care. Disease outcomes were estimated from established computer simulation models of HCV (HEP-CE) and HIV (CEPAC). Setting and Participants Data on test acceptance and costs were from a national randomized trial of HIV testing strategies conducted at 12 substance abuse treatment programs in the USA. Measurements Lifetime costs (2011 US dollars) and quality-adjusted life years (QALYs) discounted at 3% annually; incremental cost-effectiveness ratios (ICERs) Findings On-site rapid HCV testing had an ICER of $18,300/QALY compared with no testing, and was more efficient than (dominated) off-site HCV testing referral. On-site rapid HCV and HIV testing had an ICER of $64,500/QALY compared with on-site rapid HCV testing alone. In one and two-way sensitivity analyses, the ICER of on-site rapid HCV and HIV testing remained <$100,000/QALY, except when undetected HIV prevalence was <0.1% or when we assumed frequent HIV testing elsewhere. The ICER remained <$100,000/QALY in approximately 90% of probabilistic sensitivity analyses. Conclusions On-site rapid hepatitis C virus and HIV testing in substance abuse treatment programs is cost-effective at a <$100,000/ quality-adjusted life years threshold. PMID:25291977

  8. 24 CFR 984.204 - On-site facilities.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... SECTION 8 AND PUBLIC HOUSING FAMILY SELF-SUFFICIENCY PROGRAM Program Development and Approval Procedures... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false On-site facilities. 984.204 Section 984.204 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued...

  9. An exploration of the effect of onsite 12‐step meetings on post‐treatment outcomes among polysubstance‐dependent outpatient clients

    PubMed Central

    Stanick, Virginia; Sands, Brian

    2007-01-01

    Rates of return to active substance use after addiction treatment tend to be high; participation in 12‐step fellowships (e.g., Alcoholics Anonymous) reduces relapse rates but many clients do not attend or attend for a short period only. This quasi‐experimental study uses repeated measurement to explore the role of presence/absence of onsite 12‐step meetings during treatment on post‐treatment outcomes. Polysubstance‐dependent clients (N = 219) recruited at a program with and one without 12‐step onsite, were followed for one year post‐treatment. Onsite 12‐step enhanced 12‐step attendance, especially during treatment, and predicted continuous abstinence for the post treatment year. Holding 12‐step meetings onsite is a low‐cost strategy that programs should consider to foster post‐treatment remission maintenance. PMID:17986710

  10. 7 CFR 12.31 - On-site wetland identification criteria.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... CONSERVATION Wetland Conservation § 12.31 On-site wetland identification criteria. (a) Hydric soils. (1) NRCS shall identify hydric soils through the use of published soil maps which reflect soil surveys completed by NRCS or through the use of on-site reviews. If a published soil map is unavailable for a given...

  11. 7 CFR 12.31 - On-site wetland identification criteria.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... CONSERVATION Wetland Conservation § 12.31 On-site wetland identification criteria. (a) Hydric soils. (1) NRCS shall identify hydric soils through the use of published soil maps which reflect soil surveys completed by NRCS or through the use of on-site reviews. If a published soil map is unavailable for a given...

  12. 7 CFR 12.31 - On-site wetland identification criteria.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... CONSERVATION Wetland Conservation § 12.31 On-site wetland identification criteria. (a) Hydric soils. (1) NRCS shall identify hydric soils through the use of published soil maps which reflect soil surveys completed by NRCS or through the use of on-site reviews. If a published soil map is unavailable for a given...

  13. 7 CFR 12.31 - On-site wetland identification criteria.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... CONSERVATION Wetland Conservation § 12.31 On-site wetland identification criteria. (a) Hydric soils. (1) NRCS shall identify hydric soils through the use of published soil maps which reflect soil surveys completed by NRCS or through the use of on-site reviews. If a published soil map is unavailable for a given...

  14. 7 CFR 12.31 - On-site wetland identification criteria.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... CONSERVATION Wetland Conservation § 12.31 On-site wetland identification criteria. (a) Hydric soils. (1) NRCS shall identify hydric soils through the use of published soil maps which reflect soil surveys completed by NRCS or through the use of on-site reviews. If a published soil map is unavailable for a given...

  15. On-site cell field test support program

    NASA Astrophysics Data System (ADS)

    Staniunas, J. W.; Merten, G. P.

    1982-09-01

    Utility sites for data monitoring were reviewed and selected. Each of these sites will be instrumented and its energy requirements monitored and analyzed for one year prior to the selection of 40 Kilowatt fuel cell field test sites. Analyses in support of the selection of sites for instrumentation shows that many building sectors offered considerable market potential. These sectors include nursing home, health club, restaurant, industrial, hotel/motel and apartment.

  16. Showing Off What We Do and How Well We Do It: Or How the Child Development Center Program at Nine Los Angeles Community Colleges Demonstrates Accountability.

    ERIC Educational Resources Information Center

    Crummer, Karen; And Others

    Based on on-site review team visits conducted during spring 1982, this report evaluates the Educational Campus Child Development Centers (CCDC's) operating at 9 to the 10 campuses in the Los Angeles Community College District (LACCD). After introducing the evaluation project and its participants, the report outlines the educational philosophy of…

  17. 76 FR 13662 - Pass & Seymour/Legrand a Subsidiary of Legrand North America; Including On-Site Leased Workers...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-14

    ... Subsidiary of Legrand North America; Including On-Site Leased Workers From Select Staffing, also Known as... subsidiary of Legrand North America, including on-site leased workers from Select Staffing and Aerotek... reviewed the certification for workers of the subject firm. The company reports that Select Staffing, an on...

  18. The On-Site, Programmatic Approach to Staff Development.

    ERIC Educational Resources Information Center

    Collins, Charles C.; Case, Chester H.

    At present, community college in-service professional development programs are not top quality. Little, if any, budgetary support is allocated for them, and responsibility for planning and carrying them out is allocated to no one in particular. The few on-site in-service professional development programs now in operation exhibit common elements…

  19. 78 FR 55281 - 60-Day Notice of Proposed Information Collection: Quality Control for Rental Assistance Subsidy...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-10

    ... reviews and tenant interviews that cannot be accomplished with remote monitoring or HUD data systems. This... errors. On-site tenant interviews, file reviews, third-party income verifications, and income matching... completed in 1996 and found that about one- half of the errors measured using on-site tenant interviews and...

  20. HENRY'S LAW CALCULATOR

    EPA Science Inventory

    On-Site was developed to provide modelers and model reviewers with prepackaged tools ("calculators") for performing site assessment calculations. The philosophy behind OnSite is that the convenience of the prepackaged calculators helps provide consistency for simple calculations,...

  1. Monitoring of approved studies: A difficult tightrope walk by Ethics Committees.

    PubMed

    Davis, Sanish

    2018-01-01

    Continuing review of studies approved by the Ethics Committees (ECs) involves review of the progress of the study, annual reports, protocol deviations/violations, serious adverse event monitoring, and on-site monitoring. International and national regulations and guidelines for continuing review state that it is an opportunity for the EC to be assured that risks to subjects are minimized and is are reasonable in relation to anticipated benefits if any to the subjects and the knowledge it will generate. There are several barriers (e.g. lack of workforce, lack of training of members for conducting onsite review, and poor infrastructure) for ECs to do ongoing review of projects approved by them. Industry is an important stakeholder for the research enterprise in India and strongly advocates that ECs should at a minimum have pragmatic standard operating procedures for continuing review/monitoring of studies initially approved. ECs which deal with larger volume of studies with well-functioning secretariat, appropriately trained EC members and funding should definitely conduct onsite review/monitoring in addition to the ongoing review.

  2. Onsite transportation of radioactive materials at the Savannah River Site

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

    Watkins, R.

    The Savannah River Site (SRS) Transportation Safety Document (TSD) defines the onsite packaging and transportation safety program at SRS and demonstrates its compliance with Department of Energy (DOE) transportation safety requirements, to include DOE Order 460.1C, DOE Order 461.2, Onsite Packaging and Transfer of Materials of National Security Interest, and 10 CFR 830, Nuclear Safety Management (Subpart B).

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

    Kizilyalli, Isik; Evans, Craig; Matocha, Kevin

    The ARPA-E model is unique in that the agency does not just provide teams funding. Throughout the lifetime of an ARPA-E award, ARPA-E Program Directors and Tech-to-Market Advisors also provide teams with expert advice through quarterly reviews and onsite visits. This hands-on approach helps ensure teams can meet ambitious milestones, target and tackle problems early on, and advance their technologies towards commercialization. Program Director Dr. Isik Kizilyalli explains the importance of this active project management approach in helping teams identify and overcome barriers. In this video, Energy Storage Systems (ESS) from the GRIDS program and Monolith Semiconductors from the SWITCHESmore » program discuss how ARPA-E’s active project management approach helped them find solutions to technical challenges.« less

  4. Availability of HIV-related health services in adolescent substance abuse treatment programs.

    PubMed

    Knudsen, H K; Oser, C B

    2009-10-01

    Given that alcohol and drug abuse heightens the risk of adolescents acquiring HIV, substance abuse treatment programs for youths may represent an important site of HIV prevention. In this research, we explored the adoption of three HIV-related health services: risk assessment during intake, HIV prevention programing, and HIV testing. Data were collection through telephone interviews with 149 managers of adolescent-only substance abuse treatment programs in the USA. About half of these programs had adopted HIV risk assessment and HIV prevention. On-site HIV testing was less widely adopted, with only one in four programs offering this service. At the bivariate level, the availability of on-site primary medical care and the availability of an overnight level of care were positively associated with these three types of services. The association for the measure of an overnight level of care was no longer significant once medical services were controlled. However, in a separate analysis, it was found that programs offering an overnight level of care were much more likely to offer on-site medical care than outpatient-only facilities. There was also evidence that publicly funded treatment programs were more likely to offer HIV prevention and on-site HIV testing, after controlling for other organizational characteristics. Much more research about the adoption of HIV-related services in adolescent substance abuse treatment is needed, particularly to offer greater insight into why certain types of organizations are more likely to adopt these health services.

  5. NRC assessment of improvements in licensee procurement and dedication programs

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

    Grimes, B.K.; Potapovs, U.; Campbell, L.L.

    1991-01-01

    The US Nuclear Regulatory Commission (NRC) recently conducted a series of on-site assessments at selected nuclear plants to review improvements that the licenses had made to their procurement and dedication activities. The assessments included an evaluation of the progress made by licensees to strengthen their commercial-grade dedication programs to comply with 10CRF50, Appendix B, and to implement the comprehensive procurement improvements suggested in Nuclear Management and Resource Council (NUMARC) publication 901-3. This paper discusses the overall purpose of the assessments, procurement areas assessed, major strengths and weaknesses identified in licensee procurement programs, and the NRC's perspective of the industry's responsemore » to NUMARC procurement initiatives.« less

  6. Effectiveness of Telementoring in Surgery Compared With On-site Mentoring: A Systematic Review.

    PubMed

    Bilgic, Elif; Turkdogan, Sena; Watanabe, Yusuke; Madani, Amin; Landry, Tara; Lavigne, Daniel; Feldman, Liane S; Vassiliou, Melina C

    2017-08-01

    Mentorship is important but may not be feasible for distance learning. To bridge this gap, telementoring has emerged. The purpose of this systematic review was to evaluate the effectiveness of telementoring compared with on-site mentoring. A search was done up to March 2015. Studies were included if they used telementoring between surgeons during a clinical encounter and if they compared on-site mentoring and telementoring. A total of 11 studies were included. All reported no difference in complication rates, and 9 (82%) reported similar operative times; 4 (36%) reported technical issues, which was 3% of the total number of cases in the 11 studies. No study reported on higher levels of evidence for effectiveness of telementoring as an educational intervention. Studies reported that telementoring is associated with similar complication rates and operative times compared with on-site mentoring. However, the level of evidence to support the effectiveness of telementoring as a training tool is limited. There is a need for studies that provide evidence for the equivalence of the effectiveness of telementoring as an educational intervention in comparison with on-site mentoring.

  7. The Business Engineering Surgical Technologies (BEST) teaching method: incubating talents for surgical innovation.

    PubMed

    de Ruijter, V; Halvax, P; Dallemagne, B; Swanström, L; Marescaux, J; Perretta, S

    2015-01-01

    Technological innovation in surgical science and healthcare is vital and calls for close collaboration between engineering and surgery. To meet this objective, BEST was designed as a free sustainable innovative teaching method for young professionals, combining surgery, engineering, and business in a multidisciplinary, high-quality, low-cost, and learning-by-doing philosophy. This paper reviews the initial outcomes of the program and discusses lessons learned and future directions of this innovative educational method. BEST educational method is delivered in two parts: the first component consisting of live streaming or pre-recorded online lectures, with an interdisciplinary profile focused on surgery, engineering, and business. The second component is an annual 5-day on-site course, organized at IRCAD-IHU, France. The program includes workshops in engineering, entrepreneurship team projects, and in-depth hands-on experience in laparoscopy, robotic surgery, interventional radiology, and flexible endoscopy with special emphasis on the interdisciplinary aspect of the training. A panel of surgeons, engineers, well-established entrepreneurs, and scientists assessed the team projects for potential patent application. From November 2011 till September 2013, 803 individual and institutional users from 79 different countries attended the online course. In total, 134 young professionals from 32 different countries applied to the onsite course. Sixty participants were selected each year for the onsite course. In addition, five participants were selected for a web-based team. Thirteen provisional patents were filed for the most promising projects. BEST proved to be a global talent incubator connecting students to high-quality education despite institutional and economical boundaries. Viable and innovative ideas arose from this revolutionary approach which is likely to spin-off significant technology transfer and lead the way for future interdisciplinary hybrid surgical education programs and career paths.

  8. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.

    PubMed

    Simpson, Kathleen Rice; Kortz, Carol C; Knox, G Eric

    2009-11-01

    To achieve the goal of safe care for mothers and infants during labor and birth, Catholic Healthcare Partners (CHP; Cincinnati) conducted on-site risk assessments at the 16 hospitals with perinatal units in 2004-2005, with follow-up visits in 2006 through 2008. ON-SITE RISK ASSESSMENTS: In addition to assessing overall organizational risk, the assessments provided each hospital a gap analysis demonstrating up-to-date and outdated practices and strategies and resources necessary to make all practices consistent with current evidence and national guidelines and standards. CRITICAL ASPECTS OF CLINICAL CARE: Review of claims and near-miss data indicate that fetal assessment, labor induction, and second-stage labor care comprise the majority of risk of perinatal harm. Therefore, these clinical areas were the focus of strategies to promote safety. To promote consistency in knowledge and practice, in 2004 a variety of strategies were recommended, including interdisciplinary fetal monitoring education and routine medical record reviews to monitor ongoing adherence to appropriate practice and documentation. Success in implementing essential structural and process components of the perinatal patient safety program have resulted in improvement from 2003 to 2008 in specific outcomes for the 16 perinatal units surveyed, including reduction of perinatal harm, number of claims, and costs of claims. The program continues to evolve with modifications as needed as more evidence becomes available to guide best perinatal practices and new guidelines/standards are published. A patient safety program guided and supported by a health care system can result in safer clinical environments in individual hospitals and in decreased risk of preventable perinatal harm and liability costs.

  9. ON-LINE CALCULATOR: FORWARD CALCULATION JOHNSON ETTINGER MODEL

    EPA Science Inventory

    On-Site was developed to provide modelers and model reviewers with prepackaged tools ("calculators") for performing site assessment calculations. The philosophy behind OnSite is that the convenience of the prepackaged calculators helps provide consistency for simple calculations,...

  10. ON-LINE CALCULATOR: JOHNSON ETTINGER VAPOR INTRUSION MODEL

    EPA Science Inventory

    On-Site was developed to provide modelers and model reviewers with prepackaged tools ("calculators") for performing site assessment calculations. The philosophy behind OnSite is that the convenience of the prepackaged calculators helps provide consistency for simple calculations,...

  11. Green Power Partnership Top 30 On-site Generation

    EPA Pesticide Factsheets

    EPA's Green Power Partnership is a voluntary program designed to reduce the environmental impact of electricity generation by promoting renewable energy. These partners are generating and consuming the most green power on-site within the GPP.

  12. A High School-Collegiate Outreach Program in Chemistry and Biology Delivering Modern Technology in a Mobile Van

    NASA Astrophysics Data System (ADS)

    Craney, Chris; Mazzeo, April; Lord, Kaye

    1996-07-01

    During the past five years the nation's concern for science education has expanded from a discussion about the future supply of Ph.D. scientists and its impact on the nation's scientific competitiveness to the broader consideration of the science education available to all students. Efforts to improve science education have led many authors to suggest greater collaboration between high school science teachers and their college/university colleagues. This article reviews the experience and outcomes of the Teachers + Occidental = Partnership in Science (TOPS) van program operating in the Los Angeles Metropolitan area. The program emphasizes an extensive ongoing staff development, responsiveness to teachers' concerns, technical and on-site support, and sustained interaction between participants and program staff. Access to modern technology, including computer-driven instruments and commercial data analysis software, coupled with increased teacher content knowledge has led to empowerment of teachers and changes in student interest in science. Results of student and teacher questionnaires are reviewed.

  13. Evaluation of Program for Infant/Toddler Care (PITC): An On-Site Training of Caregivers. Final Report. NCEE 2012-4003

    ERIC Educational Resources Information Center

    Weinstock, Phyllis; Bos, Johannes; Tseng, Fannie; Rosenthal, Emily; Ortiz, Lorena; Dowsett, Chantelle; Huston, Aletha; Bentley, Alison

    2012-01-01

    Little research has been conducted on the effectiveness of training strategies for child care providers. The current study used an experimental intent-to-treat design to measure the impact of an established intervention, the on-site caregiver training component of the Program for Infant/Toddler Care (PITC), on child development and child care…

  14. WE-G-BRA-04: Common Errors and Deficiencies in Radiation Oncology Practice

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

    Kry, S; Dromgoole, L; Alvarez, P

    Purpose: Dosimetric errors in radiotherapy dose delivery lead to suboptimal treatments and outcomes. This work reviews the frequency and severity of dosimetric and programmatic errors identified by on-site audits performed by the IROC Houston QA center. Methods: IROC Houston on-site audits evaluate absolute beam calibration, relative dosimetry data compared to the treatment planning system data, and processes such as machine QA. Audits conducted from 2000-present were abstracted for recommendations, including type of recommendation and magnitude of error when applicable. Dosimetric recommendations corresponded to absolute dose errors >3% and relative dosimetry errors >2%. On-site audits of 1020 accelerators at 409 institutionsmore » were reviewed. Results: A total of 1280 recommendations were made (average 3.1/institution). The most common recommendation was for inadequate QA procedures per TG-40 and/or TG-142 (82% of institutions) with the most commonly noted deficiency being x-ray and electron off-axis constancy versus gantry angle. Dosimetrically, the most common errors in relative dosimetry were in small-field output factors (59% of institutions), wedge factors (33% of institutions), off-axis factors (21% of institutions), and photon PDD (18% of institutions). Errors in calibration were also problematic: 20% of institutions had an error in electron beam calibration, 8% had an error in photon beam calibration, and 7% had an error in brachytherapy source calibration. Almost all types of data reviewed included errors up to 7% although 20 institutions had errors in excess of 10%, and 5 had errors in excess of 20%. The frequency of electron calibration errors decreased significantly with time, but all other errors show non-significant changes. Conclusion: There are many common and often serious errors made during the establishment and maintenance of a radiotherapy program that can be identified through independent peer review. Physicists should be cautious, particularly in areas highlighted herein that show a tendency for errors.« less

  15. 32 CFR 239.14 - On-site inspections.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 2 2014-07-01 2014-07-01 false On-site inspections. 239.14 Section 239.14 National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED... monitor program execution through HAPMIS and CEFMS reports. ...

  16. Implementing solutions to barriers to on-site HIV testing in substance abuse treatment: a tale of three facilities.

    PubMed

    Hood, Kristina B; Robertson, Angela A; Baird-Thomas, Connie

    2015-04-01

    Due to the scarcity of resources for implementing rapid on-site HIV testing, many substance abuse treatment programs do not offer these services. This study sought to determine whether addressing previously identified implementation barriers to integrating on-site rapid HIV testing into the treatment admissions process would increase offer and acceptance rates. Results indicate that it is feasible to integrate rapid HIV testing into existing treatment programs for substance abusers when resources are provided. Addressing barriers such as providing start-up costs for HIV testing, staff training, addressing staffing needs to reduce competing job responsibilities, and helping treatment staff members overcome their concerns about clients' reactions to positive test results is paramount for the integration and maintenance of such programs. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. A Two-Year Multidisciplinary Training Program for the Frontline Workforce in Community Treatment of Severe Mental Illness.

    PubMed

    Ruud, Torleif; Flage, Karin Blix; Kolbjørnsrud, Ole-Bjørn; Haugen, Gunnar Brox; Sørlie, Tore

    2016-01-01

    Since 1999, a national two-year multidisciplinary onsite training program has been in operation in Norway. The program trains frontline workforce personnel who provide community treatment to people with severe mental illness. A national network of mental health workers, consumers, caregivers, and others providing or supporting psychosocial treatment and rehabilitation for people with severe mental illness has organized local onsite part-time training programs in collaboration with community mental health centers (CMHCs), municipalities, and primary care providers. CMHC and primary care staff are trained together to increase collaboration. Nationwide dissemination has continued, with new local programs established every year. Evaluations have shown that the program is successful.

  18. Integrating Parenting Support Within and Beyond the Pediatric Medical Home.

    PubMed

    Linton, Julie M; Stockton, Maria Paz; Andrade, Berta; Daniel, Stephanie

    2018-01-01

    Positive parenting programs, developmental support services, and evidence-based home visiting programs can effectively provide parenting support and improve health and developmental outcomes for at-risk children. Few models, however, have integrated referrals for on-site support and home visiting programs into the provision of routine pediatric care within a medical home. This article describes an innovative approach, through partnership with a community-based organization, to deliver on-site and home visiting support services for children and families within and beyond the medical home. Our model offers a system of on-site services, including parenting, behavior, and/or development support, with optional intensive home visiting services. Assessment included description of the population served, delineation of services provided, and qualitative identification of key themes of the impact of services, illustrated by case examples. This replicable model describes untapped potential of the pediatric medical home as a springboard to mitigate risk and optimize children's health and development.

  19. Implementation of a DOD ELAP Conforming Quality System at a FUSRAP Site Field Temporary Radiological Screening Laboratory - 13500

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

    Winters, M.S.; McElheny, G.; Houston, L.M.

    2013-07-01

    A case study is presented on specific program elements that supported the transition of a temporary field radiological screening lab to an accredited operation capable of meeting client quality objectives for definitive results data. The temporary field lab is located at the Formerly Utilized Sites Remedial Action Program Linde Site in Tonawanda, NY. The site is undergoing remediation under the direction of the United States Army Corps of Engineers - Buffalo District, with Cabrera Services Inc. as the remediation contractor and operator of the on-site lab. Analysis methods employed in the on-site lab include gross counting of alpha and betamore » particle activity on swipes and air filters and gamma spectroscopy of soils and other solid samples. A discussion of key program elements and lessons learned may help other organizations considering pursuit of accreditation for on-site screening laboratories. (authors)« less

  20. Consolidation of trauma programs in the era of large health care delivery networks.

    PubMed

    Trooskin, S Z; Faucher, M B; Santora, T A; Talucci, R C

    1999-03-01

    To review the development of an integrated trauma program at two separate campuses brought about by the merger of two medical-affiliated hospitals, each with an integrated program and a common trauma administrator, medical director, and educational coordinator. Each campus has an associate trauma medical director for on-site administrative management, a nurse coordinator, and a registrar. The integration resulted in a reduction of 1.5 full-time equivalents and "cost" savings by consolidated use of the helicopter, outreach, prevention, research, and educational programs. Regular "integration meetings," ad hoc committees, and video-linked conferences were used to institute common quality improvement programs, morbidity and mortality discussions, policies, and clinical management protocols. Reaccreditation by an outside agency, elimination of duplicated services, and maintenance of pre-merger clinical volume results. This integrated trauma program may serve as a model in this era of individual hospitals merging into large health care delivery networks.

  1. 76 FR 13666 - Pitney Bowes, Inc., Mailing Solutions Management, Global Engineering Group, Including On-Site...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-14

    ...., Mailing Solutions Management, Global Engineering Group, Including On-Site Leased Workers From Guidant... workers and former workers of Pitney Bowes, Inc., Mailing Solutions Management Division, Engineering... reviewed the certification to clarify the subject worker group's identity. Additional information revealed...

  2. Review of pathogen treatment reductions for onsite non-potable reuse of alternative source waters

    EPA Science Inventory

    Communities face a challenge when implementing onsite reuse of collected waters for non-potable purposes given the lack of national microbial standards. Quantitative Microbial Risk Assessment (QMRA) can be used to predict the pathogen risks associated with the non-potable reuse o...

  3. Effectiveness and Advantages of On-Site Pathology Services in the Care of Patients With Nonmelanoma Skin Cancer.

    PubMed

    Machan, Mac; Zitelli, John; Brodland, David

    2016-01-01

    On-site pathology services are an integral part of many dermatology and surgical dermatology practices in the United States. Assess the effectiveness and advantages of on-site pathology services. Biopsy data from 7 practices with on-site pathology services were reviewed to determine the diagnostic accuracy of malignancies from all lesional biopsies. Patient preference and convenience were queried and measured with satisfaction surveys. Of note, 1,052/1,379 (76.3%) of biopsies demonstrated a malignancy. Most patients underwent treatment of malignant lesions on a different day than the biopsy. Of the patients who scheduled a return visit for surgery on a later date, 42/246 (17.1%) reported incurring additional costs and 44/249 (17.7%) had a relative/friend who was inconvenienced. On-site pathology services provide efficient, effective, and convenient care for skin cancer patients. Fellowship-trained dermatologic surgeons use on-site pathology services to diagnose and treat clinically relevant nonmelanoma skin cancer.

  4. ONSITE WASTEWATER SYSTEMS: HOW DID WE GET HERE?

    EPA Science Inventory

    This paper chronicles the history of onsite wastewater treatment over more than a Century in the US. The major research programs which came into existence since World War II have each contributed some advancement to certain facets of the answers to a relatively stable set of ques...

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

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

    Marshall, Douglas W.; Bailey, Kirk W.

    2015-02-01

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

  6. The impact of onsite workplace health-enhancing physical activity interventions on worker productivity: a systematic review.

    PubMed

    Pereira, Michelle Jessica; Coombes, Brooke Kaye; Comans, Tracy Anne; Johnston, Venerina

    2015-06-01

    The aim of this study is to investigate the effects of onsite workplace health-enhancing physical activity (HEPA) programmes on worker productivity. The PROSPERO registration number is CRD42014008750. A search for controlled trials or randomised controlled trials (RCTs) that investigated the effects of onsite workplace HEPA programmes on productivity levels of working adults was performed. Risk of bias of included studies was assessed, and the inter-rater reliability of the quality assessment was analysed. Qualitative synthesis of available evidence is presented. Eight studies were included in the review. There is consistent evidence that onsite workplace HEPA programmes do not reduce levels of sick leave. There appears to be inconsistent evidence of the impact of onsite workplace HEPA programmes on worker productivity. A high-quality study of an onsite combination (aerobic, strengthening and flexibility) HEPA regime and a moderate-quality study of a Tai Chi programme improved worker productivity measured with questionnaires in female laundry workers and older female nurses, respectively. Two high-quality studies and four moderate-quality studies did not show benefit. Studies that showed benefit were mainly those designed with productivity measures as primary outcomes, delivered to occupations involved with higher physical loads, and had higher compliance and programme intensity. The small number of studies and the lack of consistency among studies limited further analyses. There is inconsistent evidence that onsite workplace HEPA programmes improve self-reported worker productivity. Future high-quality RCTs of onsite workplace HEPA programmes should be designed around productivity outcomes, target at-risk groups and investigate interventions of sufficient intensity. High attendance with improved recording is needed to achieve significant results in augmenting worker productivity. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  7. Onsite Provision of Specialized Contraceptive Services: Does Title X Funding Enhance Access?

    PubMed Central

    Riedel, Julie Cross; Menz, Mary; Darney, Philip D.; Brindis, Claire D.

    2014-01-01

    Abstract Background: This article presents the extent to which providers enrolled in California's Family Planning, Access, Care, and Treatment (Family PACT) program offer contraceptive methods onsite, thus eliminating one important access barrier. Family PACT has a diverse provider network, including public-sector providers receiving Title X funding, public-sector providers not receiving Title X funding, and private-sector providers. We explored whether Title X funding enhances providers' ability to offer contraceptive methods that require specialized skills onsite. Methods: Data were derived from 1,072 survey responses to a 2010 provider-capacity survey matched by unique identifier to administrative claims data. Results: A significantly greater proportion of Title X–funded providers compared to non–Title X public and private providers offered onsite services for the following studied methods: intrauterine contraceptives (90% Title X, 51% public non–Title X, 38% private); contraceptive implants (58% Title X, 19% public non–Title X, 7% private); vasectomy (8% Title X, 4% public non–Title X, 1% private); and fertility-awareness methods (69% Title X, 55% public non–Title X, 49% private) (all p<0.0001). The association between onsite provision and Title X funding remained after stratifying individually by clinic specialty, facility capacity to provide reproductive health services (based on staffing), and rural/urban location. Conclusions: Extra funding for publicly funded family-planning programs, through mechanisms such as Title X, appears to be associated with increased onsite access to a wide range of contraceptive services, including those that require special skills and training. PMID:24405313

  8. Onsite provision of specialized contraceptive services: does Title X funding enhance access?

    PubMed

    Thiel de Bocanegra, Heike; Cross Riedel, Julie; Menz, Mary; Darney, Philip D; Brindis, Claire D

    2014-05-01

    This article presents the extent to which providers enrolled in California's Family Planning, Access, Care, and Treatment (Family PACT) program offer contraceptive methods onsite, thus eliminating one important access barrier. Family PACT has a diverse provider network, including public-sector providers receiving Title X funding, public-sector providers not receiving Title X funding, and private-sector providers. We explored whether Title X funding enhances providers' ability to offer contraceptive methods that require specialized skills onsite. Data were derived from 1,072 survey responses to a 2010 provider-capacity survey matched by unique identifier to administrative claims data. A significantly greater proportion of Title X-funded providers compared to non-Title X public and private providers offered onsite services for the following studied methods: intrauterine contraceptives (90% Title X, 51% public non-Title X, 38% private); contraceptive implants (58% Title X, 19% public non-Title X, 7% private); vasectomy (8% Title X, 4% public non-Title X, 1% private); and fertility-awareness methods (69% Title X, 55% public non-Title X, 49% private) (all p<0.0001). The association between onsite provision and Title X funding remained after stratifying individually by clinic specialty, facility capacity to provide reproductive health services (based on staffing), and rural/urban location. Extra funding for publicly funded family-planning programs, through mechanisms such as Title X, appears to be associated with increased onsite access to a wide range of contraceptive services, including those that require special skills and training.

  9. On-Site Detection as a Countermeasure to Chemical Warfare/Terrorism.

    PubMed

    Seto, Y

    2014-01-01

    On-site monitoring and detection are necessary in the crisis and consequence management of wars and terrorism involving chemical warfare agents (CWAs) such as sarin. The analytical performance required for on-site detection is mainly determined by the fatal vapor concentration and volatility of the CWAs involved. The analytical performance for presently available on-site technologies and commercially available on-site equipment for detecting CWAs interpreted and compared in this review include: classical manual methods, photometric methods, ion mobile spectrometry, vibrational spectrometry, gas chromatography, mass spectrometry, sensors, and other methods. Some of the data evaluated were obtained from our experiments using authentic CWAs. We concluded that (a) no technologies perfectly fulfill all of the on-site detection requirements and (b) adequate on-site detection requires (i) a combination of the monitoring-tape method and ion-mobility spectrometry for point detection and (ii) a combination of the monitoring-tape method, atmospheric pressure chemical ionization mass spectrometry with counterflow introduction, and gas chromatography with a trap and special detectors for continuous monitoring. The basic properties of CWAs, the concept of on-site detection, and the sarin gas attacks in Japan as well as the forensic investigations thereof, are also explicated in this article. Copyright © 2014 Central Police University.

  10. Onsite 40-kilowatt fuel cell power plant manufacturing and field test program

    NASA Technical Reports Server (NTRS)

    1985-01-01

    A joint Gas Research Institute and U.S. Department of Energy Program was initiated in 1982 to evaluate the use of fuel cell power systems for on-site energy service. Forty-six 40 kW fuel cell power plants were manufactured at the United Technologies Corporation facility in South Windsor, Connecticut, and are being delivered to host utilities and other program participants in the United States and Japan for field testing. The construction of the 46 fully-integrated power plants was completed in January 1985 within the constraints of the contract plan. The program has provided significant experience in the manufacture, acceptance testing, deployment, and support of on-site fuel cell systems. Initial field test results also show that these experimental power plants meet the performance and environmental requirements of a commercial specification. This Interim Report encompasses the design and manufacturing phases of the 40 kW Power Plant Manufacturing and Field Test program. The contract between UTC and NASA also provides UTC field engineering support to the host utilities, training programs and associated manuals for utility operating and maintenance personnel, spare parts support for a defined test period, and testing at UTC of a power plant made available from a preceding program phase. These activities are ongoing and will be reported subsequently.

  11. 78 FR 52975 - Belden, Inc. Including On-Site Leased Workers From Adecco Horseheads, New York; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-82,663] Belden, Inc. Including On-Site Leased Workers From Adecco Horseheads, New York; Notice of Affirmative Determination Regarding... review of the application, I conclude that the claim is of sufficient weight to justify reconsideration...

  12. 76 FR 14101 - Meadwestvaco Corporation, Consumer and Office Products Division, Including On-Site Leased Workers...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... undated planning and organizing products. The review shows that on August 21, 2008, a certification of..., Consumer and Office Products Division, Including On-Site Leased Workers From Pro-Tel People, Sidney, NY; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance In accordance with...

  13. 75 FR 32845 - Consultative Examination-Annual Onsite Review of Medical Providers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    .... ACTION: Final rules. SUMMARY: We are revising the threshold billing amount that triggers annual on-site... titles II and XVI of the Social Security Act (Act). The revision will raise the threshold amount to reflect the increase in billing amounts since we first established the threshold amount in 1991. We expect...

  14. 24 CFR 891.450 - HUD review.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) SUPPORTIVE HOUSING FOR THE ELDERLY AND PERSONS WITH DISABILITIES Project Management § 891.450 HUD review. HUD shall conduct periodic on-site management reviews of the Owner's compliance with the requirements of...

  15. 24 CFR 891.450 - HUD review.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...) SUPPORTIVE HOUSING FOR THE ELDERLY AND PERSONS WITH DISABILITIES Project Management § 891.450 HUD review. HUD shall conduct periodic on-site management reviews of the Owner's compliance with the requirements of...

  16. 24 CFR 891.450 - HUD review.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) SUPPORTIVE HOUSING FOR THE ELDERLY AND PERSONS WITH DISABILITIES Project Management § 891.450 HUD review. HUD shall conduct periodic on-site management reviews of the Owner's compliance with the requirements of...

  17. 24 CFR 891.450 - HUD review.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) SUPPORTIVE HOUSING FOR THE ELDERLY AND PERSONS WITH DISABILITIES Project Management § 891.450 HUD review. HUD shall conduct periodic on-site management reviews of the Owner's compliance with the requirements of...

  18. 24 CFR 891.450 - HUD review.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ...) SUPPORTIVE HOUSING FOR THE ELDERLY AND PERSONS WITH DISABILITIES Project Management § 891.450 HUD review. HUD shall conduct periodic on-site management reviews of the Owner's compliance with the requirements of...

  19. General RMP Guidance - Chapter 7: Prevention Program (Program 3)

    EPA Pesticide Factsheets

    Many Program 3 processes are already addressed by the OSHA Process Safety Management Program, which covers on-site consequences. So for compliance with the risk management program, process hazard analysis teams must consider potential offsite consequences.

  20. Successful treatment of chronic hepatitis C with pegylated interferon in combination with ribavirin in a methadone maintenance treatment program

    PubMed Central

    Litwin, Alain H.; Harris, Kenneth A.; Nahvi, Shadi; Zamor, Philippe J.; Soloway, Irene J.; Tenore, Peter L.; Kaswan, Daniel; Gourevitch, Marc. N.; Arnsten, Julia H.

    2009-01-01

    Injection drug users constitute 60% of the more than 4 million people in the United States with hepatitis C virus (HCV), including many methadone maintenance patients. Few data exist describing clinical outcomes for patients receiving HCV treatment on-site in a methadone maintenance settings. In this retrospective study, we describe clinical outcomes for 73 patients receiving HCV treatment on-site in a methadone maintenance treatment program. Fifty-five percent of patients achieved end-of-treatment response, and 45% achieved sustained viral response. These treatment response rates are nearly equivalent to previously published HCV treatment response rates, despite high prevalences of ongoing drug use (49%), psychiatric comorbidity (67%), and HIV coinfection (32%). These data show that on-site HCV treatment with pegylated interferon and ribavirin is effective in methadone-maintained patients, many of whom are active drug users, psychiatrically ill, or HIV coinfected, and that methadone maintenance treatment programs represent an opportunity to safely treat chronic hepatitis C. PMID:19038524

  1. Robotic Telecytology for Remote Cytologic Evaluation without an On-site Cytotechnologist or Cytopathologist: A Tale of Implementation and Review of Constraints

    PubMed Central

    Sirintrapun, Sahussapont Joseph; Rudomina, Dorota; Mazzella, Allix; Feratovic, Rusmir; Alago, William; Siegelbaum, Robert; Lin, Oscar

    2017-01-01

    Background: The first satellite center to offer interventional radiology procedures at Memorial Sloan Kettering Cancer Center opened in October 2014. Two of the procedures offered, fine needle aspirations and core biopsies, required rapid on-site cytologic evaluation of smears and biopsy touch imprints for cellular content and adequacy. The volume and frequency of such evaluations did not justify hiring on-site cytotechnologists, and therefore, a dynamic robotic telecytology (TC) solution was created. In this technical article, we present a detailed description of our implementation of robotic TC. Methods: Pathology devised the remote robotic TC solution after acknowledging that it would not be cost effective to staff cytotechnologists on-site at the satellite location. Sakura VisionTek was selected as our robotic TC solution. In addition to configuration of the dynamic robotic TC solution, pathology realized integrating the technology solution into operations would require a multidisciplinary effort and reevaluation of existing staffing and workflows. Results: Extensively described are the architectural framework and multidisciplinary process re-design, created to navigate the constraints of our technical, cultural, and organizational environment. Also reviewed are the benefits and challenges associated with available desktop sharing solutions, particularly accounting for information security concerns. Conclusions: Dynamic robotic TC is effective for immediate evaluations performed without on-site cytotechnology staff. Our goal is providing an extensive perspective of the implementation process, particularly technical, cultural, and operational constraints. Through this perspective, our template can serve as an extensible blueprint for other centers interested in implementing robotic TC without on-site cytotechnologists. PMID:28966832

  2. Robotic Telecytology for Remote Cytologic Evaluation without an On-site Cytotechnologist or Cytopathologist: A Tale of Implementation and Review of Constraints.

    PubMed

    Sirintrapun, Sahussapont Joseph; Rudomina, Dorota; Mazzella, Allix; Feratovic, Rusmir; Alago, William; Siegelbaum, Robert; Lin, Oscar

    2017-01-01

    The first satellite center to offer interventional radiology procedures at Memorial Sloan Kettering Cancer Center opened in October 2014. Two of the procedures offered, fine needle aspirations and core biopsies, required rapid on-site cytologic evaluation of smears and biopsy touch imprints for cellular content and adequacy. The volume and frequency of such evaluations did not justify hiring on-site cytotechnologists, and therefore, a dynamic robotic telecytology (TC) solution was created. In this technical article, we present a detailed description of our implementation of robotic TC. Pathology devised the remote robotic TC solution after acknowledging that it would not be cost effective to staff cytotechnologists on-site at the satellite location. Sakura VisionTek was selected as our robotic TC solution. In addition to configuration of the dynamic robotic TC solution, pathology realized integrating the technology solution into operations would require a multidisciplinary effort and reevaluation of existing staffing and workflows. Extensively described are the architectural framework and multidisciplinary process re-design, created to navigate the constraints of our technical, cultural, and organizational environment. Also reviewed are the benefits and challenges associated with available desktop sharing solutions, particularly accounting for information security concerns. Dynamic robotic TC is effective for immediate evaluations performed without on-site cytotechnology staff. Our goal is providing an extensive perspective of the implementation process, particularly technical, cultural, and operational constraints. Through this perspective, our template can serve as an extensible blueprint for other centers interested in implementing robotic TC without on-site cytotechnologists.

  3. A Review of Worksite Lactation Accommodations.

    PubMed

    Hilliard, Elizabeth Dianne

    2017-01-01

    The purpose of this review was to examine workplace lactation accommodations, and their association with breastfeeding duration, and identify strategies occupational health professionals can use to promote lactation improvements. This study included literature published from 1985 through 2015 and listed in PubMed and CINAHL. Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), 11 articles were identified for review. Presence of a corporate lactation program, on-site child care, and return to work/telephone lactation consultation were consistently associated with breastfeeding at 6 months. Other breastfeeding accommodations (i.e., lactation spaces, lactation breaks, worksite lactation policies, and supervisor/coworker support) were not consistently associated with breastfeeding duration. Occupational health professionals can play key roles in improving the effectiveness of lactation accommodations. Assuring adequate implementation of accommodations, increasing communication and marketing of accommodations, and promoting supervisor and coworker support are areas that occupational health professionals should explore for improving lactation duration.

  4. Pollution Prevention through Peer Education: A Community Health Worker and Small and Home-Based Business Initiative on the Arizona-Sonora Border

    PubMed Central

    Moreno Ramírez, Denise; Ramírez-Andreotta, Mónica D.; Vea, Lourdes; Estrella-Sánchez, Rocío; Wolf, Ann Marie A.; Kilungo, Aminata; Spitz, Anna H.; Betterton, Eric A.

    2015-01-01

    Government-led pollution prevention programs tend to focus on large businesses due to their potential to pollute larger quantities, therefore leaving a gap in programs targeting small and home-based businesses. In light of this gap, we set out to determine if a voluntary, peer education approach led by female, Hispanic community health workers (promotoras) can influence small and home-based businesses to implement pollution prevention strategies on-site. This paper describes a partnership between promotoras from a non-profit organization and researchers from a university working together to reach these businesses in a predominately Hispanic area of Tucson, Arizona. From 2008 to 2011, the promotora-led pollution prevention program reached a total of 640 small and home-based businesses. Program activities include technical trainings for promotoras and businesses, generation of culturally and language appropriate educational materials, and face-to-face peer education via multiple on-site visits. To determine the overall effectiveness of the program, surveys were used to measure best practices implemented on-site, perceptions towards pollution prevention, and overall satisfaction with the industry-specific trainings. This paper demonstrates that promotoras can promote the implementation of pollution prevention best practices by Hispanic small and home-based businesses considered “hard-to-reach” by government-led programs. PMID:26371028

  5. Pollution Prevention through Peer Education: A Community Health Worker and Small and Home-Based Business Initiative on the Arizona-Sonora Border.

    PubMed

    Ramírez, Denise Moreno; Ramírez-Andreotta, Mónica D; Vea, Lourdes; Estrella-Sánchez, Rocío; Wolf, Ann Marie A; Kilungo, Aminata; Spitz, Anna H; Betterton, Eric A

    2015-09-09

    Government-led pollution prevention programs tend to focus on large businesses due to their potential to pollute larger quantities, therefore leaving a gap in programs targeting small and home-based businesses. In light of this gap, we set out to determine if a voluntary, peer education approach led by female, Hispanic community health workers (promotoras) can influence small and home-based businesses to implement pollution prevention strategies on-site. This paper describes a partnership between promotoras from a non-profit organization and researchers from a university working together to reach these businesses in a predominately Hispanic area of Tucson, Arizona. From 2008 to 2011, the promotora-led pollution prevention program reached a total of 640 small and home-based businesses. Program activities include technical trainings for promotoras and businesses, generation of culturally and language appropriate educational materials, and face-to-face peer education via multiple on-site visits. To determine the overall effectiveness of the program, surveys were used to measure best practices implemented on-site, perceptions towards pollution prevention, and overall satisfaction with the industry-specific trainings. This paper demonstrates that promotoras can promote the implementation of pollution prevention best practices by Hispanic small and home-based businesses considered "hard-to-reach" by government-led programs.

  6. 78 FR 40507 - Eastman Kodak Company, IPS, Including On-Site Leased Workers From Adecco, Dayton, Ohio; Notice of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-05

    ... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-74,813A] Eastman Kodak Company... Eastman Kodak Company, IPS, including on-site leased workers from Adecco, Dayton, Ohio (TA-W-74, 813A). At the request of Eastman Kodak Company, the Department reviewed the certification applicable to workers...

  7. SU-F-P-05: Initial Experience with an Independent Certification Program for Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy

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

    Solberg, T; Robar, J; Gevaert, T

    Purpose: The ASTRO document “Safety is no accident: A FRAMEWORK FOR QUALITY RADIATION ONCOLOGY AND CARE” recommends external reviews of specialized modalities. The purpose of this presentation is to describe the implementation of such a program for Stereotactic Radiosurgery (SRS) and Stereotactic Body radiation Therapy (SBRT). Methods: The margin of error for SRS and SBRT delivery is significantly smaller than that of conventional radiotherapy and therefore requires special attention and diligence. The Novalis Certified program was created to fill an unmet need for specialized SRS / SBRT credentialing. A standards document was drafted by a panel of experts from severalmore » disciplines, including medical physics, radiation oncology and neurosurgery. The document, based on national and international standards, covers requirements in program structure, personnel, training, clinical application, technology, quality management, and patient and equipment QA. The credentialing process was modeled after existing certification programs and includes an institution-generated self-study, extensive document review and an onsite audit. Reviewers generate a descriptive report, which is reviewed by a multidisciplinary expert panel. Outcomes of the review may include mandatory requirements and optional recommendations. Results: 15 institutions have received Novalis Certification, including 3 in the US, 7 in Europe, 4 in Australia and 1 in Asia. 87 other centers are at various stages of the process. Nine reviews have resulted in mandatory requirements, however all of these were addressed within three months of the audit report. All reviews have produced specific recommendations ranging from programmatic to technical in nature. Institutions felt that the credentialing process addressed a critical need and was highly valuable to the institution. Conclusion: Novalis Certification is a unique peer review program assessing safety and quality in SRS and SBRT, while recognizing international practice standards. The approach is capable of highlighting outstanding requirements and providing recommendations to enhance both new and established programs. Timothy Solberg is co-owner of Global Radiosurgery services, LLC.« less

  8. Energy Management Programs at the John F. Kennedy Space Center

    NASA Technical Reports Server (NTRS)

    Huang, Jeffrey H.

    2011-01-01

    The Energy Management internship over the summer of 2011 involved a series of projects related to energy management on the John. F. Kennedy Space Center (KSC). This internship saved KSC $14.3 million through budgetary projections, saved KSC $400,000 through implementation of the recycling program, updated KSC Environmental Management System's (EMS) water and energy-related List of Requirements (LoR) which changed 25.7% of the list, provided a incorporated a 45% design review of the Ordnance Operations Facility (OOF) which noted six errors within the design plans, created a certification system and timeline for implementation regarding compliance to the federal Guiding Principles, and gave off-shore wind as the preferred alternative to on-site renewable energy generation.

  9. AphasiaBank as BigData

    PubMed Central

    MacWhinney, Brian; Fromm, Davida

    2017-01-01

    AphasiaBank has used a standardized protocol to collect narrative, procedural, personal, and descriptive discourse from 290 persons with aphasia, as well as 190 control participants. These data have been transcribed in the Codes for the Human Analysis of Transcripts (CHAT) format for analysis by the Computerized Language Analysis (CLAN) programs. Here, we review results from 45 studies based on these data that investigate aphasic productions in terms of these eight areas: discourse, grammar, lexicon, gesture, fluency, syndrome classification, social factors, and treatment effects. For each area, we also indicate how use of the CLAN programs has facilitated the analysis. We conclude with an examination of ways in which the size of the database could be increased through on-site recordings and data from teletherapy. PMID:26882361

  10. Facilitating Employee Recruitment and Retention through On-Site Child Day Care.

    ERIC Educational Resources Information Center

    Lombardo, Kathy A.

    An early childhood educator at a 360-bed community general hospital implemented a licensed on-site child care program for children between 6 weeks and 10 years of age in order to improve employee recruitment and retention by assisting employees with appropriate child care arrangements. A parent questionnaire was used to assess the degree to which…

  11. Model Development and Process Analysis for Lean Cellular Design Planning in Aerospace Assembly and Manufacturing

    NASA Astrophysics Data System (ADS)

    Hilburn, Monty D.

    Successful lean manufacturing and cellular manufacturing execution relies upon a foundation of leadership commitment and strategic planning built upon solid data and robust analysis. The problem for this study was to create and employ a simple lean transformation planning model and review process that could be used to identify functional support staff resources required to plan and execute lean manufacturing cells within aerospace assembly and manufacturing sites. The lean planning model was developed using available literature for lean manufacturing kaizen best practices and validated through a Delphi panel of lean experts. The resulting model and a standardized review process were used to assess the state of lean transformation planning at five sites of an international aerospace manufacturing and assembly company. The results of the three day, on-site review were compared with baseline plans collected from each of the five sites to determine if there analyzed, with focus on three critical areas of lean planning: the number and type of manufacturing cells identified, the number, type, and duration of planned lean and continuous kaizen events, and the quantity and type of functional staffing resources planned to support the kaizen schedule. Summarized data of the baseline and on-site reviews was analyzed with descriptive statistics. ANOVAs and paired-t tests at 95% significance level were conducted on the means of data sets to determine if null hypotheses related to cell, kaizen event, and support resources could be rejected. The results of the research found significant differences between lean transformation plans developed by site leadership and plans developed utilizing the structured, on-site review process and lean transformation planning model. The null hypothesis that there was no difference between the means of pre-review and on-site cell counts was rejected, as was the null hypothesis that there was no significant difference in kaizen event plans. These factors are critical inputs into the support staffing resources calculation used by the lean planning model. Null hypothesis related to functional support staff resources was rejected for most functional groups, indicating that the baseline site plan inadequately provided for cross-functional staff involvement to support the lean transformation plan. Null hypotheses related to total lean transformation staffing could not be rejected, indicating that while total staffing plans were not significantly different than plans developed during the on-site review and through the use of the lean planning model, the allocation of staffing among various functional groups such as engineering, production, and materials planning was an issue. The on-site review process and simple lean transformation plan developed was determined to be useful in identifying short-comings in lean transformation planning within aerospace manufacturing and assembly sites. It was concluded that the differences uncovered were likely contributing factors affecting the effectiveness of aerospace manufacturing sites' implementation of lean cellular manufacturing.

  12. NASA tire/runway friction projects

    NASA Technical Reports Server (NTRS)

    Yager, Thomas J.

    1995-01-01

    The paper reviews several aspects of NASA Langley Research Center's tire/runway friction evaluations directed towards improving the safety and economy of aircraft ground operations. The facilities and test equipment used in implementing different aircraft tire friction studies and other related aircraft ground performance investigations are described together with recent workshop activities at NASA Wallops Flight Facility. An overview of the pending Joint NASA/Transport Canada/FM Winter Runway Friction Program is given. Other NASA ongoing studies and on-site field tests are discussed including tire wear performance and new surface treatments. The paper concludes with a description of future research plans.

  13. The Need to Reevaluate Nonresponding Ergonomic Patients

    NASA Technical Reports Server (NTRS)

    Scarpa, Philip J.; Field, Steven A.

    1999-01-01

    The Kennedy Space Center (KSC) Environmental Health (EH) contractor performs ergonomic evaluations under its Ergonomic Program. Any KSC employee may request one or the reviewing physician may request one for a patient during a visit to an onsite medical facility. As part of the ergonomic evaluation, recommendations are given to the patient to help reduce any ergonomic problems they experience. The recommendations, if implemented, are successful in the majority of KSC patients; however, a group of patients do not seem to improve. Those who don't improve may be identified by reevaluations, which are performed to implement maximum resolution of ergonomic problems.

  14. Development and outcomes of an online-onsite hybrid dental admissions enhancement pilot program.

    PubMed

    Hanson, Carrie L; Van Ness, Chris; Gadbury-Amyot, Cynthia C; Crain, Geralyn

    2014-10-01

    The University of Missouri-Kansas City (UMKC) School of Dentistry has piloted two years of an Admissions Enhancement Program (AEP) with students from underrepresented minority groups and/or economically disadvantaged areas of Missouri interested in applying to dental school. The AEP utilizes an innovative online-onsite hybrid format to elevate students' foundational knowledge in biology, chemistry, organic chemistry, and quantitative reasoning. The online component includes interaction with UMKC instructors using tablet technology and Wimba virtual classroom sessions. The onsite component engages students in academic and professional development, enrichment activities targeting skills training, experience in dental labs and clinics, and mentoring in preparing the dental school application, essay writing, and interviewing. Results to date indicate overall program satisfaction among AEP participants and a dental school acceptance rate of 73.7 percent (14/19 students). Participants reported the mock interviews and essay-writing portions contributed to their becoming competitive candidates for the admission process, and the online material enhanced their preparation for the Dental Admission Test (DAT). Pre- and post-AEP data show participant DAT Academic Average scores increased by two points. The school will continue to monitor program participants in subsequent years.

  15. New DEA rules expand options for controlled substance disposal.

    PubMed

    Peterson, David M

    2015-03-01

    Prescription drug abuse and overdose are rapidly growing problems in the United States. The United States federal Disposal of Controlled Substances Rule became effective 9 October 2014, implementing the Secure and Responsible Drug Disposal Act of 2010 (Disposal Act). These regulations target escalating prescription drug misuse by reducing accumulation of unused controlled substances that may be abused, diverted or accidentally ingested. Clinical areas that can now participate in collecting unused controlled substances include retail pharmacies, hospitals or clinics with an onsite pharmacy, and narcotic treatment programs. Collection methods include placing a controlled substance collection receptacle or instituting a mail-back program. Because prompt onsite destruction of collected items is required of mail-back programs, collection receptacles are more likely to be used in clinical areas. Retail pharmacies and hospitals or clinics with an onsite pharmacy may also place and maintain collection receptacles at long-term care facilities. The Act and Rule are intended to increase controlled substance disposal methods and expand local involvement in collection of unused controlled substances. Potential barriers to participating in controlled substance collection include acquisition of suitable collection receptacles and liners, lack of available space meeting the necessary criteria, lack of employee time for verification and inventory requirements, and program costs.

  16. RMP Guidance for Chemical Distributors - Chapter 7: Prevention Program (Program 3)

    EPA Pesticide Factsheets

    The OSHA Process Safety Management program has legal authority for on-site consequences, EPA's Prevention Program for offsite consequences, so your process hazard analysis (PHA) team may have to assess new hazards to the public and offsite environment.

  17. 45 CFR 95.621 - ADP reviews.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... requirements shall include the following components: (i) Determination and implementation of appropriate... use; (C) Software and data security; (D) Telecommunications security; (E) Personnel security; (F... reviews, together with pertinent supporting documentation, for HHS on-site review. [43 FR 44853, Sept. 29...

  18. 45 CFR 95.621 - ADP reviews.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... requirements shall include the following components: (i) Determination and implementation of appropriate... use; (C) Software and data security; (D) Telecommunications security; (E) Personnel security; (F... reviews, together with pertinent supporting documentation, for HHS on-site review. [43 FR 44853, Sept. 29...

  19. 45 CFR 95.621 - ADP reviews.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... requirements shall include the following components: (i) Determination and implementation of appropriate... use; (C) Software and data security; (D) Telecommunications security; (E) Personnel security; (F... reviews, together with pertinent supporting documentation, for HHS on-site review. [43 FR 44853, Sept. 29...

  20. 40 CFR 7.115 - Postaward compliance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) The nature of and schedule for review, or investigation; and (2) Its opportunity, before the... § 7.115 Postaward compliance. (a) Periodic review. The OCR may periodically conduct compliance reviews... information, and may conduct on-site reviews when it has reason to believe that discrimination may be...

  1. 45 CFR 95.621 - ADP reviews.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false ADP reviews. 95.621 Section 95.621 Public Welfare....621 ADP reviews. The Department will conduct periodic onsite surveys and reviews of State and local... the Department and State or local agencies prior to conducting such surveys or reviews, which may...

  2. How to develop a tele-ICU model?

    PubMed

    Rogove, Herb

    2012-01-01

    The concept of the tele-ICU (intensive care unit) is about 30 years old and more hospitals are utilizing it to cover multiple hospitals in their system or for hospitals that lack on-site critical care coverage such as in the rural setting. Doing a needs analysis, picking the appropriate committee to oversee development of the correct model, choosing quality metrics to measure, and designing an implementation plan that has a timeline is how the process should begin. Research including visitation to established programs and connecting with professional societies are helpful. Developing both a business and financial plan will optimize the value of a tele-ICU program. The innovative ICU nursing director will help to integrate a telemedicine program seamlessly with the on-site program to insure a successful program that benefits patients, their families, the ICU staff, and the hospital.

  3. Oak Ridge National Laboratory`s (ORNL) ecological and physical science study center: A hands-on science program for K-12 students

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

    Bradshaw, S.P.

    1994-12-31

    In our tenth year of educational service and outreach, Oak Ridge National Laboratory`s Ecological and Physical Science Study Center (EPSSC) provides hands-on, inquiry-based science activities for area students and teachers. Established in 1984, the EPSSC now hosts over 20,000 student visits. Designed to foster a positive attitude towards science, each unit includes activities which reinforce the science concept being explored. Outdoor science units provide field experience at the Department of Energy`s Oak Ridge National Environmental Research Park and outreach programs are offered on-site in area schools. Other programs are offered as extensions of the EPSSC core programs, including on-site studentmore » science camps, all-girl programs, outreach science camps, student competitions, teacher in-service presentations and teacher workshops.« less

  4. Nuclear waste

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

    Not Available

    1991-09-01

    Radioactive waste is mounting at U.S. nuclear power plants at a rate of more than 2,000 metric tons a year. Pursuant to statute and anticipating that a geologic repository would be available in 1998, the Department of Energy (DOE) entered into disposal contracts with nuclear utilities. Now, however, DOE does not expect the repository to be ready before 2010. For this reason, DOE does not want to develop a facility for monitored retrievable storage (MRS) by 1998. This book is concerned about how best to store the waste until a repository is available, congressional requesters asked GAO to review themore » alternatives of continued storage at utilities' reactor sites or transferring waste to an MRS facility, GAO assessed the likelihood of an MRSA facility operating by 1998, legal implications if DOE is not able to take delivery of wastes in 1998, propriety of using the Nuclear Waste Fund-from which DOE's waste program costs are paid-to pay utilities for on-site storage capacity added after 1998, ability of utilities to store their waste on-site until a repository is operating, and relative costs and safety of the two storage alternatives.« less

  5. Case report: teledermatology and epiluminescence microscopy for the diagnosis of scabies.

    PubMed

    Weinstock, M A; Kempton, S A

    2000-07-01

    We wish to share images from a patient seen in our teledermatology program. Due to the absence of on-site dermatology services at the Togus, Maine, Department of Veterans Affairs, and associated community clinics for veterans in Aroostook, Bangor, Calais, and Rumford, we created a program to provide dermatologic expertise from Providence, Rhode Island. Patients referred for this service were evaluated by a nurse practitioner, who obtained a history, performed a physical examination, and captured digital images of the affected area of skin, including epiluminescence microscopic images where indicated. These data were then retrieved at the Providence (host) site and reviewed by a dermatologist, who formulated an impression and plan that was then implemented by the remote site in Maine. This approach, which involves image capture at the remote site and later review of images at the host site, is the "store-and-forward" method, which appears to be a relatively cost-effective means of providing this service from a distance.

  6. Lessons Learned From Transitioning PEPFAR Track 1.0 Care and Treatment Programs: Case Studies in Financial Management Capacity Building in Zambia and Botswana.

    PubMed

    Kuehn, Chuck; Tidwell, George; Vhugen, Jann; Sharma, Anjali

    2015-01-01

    In 2008, the United States government mandated transition of internationally managed HIV care and treatment programs to local country ownership. Three case studies illustrate the US Health Resources Services Administration's fiscal assessment and technical assistance (TA) processes to strengthen local organizations' capabilities to absorb and manage United States government funding. Review of initial, TA and follow-up reports reveal that the 1 Botswanan and 2 Zambian organizations closed 10 of 17 financial capacity gaps, with Health Resources Services Administration assisting on 2. Zambian organizations requested and absorbed targeted TA on the basis of the consultant's desk review, their finance staff revised fiscal policies and procedures, and accordingly trained other staff. In Botswana, delays in integrating recommendations necessitated on-site TA for knowledge building and role modeling. Organizational maturity may explain differences in responsiveness, ownership, and required TA approaches. Clarifying expectations of capacity building, funding agreement, and nonmonetary donor involvement can help new organizations determine and act on intervening actions.

  7. AphasiaBank as BigData.

    PubMed

    MacWhinney, Brian; Fromm, Davida

    2016-02-01

    AphasiaBank has used a standardized protocol to collect narrative, procedural, personal, and descriptive discourse from 290 persons with aphasia, as well as 190 control participants. These data have been transcribed in the Codes for the Human Analysis of Transcripts (CHAT) format for analysis by the Computerized Language Analysis (CLAN) programs. Here, we review results from 45 studies based on these data that investigate aphasic productions in terms of these eight areas: discourse, grammar, lexicon, gesture, fluency, syndrome classification, social factors, and treatment effects. For each area, we also indicate how use of the CLAN programs has facilitated the analysis. We conclude with an examination of ways in which the size of the database could be increased through on-site recordings and data from teletherapy. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  8. Miccosukee Indian School Evaluation Report (Miccosukee, Florida) - June 4, 5, 1975. Research and Evaluation Report Series No. 06-B.

    ERIC Educational Resources Information Center

    Maus, Cy; And Others

    An on-site evaluation of the Miccosukee Day School (renamed Miccosukee Indian School) was conducted on June 4 and 5, 1975. Focusing on the education requirements of the Fiscal Year 1975 Contract, this on-site evaluation determined if the school's educational program was meeting its goals and objectives. Areas previously audited were designated as…

  9. ENVIRONMENTAL TECHNOLOGY VERIFICATION REPORT - ON-SITE GENERATION OF SODIUM HYPOCHLORITE CLORTEC, DIVISION OF CAPITAL CONTROLS, CLORTEC MODEL MC100 - NSF 00/16/EPADW395

    EPA Science Inventory

    THE EPA and NSF verified the performance of the ClorTec Model MC100 System under the EPA's ETV program. The concentrated hypochlorite generator stream from the treatment system underwent a twice-daily analysis from 3/8-4/6/00. The chlorine analyses were conducted onsite in United...

  10. 41 CFR 60-300.40 - Applicability of the affirmative action program requirement.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... FEDERAL CONTRACTORS AND SUBCONTRACTORS REGARDING DISABLED VETERANS, RECENTLY SEPARATED VETERANS, ACTIVE... contractor also shall make the affirmative action program promptly available on-site upon OFCCP's request. ...

  11. 23 CFR 230.415 - Consolidated compliance reviews.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... which will actually be reviewed onsite shall be determined. Compliance determinations shall only reflect..., OFCCP has reserved the responsibility for compliance determinations on crafts covered by part I of the... adequate coordination of activities at every stage of the review process. (7) Compliance determinations...

  12. 23 CFR 230.415 - Consolidated compliance reviews.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... which will actually be reviewed onsite shall be determined. Compliance determinations shall only reflect..., OFCCP has reserved the responsibility for compliance determinations on crafts covered by part I of the... adequate coordination of activities at every stage of the review process. (7) Compliance determinations...

  13. 23 CFR 230.415 - Consolidated compliance reviews.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... which will actually be reviewed onsite shall be determined. Compliance determinations shall only reflect..., OFCCP has reserved the responsibility for compliance determinations on crafts covered by part I of the... adequate coordination of activities at every stage of the review process. (7) Compliance determinations...

  14. 42 CFR 488.9 - Onsite observation of accreditation organization operations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the application review process, the validation review process, or the continuing oversight of an... limited to, the review of documents, auditing meetings concerning the accreditation process, the evaluation of survey results or the accreditation decision-making process, and interviews with the...

  15. 42 CFR 488.9 - Onsite observation of accreditation organization operations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the application review process, the validation review process, or the continuing oversight of an... limited to, the review of documents, auditing meetings concerning the accreditation process, the evaluation of survey results or the accreditation decision-making process, and interviews with the...

  16. 42 CFR 488.9 - Onsite observation of accreditation organization operations.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the application review process, the validation review process, or the continuing oversight of an... limited to, the review of documents, auditing meetings concerning the accreditation process, the evaluation of survey results or the accreditation decision-making process, and interviews with the...

  17. 42 CFR 488.9 - Onsite observation of accreditation organization operations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the application review process, the validation review process, or the continuing oversight of an... limited to, the review of documents, auditing meetings concerning the accreditation process, the evaluation of survey results or the accreditation decision-making process, and interviews with the...

  18. 23 CFR 230.415 - Consolidated compliance reviews.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... target area. In identifying the target area of a consolidated compliance review (e.g. SMSA, hometown or...) Present or potential problem areas; (iv) The number of highway projects in the target area; and (v... review period. After the target area has been selected, the dates for the actual onsite reviews shall be...

  19. 42 CFR 480.140 - Disclosure of quality review study information.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Disclosure of quality review study information. 480... Organizations (QIOs) Disclosure of Confidential Information § 480.140 Disclosure of quality review study information. (a) A QIO must disclose, onsite, quality review study information with identifiers of patients...

  20. Department of Defense Annual Statement of Assurance, Volume II for Fiscal Year 1996.

    DTIC Science & Technology

    1996-12-01

    FY 1996. US Army Audit Agency (USAAA) conducted a multilocation audit of contract security requirements at the request of the US Army Contracting...corrective action(s) are certified by the responsible components upon completion and reviewed through on-site verification, subsequent audit . inspection...requirement for processing Navy pricing inquiries received by DLA inventory control points. 9/97 Verification: Subsequent on-site verification. audit

  1. Effectiveness of an on-site health clinic at a self-insured university: a cost-benefit analysis.

    PubMed

    McCaskill, Sherrie P; Schwartz, Lisa A; Derouin, Anne L; Pegram, Angela H

    2014-04-01

    This study assessed the impact and cost-effectiveness of an on-site health clinic at a self-insured university. Health care costs and number of claims filed to primary care providers were trended before and after the clinic was established to determine savings. A retrospective chart review of all full-time, insured employees treated for upper respiratory tract infections (URIs) during a 1-year study period was conducted. On-site clinic costs for the treatment of URIs were compared to costs at outside community providers for similar care. Community cost norms for the treatment of URIs were provided by Primary Physicians Care, the administrator of insurance claims for the University. A cost-benefit analysis compared the cost of services on-site versus similar services at an outside community provider. Based on the results of this study, the University's on-site health care services were determined to be more cost-effective than similar off-site health care services for the treatment of URIs. [Workplace Health Saf 2014;62(4):162-169.]. Copyright 2014, SLACK Incorporated.

  2. Blended learning: strengths, challenges, and lessons learned in an interprofessional training program.

    PubMed

    Lotrecchiano, G R; McDonald, P L; Lyons, L; Long, T; Zajicek-Farber, M

    2013-11-01

    This field report outlines the goals of providing a blended learning model for an interdisciplinary training program for healthcare professionals who care for children with disabilities. The curriculum blended traditional face-to-face or on-site learning with integrated online interactive instruction. Credit earning and audited graduate level online coursework, community engagement experiences, and on-site training with maternal and child health community engagement opportunities were blended into a cohesive program. The training approach emphasized adult learning principles in different environmental contexts integrating multiple components of the Leadership Education in Neurodevelopmental and Related Disabilities Program. This paper describes the key principles adopted for this blended approach and the accomplishments, challenges, and lessons learned. The discussion offers examples from training content, material gathered through yearly program evaluation, as well as university course evaluations. The lessons learned consider the process and the implications for the role of blended learning in this type of training program with suggestions for future development and adoption by other programs.

  3. Summary for 1996 LTPP traffic data collection : annual summary.

    DOT National Transportation Integrated Search

    1997-06-01

    In 1996 the Research Unit continued to collect traffic data for the Long Term Pavement Performance Program, hereinafter referred to as the LTPP program. The LTPP program is essentially comprised of on-site computers that apply collected data to an al...

  4. Advancing family health through the Garden of Eatin': on-site food gardens in early childhood education.

    PubMed

    Chaufan, Claudia; Yeh, Jarmin; Sigal, Byron

    2015-04-01

    Nutritional practices develop over the life course. Developing healthy habits at an early age can contribute to combating increasing child obesity rates. Through a range of activities that rely on the presence of an on-site food garden, North Bay Children's Center (NBCC), an early childhood education program, has enacted a "culture of health" into all aspects of the curriculum to promote healthy eating practices among children, families, teachers and staff. NBCC's garden program serves as a model in early childhood education and as a community-based intervention to improve family health and prevent child obesity.

  5. Nuclear education and training: marriages that work

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

    Hanson, H.D.

    1985-11-01

    Public Service Electric and Gas Company is meeting the education and training needs of its nuclear department operations, support, and services personnel through a variety of activities in association with institutions of higher education. Activities include credit or credit recommendation programs at the associates, undergraduate, and graduate degree level. The paper emphasizes the process of working with a local college in the development of a new degree program for submission through the State Board of Education. The development, review, evaluation, and approval process is detailed as well as lessons learned. Plans for further development of the program toward ABET accreditationmore » are also described. Samples of the surveys conducted to determine employee interest in terms of academic area, academic level, offering strategies, etc. are presented. The process of soliciting program proposals from universities and colleges, the selection process, and implementation of the programs are also discussed. More briefly described is the preparation for credit recommendation process from regionally accredited groups. External degree programs, off-hours course presentations on-site for undergraduate and graduate credit, faculty extern, student intern, and co-op activities are also discussed.« less

  6. Intimate partner violence victims' acceptance and refusal of on-site counseling in emergency departments: Predictors of help-seeking behavior explored through a 5-year medical chart review.

    PubMed

    Choi, Anna Wai-Man; Wong, Janet Yuen-Ha; Lo, Ruby Tsz-Fung; Chan, Pik-Ying; Wong, John Kit-Shing; Lau, Chu-Leung; Kam, Chak-Wah

    2018-03-01

    Healthcare services constitute the first formal support that many intimate partner violence (IPV) victims receive and a link to formal welfare and psychological support. The help-seeking behavior for psychosocial support, e.g., Accident and Emergency Departments (AED) onsite counseling, is key to developing effective support for IPV victims. This study aimed to strengthen the health-welfare support link to aid IPV prevention in AEDs by investigating the acceptance and refusal of on-site counseling by IPV victims. A retrospective cohort study retrieved and reviewed all records of IPV victims presenting at the AEDs of two Hong Kong hospitals between 2010 and 2014. A total of 157 male and 823 female IPV victims were identified, 295 of whom refused on-site counseling. Bivariate and multivariate analyses were performed to examine the association between help-seeking and demographic and violent injury-related factors. The odds of help-seeking via on-site counseling were significantly lower for victims with mental illness (aOR=0.49; 95% CI=0.27, 0.88). After controlling for all demographic characteristics, mental illness, and drug abuse information, sex remained an independent predictor of help-seeking (aOR=2.62; 95% CI=1.45, 4.74); victims who had experienced >2 abuse incidents were more likely to seek help than those who had experienced ≤2 abuse incidents (aOR=1.90; 95% CI=1.11, 3.26). The factors associated with help-seeking from on-site services by IPV victims reflect the need for multidisciplinary collaborative work aimed at IPV prevention. Healthcare professionals require training on how to promote help-seeking behavior targeted specifically for male and female IPV victims according to their needs and preferences. Copyright © 2018 Elsevier Inc. All rights reserved.

  7. Recruitment for a Diabetes Prevention Program translation effort in a worksite setting.

    PubMed

    Taradash, J; Kramer, M; Molenaar, D; Arena, V; Vanderwood, K; Kriska, Andrea M

    2015-03-01

    The success of the Diabetes Prevention Program (DPP) lifestyle intervention has led to community-based translation efforts in a variety of settings. One community setting which holds promise for the delivery of prevention intervention is the worksite; however, information regarding recruitment in this setting is limited. The current effort describes the initial processes surrounding provision of an adapted DPP lifestyle intervention at a corporate worksite. Investigators and key management at the worksite collaborated to develop and implement a recruitment plan for the intervention focusing on 1) in-person onsite activities and 2) implementation of a variety of media recruitment tools and methods. Adult, non-diabetic overweight/obese employees and family members with pre-diabetes and/or the metabolic syndrome were eligible for the study. Telephone pre-screening was completed for 176 individuals resulting in 171 eligible for onsite screening. Of that number, 160 completed onsite screening, 107 met eligibility criteria, and 89 enrolled in the study. Support from worksite leadership, an invested worksite planning team and a solid recruitment plan consisting of multiple strategies were identified as crucial elements of this effective workplace recruitment effort. A worksite team successfully developed and implemented a recruitment plan using existing mechanisms appropriate to that worksite in order to identify and enroll eligible individuals. The results of this effort indicate that employee recruitment in a worksite setting is feasible as the first step in offering onsite behavioral lifestyle intervention programs as part of a widespread dissemination plan to prevent diabetes and lower risk for cardiovascular disease. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Coaching and Quality Assistance in Quality Rating Improvement Systems: Approaches Used by TA Providers to Improve Quality in Early Care and Education Programs and Home-Based Settings

    ERIC Educational Resources Information Center

    Smith, Sheila; Robbins, Taylor; Schneider, Will; Kreader, J. Lee; Ong, Christine

    2012-01-01

    Quality Rating Improvement Systems (QRISs) commonly offer on-site technical assistance (TA) and coaching to help early care and education settings achieve quality improvements and a higher QRIS rating. In surveys of administrators overseeing statewide QRISs, almost all states reported the use of on-site TA and coaching in both center-based and…

  9. 24 CFR 968.240 - HUD review of PHA performance.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... with HUD requirements, the adequacy of a PHA's inspections as evidenced by the quality of work, and the timeliness of the work. HUD's review may be conducted either in-office or on-site. Where conducted in-office...

  10. A systematic review of integrative oncology programs

    PubMed Central

    Seely, D.M.; Weeks, L.C.; Young, S.

    2012-01-01

    Objective This systematic review set out to summarize the research literature describing integrative oncology programs. Methods Searches were conducted of 9 electronic databases, relevant journals (hand searched), and conference abstracts, and experts were contacted. Two investigators independently screened titles and abstracts for reports describing examples of programs that combine complementary and conventional cancer care. English-, French-, and German-language articles were included, with no date restriction. From the articles located, descriptive data were extracted according to 6 concepts: description of article, description of clinic, components of care, administrative structure, process of care, and measurable outcomes used. Results Of the 29 programs included, most were situated in the United States (n = 12, 41%) and England (n = 10, 34%). More than half (n = 16, 55%) operate within a hospital, and 7 (24%) are community-based. Clients come through patient self-referral (n = 15, 52%) and by referral from conventional health care providers (n = 9, 31%) and from cancer agencies (n = 7, 24%). In 12 programs (41%), conventional care is provided onsite; 7 programs (24%) collaborate with conventional centres to provide integrative care. Programs are supported financially through donations (n = 10, 34%), cancer agencies or hospitals (n = 7, 24%), private foundations (n = 6, 21%), and public funds (n = 3, 10%). Nearly two thirds of the programs maintain a research (n = 18, 62%) or evaluation (n = 15, 52%) program. Conclusions The research literature documents a growing number of integrative oncology programs. These programs share a common vision to provide whole-person, patient-centred care, but each program is unique in terms of its structure and operational model. PMID:23300368

  11. GIS insulation co-ordination: On-site tests and dielectric diagnostic techniques, a utility point of view

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

    Sabot, A.; Petit, A.; Taillebois, J.P.

    1996-07-01

    This paper summarizes the Electricite de France experience with insulation co-ordination of GIS. After a review of the insulation co-ordination practice mainly dealing with fast front overvoltage and the one minute AC test, some results of the on-site test procedure applied since 30 years are presented and related to the insulation co-ordination practice. The in-service return of experience dealing with dielectric failures is analyzed then the dielectric diagnostic techniques now available are briefly presented with their possibilities and limitations. According to this survey, the expectations of EDF from these diagnostic techniques as well as the new on-site test and on-linemore » monitoring tendencies at EDF are presented.« less

  12. Program-Wide Positive Behavioral Interventions and Supports in Rural Preschools

    ERIC Educational Resources Information Center

    Steed, Elizabeth A.; Pomerleau, Tina; Muscott, Howard; Rohde, Leigh

    2013-01-01

    This article describes the quantitative findings from an evaluation of program-wide positive behavioral interventions and supports (PBIS) in three rural preschool programs. Each rural preschool program included children 3 through 5 years of age with and without disabilities. Following 3 years of on-site training, technical assistance, and coaching…

  13. An Online High School "Shepherding" Program: Teacher Roles and Experiences Mentoring Online Students

    ERIC Educational Resources Information Center

    Drysdale, Jeffery S.; Graham, Charles R.; Borup, Jered

    2014-01-01

    Several online programs use on-site facilitators to create a stronger sense of community and reduce student dropout. However, very little research addresses how programs that are fully online can provide their students with comparable support. Using K-12 online research, this case study analyzed a "shepherding program" at Mountain…

  14. Advocacy Simplified

    ERIC Educational Resources Information Center

    Dowd, Karen J.; Curva, Fely

    2008-01-01

    Most state professional associations promote and fund at some level, an advocacy program. These advocacy programs usually aim to support or plead for a program, policy, or proposal. They can range from simple communication to complex strategies, from daily interactions to annual productions, and from position papers to onsite, legislative visits.…

  15. 34 CFR 642.12 - What activities may a project conduct?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION TRAINING PROGRAM FOR FEDERAL TRIO PROGRAMS What Types of... project conduct? A Training program project may include on-site training, on-line training, conferences, internships, seminars, workshops, and the publication of manuals designed to improve the operations of Federal...

  16. 34 CFR 642.12 - What activities may a project conduct?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION TRAINING PROGRAM FOR FEDERAL TRIO PROGRAMS What Types of... project conduct? A Training program project may include on-site training, on-line training, conferences, internships, seminars, workshops, and the publication of manuals designed to improve the operations of Federal...

  17. 34 CFR 642.12 - What activities may a project conduct?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION TRAINING PROGRAM FOR FEDERAL TRIO PROGRAMS What Types of... project conduct? A Training program project may include on-site training, on-line training, conferences, internships, seminars, workshops, and the publication of manuals designed to improve the operations of Federal...

  18. 34 CFR 642.12 - What activities may a project conduct?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION TRAINING PROGRAM FOR FEDERAL TRIO PROGRAMS What Types of... project conduct? A Training program project may include on-site training, on-line training, conferences, internships, seminars, workshops, and the publication of manuals designed to improve the operations of Federal...

  19. Health and productivity management: establishing key performance measures, benchmarks, and best practices.

    PubMed

    Goetzel, R Z; Guindon, A M; Turshen, I J; Ozminkowski, R J

    2001-01-01

    Major areas considered under the rubric of health and productivity management (HPM) in American business include absenteeism, employee turnover, and the use of medical, disability, and workers' compensation programs. Until recently, few normative data existed for most HPM areas. To meet the need for normative information in HPM, a series of Consortium Benchmarking Studies were conducted. In the most recent application of the study, 1998 HPM costs, incidence, duration, and other program data were collected from 43 employers on almost one million workers. The median HPM costs for these organizations were $9992 per employee, which were distributed among group health (47%), turnover (37%), unscheduled absence (8%), nonoccupational disability (5%), and workers' compensation programs (3%). Achieving "best-practice" levels of performance (operationally defined as the 25th percentile for program expenditures in each HPM area) would realize savings of $2562 per employee (a 26% reduction). The results indicate substantial opportunities for improvement through effective coordination and management of HPM programs. Examples of best-practice activities collated from on-site visits to "benchmark" organizations are also reviewed.

  20. The Hospital Satellite Network. A National/International Perspective.

    ERIC Educational Resources Information Center

    Linder, Ronald L.

    1985-01-01

    Describes how continuing distance education through satellite transmitted-television can help health service professionals, and how such networks operate. The development of such a program is described, including audience, title, learning objectives, program text, and onsite instructional materials. (CT)

  1. RMP Guidance for Warehouses - Chapter 7: Prevention Program (Program 3)

    EPA Pesticide Factsheets

    If you are already complying with the OSHA Process Safety Management standard for on-site consequences, your process hazard analysis (PHA) team may have to assess new hazards that could affect the public or the environment offsite.

  2. Soil conservation through sediment trapping: A review

    NASA Astrophysics Data System (ADS)

    Mekonnen, Mulatie; Keesstra, Saskia; Baartman, Jantiene; Maroulis, Jerry; Stroosnijder, Leo

    2014-05-01

    Preventing the off-site effects of soil erosion is an essential part of good catchment management. Most efforts are in the form of on-site soil and water conservation measures. However, sediment trapping (ST) can be an alternative (or additional) measure to prevent the negative off-site effects of soil erosion. Therefore, not all efforts should focus solely on on-site soil conservation, but also on the safe routing of sediment-laden flows and on creating sites and conditions where sediment can be trapped, preferably in a cost effective or even profitable way. ST can be applied on-site (in-field) and off-site and involves both vegetative and structural measures. The main vegetative measures include grass strips, tree or bush buffers, grassed waterways and restoration of the waterways and their riparian zone; while structural measures include terraces, ponds and check dams. This paper provides a review of studies that have assessed the sediment trapping efficacy (STE) of such vegetative and structural measures. Vegetation type and integration of two or more measures (vegetative as well as structural) are important factors influencing STE. In this review, the STE of most measures was evaluated either individually or in such combinations. In real landscape situations, it is not only important to select the most efficient erosion control measures, but also to determine their optimum location in the catchment. Hence, there is a need for research that shows a more integrated determination of STE at the catchment scale. If integrated measures are implemented at the most appropriate spatial locations within a catchment where they can disconnect landscape units from each other, they will decrease runoff velocity and sediment transport and, subsequently, reduce downstream flooding and sedimentation problems. KEY WORDS: Integrated sediment trapping, sediment trapping efficacy, vegetative, structural, on-site and off-site measures.

  3. High-Temperature Fluid-Wall Reactor Technology Research, Test and Evaluation Performed at Naval Construction Battalion Center, Gulfport, MS, for the USAF Installation/Restoration Program

    DTIC Science & Technology

    1988-01-01

    under field conditions. Sampling and analytical laboratory activities were performed by Ecology and Environment, Inc., and California Analytical...the proposed AER3 test conditions. All test samples would be obtained onsite by Ecology and Environment, Inc., of Buffalo, New York, and sent to...ensuring its safe operation. Ecology and Environment performed onsite verification sampling. This activity was coordinated with the Huber project team

  4. 76 FR 35474 - UAW-Chrysler Technical Training Center, Technology Training Joint Programs Staff, Including On...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ...-Chrysler Technical Training Center, Technology Training Joint Programs Staff, Including On-Site Leased Workers From Cranks, O/E Learning, DBSI, IDEA, and Tonic/MVP, Detroit, MI; UAW-Chrysler Technical Training... workers and former workers of UAW-Chrysler Technical Training Center, Technology Training Joint Programs...

  5. Guidelines for Merit Media Programs.

    ERIC Educational Resources Information Center

    Kentucky State Dept. of Education, Frankfort. Div. of Instructional Services.

    Merit ratings for school media programs that exceed state requirements in Kentucky are explored. Standards for administrative support, facilities, resources, personnel, and programs are provided as well as procedures for conducting a self-study prior to an on-site visit. The self-study instrument which is the major part of the document covers such…

  6. Health Services Management Education On-Site at a Military Medical Center

    ERIC Educational Resources Information Center

    Williams, Stephen J.; Poss, W. Bradley; Cupp, Craig L.

    2014-01-01

    A cooperative educational program with the U.S. military is described to illustrate a unique opportunity that confronted a graduate healthcare management program. The resulting degree program supported the military's operational medical mission but also presented interesting and unexpected challenges resulting from the wars in Iraq and…

  7. Globalizing Social Justice Education: The Case of The Global Solidarity Network Study e-Broad Program

    ERIC Educational Resources Information Center

    Harrison, Yvonne D.; Kostic, Kevin; Toton, Suzanne C.; Zurek, Jerome

    2010-01-01

    This paper documents the development, implementation, and evaluation of "The Global Solidarity Network Study e-Broad Program (GSNSeBP)", an online social justice educational program that is blended into an onsite academic course. This global electronic program, which was developed through a partnership between Catholic Relief Services (CRS) and…

  8. Cultural adaptation process for international dissemination of the strengthening families program.

    PubMed

    Kumpfer, Karol L; Pinyuchon, Methinin; Teixeira de Melo, Ana; Whiteside, Henry O

    2008-06-01

    The Strengthening Families Program (SFP) is an evidence-based family skills training intervention developed and found efficacious for substance abuse prevention by U.S researchers in the 1980s. In the 1990s, a cultural adaptation process was developed to transport SFP for effectiveness trials with diverse populations (African, Hispanic, Asian, Pacific Islander, and Native American). Since 2003, SFP has been culturally adapted for use in 17 countries. This article reviews the SFP theory and research and a recommended cultural adaptation process. Challenges in international dissemination of evidence-based programs (EBPs) are discussed based on the results of U.N. and U.S. governmental initiatives to transport EBP family interventions to developing countries. The technology transfer and quality assurance system are described, including the language translation and cultural adaptation process for materials development, staff training, and on-site and online Web-based supervision and technical assistance and evaluation services to assure quality implementation and process evaluation feedback for improvements.

  9. On-site Consultation Hearings, Occupational Safety and Health Act. Hearings before the Subcommittee on Manpower, Compensation, and Health and Safety of the Committee on Education and Labor, House of Representatives, Ninety-fourth Congress.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. House Committee on Education and Labor.

    The hearings consider a bill, H.R. 8618, to amend the Occupational Safety and Health Act of 1970 (OSHA) which would provide on-site consultative services to employers desiring to comply with OSHA standards. H.R. 8616 was introduced to strengthen OSHA by providing an additional program that would encourage employers to voluntarily comply with…

  10. 76 FR 80377 - Notice of Submission of Proposed Information Collection to OMB Additional On-Site Data Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-23

    ... with PHA staff and reviews of client files and administrative data collected by the PHA. The results of... reviews of client files and administrative data collected by the PHA. The results of the site visits will...

  11. 15 CFR 286.7 - Evaluation process.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... responsibilities as NIST proceeds with its evaluation: (1) Application. The applicant completes and submit a... is reviewed by NIST. (4) On-site assessment. The applicant and NIST cooperate in the scheduling and...) Final review. The applicant provides any supplementary materials requested by NIST, then NIST completes...

  12. 15 CFR 286.7 - Evaluation process.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... responsibilities as NIST proceeds with its evaluation: (1) Application. The applicant completes and submit a... is reviewed by NIST. (4) On-site assessment. The applicant and NIST cooperate in the scheduling and...) Final review. The applicant provides any supplementary materials requested by NIST, then NIST completes...

  13. 15 CFR 286.7 - Evaluation process.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... responsibilities as NIST proceeds with its evaluation: (1) Application. The applicant completes and submit a... is reviewed by NIST. (4) On-site assessment. The applicant and NIST cooperate in the scheduling and...) Final review. The applicant provides any supplementary materials requested by NIST, then NIST completes...

  14. 15 CFR 286.7 - Evaluation process.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... responsibilities as NIST proceeds with its evaluation: (1) Application. The applicant completes and submit a... is reviewed by NIST. (4) On-site assessment. The applicant and NIST cooperate in the scheduling and...) Final review. The applicant provides any supplementary materials requested by NIST, then NIST completes...

  15. 15 CFR 286.7 - Evaluation process.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... responsibilities as NIST proceeds with its evaluation: (1) Application. The applicant completes and submit a... is reviewed by NIST. (4) On-site assessment. The applicant and NIST cooperate in the scheduling and...) Final review. The applicant provides any supplementary materials requested by NIST, then NIST completes...

  16. 25 CFR 1000.240 - What construction programs included in an AFA are subject to this subpart?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., coordination, responsibility for the construction project, day-to-day on-site management on site-management and administration of the project, which may include cost management, project budgeting, project scheduling and... Tribal, facilities and projects. (b) The following programs and activities are not construction programs...

  17. Off Campus Master's Degree Program: A Unique Model.

    ERIC Educational Resources Information Center

    Hardy, Robert C.; And Others

    A 3-year, off-campus Master's degree program in human development has been implemented since 1978 in various counties in Maryland by the Department of Human Development of the University of Maryland (College Park). The main ingredient of the program is on-site, direct observation of teacher/student behavior followed up by small group sessions…

  18. Work-Experience and Work-Study Programs for Students with Special Needs: Quality Indicators of Transition Services.

    ERIC Educational Resources Information Center

    Wisniewski, Lech A.; And Others

    1991-01-01

    This article proposes a continuum of employment training options for students with special needs and identifies program quality indicators in the areas of assessment and the Individual Education Plan; the employment training program; community-based settings; provisions for on-site training and evaluation; and interagency cooperation. (DB)

  19. 2008 Post-Election Voting Survey of Department of State Voting Assistance Officers: Tabulation of Responses

    DTIC Science & Technology

    2009-07-01

    this survey include Erin St. Pierre and Scott Wiedmann (Federal Voting Assistance Program ). Other important contributors to the survey development...20 a. Federal Voting Assistance Program (FVAP) onsite VAO training workshop...the voting program .............................37 November 2008 Post-Election Voting Survey of Department of State Voting Assistance Officers

  20. An integrated approach for improving occupational health and safety management: the voluntary protection program in Taiwan.

    PubMed

    Su, Teh-Sheng; Tsai, Way-Yi; Yu, Yi-Chun

    2005-05-01

    A voluntary compliance program for occupational health and safety management, Voluntary Protection Programs (VPP), was implemented with a strategy of cooperation and encouragement in Taiwan. Due to limitations on increasing the human forces of inspection, a regulatory-based guideline addressing the essence of Occupational Health and Safety Management Systems (OHSMS) was promulgated, which combined the resources of third parties and insurance providers to accredit a self-improving worksite with the benefits of waived general inspection and a merit contributing to insurance premium payment reduction. A designated institute accepts enterprise's applications, performs document review and organizes the onsite inspection. A final review committee of Council of Labor Affairs (CLA) confers a two-year certificate on an approved site. After ten years, the efforts have shown a dramatic reduction of occupational injuries and illness in the total number of 724 worksites granted certification. VPP worksites, in comparison with all industries, had 49% lower frequency rate in the past three years. The severity rate reduction was 80% in the same period. The characteristics of Taiwan VPP program and international occupational safety and health management programs are provided. A Plan-Do-Check-Act management cycle was employed for pursuing continual improvements to the culture fostered. The use of a quantitative measurement for assessing the performance of enterprises' occupational safety and health management showed the efficiency of the rating. The results demonstrate that an employer voluntary protection program is a promising strategy for a developing country.

  1. 14 CFR 152.417 - Monitoring employment.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Monitoring employment. 152.417 Section 152...) AIRPORTS AIRPORT AID PROGRAM Nondiscrimination in Airport Aid Program § 152.417 Monitoring employment. (a... on-site or desk audits of covered aviation related activities on airports. ...

  2. 14 CFR 152.417 - Monitoring employment.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Monitoring employment. 152.417 Section 152...) AIRPORTS AIRPORT AID PROGRAM Nondiscrimination in Airport Aid Program § 152.417 Monitoring employment. (a... on-site or desk audits of covered aviation related activities on airports. ...

  3. Working with Families: Promising Programs To Help Parents Support Young Children's Learning. Summary of Findings. Final Report.

    ERIC Educational Resources Information Center

    Goodson, Barbara Dillon; And Others

    This report presents the findings of a study conducted for the U.S. Department of Education that analyzed 17 family education programs for disadvantaged families. In-depth studies were conducted on-site for 7 programs; an additional 10 programs were studied via telephone interviews. An "Executive Summary" of eleven pages (also separately…

  4. A Review of Advanced Sewer System Design Technologies (WERF Report INFR4SG09d)

    EPA Science Inventory

    Abstract: This document seeks to collect into one place current and new technologies about sewerage system design. The document organizes the information found in the 295 documents that were reviewed into six subject areas: Advanced Onsite Technologies; Alternative Wastewater C...

  5. 32 CFR 1701.14 - Appeals.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... access, amendment, or accounting by submitting a written request for review to the Director, Information... reverses its initial denial of a request for accounting, the POC will notify the requester when the accounting is available for on-site review or transmission in paper or electronic medium. (e) If ODNI upholds...

  6. Assessment of On-Site Power Opportunities in the Industrial Sector

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

    Bryson, T.

    2001-10-08

    The purpose of this report is to identify the potential for on-site power generation in the U.S. industrial sector with emphasis on nine industrial groups called the ''Industries of the Future'' (IOFs) by the U.S. Department of Energy (DOE). Through its Office of Industrial Technologies (OIT), the DOE has teamed with the IOFs to develop collaborative strategies for improving productivity, global competitiveness, energy usage and environmental performance. Total purchases for electricity and steam for the IOFs are in excess of $27 billion annually. Energy-related costs are very significant for these industries. The nine industrial groups are (1) Agriculture (SIC 1);more » (2) Forest products; (3) Lumber and wood products (SIC 24); (4) Paper and allied products (SIC 26); (5) Mining (SIC 11, 12, 14); (6) Glass (SIC 32); (7) Petroleum (SIC 29); (8) Chemicals (SIC 28); and (9) Metals (SIC 33): Steel, Aluminum, and Metal casting. Although not currently part of the IOF program, the food industry is included in this report because of its close relationship to the agricultural industry and its success with on-site power generation. On-site generation provides an alternative means to reduce energy costs, comply with environmental regulations, and ensure a reliable power supply. On-site generation can ease congestion in the local utility's electric grid. Electric market restructuring is exacerbating the price premium for peak electricity use and for reliability, creating considerable market interest in on-site generation.« less

  7. 20 CFR 633.315 - Replacement, corrective action, termination.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... subrecipient agreements, development of and compliance with corrective action plans, etc. (c) In cases where..., section 402 programs by reason of congressional action, whether by authorization, appropriation, deferral... onsite, seize bank accounts relating to the program, arrange for the payment of legitimate bills and...

  8. 20 CFR 633.315 - Replacement, corrective action, termination.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... subrecipient agreements, development of and compliance with corrective action plans, etc. (c) In cases where..., section 402 programs by reason of congressional action, whether by authorization, appropriation, deferral... onsite, seize bank accounts relating to the program, arrange for the payment of legitimate bills and...

  9. 29 CFR 1908.6 - Conduct of a visit.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... evaluate the employer's safety and health program. The consultant shall explain the necessity for this... health hazards may be provided to employers during and after the onsite consultative visit. Descriptive..., evaluate the employer's program for ensuring safe and healthful employment and provide recommendations for...

  10. 29 CFR 1908.6 - Conduct of a visit.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... evaluate the employer's safety and health program. The consultant shall explain the necessity for this... health hazards may be provided to employers during and after the onsite consultative visit. Descriptive..., evaluate the employer's program for ensuring safe and healthful employment and provide recommendations for...

  11. 29 CFR 1908.6 - Conduct of a visit.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... evaluate the employer's safety and health program. The consultant shall explain the necessity for this... health hazards may be provided to employers during and after the onsite consultative visit. Descriptive..., evaluate the employer's program for ensuring safe and healthful employment and provide recommendations for...

  12. 29 CFR 1908.6 - Conduct of a visit.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... evaluate the employer's safety and health program. The consultant shall explain the necessity for this... health hazards may be provided to employers during and after the onsite consultative visit. Descriptive..., evaluate the employer's program for ensuring safe and healthful employment and provide recommendations for...

  13. 29 CFR 1908.6 - Conduct of a visit.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... evaluate the employer's safety and health program. The consultant shall explain the necessity for this... health hazards may be provided to employers during and after the onsite consultative visit. Descriptive..., evaluate the employer's program for ensuring safe and healthful employment and provide recommendations for...

  14. Review of log sort yards

    Treesearch

    John Rusty Dramm; Gerry L. Jackson; Jenny Wong

    2002-01-01

    This report provides a general overview of current log sort yard operations in the United States, including an extensive literature review and information collected during on-site visits to several operations throughout the nation. Log sort yards provide many services in marketing wood and fiber by concentrating, merchandising, processing, sorting, and adding value to...

  15. Vocational Education-Defense Establishment Collaboration: State-of-the-Practice Report.

    ERIC Educational Resources Information Center

    Chalupsky, Albert B.; Peirano-Dalldorf, Marie R.

    This report presents a review of the historical background, progress, and problems associated with the development of collaborative efforts between vocational education and various sectors of the defense establishment. Through extensive document review, supplemented by telephone and on-site discussions with educators and employers, the benefits…

  16. Septic Systems Guidance, Policy, and Regulations

    EPA Pesticide Factsheets

    EPA has developed several documents outlining its mission, priorities and regulatory authorities as well as guidance and technical information to help communities establish comprehensive septic (onsite) management programs.

  17. Native Language Reading Approach Program, 1982-1983. O.E.E. Final Evaluation Report.

    ERIC Educational Resources Information Center

    Keyes, Jose Luis; And Others

    The Native Language Reading Approach Program in New York City was designed as an exemplary approach to on-site training of classroom teachers and their assistants in how to help students transfer reading skills from their native language to English. Program components included support services, teacher training, material/curriculum development,…

  18. So, You Need To Justify Your Existing ABC Program (or Lobby for a New One).

    ERIC Educational Resources Information Center

    Walsh, Jean Terry; Gillis, Lee

    1998-01-01

    Advice for adventure-based counseling (ABC) programs seeking funding includes setting realistic goals, designing an evaluation that matches program resources, and keeping it simple. Low recidivism is most important to grantors. Published research on ABC is scarce, but on-site process research generates useful data, and local schools and agencies…

  19. Evolution of a nursing education program delivered to baccalaureate-prepared Haitian nurses.

    PubMed

    Lev, Elise L; Lindgren, Teri G; Pearson, Gayle A; Alcindor, Hilda

    2013-01-01

    Haiti has high morbidity and mortality rates, a large proportion of people living in poverty, and a shortage of nurses and nursing faculty members. A partnership program between a US and Haitian university was formed to deliver a certificate program in nursing education. The authors describe their experiences developing, delivering, and evaluating the blended on-site and online program and their future goals.

  20. Sanitary Surveys

    EPA Pesticide Factsheets

    Sanitary survey is on-site review of a public water system’s water source, facilities, equipment, operation, and maintenance. Surveys point out sanitary deficiencies and assess a system’s capability to supply safe drinking water.

  1. A randomised trial of non-mydriatic ultra-wide field retinal imaging versus usual care to screen for diabetic eye disease: rationale and protocol for the Clearsight trial

    PubMed Central

    Mahon, Lewis W; Klar, Neil S; Schulz, David C; Gonder, John R; Hramiak, Irene M; Mahon, Jeffrey L

    2017-01-01

    Introduction Suboptimal screening for diabetic eye disease is a major cause of preventable vision loss. Screening barriers include mydriasis and the extra time patients need to attend dedicated eye screening appointments. In the Clearsight trial, we are testing whether screening by non-mydriatic ultra-wide field (NM UWF) imaging on the day patients attend their diabetes outpatient clinic visit improves detection of clinically important eye disease compared with usual screening. Methods and analysis Patients with diabetes due for a screening eye exam by the 2013 Canadian Diabetes Association (CDA) practice guidelines are being randomised to on-site screening by NM UWF imaging on the day of their clinic visit or to usual screening where, per CDA guidelines, they are encouraged to arrange an exam by an optometrist. The primary outcome is actionable eye disease (AED) based on a need for referral to ophthalmology and/or increased ocular surveillance. The primary analysis will use an intention-to-screen approach that compares the proportions of detected AED between on-site and usual screening groups under a superiority hypothesis in favour of on-site screening. With 740 randomised participants, the study will have 80% power to detect ≥5% absolute increase in the AED rate among on-site screening versus usual screening participants. This difference translates into a number-needed-to-screen by on-site screening of 20 to detect 1 additional person with AED. Ethics and dissemination The protocol was approved by the institutional review board of Western University. The findings of the trial will be disseminated directly to participants and through peer-reviewed publications and conference presentations. Trial registration number ClinicalTrials.Gov NCT02579837 (registered 16 October 2015). Protocol issue date 18 November 2015. PMID:28775182

  2. Development and test fuel cell powered on-site integrated total energy systems. Phase 3: Full-scale power plant development

    NASA Technical Reports Server (NTRS)

    Kaufman, A.

    1982-01-01

    The on-site system application analysis is summarized. Preparations were completed for the first test of a full-sized single cell. Emphasis of the methanol fuel processor development program shifted toward the use of commercial shell-and-tube heat exchangers. An improved method for predicting the carbon-monoxide tolerance of anode catalysts is described. Other stack support areas reported include improved ABA bipolar plate bonding technology, improved electrical measurement techniques for specification-testing of stack components, and anodic corrosion behavior of carbon materials.

  3. Integrated programs for mothers with substance abuse issues and their children: a systematic review of studies reporting on child outcomes.

    PubMed

    Niccols, Alison; Milligan, Karen; Smith, Ainsley; Sword, Wendy; Thabane, Lehana; Henderson, Joanna

    2012-04-01

    Integrated treatment programs (those that include on-site pregnancy-, parenting-, or child-related services with addiction services) were developed to break the intergenerational cycle of addiction, potential child maltreatment, and poor outcomes for children. To examine the impact and effects of integrated programs for women with substance abuse issues and their children, we performed a systematic review of studies published from 1990 to 2011. Literature search strategies included online bibliographic database searches, checking printed sources, and requests to researchers. Studies were included if all participants were mothers with substance abuse problems at baseline; the treatment program included at least 1 specific substance use treatment and at least 1 parenting or child treatment service; the study design was randomized, quasi-experimental, or cohort; and there were quantitative data on child outcomes. We summarized data on child development, growth, and emotional and behavioral outcomes. Thirteen studies (2 randomized trials, 3 quasi-experimental studies, 8 cohort studies; N=775 children) were included in the review. Most studies using pre-post design indicated improvements in child development (with small to large effects, ds=0.007-1.132) and emotional and behavioral functioning (with most available effect sizes being large, ds=0.652-1.132). Comparison group studies revealed higher scores for infants of women in integrated programs than those not in treatment, with regard to development and most growth parameters (length, weight, and head circumference; with all available effect sizes being large, ds=1.16-2.48). In studies comparing integrated to non-integrated programs, most improvements in emotional and behavioral functioning favored integrated programs and, where available, most effect sizes indicated that this advantage was small (ds=0.22-0.45). Available evidence supports integrated programs, as findings suggest that they are associated with improvements in child development, growth, and emotional and behavioral functioning. More research is required comparing integrated to non-integrated programs. This review highlights the need for improved methodology, study quality, and reporting to improve our understanding of how best to meet the needs of children of women with substance abuse issues. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. Referral patterns and service utilization in a pediatric hospital-wide intimate partner violence program.

    PubMed

    Cruz, Mario; Cruz, Patricia B; Weirich, Christine; McGorty, Ryan; McColgan, Maria D

    2013-08-01

    To describe the referral patterns and utilization of on-site intimate partner violence (IPV) services in both inpatient and outpatient settings at a large urban children's hospital. Retrospective review of case records from IPV victims referred to an on-site IPV counselor between September 2005 and February 2010. Descriptive statistics were used to examine IPV victim demographics, number of referrals per hospital department, referral source (type of staff member), time spent by IPV counselor for initial consultation, and services provided to IPV victims. A total of 453 unique referrals were made to the IPV counselor: 81% were identified by universal screening and 19% by risk-based screening. Thirty-six percent of IPV victims were referred from primary care clinics; 26% from inpatient units; 13% from outpatient subspecialty clinics; 12.5% from the emergency department; 5% from the Child Protection Program; and 4% were employee self-referrals. Social workers generated the most referrals (55%), followed by attending physicians (17%), residents (13%), nurses (7%), and other individuals (self-referrals) (4%). The median initial IPV intervention required 42 minutes. Supportive counseling and safety planning were the services most often utilized by IPV victims. IPV screening can be successfully integrated in both inpatient and outpatient settings by a multidisciplinary group of hospital staff. Most referrals were generated by universal screening outside of the primary care setting. IPV victims generally desired supportive counseling and safety planning over immediate housing relocation. Many IPV screening opportunities were missed by using verbal screening alone. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. On-site bundled rapid HIV/HCV testing in substance use disorder treatment programs: study protocol for a hybrid design randomized controlled trial.

    PubMed

    Frimpong, Jemima A; D'Aunno, Thomas; Perlman, David C; Strauss, Shiela M; Mallow, Alissa; Hernandez, Diana; Schackman, Bruce R; Feaster, Daniel J; Metsch, Lisa R

    2016-03-03

    More than 1.2 million people in the United States are living with human immunodeficiency virus (HIV), and 3.2 million are living with hepatitis C virus (HCV). An estimated 25 % of persons living with HIV also have HCV. It is therefore of great public health importance to ensure the prompt diagnosis of both HIV and HCV in populations that have the highest prevalence of both infections, including individuals with substance use disorders (SUD). In this theory-driven, efficacy-effectiveness-implementation hybrid study, we will develop and test an on-site bundled rapid HIV/HCV testing intervention for SUD treatment programs. Its aim is to increase the receipt of HIV and HCV test results among SUD treatment patients. Using a rigorous process involving patients, providers, and program managers, we will incorporate rapid HCV testing into evidence-based HIV testing and linkage to care interventions. We will then test, in a randomized controlled trial, the extent to which this bundled rapid HIV/HCV testing approach increases receipt of HIV and HCV test results. Lastly, we will conduct formative research to understand the barriers to, and facilitators of, the adoption, implementation, and sustainability of the bundled rapid testing strategy in SUD treatment programs. Novel approaches that effectively integrate on-site rapid HIV and rapid HCV testing are needed to address both the HIV and HCV epidemics. If feasible and efficacious, bundled rapid HIV/HCV testing may offer a scalable, potentially cost-effective approach to testing high-risk populations, such as patients of SUD treatment programs. It may ultimately lead to improved linkage to care and progress through the HIV and HCV care and treatment cascades. ClinicalTrials.gov: NCT02355080 . (30 January 2015).

  6. NEVER AUDIT ALONE--THE CASE FOR AUDIT TEAMS

    EPA Science Inventory

    On-site audits conducted by technical and quality assurance (QA) experts at the data-gathering location are the core of an effective QA program. However, inadequate resources for such audits are the bane of a QA program, and the proposed solution frequently is to send only one au...

  7. Wisconsin Workplace Partnership Literacy Program (WPL). Evaluation. 2nd Edition.

    ERIC Educational Resources Information Center

    Paris, Kathleen A.

    The Wisconsin Workplace Partnership Literacy (WPL) Program provided job-specific basic skills education to employees at 11 worksites. A total of 1,441 employees were recruited to participate in on-site competency-based educational activities to upgrade their basic skills sufficiently for job retention or advancement. Participants were encouraged…

  8. A novel educational strategy targeting health care workers in underserved communities in Central America to integrate HIV into primary medical care.

    PubMed

    Flys, Tamara; González, Rosalba; Sued, Omar; Suarez Conejero, Juana; Kestler, Edgar; Sosa, Nestor; McKenzie-White, Jane; Monzón, Irma Irene; Torres, Carmen-Rosa; Page, Kathleen

    2012-01-01

    Current educational strategies to integrate HIV care into primary medical care in Central America have traditionally targeted managers or higher-level officials, rather than local health care workers (HCWs). We developed a complementary online and on-site interactive training program to reach local HCWs at the primary care level in underserved communities. The training program targeted physicians, nurses, and community HCWs with limited access to traditional onsite training in Panama, Nicaragua, Dominican Republic, and Guatemala. The curriculum focused on principles of HIV care and health systems using a tutor-supported blended educational approach of an 8-week online component, a weeklong on-site problem-solving workshop, and individualized project-based interventions. Of 258 initially active participants, 225 (225/258=87.2%) successfully completed the online component and the top 200 were invited to the on-site workshop. Of those, 170 (170/200=85%) attended the on-site workshop. In total, 142 completed all three components, including the project phase. Quantitative and qualitative evaluation instruments included knowledge assessments, reflexive essays, and acceptability surveys. The mean pre and post-essay scores demonstrating understanding of social determinants, health system organization, and integration of HIV services were 70% and 87.5%, respectively, with an increase in knowledge of 17.2% (p<0.001). The mean pre- and post-test scores evaluating clinical knowledge were 70.9% and 90.3%, respectively, with an increase in knowledge of 19.4% (p<0.001). A survey of Likert scale and open-ended questions demonstrated overwhelming participant satisfaction with course content, structure, and effectiveness in improving their HIV-related knowledge and skills. This innovative curriculum utilized technology to target HCWs with limited access to educational resources. Participants benefited from technical skills acquired through the process, and could continue working within their underserved communities while participating in the online component and then implement interventions that successfully converted theoretical knowledge to action to improve integration of HIV care into primary care.

  9. The Pause That Refreshes: A Study of the Discovery Corners in the National Museum of History and Technology Smithsonian Institution.

    ERIC Educational Resources Information Center

    Wolf, Robert L.; Tymitz, Barbara L.

    This report examines the impact and effectiveness of an educational program (Discovery Corners) offered by the National Museum of History and Technology. The main objective is to offer feedback to museum personnel regarding the impact of museum exhibits and programs. The Discovery Corners program involves on-site presentations and demonstrations…

  10. Constructing an Online MCAT Preparation Program as an Alternative to On-Site Preparation for Medical School

    ERIC Educational Resources Information Center

    Navarre, Berengaria; Perez, Norma A.; Smith, Sarah Toombs

    2017-01-01

    Based on a successful five-week summer program, we constructed an online alternative to prepare Hispanic students to take the Medical College Admission Test (MCAT). We used input from student premed advisors, students, a faculty mentor, a Verbal Reasoning coach, and the program administrator. Online activities were provided to support the student…

  11. Perceptions of and preferences for fee program dollar utilization among wilderness visitors

    Treesearch

    Ingrid Schneider; Christopher LaPointe; Sharon Stievater

    2000-01-01

    The purpose of this study was to ascertain visitor perceptions of a fee program and preferences for management utilization of the fee dollars. Differences in program perceptions were examined both by activity and activity style. Wilderness visitors in the American Southwest were surveyed on-site during the 1997–1998 season. Overall, respondents moderately agreed that...

  12. Respiratory Protection Program medical clearance for respirator use

    NASA Technical Reports Server (NTRS)

    1993-01-01

    Background on occupational exposure to various inhalents is discussed including on-site hazard control measures, procedures, physiological effects, and interpretation of results for the medical clearance of employee for use of personal respiratory protection devices. The purpose of the Respiratory Protection Program at LeRC is outlined, and the specifics of the Medical Surveillance Program for Respiratory Protection at LeRC are discussed.

  13. Costs in Serving Handicapped Children in Head Start: An Analysis of Methods and Cost Estimates. Final Report.

    ERIC Educational Resources Information Center

    Syracuse Univ., NY. Div. of Special Education and Rehabilitation.

    An evaluation of the costs of serving handicapped children in Head Start was based on information collected in conjunction with on-site visits to regular Head Start programs, experimental programs, and specially selected model preschool programs, and from questionnaires completed by 1,353 grantees and delegate agencies of regular Head Start…

  14. 45 CFR 1355.33 - Procedures for the review.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION ON CHILDREN, YOUTH AND FAMILIES, FOSTER CARE... includes a statewide assessment and an on-site review; and (2) Be conducted by a team of Federal, and State... upon by the title IV-E agency and ACF. (b) Statewide or Tribal Assessment. The first phase of the full...

  15. International Commission for Mountain Emergency Medicine Consensus Guidelines for On-Site Management and Transport of Patients in Canyoning Incidents.

    PubMed

    Strapazzon, Giacomo; Reisten, Oliver; Argenone, Fabien; Zafren, Ken; Zen-Ruffinen, Greg; Larsen, Gordon L; Soteras, Inigo

    2018-06-01

    Canyoning is a recreational activity that has increased in popularity in the last decade in Europe and North America, resulting in up to 40% of the total search and rescue costs in some geographic locations. The International Commission for Mountain Emergency Medicine convened an expert panel to develop recommendations for on-site management and transport of patients in canyoning incidents. The goal of the current review is to provide guidance to healthcare providers and canyoning rescue professionals about best practices for rescue and medical treatment through the evaluation of the existing best evidence, focusing on the unique combination of remoteness, water exposure, limited on-site patient management options, and technically challenging terrain. Recommendations are graded on the basis of quality of supporting evidence according to the classification scheme of the American College of Chest Physicians. Copyright © 2017 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  16. Development and alumni assessment of an interdisciplinary PhD program offered through a blended learning environment.

    PubMed

    Goldberg, Debora Goetz; Clement, Dolores G; Cotter, J James

    2011-01-01

    There is a growing need for doctoral-prepared allied health professionals in health care practice, research, and teaching. This paper describes the development and evolution of the PhD Program in Health Related Sciences at Virginia Commonwealth University, which was designed to meet the demand for flexible learning environments by working allied health professionals. The program, now on its 14th year, offers interdisciplinary education in allied health fields through a blended learning environment that includes online and on-site education. An alumni assessment of the program was conducted in 2006 and 2008 to understand how well the program trained its graduates and how well the program responded to the needs of students. Six primary areas were reviewed: 1) extent to which program goals were achieved, 2) general skills and knowledge development for the student, 3) adequacy of the advising function of the program, 4) specific skill development for the student, 5) adequacy of instructional technology, and 6) impressions of the overall program. Findings from the alumni assessment led to changes in curriculum, enhanced use of distance education teaching, additional instructor training on distance-based multimedia technologies, and enhanced student-faculty interaction. Assessment of this program identified key areas, such as technology support, student-student interaction, and student-instructor interaction, which should be emphasized in the development or redesign of allied health educational programs offered in blended learning formats.

  17. 24 CFR 1000.526 - What information will HUD use for its review?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT NATIVE AMERICAN HOUSING ACTIVITIES Recipient Monitoring... monitoring of the recipient's performance, including on-site evaluation of the quality of the work performed...

  18. 24 CFR 1000.526 - What information will HUD use for its review?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT NATIVE AMERICAN HOUSING ACTIVITIES Recipient Monitoring... monitoring of the recipient's performance, including on-site evaluation of the quality of the work performed...

  19. 24 CFR 1000.526 - What information will HUD use for its review?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT NATIVE AMERICAN HOUSING ACTIVITIES Recipient Monitoring... monitoring of the recipient's performance, including on-site evaluation of the quality of the work performed...

  20. 24 CFR 1000.526 - What information will HUD use for its review?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT NATIVE AMERICAN HOUSING ACTIVITIES Recipient Monitoring... monitoring of the recipient's performance, including on-site evaluation of the quality of the work performed...

  1. 24 CFR 1000.526 - What information will HUD use for its review?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT NATIVE AMERICAN HOUSING ACTIVITIES Recipient Monitoring... monitoring of the recipient's performance, including on-site evaluation of the quality of the work performed...

  2. RMP Guidance for Warehouses - Chapter 10: Implementation

    EPA Pesticide Factsheets

    The implementing agency is the federal, state, or local agency taking the lead for implementation and enforcement of part 68. They review risk management plans, select some for audits, and conduct on-site inspections.

  3. Evaluation of Geothermal and Natural Gas Resources Beneath Camp Dawson and Opportunities for Deep Direct Use of Geothermal Energy or Natural Gas for Heat and Electricity Production; NETL-TRS-8-2017; NETL Technical Report Series; U.S. Department of Energy, National Energy Technology Laboratory: Morgantown, WV, 2017; p 148.

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

    Means, Ken; Muring, Timothy M.; Sams, Neal W.

    NETL has reviewed available information and evaluated the deep geothermal and natural gas resources located beneath the Camp Dawson National Guard Training Center in West Virginia. This facility is located in the northeastern portion of the state in Preston County, near the town of Kingwood. This study reviews options for the onsite drilling of wells for the production of geothermal heat or natural gas, as well as the utilization of these resources for on-site power and heating needs. Resources of potential interest are at subsurface depths between 7,000 feet and 15,000 feet.

  4. Proceedings of the 24th Seismic Research Review: Nuclear Explosion Monitoring: Innovation and Integration

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

    Warren, N. Jill

    2002-09-17

    These proceedings contain papers prepared for the 24th Seismic Research Review: Nuclear Explosion Monitoring: Innovation and Integration, held 17-19 September, 2002 in Ponte Vedra Beach, Florida. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Defense Threat Reduction Agency (DTRA), and other invited sponsors. The scientific objectives of the research are to improve the United States capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoring agencies, as well as potential users, an opportunity to review research accomplished during the precedingmore » year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  5. 7 CFR 783.5 - Application.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... SPECIAL PROGRAMS TREE ASSISTANCE PROGRAM § 783.5 Application. (a) A complete application for TAP benefits... written estimate of the number of trees, bushes or vines lost or damaged which is prepared by the owner or... the number of acres involved by on-site visual inspection of the land and trees, bushes or vines. (3...

  6. Puerto Rico Nursing Career Cooperative Demonstration Program. Final Performance Report.

    ERIC Educational Resources Information Center

    Puerto Rico State Dept. of Education, Hato Rey.

    The Puerto Rico Nursing Career Cooperative Demonstration Project and Associate Nursing Program provided education and onsite occupational training laboratory to upgrade the education of 20 licensed practical nurses (LPNs) from 1989-90. The nurses were upgraded to associate nurses in an 18-month period at the Technological Institute of Puerto Rico.…

  7. 77 FR 39722 - Notice of Proposed Information Collection for Public Comment: Housing Choice Voucher Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-05

    ... Information Collection for Public Comment: Housing Choice Voucher Program Administrative Fee Study Data... is soliciting public comments on the subject proposal. This request is for the clearance of on-site and telephone data collection from public housing agencies (PHAs) in support of the Housing Choice...

  8. State safety oversight program : audit of the tri-state oversight committee and the Washington metropolitan area transit authority, final audit report, March 4, 2010.

    DOT National Transportation Integrated Search

    2010-03-04

    The Federal Transit Administration (FTA) conducted an on-site audit of the safety program implemented by the Washington Metropolitan Area Transit Authority (WMATA) and overseen by the Tri-State Oversight Committee (TOC) between December 14 and 17, 20...

  9. 78 FR 48441 - Office of Urban Indian Health Programs Proposed Single Source Grant With Native American...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-08

    ... outreach and case management, the program has expanded offering to include on-site dental service and... Care: Customer service is the key to quality care. Treating patients well is the first step to improving quality and access. This area also incorporates Best Practices in customer service. Identify...

  10. 10 CFR 26.4 - FFD program applicability to categories of individuals.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ....4 Section 26.4 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Administrative... unescorted access to nuclear power reactor protected areas by the licensees in § 26.3(a) and, as applicable... health and safety; (2) Performing health physics or chemistry duties required as a member of the onsite...

  11. 10 CFR 26.4 - FFD program applicability to categories of individuals.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ....4 Section 26.4 Energy NUCLEAR REGULATORY COMMISSION FITNESS FOR DUTY PROGRAMS Administrative... unescorted access to nuclear power reactor protected areas by the licensees in § 26.3(a) and, as applicable... health and safety; (2) Performing health physics or chemistry duties required as a member of the onsite...

  12. Feasibility of an Online Professional Development Program for Early Intervention Practitioners

    ERIC Educational Resources Information Center

    Kyzar, Kathleen B.; Chiu, Caya; Kemp, Peggy; Aldersey, Heather Michelle; Turnbull, Ann P.; Lindeman, David P.

    2014-01-01

    This article reports findings from 2 studies situated within a larger scope of design research on a professional development program, "Early Years," for Part C early intervention practitioners, working with families in home and community settings. Early Years includes online modules and onsite mentor coaching, and its development has…

  13. 78 FR 61324 - Agency Information Collection Activities: Proposed Collection; Comment Request-Special Nutrition...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-03

    ... Programs. The study is designed to collect data from a nationally representative sample of public School... the on-site data collection that was included in Year 2. The study will provide general descriptive... study will help FNS obtain: [ssquf] General descriptive data on the CN programs characteristics to help...

  14. Qualities of the Participant Experience in an Object-Based Museum Outreach Program to Retirement Communities

    ERIC Educational Resources Information Center

    Smiraglia, Christina

    2015-01-01

    Reminiscence programs that stimulate participants' memories through discussion are popular as both enrichment activity and clinical treatment for older adults. Museums in multiple countries are starting to offer reminiscence opportunities on-site and through outreach. This study is an investigation of the qualities of the participant experience in…

  15. Advancing MCH Interdisciplinary/Interprofessional Leadership Training and Practice Through a Learning Collaborative.

    PubMed

    McHugh, Meaghan C; Margolis, Lewis H; Rosenberg, Angela; Humphreys, Elizabeth

    2016-11-01

    Purpose The Interdisciplinary Leadership Learning Collaborative (ILLC), under the sponsorship of AUCD and the Maternal and Child Health Bureau, brought together six teams, composed of 14 MCHB and UCEDD training programs to enhance their leadership training. Description Using adult learning principles, interactive training methods, and skill-focused learning, the ILLC built upon the evidence-based Interdisciplinary Leadership Development Program of the University of North Carolina at Chapel Hill. The program began with a 4-day on-site intensive and then continued through monthly conference calls, a mid-term on-site workshop, and a summary virtual workshop to present programmatic accomplishments and share plans for sustainability. Coaching/consultation for the teams around particular challenges was also part of the program. Assessment All teams reported enhancements in intentional leadership training, threading of leadership concepts across clinical, didactic, and workshop settings, and new collaborative partnerships for leadership training. Teams also identified a number of strategies to increase sustainability of their intentional leadership training efforts. Conclusion for Practice The learning collaborative is a productive model to address the growing need for interdisciplinary MCH leaders.

  16. Identifying Barriers That Hinder Onsite Parental Involvement in a School-Based Health Promotion Program

    PubMed Central

    Garcia-Dominic, Oralia; Wray, Linda A.; Treviño, Roberto P.; Hernandez, Arthur E.; Yin, Zenong; Ulbrecht, Jan S.

    2009-01-01

    We investigated whether barriers to onsite parental involvement in the Bienestar Health Program Parent Component could be identified and whether participation rates could be increased by addressing these barriers. All nonparticipating parents of fourth-grade students of San Antonio Independent School District from 4 schools, which were selected randomly from 20 intervention schools in Bienestar, were invited to take part in this study. A total of 47 of 223 (21%) parents engaged in one of four focus groups offered. Parents identified barriers to their involvement in Bienestar that fit into five descriptive categories: (a) low value, (b) high cost, (c) competing family demands, (d) concerns about the program design, and (e) social role norms. The Bienestar Parent Component was then modified according to the focus group findings, which resulted in a marked increase in parental involvement from 17% to 37% overall. These findings suggest that even when parents are involved in the initial design of parent-friendly and culturally sensitive programs, as was the case for Bienestar, maximizing parental involvement may require additional assessment, identification, and remediation of barriers. PMID:19339644

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

    ENVIRONMENT AND WASTE MANAGMENT SERVICES DIVISION; ET AL.

    Each year, Brookhaven National Laboratory (BNL), a multi-program national laboratory, prepares an annual Site Environmental Report (SER) in accordance with Order 231.1A, Environment, Safety and Health Reporting, of the U.S. Department of Energy (DOE). The SER is written to inform outside regulators, the public, and Laboratory employees of BNL's environmental performance during the calendar year in review, and to summarize BNL's on-site environmental data; environmental management performance; compliance with applicable DOE, Environmental Protection Agency (EPA), state, and local regulations; and environmental, restoration, and surveillance monitoring programs. BNL has prepared annual SERs since 1971 and has documented nearly all of itsmore » environmental history since the Laboratory's inception in 1947. This report is intended to be a technical document. It is available in print and as a downloadable file on the BNL web page at http://www.bnl.ser.htm. A summary of the SER is also prepared each year to provide a general overview, and is distributed with a CD version of the full-length SER. The summary supports BNL's educational and community outreach program.« less

  18. The Mobile Reference Service: a case study of an onsite reference service program at the School of Public Health.

    PubMed

    Tao, Donghua; McCarthy, Patrick G; Krieger, Mary M; Webb, Annie B

    2009-01-01

    The School of Public Health at Saint Louis University is located at a greater distance from the library than other programs on the main medical center campus. Physical distance diminishes the ease of access to direct reference services for public health users. To bridge the gap, the library developed the Mobile Reference Service to deliver on-site information assistance with regular office hours each week. Between September 2006 and April 2007, a total of 57 in-depth reference transactions took place over 25 weeks, averaging 2 transactions per week in a 2-hour period. Overall reference transactions from public health users went up 28%, while liaison contacts with public health users doubled compared to the same period the year before. The Mobile Reference Service program has improved library support for research and scholarship, cultivated and strengthened liaison relationships, and enhanced marketing and delivery of library resources and services to the Saint Louis University School of Public Health.

  19. The Mobile Reference Service: a case study of an onsite reference service program at the school of public health*

    PubMed Central

    Tao, Donghua; McCarthy, Patrick G.; Krieger, Mary M.; Webb, Annie B.

    2009-01-01

    The School of Public Health at Saint Louis University is located at a greater distance from the library than other programs on the main medical center campus. Physical distance diminishes the ease of access to direct reference services for public health users. To bridge the gap, the library developed the Mobile Reference Service to deliver onsite information assistance with regular office hours each week. Between September 2006 and April 2007, a total of 57 in-depth reference transactions took place over 25 weeks, averaging 2 transactions per week in a 2-hour period. Overall reference transactions from public health users went up 28%, while liaison contacts with public health users doubled compared to the same period the year before. The Mobile Reference Service program has improved library support for research and scholarship, cultivated and strengthened liaison relationships, and enhanced marketing and delivery of library resources and services to the Saint Louis University School of Public Health. PMID:19159004

  20. A Study of the Extent and Effect of English Language Training for Refugees. Phase II: Classroom Observation and Community Survey.

    ERIC Educational Resources Information Center

    Reder, Stephen; Cohn, Mary

    The second phase of a study of the impact of English language training programs on adult Southeast Asian refugees involved on-site visits to 22 intensive programs in eight metropolitan areas: San Diego, Seattle, Minneapolis/St. Paul, New Orleans, Oklahoma City, Northern Virginia/Washington, DC, and Stockton, California. Programs represented a wide…

  1. A Feasibility Study to Assess Alternative Energy Program Development Potential at the Community College Level, October 1, 1983-June 30, 1984. Final Report.

    ERIC Educational Resources Information Center

    Blair, Brittain A.

    In 1983-84, a feasibility study was conducted to determine the viability of establishing a comprehensive alternative energy technology program at Southeastern Illinois College (SIC). The study involved an examination of a number of exemplary associate degree programs in alternative energy, through on-site visits and telephone surveys; a survey of…

  2. 40 CFR 82.40 - Technician training and certification.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... address in § 82.38(a) verification that the program meets all of the following standards: (1) Training... training, training through self-study of instructional material, or on-site training involving instructors...

  3. Current Status of On-Site Wastewater Management

    ERIC Educational Resources Information Center

    Senn, Charles L.

    1978-01-01

    Wastewater management is becoming an important environmental issue nationally. This article reports the history and current status of wastewater management. Regulatory programs are discussed with specific state examples. Needs assessment is also included. (MA)

  4. RMP Guidance for Chemical Distributors - Chapter 10: Implementation

    EPA Pesticide Factsheets

    The implementing agency is the federal, state, or local agency taking the lead for implementation and enforcement of part 68. They will review Risk Management Plans, select some for audits, and conduct on-site inspections.

  5. Massachusetts Fuel Cell Bus Project: Demonstrating a Total Transit Solution for Fuel Cell Electric Buses in Boston

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

    The Federal Transit Administration's National Fuel Cell Bus Program focuses on developing commercially viable fuel cell bus technologies. Nuvera is leading the Massachusetts Fuel Cell Bus project to demonstrate a complete transit solution for fuel cell electric buses that includes one bus and an on-site hydrogen generation station for the Massachusetts Bay Transportation Authority (MBTA). A team consisting of ElDorado National, BAE Systems, and Ballard Power Systems built the fuel cell electric bus, and Nuvera is providing its PowerTap on-site hydrogen generator to provide fuel for the bus.

  6. 76 FR 65485 - Petition for Approval of Alternate Odometer Disclosure Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... is subject to review during on-site audits by NYSDMV. When a New York dealer sells a vehicle to a... review the vehicle's data and odometer disclosure on New York's system and compare it to the paper... determination. SUMMARY: The State of New York has petitioned for approval of alternate odometer requirements to...

  7. Nurse-Led School-Based Child Obesity Prevention.

    PubMed

    Tucker, Sharon; Lanningham-Foster, Lorraine M

    2015-12-01

    School-based childhood obesity prevention programs have grown in response to reductions in child physical activity (PA), increased sedentariness, poor diet, and soaring child obesity rates. Multiple systematic reviews indicate school-based obesity prevention/treatment interventions are effective, yet few studies have examined the school nurse role in obesity interventions. Building on a previous study, this study examines a refined health messaging (Let's Go 5-2-1-0) program delivered to fourth and fifth graders (n = 72) by a school nurse with reinforcement on-site health coaching by senior nursing students. Two nursing schools and two elementary schools participated. Measures of PA, body mass index percentile, and self-reported health habits were collected at baseline (School A, September 2009 and School B, January 2010) and end of year (April 2010 for both schools). Findings included statistically significant increases in PA levels and improvements in child-reported health habits. School nurses can influence obesity prevention. Further research on adoption of school nurse-led obesity interventions is warranted. © The Author(s) 2015.

  8. Qualitative and Semiquantitative Assessment of Exposure to Engineered Nanomaterials within the French EpiNano Program: Inter- and Intramethod Reliability Study.

    PubMed

    Guseva Canu, Irina; Jezewski-Serra, Delphine; Delabre, Laurène; Ducamp, Stéphane; Iwatsubo, Yuriko; Audignon-Durand, Sabine; Ducros, Cécile; Radauceanu, Anca; Durand, Catherine; Witschger, Olivier; Flahaut, Emmanuel

    2017-01-01

    The relatively recent development of industries working with nanomaterials has created challenges for exposure assessment. In this article, we propose a relatively simple approach to assessing nanomaterial exposures for the purposes of epidemiological studies of workers in these industries. This method consists of an onsite industrial hygiene visit of facilities carried out individually and a description of workstations where nano-objects and their agglomerates and aggregates (NOAA) are present using a standardized tool, the Onsite technical logbook. To assess its reliability, we implemented this approach for assessing exposure to NOAA in workplaces at seven workstations which synthesize and functionalize carbon nanotubes. The prediction of exposure to NOAA using this method exhibited substantial agreement with that of the reference method, the latter being based on an onsite group visit, an expert's report and exposure measurements (Cohen kappa = 0.70, sensitivity = 0.88, specificity = 0.92). Intramethod comparison of results for exposure prediction showed moderate agreement between the three evaluators (two program team evaluators and one external evaluator) (weighted Fleiss kappa = 0.60, P = 0.003). Interevaluator reliability of the semiquantitative exposure characterization results was excellent between the two evaluators from the program team (Spearman rho = 0.93, P = 0.03) and fair when these two evaluators' results were compared with the external evaluator's results. The project was undertaken within the framework of the French epidemiological surveillance program EpiNano. This study allowed a first reliability assessment of the EpiNano method. However, to further validate this method a comparison with robust quantitative exposure measurement data is necessary. © The Author 2017. Published by Oxford University Press on behalf of the British Occupational Hygiene Society.

  9. Research Training Program for College and University Students

    EPA Pesticide Factsheets

    EPA-ORD seeks applications from eligible entities to enter into cooperative agreements with EPA that will provide training opportunities for undergraduate and graduate students on-site at EPA-ORD research facilities located in Cincinnati, OH.

  10. 75 FR 8407 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... Request, NA Form 6006, which will be used by NARA employees, on-site contractors, volunteers, Foundation...: Identification Card Request. OMB number: 3095-0057. Agency form number: NA Form 6006. Type of review: Regular...

  11. Summit Equipment & Supplies, Inc. Five-Year Reviews

    EPA Pesticide Factsheets

    The Summit Equipment & Supplies site in Akron, OH is a former salvage yard and scrap metal facility with PCB contamination of soil on-site, off-site movement of the PCBs, and ground water contamination under the site.

  12. Assessing the success of the WomanKind program: an integrated model of 24-hour health care response to domestic violence.

    PubMed

    Short, Lynn M; Hadley, Susan M; Bates, Bonnie

    2002-01-01

    The WomanKind program, a non-profit health care based program for for victims of domestic/intimate partner violence (IPV), seeks to enable and motivate health care providers to identify victims of such violence and refer them to WomanKind's in-house services. An evaluation designed to assess client referral to WomanKind services and the impact of health care provider training was carried out. Data were collected at three intervals over a 2-year period at 3 intervention and 2 comparison hospitals located in Minneapolis, MN. The focus of data collection efforts was to assess the providers' knowledge, attitudes, beliefs, and behaviors (KABB) concerning identification and referral of victims of IPV. Hospital staff and volunteer advocate training programs also were evaluated. Chart reviews were conducted and client referrals assessed. Providers at WomanKind hospitals demonstrated significantly higher knowledge, attitudes, beliefs and behaviors than those at comparison hospitals throughout the study. During the data collection period, 1719 IPV victims were identified and referred to the WomanKind program, while only 27 IPV victims were referred to trained social workers at the comparison hospitals. Chart reviews indicated that emergency staff at the intervention sites provide documentation of IPV in patient records twice as frequently as emergency staff at the comparison sites. This research underscores the efficacy of a well-structured, multidisciplinary effort to deliver services to IPV victims. The results demonstrate that specialized training and on-site client services create a significant positive impact on the KABB of health care providers.

  13. A Review of On-Site Wastewater Treatment Systems in Western Australia from 1997 to 2011

    PubMed Central

    Gunady, Maria; Shishkina, Natalia; Tan, Henry; Rodriguez, Clemencia

    2015-01-01

    On-site wastewater treatment systems (OWTS) are widely used in Western Australia (WA) to treat and dispose of household wastewater in areas where centralized sewerage systems are unavailable. Septic tanks, aerobic treatment units (ATUs), and composting toilets with greywater systems are among the most well established and commonly used OWTS. However, there are concerns that some OWTS installed in WA are either performing below expected standards or failing. Poorly performing OWTS are often attributed to inadequate installation, inadequate maintenance, poor public awareness, insufficient local authority resources, ongoing wastewater management issues, or inadequate adoption of standards, procedures, and guidelines. This paper is to review the installations and failures of OWTS in WA. Recommendations to the Department of Health Western Australia (DOHWA) and Local Government (LG) in regard to management strategies and institutional arrangements of OWTS are also highlighted. PMID:25960745

  14. External quality-assurance results for the National Atmospheric Deposition Program/National Trends Network, 1995-96

    USGS Publications Warehouse

    Gordon, John D.

    1999-01-01

    The U.S. Geological Survey operated four external quality-assurance programs for the National Atmospheric Deposition Program/National Trends Network (NADP/NTN) in 1995 and 1996: the intersite-comparison program, the blind-audit program, the interlaboratory- comparison program, and the collocated-sampler program. The intersite-comparison program assessed the precision and bias of pH and specific-conductance determinations made by NADP/NTN site operators. The analytical bias introduced during routine handling, processing, and shipping of wet-deposition samples and precision of analyte values was estimated using a blind-audit program. An interlaboratory-comparison program was used to evaluate differences between analytical results and to estimate the analytical precision of five North American laboratories that routinely analyzed wet deposition. A collocated-sampler program estimated the precision of the overall precipitation collection and analysis system from initial sample collection through final storage of the data. Results of two intersite-comparison studies completed in 1995 indicated 94.6 and 94.4 percent of the onsite pH determinations met the NADP/NTN accuracy goals, whereas 97.2 and 98.3 percent of the specific-conductance determinations were within the established limits. The percentages of onsite determinations that met the accuracy goals in 1996 were slightly less for both pH and specific-conductance than in 1995. In 1996, 93.2 and 87.5 percent of onsite pH determinations met the accuracy goals, whereas the percentage of onsite specific-conductance measurements that met the goals was 93.9 and 94.9 percent.The blind audit program utilizes a paired sample design to evaluate the effects of routine sample handling, processing and shipping on the chemistry of weekly precipitation samples. The portion of the blind audit sample subject to all of the normal onsite handling and processing steps of a regular weekly precipitation sample is referred to as the bucket portion, whereas the portion receiving only minimal handling is referred to as the bottle portion. Throughout the report, the term positive bias in regard to blind-audit results indicates that the bucket portion had a higher concentration than the bottle portion. The paired t-test of 1995 blind-audit data indicated that routine sample handling, processing, and shipping introduced a very small positive bias (a=0.05) for hydrogen ion and specific conductance and a slight negative bias (a =0.05) for ammonium and sodium. In 1995, the median paired differences between the bucket and bottle portions ranged from -0.02 milligram per liter for both ammonium and nitrate to +0.002 milligram per liter for calcium. Although the paired t-test indicated a very small positive bias for hydrogen ion, the median paired difference between the bucket and bottle portions was 0.00 microequivalents per liter, whereas for specific conductance, the median paired difference between the bucket and bottle portions was 0.200 microsiemens per centimeter in 1995. The paired t-test of blind-audit results in 1996 indicated statistically significant bias for 6 of the 10 analytes. Only chloride, nitrate, hydrogen ion, and specific conductance were not biased in 1996. However, the magnitude of the bias in 1996 was very small and only of limited importance from the viewpoint of an analytical chemist or data user. The median paired differences between the bucket and bottle portions ranged from -0.02 milligram per liter for both ammonium and chloride to +0.006 milligram per liter for calcium. For hydrogen ion, the median paired difference between the bucket and bottle portions was -0.357 microequivalent per liter; for specific conductance, the median paired difference between the bucket and bottle portions was 0.00 microsiemens per centimeter in 1996. Surface-chemistry effects due to different amounts of precipitation contacting the sample collection and shipping container surfac

  15. Setting up the On-Site Marriage and Family Therapy Clinical Training Course

    ERIC Educational Resources Information Center

    Ratanasiripong, Paul; Ghafoori, Bita

    2009-01-01

    The first clinical training experience or practicum for graduate students in a Marriage and Family Therapy (MFT) program is one of the most important aspects of the entire training program. After a year-long journey through textbook and classroom knowledge, students have the opportunity to finally apply their skills to real life environments with…

  16. Jobs-Plus Site-by-Site: An Early Look at Program Implementation. A Jobs-Plus Working Paper.

    ERIC Educational Resources Information Center

    Bloom, Susan Philipson, Ed.

    This working paper assembles chapters written by onsite researchers about program implementation in each of seven cities included in the Job-Plus Community Revitalization Initiative for Public Housing Families. This report, which provides a "snapshot" of each site, documents the nature and extent of implementation as of that point in…

  17. Workplace Education Efforts in Small Business: Learning from the Field. Final Report.

    ERIC Educational Resources Information Center

    Vencill, Mary P.; And Others

    A study identified and conducted onsite case studies of 18 different education programs conducted by small companies. Two-thirds of them were conducted by manufacturing companies; the remainder were in health services, construction, or transportation companies. Most of the programs served fewer than 25 workers and had been in operation for less…

  18. The SPARK Programs: A Public Health Model of Physical Education Research and Dissemination

    ERIC Educational Resources Information Center

    McKenzie, Thomas L.; Sallis, James F.; Rosengard, Paul; Ballard, Kymm

    2016-01-01

    SPARK [Sports, Play, and Active Recreation for Kids], in its current form, is a brand that represents a collection of exemplary, research-based, physical education and physical activity programs that emphasize a highly active curriculum, on-site staff development, and follow-up support. Given its complexity (e.g., multiple school levels, inclusion…

  19. Continued Development of Curriculum for Interpreter Training Programs in Vocational Education. Final Report, July 1, 1980 - June 30, 1981.

    ERIC Educational Resources Information Center

    Texas State Technical Inst., Waco.

    A project was undertaken to continue development of a curriculum for training interpreters for deaf persons enrolled in vocational education programs in Texas. Utilizing field consultants for specialized course development, project staff completed 11 interpreting modules and accompanying audiovisual prototypes. In addition, on-site visits were…

  20. An Outreach Program: Addressing the Needs of the Physically Impaired in Rural Communities.

    ERIC Educational Resources Information Center

    Moore, Elizabeth; Allen, Deborah

    The paper describes a joint effort by the Easter Seal Society and the Arkansas State Department of Education to help rural districts provide appropriate services to orthopedically impaired students. The resulting outreach program provided on-site (school or home) evaluation of students' needs and practical guidelines in non-technical terms to meet…

  1. Does Technology Integration "Work" when Key Barriers Are Removed?

    ERIC Educational Resources Information Center

    Lowther, Deborah L.; Inan, Fethi A.; Strahl, J. Daniel; Ross, Steven M.

    2008-01-01

    The effectiveness of Tennessee EdTech Launch (TnETL), a statewide technology program designed to meet the No Child Left Behind (NCLB) mandate, was investigated in this matched treatment-control quasi-experimental study. The goal of the program was to provide full-time, on-site technology coaches to prepare teachers to create lessons that engage…

  2. MO-D-BRB-02: The Radiological Physics Center's Quality Audit Program: Where Can We Improve?

    PubMed

    Followill, D; Lowenstein, J; Molineu, A; Alvarez, P; Aguirre, J; Kry, S; Summers, P; Ibbott, G

    2012-06-01

    To analyze the findings of the Radiological Physics Center's (RPC) QA audits of institutions participating in NCI sponsored clinical trials. The RPC has developed an extensive Quality Assurance (QA) program over the past 44 years. This program includes on-site dosimetry reviews where measurements on therapy machines are made, records are reviewed and personnel are interviewed. The program's remote audit tools include mailed dosimeters (OSLD/TLD) to verify output calibration, comparison of dosimetry data with RPC 'standard' data, evaluation of benchmark and patient calculations to verify the treatment planning algorithms, review of institution's QA procedures and records, and use of anthropomorphic phantoms to verify tumor dose delivery. The RPC endeavors to assist institutions in finding the origins of any detected discrepancies, and to resolve them. Ninety percent of institutions receiving dosimetry recommendations has remained level for the past 5 years. The most frequent recommendations were for not performing TG-40 QA tests, wedge factors, small field size output factors and off-axis factors. Since TG-51 was published, the number of beam calibrations audited during visits with ion chambers, that met the RPC's ±3% criterion, decreased initially but has risen to pre-TG-51 levels. The OSLD/TLD program shows that only ∼3% of the beams are outside our ±5% criteria, but these discrepancies are distributed over 12-20% of the institutions. The percent of institutions with ï, 3 l beam outside the RPC's criteria is approximately the same whether OSLD/TLD or ion chambers were used. The first time passing rate for the anthropomorphic phantoms is increasing with time. The prostate phantom has the highest pass rate while the spine phantom has the lowest. Numerous dosimetry errors continue to be discovered by the RPC's QA program and the RPC continues to play an important role in helping institutions resolve these errors. This work was supported by PHS grants CA10953 and CA081647 awarded by NCI. © 2012 American Association of Physicists in Medicine.

  3. Pathogen Treatment Guidance and Monitoring Approaches fro ...

    EPA Pesticide Factsheets

    On-site non-potable water reuse is increasingly used to augment water supplies, but traditional fecal indicator approaches for defining and monitoring exposure risks are limited when applied to these decentralized options. This session emphasizes risk-based modeling to define pathogen log-reduction requirements coupled with alternative targets for monitoring enabled by genomic sequencing (i.e., the microbiome of reuse systems). 1. Discuss risk-based modeling to define pathogen log-reduction requirements 2. Review alternative targets for monitoring 3. Gain an understanding of how new tools can help improve successful development of sustainable on-site non-potable water reuse Presented at the Water Wastewater Equipment Treatment & Transport Show.

  4. Unilateral physiological FDG uptake in teres minor muscle seems well associated with IV tracer injection procedures.

    PubMed

    Nakatani, Koya; Nakamoto, Yuji; Togashi, Kaori

    2015-01-01

    FDG uptake in teres minor (TM) muscle is often physiologically observed. Here we reviewed data of 578 consecutive patients; TM uptake was observed in 138 patients-in 2 of 68 patients who were administered with FDG via a preexisting line and in 136 of 510 after on-site puncture. In 126 patients with TM uptake without unsuccessful on-site puncture, 78% of TM uptake sites were on the ipsilateral side of injection, 8% on the contralateral side, and 14% on both sides; Cohen κ coefficient was 0.815 when confined to unilateral uptake. Therefore, TM uptake seems well associated with tracer injection procedures.

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

    Terry, J.W.; Blasing, T.J.; Ensminger, J.T.

    Under the Chemical Stockpile Disposal Program (CSDP), the US Army proposes to dispose of lethal chemical agents and munitions stored at eight existing Army installations in the continental United States. In 1988, the US Army issued the final programmatic environmental impact statement (FPEIS) for the CSDP. The FPEIS and the subsequent Record of Decision (ROD) identified an on-site disposal process as the preferred method for destruction of the stockpile. That is, the FPEIS determined the environmentally preferred alternative to be on-site disposal in high-temperature incinerators, while the ROD selected this alternative for implementation as the preferred method for destruction ofmore » the stockpile. In this Phase I report, the overall CSDP decision regarding disposal of the PUDA Stockpile is subjected to further analyses, and its validity at PUDA is reviewed with newer, more detailed data than those providing the basis for the conclusions in the FPEIS. The findings of this Phase I report will be factored into the scope of a site-specific environmental impact statement to be prepared for the destruction of the PUDA stockpile. The focus of this Phase I report is on those data identified as having the potential to alter the Army`s previous decision regarding disposal of the PUDA stockpile; however, several other factors beyond the scope of this Phase I report must also be acknowledged to have the potential to change or modify the Army`s decisions regarding PUDA.« less

  6. Environmental Research Apprenticeship Program for College and University Students

    EPA Pesticide Factsheets

    EPA-ORD seeks applications from eligible entities to enter into a cooperative agreement with EPA that will provide training opportunities for undergraduate and graduate students on-site at ORD’s GWERD research facility in Ada, Oklahoma.

  7. The Relationship between SW-846, PBMS, and Innovative Analytical Technologies

    EPA Pesticide Factsheets

    This paper explains EPA's position regarding testing methods used within waste programs, documentation of EPA's position, the reasoning behind EPA's position, and the relationship between analytical method regulatory flexibility and the use of on-site...

  8. APPLICATIONS ANALYSIS REPORT: CHEMFIX TECHNOLOGIES, INC. - SOLIDIFICATION/STABILIZATION PROCESS

    EPA Science Inventory

    In support of the U.S. Environmental Protection Agency's (EPA) Superfund Innovative Technology Evaluation (SITE) Program, this report evaluates the Chemfix Technologies, Inc. (Chemfix), solidification/stabilization technology for on-site treatment of hazardous waste. The Chemfix ...

  9. Tier I Emergency and Hazardous Chemical Inventory Form

    EPA Pesticide Factsheets

    Form required for reporting chemicals by hazard type, maximum amount, average daily amount, number of days on-site, and general location. May be subject to Emergency Planning under EPCRA, or Chemical Accident Prevention under Risk Management Program.

  10. 76 FR 13228 - Steelcase, Inc., North America Division, Including On-Site Leased Workers From Manpower, Inc...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-10

    ... subject firm. The workers are engaged in the production of office furniture. The review shows that on... workers of Steelcase, Inc., Global Headquarters, Grand Rapids, Michigan, separated from employment on or...

  11. Energy-nutrients-water nexus: integrated resource recovery in municipal wastewater treatment plants.

    PubMed

    Mo, Weiwei; Zhang, Qiong

    2013-09-30

    Wastewater treatment consumes large amounts of energy and materials to comply with discharge standards. At the same time, wastewater contains resources, which can be recovered for secondary uses if treated properly. Hence, the goal of this paper is to review the available resource recovery methods onsite or offsite of municipal wastewater treatment plants. These methods are categorized into three major resource recovery approaches: onsite energy generation, nutrient recycling and water reuse. Under each approach, the review provides the advantages and disadvantages, recovery potentials and current application status of each method, as well as the synthesized results of the life cycle studies for each approach. From a comprehensive literature review, it was found that, in addition to technology improvements, there is also a need to evaluate the applications of the resource recovery methods in wastewater treatment plants from a life cycle perspective. Future research should investigate the integration of the resource recovery methods to explore the combined benefits and potential tradeoffs of these methods under different scales. Copyright © 2013 Elsevier Ltd. All rights reserved.

  12. A Retrospective Evaluation of Remote Pharmacist Interventions in a Telepharmacy Service Model Using a Conceptual Framework

    PubMed Central

    Murante, Lori J.; Moffett, Lisa M.

    2014-01-01

    Abstract Objectives: This retrospective cross-sectional study evaluated a telepharmacy service model using a conceptual framework to compare documented remote pharmacist interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site rural hospital pharmacist. Materials and Methods: Documented remote pharmacist interventions for patients at eight rural hospitals in the Midwestern United States during prospective prescription order review/entry from 2008 to 2011 were extracted from RxFusion® database (a home-grown system, i.e., internally developed program at The Nebraska Medical Center (TNMC) for capturing remote pharmacist-documented intervention data). The study authors conceptualized an analytical framework, mapping the 37 classes of remote pharmacist interventions to three broader-level definitions: (a) intervention, eight categories (interaction/potential interaction, contraindication, adverse effects, anticoagulation monitoring, drug product selection, drug regimen, summary, and recommendation), (b) patient medication management, two categories (therapy review and action), and (c) health system-centered medication use process, four categories (prescribing, transcribing and documenting, administering, and monitoring). Frequencies of intervention levels were compared by year, hospital, remote pharmacist, and hospital pharmacy status (with a remote pharmacist and on-site pharmacist or with a remote pharmacist only) using chi-squared test and univariate logistic regression analyses, as appropriate. Results: For 450,000 prescription orders 19,222 remote pharmacist interventions were documented. Frequency of interventions significantly increased each year (36% in 2009, 55% in 2010, and 7% in 2011) versus the baseline year (2008, 3%) when service started. The frequency of interventions also differed significantly across the eight hospitals and 16 remote pharmacists for the three defined intervention levels and categories. Remote pharmacist interventions at hospitals with an on-site and remote pharmacist (n=12,141) versus those with a remote pharmacist alone (n=7,081) were significantly more likely to be (1) patient-centered, (2) related to “actionable” medication management recommendations (unadjusted odds ratio [OR]=1.12), and (3) related to the “transcribing” (OR=1.47) and “prescribing” (OR=1.40) steps of the health system-centered medication use process level (all p<0.01). Conclusions: This is one of the first studies to demonstrate the patient- and health system-centered nature of pharmaceutical care delivered via a telepharmacy service model by evaluating documented remote pharmacist interventions with an analytical framework. PMID:24611489

  13. The Development of "Water Strider" Inquiry Learning Program for Improving Scientific Inquiry Learning Ability in the Chapter "The Little Creatures World" of the Korea Elementary School 5th Grade Science Textbook

    ERIC Educational Resources Information Center

    Kim, Dongryeul

    2017-01-01

    The purpose of this study was to develop a "Water strider" Inquiry Learning Program for improved inquiry learning, and to analyze the validity of the "Water strider." The Inquiry Learning Program's goal was to create an application for finding out an on-site applicability for the "Water strider" Inquiry Learning…

  14. A comparison of phone-based and onsite-based fidelity for Assertive Community Treatment in Indiana

    PubMed Central

    McGrew, John H.; Stull, Laura G.; Rollins, Angela L.; Salyers, Michelle P.; Hicks, Lia J.

    2014-01-01

    Objective This study investigated the reliability, validity, and role of rater expertise in phone-administered fidelity assessment instrument based on the Dartmouth Assertive Community Treatment Scale (DACTS). Methods An experienced rater paired with a research assistant without fidelity assessment experience or a consultant familiar with the treatment site conducted phone based assessments of 23 teams providing assertive community treatment in Indiana. Using the DACTS, consultants conducted on-site evaluations of the programs. Results The pairs of phone raters revealed high levels of consistency [intraclass correlation coefficient (ICC)=.92] and consensus (mean absolute difference of .07). Phone and on-site assessment showed strong agreement (ICC=.87) and consensus (mean absolute difference of .07) and agreed within .1 scale point, or 2% of the scoring range, for 83% of sites and within .15 scale point for 91% of sites. Results were unaffected by the expertise level of the rater. Conclusions Phone based assessment could help agencies monitor faithful implementation of evidence-based practices. PMID:21632738

  15. The Art of Teaching and Learning in the Practicum: The Pedagogical Perceptions of Bilingual Cooperating Teachers in an On-Site Block Program

    ERIC Educational Resources Information Center

    Valverde-Wheaton, Alicia

    2011-01-01

    This study will be presented to university education programs, Professional Development Schools, cooperating teachers, preservice teachers, and administrators who are part of the practicum experience. This study concentrated on looking at the perceptions of cooperating teachers about the practicum in preparing preservice teachers to meet the needs…

  16. Foodservice trends in the elderly nutrition program.

    PubMed

    Balsam, A L; Rogers, B L

    1989-01-01

    The foodservice delivery aspects of the federally-funded Elderly Nutrition Program (ENP) were examined via an original survey instrument sent to a random sample of nutrition projects nationally. In comparison to a similar survey conducted a decade ago, projects were more apt to rely on a combination of foodservice mechanisms including caterer contracts, on-site preparation, and use of central kitchens.

  17. 76 FR 31381 - Office Of New Reactors; Proposed Revision 4 to Standard Review Plan; Section 8.1 on Electric...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-31

    ...). The current revision issues a new Branch Technical Position (BTP) 8-8 on ``Onsite (Emergency Diesel Generators) and Offsite Power Sources Allowed Outage Time Extensions.'' (ADAMS Accession No. ML111180521...

  18. On-site audits to investigate the quality of radiation physics of radiation therapy institutions in the Republic of Korea.

    PubMed

    Park, Jong Min; Park, So-Yeon; Chun, Minsoo; Kim, Sang-Tae

    2017-08-01

    To investigate and improve the domestic standard of radiation therapy in the Republic of Korea. On-site audits were performed for 13 institutions in the Republic of Korea. Six items were investigated by on-site visits of each radiation therapy institution, including collimator, gantry, and couch rotation isocenter check; coincidence between light and radiation fields; photon beam flatness and symmetry; electron beam flatness and symmetry; physical wedge transmission factors; and photon beam and electron beam outputs. The average deviations of mechanical collimator, gantry, and couch rotation isocenter were less than 1mm. Those of radiation isocenter were also less than 1mm. The average difference between light and radiation fields was 0.9±0.6mm for the field size of 20cm×20cm. The average values of flatness and symmetry of the photon beams were 2.9%±0.6% and 1.1%±0.7%, respectively. Those of electron beams were 2.5%±0.7% and 0.6%±1.0%, respectively. Every institutions showed wedge transmission factor deviations less than 2% except one institution. The output deviations of both photon and electron beams were less than ±3% for every institution. Through the on-site audit program, we could effectively detect an inappropriately operating linacs and provide some recommendations. The standard of radiation therapy in Korea is expected to improve through such on-site audits. Copyright © 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

  19. Reinforcing integrated psychiatric service attendance in an opioid-agonist program: a randomized and controlled trial.

    PubMed

    Kidorf, Michael; Brooner, Robert K; Gandotra, Neeraj; Antoine, Denis; King, Van L; Peirce, Jessica; Ghazarian, Sharon

    2013-11-01

    The benefits of integrating substance abuse and psychiatric care may be limited by poor service utilization. This randomized clinical trial evaluated the efficacy of using contingency management to improve utilization of psychiatric services co-located and integrated within a community-based methadone maintenance treatment program. Opioid-dependent outpatients (n=125) with any current psychiatric disorder were randomly assigned to: (1) reinforced on-site integrated care (ROIC), with vouchers (worth $25.00) contingent on full adherence to each week of scheduled psychiatric services; or (2) standard on-site integrated care (SOIC). All participants received access to the same schedule of psychiatrist and mental health counseling sessions for 12-weeks. ROIC participants attended more overall psychiatric sessions at month 1 (M=7.53 vs. 3.97, p<.001), month 2 (M=6.31 vs. 2.81, p<.001), and month 3 (M=5.71 vs. 2.44, p<.001). Both conditions evidenced reductions in psychiatric distress (p<.001) and similar rates of drug-positive urine samples. No differences in study retention were observed. These findings suggest that contingency management can improve utilization of psychiatric services scheduled within an on-site and integrated treatment model. Delivering evidenced-based mental health counseling, or modifying the contingency plan to include illicit drug use, may be required to facilitate greater changes in psychiatric and substance abuse outcomes. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  20. 23 CFR 230.413 - Review reports.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... documentary evidence to support the determination of a contractor's or subcontractor's compliance status. (3... and sex in accordance with (iii) above. This shall be the data verified during the onsite. (vii) Identification of local unions involved with contractor, when applicable. (viii) Determination of compliance...

  1. 23 CFR 230.413 - Review reports.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... documentary evidence to support the determination of a contractor's or subcontractor's compliance status. (3... and sex in accordance with (iii) above. This shall be the data verified during the onsite. (vii) Identification of local unions involved with contractor, when applicable. (viii) Determination of compliance...

  2. 23 CFR 230.413 - Review reports.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... documentary evidence to support the determination of a contractor's or subcontractor's compliance status. (3... and sex in accordance with (iii) above. This shall be the data verified during the onsite. (vii) Identification of local unions involved with contractor, when applicable. (viii) Determination of compliance...

  3. 23 CFR 230.413 - Review reports.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... documentary evidence to support the determination of a contractor's or subcontractor's compliance status. (3... and sex in accordance with (iii) above. This shall be the data verified during the onsite. (vii) Identification of local unions involved with contractor, when applicable. (viii) Determination of compliance...

  4. 29 CFR 1952.371 - Developmental schedule.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... both safety and health personnel will be reviewed and revised to accurately reflect job functions... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... (including on-site consultation services) will be initiated within 6 months of plan approval. (e) Both safety...

  5. Proceedings of the 2009 Monitoring Research Review: Ground-Based Nuclear Explosion Monitoring Technologies

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

    Wetovsky, Marv A; Aguilar - Chang, Julio; Anderson, Dale

    These proceedings contain papers prepared for the Monitoring Research Review 2009: Ground -Based Nuclear Explosion Monitoring Technologies, held 21-23 September, 2009 in Tucson, Arizona,. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, Comprehensive Test Ban Treaty Organization (CTBTO), and other invited sponsors. The scientific objectives of the research are to improve the United States’ capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoring agencies, as well asmore » potential users, an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  6. Proceedings of the 30th Monitoring Research Review: Ground-Based Nuclear Explosion Monitoring

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

    Wetovsky, Marv A; Aguilar-chang, Julio; Arrowsmith, Marie

    These proceedings contain papers prepared for the 30th Monitoring Research Review: Ground-Based Nuclear Explosion Monitoring Technologies, held 23-25 September, 2008 in Portsmouth, Virginia. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Air Force Technical Applications Center (AFTAC), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), and other invited sponsors. The scientific objectives of the research are to improve the United States’ capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoringmore » agencies, as well as potential users, an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  7. Proceedings of the 2010 Monitoring Research Review: Ground-Based Nuclear Explosion Monitoring Technologies

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

    Wetovsky, Marvin A; Patterson, Eileen F

    These proceedings contain papers prepared for the Monitoring Research Review 2010: Ground-Based Nuclear Explosion Monitoring Technologies, held 21-23 September, 2010 in Orlando, Florida,. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, National Science Foundation (NSF), Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), and other invited sponsors. The scientific objectives of the research are to improve the United States capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoring agencies, asmore » well as potential users, an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  8. Proceedings of the 2011 Monitoring Research Review: Ground-Based Nuclear Explosion Monitoring Technologies

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

    Wetovsky, Marvin A.; Patterson, Eileen F.; Sandoval, Marisa N.

    These proceedings contain papers prepared for the Monitoring Research Review 2011: Ground-Based Nuclear Explosion Monitoring Technologies, held 13-15 September, 2011 in Tucson, Arizona. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Defense Threat Reduction Agency (DTRA), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), National Science Foundation (NSF), and other invited sponsors. The scientific objectives of the research are to improve the United States' capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is tomore » provide the sponsoring agencies, as well as potential users, an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  9. Proceedings of the 28th Seismic Research Review: Ground-Based Nuclear Explosion Monitoring Technologies

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

    Wetovsky, Marvin A.; Benson, Jody; Patterson, Eileen F.

    These proceedings contain papers prepared for the 28th Seismic Research Review: Ground-Based Nuclear Explosion Monitoring Technologies, held 19-21 September, 2006 in Orlando, Florida. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Air Force Technical Applications Center (AFTAC), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), and other invited sponsors. The scientific objectives of the research are to improve the United States capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoringmore » agencies, as well as potential users, an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  10. Proceedings of the 27th Seismic Research Review: Ground-Based Nuclear Explosion Monitoring Technologies

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

    Wetovsky, Marvin A.; Benson, Jody; Patterson, Eileen F.

    These proceedings contain papers prepared for the 27th Seismic Research Review: Ground-Based Nuclear Explosion Monitoring Technologies, held 20-22 September, 2005 in Rancho Mirage, California. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Air Force Technical Applications Center (AFTAC), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, and other invited sponsors. The scientific objectives of the research are to improve the United States capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoring agencies, as well asmore » potential users, an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  11. Proceedings of the 25th Seismic Research Review -- Nuclear Explosion Monitoring: Building the Knowledge Base

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

    Chavez, Francesca C.; Mendius, E. Louise

    These proceedings contain papers prepared for the 25th Seismic Research Review -- Nuclear Explosion Monitoring: Building the Knowledge Base, held 23-25 September, 2003 in Tucson, Arizona. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Defense Threat Reduction Agency (DTRA), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, and other invited sponsors. The scientific objectives of the research are to improve the United States capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoring agencies, as wellmore » as potential users, an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  12. Proceedings of the 26th Seismic Research Review: Trends in Nuclear Explosion Monitoring

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

    Chavez, Francesca C; Benson, Jody; Hanson, Stephanie

    These proceedings contain papers prepared for the 26th Seismic Research Review: Trends in Nuclear Explosion Monitoring, held 21-23 September, 2004 in Orlando, Florida. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Defense Threat Reduction Agency (DTRA), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, and other invited sponsors. The scientific objectives of the research are to improve the United States capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoring agencies, as well as potential users,more » an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  13. Proceedings of the 29th Monitoring Research Review: Ground-Based Nuclear Explosion Monitoring Technologies

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

    Wetovsky, Marvin A.; Benson, Jody; Patterson, Eileen F.

    These proceedings contain papers prepared for the 29th Monitoring Research Review: Ground-Based Nuclear Explosion Monitoring Technologies, held 25-27 September, 2007 in Denver, Colorado. These papers represent the combined research related to ground-based nuclear explosion monitoring funded by the National Nuclear Security Administration (NNSA), Air Force Technical Applications Center (AFTAC), Air Force Research Laboratory (AFRL), US Army Space and Missile Defense Command, Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), and other invited sponsors. The scientific objectives of the research are to improve the United States capability to detect, locate, and identify nuclear explosions. The purpose of the meeting is to provide the sponsoringmore » agencies, as well as potential users, an opportunity to review research accomplished during the preceding year and to discuss areas of investigation for the coming year. For the researchers, it provides a forum for the exchange of scientific information toward achieving program goals, and an opportunity to discuss results and future plans. Paper topics include: seismic regionalization and calibration; detection and location of sources; wave propagation from source to receiver; the nature of seismic sources, including mining practices; hydroacoustic, infrasound, and radionuclide methods; on-site inspection; and data processing.« less

  14. ULTROX INTERNATIONAL ULTRAVIOLET RADIATION/OXIDATION TECHNOLOGY APPLICATIONS ANALYSIS REPORT

    EPA Science Inventory

    In support of the U.S. Environmental Protection Agency’s (EPA) Superfund Innovative Technology Evaluation (SITE) Program, this report evaluates the Ultrox International technology and its applicability as an on-site treatment method for contaminated groundwater. The ULTROX® techn...

  15. APPLICATIONS ANALYSIS REPORT: SITE PROGRAM DEMONSTRATION TEST SOLIDITECH, INC. SOLIDIFICATION/ STABILIZATION PROCESS

    EPA Science Inventory

    This Applications Analysis Report evaluates the Soliditech, Inc., solidification/ stabilization process for the on-site treatment of waste materials. The Soliditech process mixes and chemically treats waste material with Urrichem (a proprietary reagent), additives, pozzolanic mat...

  16. Clean air program : liquefied natural gas safety in transit operations

    DOT National Transportation Integrated Search

    1996-03-31

    The report examines the safety issues relating to the use of Liquefied Natural Gas (LNG) in transit service. The safety issues were determined by on-site surveys performed by Battelle of Columbus, Ohio, and Science Applications International Corp. (S...

  17. 40 CFR 60.1620 - How do I comply with the increment of progress for initiating onsite construction?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY... or Before August 30, 1999 Model Rule-Increments of Progress § 60.1620 How do I comply with the...

  18. 40 CFR 60.1625 - How do I comply with the increment of progress for completing onsite construction?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) STANDARDS OF PERFORMANCE FOR NEW STATIONARY... or Before August 30, 1999 Model Rule-Increments of Progress § 60.1625 How do I comply with the...

  19. MONITORING AND ASSESSMENT OF UTAH CAFOS

    EPA Science Inventory

    A comprehensive water quality monitoring and on-site assessment program will target CAFOs and potential CAFOs. Ten operations that are representative of other CAFOs will be selected, with a special emphasis on operations that are preparing to implement CNMPs or to correct unacce...

  20. APPLICATIONS ANALYSIS REPORT: AWD TECHNOLOGIES, INC AQUADETOX®/SVE TECHNOLOGY

    EPA Science Inventory

    In support of the U.S. Environmental Protection Agency’s (EPA) Superfund Innovative Technology Evaluation (SITE) Program, this report evaluates the AWD Technologies, Inc., integrated AquaDetox®/SVE treatment system for simultaneous on-site treatment of contaminated groundwater an...

  1. A "Floating Faculty"--An Intensive In-Service Technique

    ERIC Educational Resources Information Center

    Daniels, Paul R.; O'Connell, Maurice J.

    1976-01-01

    Describes the "floating faculty" program developed by the Prince George's County (Maryland) Public Schools to provide onsite inservice training for school faculties in the district through the use of specially trained personnel that make up a "faculty-without-a-school." (JG)

  2. SITE EVALUATION OF FIELD PORTABLE PENTACHLOROPHENOL IMMUNOASSAYS

    EPA Science Inventory

    Four pentachlorophenol (PCP) enzyme immunoassays for environmental analysis have been evaluated through the U.S. EPA Superfund Innovative Technology Evaluation (SITE) program. Three assays were formatted for on-site field use and one assay could be used in a field laboratory sett...

  3. Gaining Control of Occupational Injury and Illness in the U.S. Navy Civilian Work Force

    DTIC Science & Technology

    1990-01-16

    caring for the back. Also monitored by the supervisor is a work -hardening program developed by the clinic physical therapist and physician that... development of a work -hardening program for the returning injured employee to ensure a safe re-entry to the workplace. e. "Green Table" and Medical...physical therapist work closely in developing effective programs for the treatment of occupational injuries. Having an onsite physical therapist available

  4. Partnership in employee health. A workplace health program for British Columbia Public Service Agency (Canada).

    PubMed

    Tarride, J E; Harrington, K; Balfour, R; Simpson, P; Foord, L; Anderson, L; Lakey, W

    2011-01-01

    To evaluate the My Health Matters! (MHM) program, a multifaceted workplace intervention relying on education and awareness, early detection and disease management with a focus on risk factors for metabolic syndrome. The MHM program was offered to 2,000 public servants working in more than 30 worksites in British Columbia, Canada. The MHM program included a health risk assessment combined with an opportunity to attend an on-site screening and face-to-face call back visits and related on-site educational programs. Clinical and economic outcomes were collected over time in this one-year prospective study coupled with administrative and survey data. Forty three per cent of employees (N=857) completed the online HRA and 23 per cent (N=447) attended the initial clinical visit with the nurse. Risk factors for metabolic syndrome were identified in more than half of those attending the clinical visit. The number of risk factors significantly decreased by 15 per cent over six months (N=141). The cost per employee completing the HRA was $205 while the cost per employee attending the initial clinical visit was $394. Eighty-two per cent of employees would recommend the program to other employers. This study supports that workplace interventions are feasible, sustainable and valued by employees. As such, this study provides a new framework for implementing and evaluating workplace interventions focussing on metabolic disorders.

  5. The Purpose and Scope of Pedagogy in Pharmaceutical Education.

    PubMed

    Nakamura, Akihiro

    2017-01-01

    The WHO and International Pharmaceutical Federation (FIP) introduced the concept of the "seven-star pharmacist" in which a pharmacist is described as a caregiver, communicator, decision-maker, teacher, lifelong learner, leader and manager. In six-year pharmaceutical education programs, which have been provided in schools of pharmacy since 2006, 5th year students participate in on-site practice experiences in hospitals and community pharmacies. Thus, Japanese pharmacists also began to have a role in pharmaceutical education as teachers in clinical settings. Not only pharmacists in clinical settings, but also faculty members of pharmacy schools, had not previously been familiar with evidence-based education, and therefore they often teach in the way they were taught. Since research on teaching and learning has not been well developed in Japanese pharmaceutical education, both the model core curriculum for six-year programs and the subject benchmark statement for four-year programs are based on insufficient scientific evidence. We should promote the scholarship of teaching and learning, which promotes teaching as a scholarly endeavor and a worthy subject for research. In this review, I will summarize the needs and expectations for the establishment of pedagogy in pharmaceutical education.

  6. An integrative approach to cultural competence in the psychiatric curriculum.

    PubMed

    Fung, Kenneth; Andermann, Lisa; Zaretsky, Ari; Lo, Hung-Tat

    2008-01-01

    As it is increasingly recognized that cultural competence is an essential quality for any practicing psychiatrist, postgraduate psychiatry training programs need to incorporate cultural competence training into their curricula. This article documents the unique approach to resident cultural competence training being developed in the Department of Psychiatry at the University of Toronto, which has the largest residency training program in North America and is situated in an ethnically diverse city and country. The authors conducted a systematic review of cultural competence by searching databases including PubMed, PsycINFO, PsycArticles, CINAHL, Social Science Abstracts, and Sociological Abstracts; by searching government and professional association publications; and through on-site visits to local cross-cultural training programs. Based on the results of the review, a resident survey, and a staff retreat, the authors developed a deliberate "integrative" approach with a mindful, balanced emphasis on both generic and specific cultural competencies. Learning objectives were derived from integrating the seven core competencies of a physician as defined by the Canadian Medical Education Directions for Specialists (CanMEDS) roles framework with the tripartite model of attitudes, knowledge, and skills. The learning objectives and teaching program were further integrated across different psychiatric subspecialties and across the successive years of residency. Another unique strategy used to foster curricular and institutional change was the program's emphasis on evaluation, making use of insights from modern educational theories such as formative feedback and blueprinting. Course evaluations of the core curriculum from the first group of residents were positive. The authors propose that these changes to the curriculum may lead to enhanced cultural competence and clinical effectiveness in health care.

  7. Annual review of cultural resource investigations by the Savannah River Archaeological Research Program. Fiscal year 1995

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

    Brooks, M.J.; Brooks, R.D.; Sassaman, K.E.

    1995-10-01

    The Savannah River Archaeological Research Program (SRARP) continued through FY95 with the United States Department of Energy to fulfill a threefold mission of cultural resource management, research, and public education at the Savannah River Site. Over 2,300 acres of land on the SRS came under cultural resources review in FY95. This activity entailed 30 field surveys, resulting in the recording of 86 new sites. Twenty-two existing sites within survey tract boundaries were revisited to update site file records. Research conducted by SRARP was reported in 11 papers and monographs published during FY95. SRARP staff also presented research results in 18more » papers at professional meetings. Field research included several testing programs, excavations, and remote sensing at area sites, as well as data collection abroad. Seven grants were acquired by SRARP staff to support off-site research. In the area of heritage education, the SRARP expanded its activities in FY95 with a full schedule of classroom education, public outreach, and on-site tours. Volunteer excavations at the Tinker Creek site were continued with the Augusta Archaeological Society and other avocational groups, and other off-site excavations provided a variety of opportunities for field experience. Some 80 presentations, displays and tours were provided for schools, historical societies, civic groups, and environmental and historical awareness day celebrations. Additionally, SRARP staff taught four anthropology courses at area colleges.« less

  8. Virtual Reality as Means to Improve Physical Fitness of Individuals at a Severe Level of Intellectual and Developmental Disability

    ERIC Educational Resources Information Center

    Lotan, Meir; Yalon-Chamovitz, Shira; Weiss, Patrice L.

    2010-01-01

    Individuals with intellectual and developmental disabilities (IDD) are in need of effective and motivating physical fitness training programs. The aim was to test the effectiveness of a virtual reality (VR)-based exercise program in improving the physical fitness of adults with severe IDD when implemented by on-site caregivers. A research group (N…

  9. Five-year external reviews of the eight Department of Interior Climate Science Centers: Alaska Climate Science Center

    USGS Publications Warehouse

    Shasby, Mark; Dolloff, C. Andrew; Hicke, Jeffrey A.; Marcot, Bruce G.; McCarl, Bruce; McMahon, Gerard; Morton, John M.

    2017-01-01

    This report primarily addresses the first two purposes of the review while providing comments on the third as identified by the science review team (SRT). A separate report of recommendations for the recompetition, based upon compiled observation from all three reviews conducted in 2016, was submitted to NCCWSC on April 15, 2016 to assist with the development of recompetition documents. To further address host-university administrative competencies and efficiencies, separate interviews of host-university faculty and administrators were conducted by NCCWSC staff in conjunction with the on-site component of the reviews.

  10. 2013 Space Radiation Standing Review Panel Status Review for: The Risk of Acute and Late Central Nervous System Effects from Radiation Exposure, The Risk of Acute Radiation Syndromes Due to Solar Particle Events (SPEs), The Risk Of Degenerative Tissue Or Other Health Effects From Radiation Exposure, and The Risk of Radiation Carcinogenesis

    NASA Technical Reports Server (NTRS)

    2014-01-01

    The Space Radiation Standing Review Panel (from here on referred to as the SRP) was impressed with the strong research program presented by the scientists and staff associated with NASA's Space Radiation Program Element and National Space Biomedical Research Institute (NSBRI). The presentations given on-site and the reports of ongoing research that were provided in advance indicated the potential Risk of Acute and Late Central Nervous System Effects from Radiation Exposure (CNS) and were extensively discussed by the SRP. This new data leads the SRP to recommend that a higher priority should be placed on research designed to identify and understand these risks at the mechanistic level. To support this effort the SRP feels that a shift of emphasis from Acute Radiation Syndromes (ARS) and carcinogenesis to CNS-related endpoints is justified at this point. However, these research efforts need to focus on mechanisms, should follow pace with advances in the field of CNS in general and should consider the specific comments and suggestions made by the SRP as outlined below. The SRP further recommends that the Space Radiation Program Element continue with its efforts to fill the vacant positions (Element Scientist, CNS Risk Discipline Lead) as soon as possible. The SRP also strongly recommends that NASA should continue the NASA Space Radiation Summer School. In addition to these broad recommendations, there are specific comments/recommendations noted for each risk, described in detail below.

  11. 50 kW on-site concentrating solar photovoltaic power system. Phase I: design. Final report, 1 June 1978-28 February 1979

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

    Pittman, P F

    1979-03-30

    This contract is part of a three phase program to design, fabricate, and operate a solar photovoltaic electric power system with concentrating optics. The system will be located beside a Local Operating Headquarters of the Georgia Power Company in Atlanta, Georgia and will provide part of the power for the on-site load. Fresnel lens concentrators will be used in 2-axis tracking arrays to focus solar energy onto silicon solar cells producing a peak power output of 56 kW. The present contract covers Phase I which has as its objective the complete design of the system and necessary subsystems.

  12. To Own or Lease Solar: Understanding Commercial Retailers' Decisions to Use Alternative Financing Models

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

    Feldman, David; Margolis, Robert

    This report examines the tradeoffs among financing methods for businesses installing onsite photovoltaics (PV). We present case studies of PV financing strategies used by two large commercial retailers that have deployed substantial U.S. PV capacity: IKEA, which owns its PV, and Staples, which purchases power generated from onsite PV systems through power purchase agreements (PPAs). We also analyze the financial considerations that influence any company's choice of PV financing strategy. Our goal in this report is to clarify the financial and institutional costs and benefits of financing strategies and to inform other companies that are considering launching or expanding similarmore » PV programs.« less

  13. Assessment of community food resources: A Latino neighborhood study in upstate New York

    PubMed Central

    Lopez-Class, Maria; Hosler, Akiko S.

    2011-01-01

    This study aims to assess availability, affordability, and accessibility of food items in a low-income Latino neighborhood within a small city using an on-site food store survey. Store locations were identified by on-site GPS. Results showed the Latino neighborhood had limited availability and above average cost of high-fiber bread. Fresh vegetables were more expensive compared to the non-Latino neighborhood, and more stores in the Latino neighborhood participated in Supplemental Nutrition Assistance Food Program. The lack of supermarkets, fewer stores with disability access, and the lack of public transportation left Latino residents without a vehicle or with physical disabilities with few food shopping options. PMID:22065468

  14. Rural Transition Strategies That Work.

    ERIC Educational Resources Information Center

    Schwartz, Phebe

    Successful rural transition strategies which assist disabled rural secondary students in the transition from school to employment and community integration are described. Effective programs and specific strategies touch on such topic areas as job/career exploration, on-site job exploration, career planning, prevocational training, transition…

  15. DEMONSTRATION BULLETIN: CIRCULATING BED COMBUSTOR - OGDEN ENVIRONMENTAL SERVICES, INC.

    EPA Science Inventory

    An evaluation of the Ogden Environmental Services (OES) circulating bed combustor (CBC) technology was carried out under the superfund Innovative Technology Evaluation (SITE) Program to determine its applicabilitY as an on-site treatment method for waste site cleanups, and more s...

  16. 42 CFR 493.917 - Parasitology.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... purposes— (1) Those that determine the presence or absence of parasites by direct observation (wet mount... certified in the subspecialty of parasitology for identification; (2) Those that identify parasites using... designee for on-site testing. An annual program must include samples that contain parasites that are...

  17. 18 CFR 4.41 - Contents of application.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... regarding the acceptability of the recommendations; (ii) The results of surveys, inventories, and subsurface... educational facilities and programs; (iv) On-site manpower requirements and payroll during and after project... incremental local government revenues that would result from the construction of the proposed project...

  18. 18 CFR 4.41 - Contents of application.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... regarding the acceptability of the recommendations; (ii) The results of surveys, inventories, and subsurface... educational facilities and programs; (iv) On-site manpower requirements and payroll during and after project... incremental local government revenues that would result from the construction of the proposed project...

  19. 18 CFR 4.41 - Contents of application.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... regarding the acceptability of the recommendations; (ii) The results of surveys, inventories, and subsurface... educational facilities and programs; (iv) On-site manpower requirements and payroll during and after project... incremental local government revenues that would result from the construction of the proposed project...

  20. 18 CFR 4.41 - Contents of application.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... regarding the acceptability of the recommendations; (ii) The results of surveys, inventories, and subsurface... educational facilities and programs; (iv) On-site manpower requirements and payroll during and after project... incremental local government revenues that would result from the construction of the proposed project...

  1. 18 CFR 4.41 - Contents of application.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... regarding the acceptability of the recommendations; (ii) The results of surveys, inventories, and subsurface... educational facilities and programs; (iv) On-site manpower requirements and payroll during and after project... incremental local government revenues that would result from the construction of the proposed project...

  2. 29 CFR 1908.7 - Relationship to enforcement.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... exemption program). (b) Effect upon scheduling. (1) An onsite consultative visit already in progress will.... The consultant and the employer shall notify the compliance officer of the visit in progress and...

  3. 29 CFR 1908.7 - Relationship to enforcement.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... exemption program). (b) Effect upon scheduling. (1) An onsite consultative visit already in progress will.... The consultant and the employer shall notify the compliance officer of the visit in progress and...

  4. 29 CFR 1908.7 - Relationship to enforcement.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... exemption program). (b) Effect upon scheduling. (1) An onsite consultative visit already in progress will.... The consultant and the employer shall notify the compliance officer of the visit in progress and...

  5. 29 CFR 1908.7 - Relationship to enforcement.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... exemption program). (b) Effect upon scheduling. (1) An onsite consultative visit already in progress will.... The consultant and the employer shall notify the compliance officer of the visit in progress and...

  6. 29 CFR 1908.7 - Relationship to enforcement.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... exemption program). (b) Effect upon scheduling. (1) An onsite consultative visit already in progress will.... The consultant and the employer shall notify the compliance officer of the visit in progress and...

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

    Not Available

    The Public Health Assessment of Sola Optical USA, Inc. is based on a review of the Remedial Investigation report and the Public Health Risk Assessment. The Sola Optical USA, Inc. (Sola) site, located in Petaluma, Sonoma County, California, was placed on the National Priorities List by the EPA on June, 1988. The EPA is the lead governmental agency for the cleanup at the Sola site. Spillage associated with six underground solvent storage tanks resulted in volatile organic contaminants (VOCs) leaking into the subsurface soils and groundwater. These underground tanks and some of the surrounding contaminated soil have been excavated andmore » removed from the site. Various VOCs have been detected in on-site groundwater at levels of human health concern; however the contaminated groundwater is not currently a source of drinking water. An on-site groundwater extraction and treatment system has been in operation since 1987. Based on information reviewed, ATSDR and CDHS have concluded that the Sola site poses no apparent public health hazard.« less

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

    NONE

    The U.S. Department of Energy Weldon Spring Site Remedial Action Project (chemical plant site), is a former uranium processing facility located in eastern Missouri on the property of the former U.S. Army Weldon Spring Ordnance Works. Surface water, soil, sludge, sediment, and groundwater within the chemical plant site contain chemical and radioactive contaminants. The Agency for Toxic Substances and Disease Registry (ATSDR) reviewed on-site chemical exposure information and site conditions. ATSDR also prepared several Health Consultations on chemical and radioactive contaminants in areas on and off the DOE chemical plant site. ATSDR also reviewed on-site and off-site radiological exposure informationmore » and conditions. The exposure scenarios ATSDR evaluated include: trespassers swimming in quarry or raffinate pits; reservists performing field activities in the training area; anglers fishing, hunters haunting, and hikers hiking in the conservation areas; residents drinking from off-site private wells; staff and students attending the Francis Howell High School; and consumers of crops (e.g., corn) grown in conservation areas.« less

  9. Carotid intima-media thickness in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil): a narrative review.

    PubMed

    Santos, Eduardo Henrique Sena; Santos Neto, Pedro José Dos; Santos, Itamar de Souza

    2018-01-01

    Carotid intima-media thickness (CIMT), as measured by ultrasound, has been used in large studies as a non-invasive marker for subclinical atherosclerosis. The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) is a cohort of 15,105 civil servants in six Brazilian cities that included CIMT evaluation in its baseline assessment. The aim of the present narrative review was to provide an overview of ELSA-Brasil CIMT articles published up to July 31, 2017. Narrative review of ELSA-Brasil CIMT studies using baseline assessment data. We searched PubMed for the terms "ELSA-Brasil" and "intima-media". This search yielded 21 published articles using CIMT data from the ELSA-Brasil baseline assessment, which were included in this review. We also present information about intima-media thickness assessment from ongoing onsite reevaluations of the study participants. Most published studies focused on the association with traditional and novel cardiovascular risk factors. Studies also presented information about the ELSA-Brasil CIMT protocol at baseline and CIMT value distribution in this large sample. Analyses on the ELSA-Brasil data led to important insights on CIMT interpretation and physiology. Besides the highlighted contributions which have already been made in this field, new data gathered during the ongoing third onsite assessment will enable investigation of substantially new research questions.

  10. Data Collection Handbook to Support Modeling Impacts of Radioactive Material in Soil and Building Structures

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

    Yu, Charley; Kamboj, Sunita; Wang, Cheng

    2015-09-01

    This handbook is an update of the 1993 version of the Data Collection Handbook and the Radionuclide Transfer Factors Report to support modeling the impact of radioactive material in soil. Many new parameters have been added to the RESRAD Family of Codes, and new measurement methodologies are available. A detailed review of available parameter databases was conducted in preparation of this new handbook. This handbook is a companion document to the user manuals when using the RESRAD (onsite) and RESRAD-OFFSITE code. It can also be used for RESRAD-BUILD code because some of the building-related parameters are included in this handbook.more » The RESRAD (onsite) has been developed for implementing U.S. Department of Energy Residual Radioactive Material Guidelines. Hydrogeological, meteorological, geochemical, geometrical (size, area, depth), crops and livestock, human intake, source characteristic, and building characteristic parameters are used in the RESRAD (onsite) code. The RESRAD-OFFSITE code is an extension of the RESRAD (onsite) code and can also model the transport of radionuclides to locations outside the footprint of the primary contamination. This handbook discusses parameter definitions, typical ranges, variations, and measurement methodologies. It also provides references for sources of additional information. Although this handbook was developed primarily to support the application of RESRAD Family of Codes, the discussions and values are valid for use of other pathway analysis models and codes.« less

  11. The Effect of a Workplace-Based Early Intervention Program on Work-Related Musculoskeletal Compensation Outcomes at a Poultry Meat Processing Plant.

    PubMed

    Donovan, Michael; Khan, Asaduzzaman; Johnston, Venerina

    2017-03-01

    Introduction The aim of this study is to determine whether a workplace-based early intervention injury prevention program reduces work-related musculoskeletal compensation outcomes in poultry meat processing workers. Methods A poultry meatworks in Queensland, Australia implemented an onsite early intervention which included immediate reporting and triage, reassurance, multidisciplinary participatory consultation, workplace modifica tion and onsite physiotherapy. Secondary pre-post analyses of the meatworks' compensation data over 4 years were performed, with the intervention commencing 2 years into the study period. Outcome measures included rate of claims, costs per claim and work days absent at an individual claim level. Where possible, similar analyses were performed on data for Queensland's poultry meat processing industry (excluding the meatworks used in this study). Results At the intervention meatworks, in the post intervention period an 18 % reduction in claims per 1 million working hours (p = 0.017) was observed. Generalized linear modelling revealed a significant reduction in average costs per claim of $831 (OR 0.74; 95 % CI 0.59-0.93; p = 0.009). Median days absent was reduced by 37 % (p = 0.024). For the poultry meat processing industry over the same period, generalized linear modelling revealed no significant change in average costs per claim (OR 1.02; 95 % CI 0.76-1.36; p = 0.91). Median days absent was unchanged (p = 0.93). Conclusion The introduction of an onsite, workplace-based early intervention injury prevention program demonstrated positive effects on compensation outcomes for work-related musculoskeletal disorders in poultry meat processing workers. Prospective studies are needed to confirm the findings of the present study.

  12. Saving home energy

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

    Synder, R.

    1977-01-01

    Guidelines for organizing and conducting a passive solar energy and a hands-on energy conservation workshop are presented in handbook format. The guidelines formed the organizational basis of a Saving Home Energy' workshop sponsored by the Colorado Solar Energy Association. The workshop was divided into sessions on cost-effective information in energy conservation, skills and tools required for home heat conservation, on-site instruction in basic home energy conservation, and dissemination of information on passive solar energy applications. Fundraising schemes for financing the workshop are described, and local businesses that may be approached for monetary and material donations are identified. Guidelines and checklistsmore » are presented for workshop registration, publicity, location arrangements, and methods for retaining qualified instructors to run the workshops. Timetables are included for scheduling organization jobs and deadlines, sample fundraising, instructor invitation, thank-you letters, and a questionnaire are reproduced. The formats, objectives, problems, topics, information, and conclusions for each of the four sessions are outlined. Materials required for the on-site work session are listed and methods for selecting on-site locations are reviewed.« less

  13. Environmental sciences information storage and retrieval system

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

    Engstrom, D.E.; White, M.G.; Dunaway, P.B.

    Reynolds Electrical and Engineering Co., Inc. (REECo), has since 1970 accumulated information relating to the AEC's Nevada Applied Ecology Group (NAEG) programs at the Nevada Test Site (NTS). These programs, involving extensive soil, vegetation, and small-animal studies, have generated informational data concerning the collecting, processing, analyzing, and shipping of sample materials to various program participants and contractors. Future plans include incorporation of Lawrence Livermore Laboratory's resuspension study data, REECo's on-site air data, and EPA's large-animal, off-site air, and off-site soil data. (auth)

  14. Tailoring Care to Vulnerable Populations by Incorporating Social Determinants of Health: the Veterans Health Administration's "Homeless Patient Aligned Care Team" Program.

    PubMed

    O'Toole, Thomas P; Johnson, Erin E; Aiello, Riccardo; Kane, Vincent; Pape, Lisa

    2016-03-31

    Although the clinical consequences of homelessness are well described, less is known about the role for health care systems in improving clinical and social outcomes for the homeless. We described the national implementation of a "homeless medical home" initiative in the Veterans Health Administration (VHA) and correlated patient health outcomes with characteristics of high-performing sites. We conducted an observational study of 33 VHA facilities with homeless medical homes and patient- aligned care teams that served more than 14,000 patients. We correlated site-specific health care performance data for the 3,543 homeless veterans enrolled in the program from October 2013 through March 2014, including those receiving ambulatory or acute health care services during the 6 months prior to enrollment in our study and 6 months post-enrollment with corresponding survey data on the Homeless Patient Aligned Care Team (H-PACT) program implementation. We defined high performance as high rates of ambulatory care and reduced use of acute care services. More than 96% of VHA patients enrolled in these programs were concurrently receiving VHA homeless services. Of the 33 sites studied, 82% provided hygiene care (on-site showers, hygiene kits, and laundry), 76% provided transportation, and 55% had an on-site clothes pantry; 42% had a food pantry and provided on-site meals or other food assistance. Six-month patterns of acute-care use pre-enrollment and post-enrollment for 3,543 consecutively enrolled patients showed a 19.0% reduction in emergency department use and a 34.7% reduction in hospitalizations. Three features were significantly associated with high performance: 1) higher staffing ratios than other sites, 1) integration of social supports and social services into clinical care, and 3) outreach to and integration with community agencies. Integrating social determinants of health into clinical care can be effective for high-risk homeless veterans.

  15. Tailoring Care to Vulnerable Populations by Incorporating Social Determinants of Health: the Veterans Health Administration’s “Homeless Patient Aligned Care Team” Program

    PubMed Central

    Johnson, Erin E.; Aiello, Riccardo; Kane, Vincent; Pape, Lisa

    2016-01-01

    Introduction Although the clinical consequences of homelessness are well described, less is known about the role for health care systems in improving clinical and social outcomes for the homeless. We described the national implementation of a “homeless medical home” initiative in the Veterans Health Administration (VHA) and correlated patient health outcomes with characteristics of high-performing sites. Methods We conducted an observational study of 33 VHA facilities with homeless medical homes and patient- aligned care teams that served more than 14,000 patients. We correlated site-specific health care performance data for the 3,543 homeless veterans enrolled in the program from October 2013 through March 2014, including those receiving ambulatory or acute health care services during the 6 months prior to enrollment in our study and 6 months post-enrollment with corresponding survey data on the Homeless Patient Aligned Care Team (H-PACT) program implementation. We defined high performance as high rates of ambulatory care and reduced use of acute care services. Results More than 96% of VHA patients enrolled in these programs were concurrently receiving VHA homeless services. Of the 33 sites studied, 82% provided hygiene care (on-site showers, hygiene kits, and laundry), 76% provided transportation, and 55% had an on-site clothes pantry; 42% had a food pantry and provided on-site meals or other food assistance. Six-month patterns of acute-care use pre-enrollment and post-enrollment for 3,543 consecutively enrolled patients showed a 19.0% reduction in emergency department use and a 34.7% reduction in hospitalizations. Three features were significantly associated with high performance: 1) higher staffing ratios than other sites, 1) integration of social supports and social services into clinical care, and 3) outreach to and integration with community agencies. Conclusion Integrating social determinants of health into clinical care can be effective for high-risk homeless veterans. PMID:27032987

  16. The Effectiveness of Remote Facilitation in Simulation-Based Pediatric Resuscitation Training for Medical Students.

    PubMed

    Ohta, Kunio; Kurosawa, Hiroshi; Shiima, Yuko; Ikeyama, Takanari; Scott, James; Hayes, Scott; Gould, Michael; Buchanan, Newton; Nadkarni, Vinay; Nishisaki, Akira

    2017-08-01

    To assess the effectiveness of pediatric simulation by remote facilitation. We hypothesized that simulation by remote facilitation is more effective compared to simulation by an on-site facilitator. We defined remote facilitation as a facilitator remotely (1) introduces simulation-based learning and simulation environment, (2) runs scenarios, and (3) performs debriefing with an on-site facilitator. A remote simulation program for medical students during pediatric rotation was implemented. Groups were allocated to either remote or on-site facilitation depending on the availability of telemedicine technology. Both groups had identical 1-hour simulation sessions with 2 scenarios and debriefing. Their team performance was assessed with behavioral assessment tool by a trained rater. Perception by students was evaluated with Likert scale (1-7). Fifteen groups with 89 students participated in a simulation by remote facilitation, and 8 groups with 47 students participated in a simulation by on-site facilitation. Participant demographics and previous simulation experience were similar. Both groups improved their performance from first to second scenario: groups by remote simulation (first [8.5 ± 4.2] vs second [13.2 ± 6.2], P = 0.003), and groups by on-site simulation (first [6.9 ± 4.1] vs second [12.4 ± 6.4], P = 0.056). The performance improvement was not significantly different between the 2 groups (P = 0.94). Faculty evaluation by students was equally high in both groups (7 vs 7; P = 0.65). A pediatric acute care simulation by remote facilitation significantly improved students' performance. In this pilot study, remote facilitation seems as effective as a traditional, locally facilitated simulation. The remote simulation can be a strong alternative method, especially where experienced facilitators are limited.

  17. High altitude medicine education in China: exploring a new medical education reform.

    PubMed

    Luo, Yongjun; Luo, Rong; Li, Weiming; Huang, Jianjun; Zhou, Qiquan; Gao, Yuqi

    2012-03-01

    China has the largest plateau in the world, which includes the whole of Tibet, part of Qinghai, Xinjiang, Yunnan, and Sichuan. The plateau area is about 257.2×10(4) km(2), which accounts for about 26.8% of the total area of China. According to data collected in 2006, approximately twelve million people were living at high altitudes, between 2200 to 5200 m high, on the Qinghai-Tibetan Plateau. Therefore, there is a need for medical workers who are trained to treat individuals living at high altitudes. To train undergraduates in high altitude medicine, the College of High Altitude Military Medicine was set up at the Third Military Medical University (TMMU) in Chongqing in 1999. This is the only school to teach high altitude medicine in China. Students at TMMU study natural and social sciences, basic medical sciences, clinical medical sciences, and high altitude medicine. In their 5(th) year, students work as interns at the General Hospital of Tibet Military Command in Lhasa for 3 months, where they receive on-site teaching. The method of on-site teaching is an innovative approach for training in high altitude medicine for undergraduates. Three improvements were implemented during the on-site teaching component of the training program: (1) standardization of the learning progress; (2) integration of formal knowledge with clinical experience; and (3) coaching students to develop habits of inquiry and to engage in ongoing self-improvement to set the stage for lifelong learning. Since the establishment of the innovative training methods in 2001, six classes of high altitude medicine undergraduates, who received on-site teaching, have graduated and achieved encouraging results. This evidence shows that on-site teaching needs to be used more widely in high altitude medicine education.

  18. Randomized evaluation of a web based interview process for urology resident selection.

    PubMed

    Shah, Satyan K; Arora, Sanjeev; Skipper, Betty; Kalishman, Summers; Timm, T Craig; Smith, Anthony Y

    2012-04-01

    We determined whether a web based interview process for resident selection could effectively replace the traditional on-site interview. For the 2010 to 2011 match cycle, applicants to the University of New Mexico urology residency program were randomized to participate in a web based interview process via Skype or a traditional on-site interview process. Both methods included interviews with the faculty, a tour of facilities and the opportunity to ask current residents any questions. To maintain fairness the applicants were then reinterviewed via the opposite process several weeks later. We assessed comparative effectiveness, cost, convenience and satisfaction using anonymous surveys largely scored on a 5-point Likert scale. Of 39 total participants (33 applicants and 6 faculty) 95% completed the surveys. The web based interview was less costly to applicants (mean $171 vs $364, p=0.05) and required less time away from school (10% missing 1 or more days vs 30%, p=0.04) compared to traditional on-site interview. However, applicants perceived the web based interview process as less effective than traditional on-site interview, with a mean 6-item summative effectiveness score of 21.3 vs 25.6 (p=0.003). Applicants and faculty favored continuing the web based interview process in the future as an adjunct to on-site interviews. Residency interviews can be successfully conducted via the Internet. The web based interview process reduced costs and improved convenience. The findings of this study support the use of videoconferencing as an adjunct to traditional interview methods rather than as a replacement. Copyright © 2012 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  19. Photovoltaic power without batteries for continuous cathodic protection

    NASA Technical Reports Server (NTRS)

    Muehl, W. W., Sr.

    1994-01-01

    The COASTSYSTA designed, installed, and started up on 20 Jan. 1990, a state-of-the-art stand alone photovoltaic powered impressed current cathodic protection system (PVCPSYS) not requiring any auxiliary/battery backup power for steel and iron submerged structures. The PVCPSYS installed on 775' of steel sheet piling of a Navy bulkhead is continuing to provide complete, continuous corrosion protection. This has been well documented by COASTSYSTA and verified on-site by the U.S. Army Civil Engineering Research Laboratory, Champaign, Illinois and the Navy Energy Program Office-Photovoltaic Programs, China Lake, California. The Department of Defense (DoD) Photovoltaic Review Committee and Sandia National Laboratories consider this successful and cost effective system a major advance in the application of photovoltaic power. The PVCPSYS uses only renewable energy and is environmentally clean. A patent is pending on the new technology. Other possible PVCPSYS applications are mothballed ships, docks, dams, locks, bridges, marinas, offshore structures, and pipelines. The initial cost savings by installing a PVCPSYS vs. a conventional CP system was in excess of $46,000.00.

  20. Photovoltaic power without batteries for continuous cathodic protection

    NASA Astrophysics Data System (ADS)

    Muehl, W. W., Sr.

    1994-02-01

    The COASTSYSTA designed, installed, and started up on 20 Jan. 1990, a state-of-the-art stand alone photovoltaic powered impressed current cathodic protection system (PVCPSYS) not requiring any auxiliary/battery backup power for steel and iron submerged structures. The PVCPSYS installed on 775' of steel sheet piling of a Navy bulkhead is continuing to provide complete, continuous corrosion protection. This has been well documented by COASTSYSTA and verified on-site by the U.S. Army Civil Engineering Research Laboratory, Champaign, Illinois and the Navy Energy Program Office-Photovoltaic Programs, China Lake, California. The Department of Defense (DoD) Photovoltaic Review Committee and Sandia National Laboratories consider this successful and cost effective system a major advance in the application of photovoltaic power. The PVCPSYS uses only renewable energy and is environmentally clean. A patent is pending on the new technology. Other possible PVCPSYS applications are mothballed ships, docks, dams, locks, bridges, marinas, offshore structures, and pipelines. The initial cost savings by installing a PVCPSYS vs. a conventional CP system was in excess of $46,000.00.

  1. Final test report for ITS standards testing of ATC 2070 and its cabinet as deployed in Harris County, TX.

    DOT National Transportation Integrated Search

    2008-06-27

    This Final Report includes all of the findings and recommendations resulting from Battelles static review, detailed interviews and onsite testing activity related to the ITS Standards deployed and currently in use for transportation management sys...

  2. Los Alamos National Laboratory Prototype Fabrication Division CNM Briefing

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

    Hidalgo, Stephen P.; Keyser, Richard J.

    2012-06-18

    Prototype Fabrication Division designs, programs, manufactures, and inspects on-site high quality, diverse material parts and components that can be delivered at the pace the customer needs to meet their mission. Our goal is to bring vision to reality in the name of science.

  3. Technical assistance for hazardous-waste reduction

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

    Thompson, F.M.; McComas, C.A.

    1987-12-01

    Minnesota's Waste Management Board has established, developed, and funded the Minnesota Technical Assistance Program (MnTAP). The MnTAP programs offers technical assistance to generators of hazardous waste by offering telephone and onsite consultation, a waste reduction resource bank, information dissemination, a student intern program, and research awards for waste reduction projects. The program has completed three years of successful operation. The increasing interest in and use of MnTAP's services by hazardous-waste generators has justified the belief that state technical assistance programs have an important role to play in helping generators to reduce their waste production.

  4. A Multi-institutional Study of Factors Influencing the Use of Stereotactic Radiosurgery for Brain Metastases

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

    Hodgson, David C., E-mail: David.Hodgson@rmp.uhn.on.ca; Department of Radiation Oncology, University of Toronto, Toronto, Ontario; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario

    2013-02-01

    Purpose: Stereotactic radiosurgery (SRS) for brain metastases is a relatively well-studied technology with established guidelines regarding patient selection, although its implementation is technically complex. We evaluated the extent to which local availability of SRS affected the treatment of patients with brain metastases. Methods and Materials: We identified 3030 patients who received whole-brain radiation therapy (WBRT) for brain metastases in 1 of 7 cancer centers in Ontario. Clinical data were abstracted for a random sample of 973 patients. Logistic regression analyses were performed to identify factors associated with the use of SRS as a boost within 4 months following WBRT ormore » at any time following WBRT. Results: Of 898 patients eligible for analysis, SRS was provided to 70 (7.8%) patients at some time during the course of their disease and to 34 (3.8%) patients as a boost following WBRT. In multivariable analyses, factors significantly associated with the use of SRS boost following WBRT were fewer brain metastases (odds ratio [OR] = 6.50), controlled extracranial disease (OR = 3.49), age (OR = 0.97 per year of advancing age), and the presence of an on-site SRS program at the hospital where WBRT was given (OR = 12.34; all P values were <.05). Similarly, availability of on-site SRS was the factor most predictive of the use of SRS at any time following WBRT (OR = 5.98). Among patients with 1-3 brain metastases, good/fair performance status, and no evidence of active extracranial disease, SRS was provided to 40.3% of patients who received WBRT in a hospital that had an on-site SRS program vs 3.0% of patients who received WBRT at a hospital without SRS (P<.01). Conclusions: The availability of on-site SRS is the factor most strongly associated with the provision of this treatment to patients with brain metastases and appears to be more influential than accepted clinical eligibility factors.« less

  5. Semiannual Report to Congress on the Effectiveness of the Civil Aviation Security Program

    DTIC Science & Technology

    1988-11-01

    secure Zround environment and for providing local law enforcement support for airline and airport security measures. Finally, the passengers, the...operating environment for these air carriers. Airport security programs are designed to meet the threat to the specific airport. Of the 402 airports...assistance during this project. Responding to urgent requests from the Government of Liberia for onsite training of its airport security forces, FAA

  6. Foods served in child care facilities participating in the Child and Adult Care Food Program: Menu match and agreement with the new meal patterns and best practices

    USDA-ARS?s Scientific Manuscript database

    Our objective was to assess the agreement of posted menus with foods served to 3- to 5-year-old children attending federal Child and Adult Care Food Program (CACFP)-enrolled facilities, and the degree to which the facilities met the new meal patterns and best practices. On-site observations and menu...

  7. Stennis award

    NASA Image and Video Library

    2012-04-20

    NASA Administrator Charles Bolden (l) and NASA Small Business Programs Associate Administrator Glenn Delgado (r) present NASA's Small Business Administrator's Cup Award to Stennis Space Center in recognition of its stellar small business program for fiscal year 2011. Receiving the award April 20, 2012, are (l to r) Stennis Procurement Office personnel Michelle Stracener and Rob Harris, along with Stennis Space Center Director Patrick Scheuermann. Bolden and Delgado presented the award during an onsite visit April 20.

  8. Integrating Four Courses into a 12 Credit Hour Block of Instruction in an On-Line Format as Part of a Master's Program in Educational Administration.

    ERIC Educational Resources Information Center

    Klotz, Jack; Roberson, Thelma J.

    This paper shares the approach taken by one department of educational leadership to creating a vehicle for delivering its master's degree program to national and international students through the integration of online and on-site instructional formats. The paper addresses the historical background of higher education reform, the curriculum of the…

  9. Cooperative Education at LaGuardia Community College: An Assessment and Description of the Initiation of an Innovative Curriculum. Final Report.

    ERIC Educational Resources Information Center

    Soper Associates, Berne, NY.

    La Guardia College (New York) is the only community college in the United States requiring its entire student body to participate in a work-experience program regardless of curriculum choice. This study, conducted by a team of selected consultants, is an assessment of the program based on onsite visits, interviews, and an array of reports and…

  10. A systematic approach to training: A training needs assessment

    NASA Technical Reports Server (NTRS)

    Manning, Margaret H.

    1989-01-01

    In an effort to determine the gap between the actual performance and the necessary performance of employees for the effective and efficient accomplishment of an organization's mission and goals, an organization-wide Training Needs Assessment must be conducted. The purpose of this work was to conduct a training needs analysis and prepare a NASA Langley Catalog of On-Site Training programs. The work included developing a Training Needs Assessment Survey, implementing the survey, analyzing and researching the training needs, identifying the courses to meet the needs, and preparing and designing an On-Site Training Catalog. This needs analysis attempted to identify performance weaknesses and deficits; seek out and provide opportunities for improved performance; anticipate and avoid future problems; enhance and create new strengths. The end product is a user-friendly catalog of on-site training available. The results include: top-down approach to needs assessment; improved communication with training coordinators; 98 percent return rate of the Training Needs Assessment survey; complete, newly designed, user-friendly catalog; 167 catalog descriptions advertised; 82 new courses advertised; training logo; and request for the training application form.

  11. A climatological description of the Savannah River Site

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

    Hunter, C.H.

    1990-05-22

    This report provides a general climatological description of the Savannah River Site. The description provides both regional and local scale climatology. The regional climatology includes a general regional climatic description and presents information on occurrence frequencies of the severe meteorological phenomena that are important considerations in the design and siting of a facility. These phenomena include tornadoes, thunderstorms, hurricanes, and ice/snow storms. Occurrence probabilities given for extreme tornado and non-tornado winds are based on previous site specific studies. Local climatological conditions that are significant with respect to the impact of facility operations on the environment are described using on-site ormore » near-site meteorological data. Summaries of wind speed, wind direction, and atmospheric stability are primarily based on the most recently generated five-year set of data collected from the onsite meteorological tower network (1982--86). Temperature, humidity, and precipitation summaries include data from SRL's standard meteorological instrument shelter and the Augusta National Weather Service office at Bush Field through 1986. A brief description of the onsite meteorological monitoring program is also provided. 24 refs., 15 figs., 22 tabs.« less

  12. The Development and Assessment of an NIH-Funded Research Ethics Training Program

    PubMed Central

    DuBois, James M.; Dueker, Jeffrey M.; Anderson, Emily E.; Campbell, Jean

    2015-01-01

    In an effort to increase the number of researchers with skills “in identifying and addressing the ethical, legal, and social implications of their research,” the National Institutes of Health (NIH) solicited training grant proposals from 1999 to 2004 and subsequently funded approved programs. The authors describe the content, format, and outcomes of one such training program that ran from 2002–2006 and shares key lessons learned about program formats and assessment methods. Jointly developed by the Saint Louis University Center for Health Care Ethics and the Missouri Institute of Mental Health Continuing Education department, the training program focused on mental health research and adopted a train-the-trainer model. It was offered in onsite and distance-learning formats. Key outcomes of the program included educational products (such as 70 case studies posted on the course website, a textbook, and an instructional DVD) and program completion by 40 trainees. Assessment involved pre- and post-testing focused on knowledge of research ethics, ethical problem-solving skills, and levels of confidence in addressing ethical issues in mental health research. The program succeeded in increasing participants’ knowledge of ethical issues and their beliefs that they could identify issues, identify problem-solving resources, and solve ethical problems. However, scores on the case-based problem-solving assessment dropped in post-testing, apparently due to diminished confidence about the right course of action in the specific dilemma presented; the implications of this finding for ethics assessment are discussed. Overall satisfaction was high and dropout rates were low, but 3 times higher for distance-learners than onsite participants. PMID:18520469

  13. 7 CFR 210.8 - Claims for reimbursement.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... school food authority shall promptly follow-up through phone contact, on-site visits or other means when... Reimbursement and all data used in the claims review process, by school. Records shall be retained as specified... authority to submit a consolidated Claim for Reimbursement for all schools under its jurisdiction, provided...

  14. 7 CFR 210.8 - Claims for reimbursement.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... school food authority shall promptly follow-up through phone contact, on-site visits or other means when... Reimbursement and all data used in the claims review process, by school. Records shall be retained as specified... authority to submit a consolidated Claim for Reimbursement for all schools under its jurisdiction, provided...

  15. 7 CFR 210.8 - Claims for reimbursement.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... school food authority shall promptly follow-up through phone contact, on-site visits or other means when... Reimbursement and all data used in the claims review process, by school. Records shall be retained as specified... authority to submit a consolidated Claim for Reimbursement for all schools under its jurisdiction, provided...

  16. 7 CFR 210.8 - Claims for reimbursement.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... school food authority shall promptly follow-up through phone contact, on-site visits or other means when... Reimbursement and all data used in the claims review process, by school. Records shall be retained as specified... authority to submit a consolidated Claim for Reimbursement for all schools under its jurisdiction, provided...

  17. An Analysis of Major Recommendations of NAC's On-Site Review Teams.

    ERIC Educational Resources Information Center

    Nelipovich, Michael

    1982-01-01

    An analysis of major recommendations of the National Accreditation Council for Agencies Serving the Blind and Visually Handicapped received by 50 state and not-for-profit agencies raised questions about emphasis on administrative standards and low concern about physical facilities. Suggestions, including elimination of duplications, are made. (CL)

  18. Librarians without Borders? Virtual Reference Service to Unaffiliated Users

    ERIC Educational Resources Information Center

    Kibbee, Jo

    2006-01-01

    The author investigates issues faced by academic research libraries in providing virtual reference services to unaffiliated users. These libraries generally welcome visitors who use on-site collections and reference services, but are these altruistic policies feasible in a virtual environment? This paper reviews the use of virtual reference…

  19. Mid-America Group: A Foundation for Renewal.

    ERIC Educational Resources Information Center

    Lorenzo, Albert L.; Blanzy, James J.

    Drawing from a review of the literature and on-site observations, this paper sets forth a comprehensive framework for organizational renewal within the community college. Part 1 focuses on the adaptation of organizational life cycle theory to community colleges. Building upon a broadened definition of human development and the related hierarchy of…

  20. 78 FR 68774 - Onsite Emergency Response Capabilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-15

    [email protected] . SUPPLEMENTARY INFORMATION: I. Background As a result of the events at the Fukushima Dai-ichi... Force Review of Insights from the Fukushima Dai-ichi Accident'' (ADAMS Accession No. ML111861807), the... in Response to Fukushima Lessons Learned'' (ADAMS Accession No. ML11269A204). The NRC staff...

  1. 13 CFR 120.451 - How does a Lender become a PLP Lender?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... for final decision. (b) In making its decision, SBA considers whether the Lender: (1) Has the required.... The Lender's Risk Rating, among other factors, will be considered in determining satisfactory SBA performance. Other factors may include, but are not limited to, on-site review/examination assessments...

  2. 13 CFR 120.812 - Probationary period for newly certified CDCs.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... its recommendation to the D/FA, who will make the final decision. SBA will determine permanent CDC... discretion. The CDC's Risk Rating, among other factors, will be considered in determining satisfactory SBA performance. Other factors may include, but are not limited to, on-site review/examination assessments...

  3. Requirements analysis report for transport estimation, preconstruction, construction, decision support and electronic bidding systems

    DOT National Transportation Integrated Search

    2009-01-01

    Info Tech conducted an on-site visit at the Connecticut Department of Transportation in Newington : from October 27-31, 2008. The purpose of the visit was to conduct an analysis of ConnDOTs : processes and to review the operations and business sys...

  4. Tomorrow Is Today at Silver Ridge.

    ERIC Educational Resources Information Center

    Wise, B. J.

    1994-01-01

    Describes a Washington State school's efforts to forego factory-model education for a boldly restructured curriculum dependent on new technologies, such as computer networks, two-year classrooms, ongoing staff development and planning sessions, and an innovative onsite day-care program for staff and students. The school has succeeded in…

  5. SITE - EMERGING TECHNOLOGY: REMOVAL AND RECOVERY OF METAL IONS FROM GROUNDWATER - APPENDICES

    EPA Science Inventory

    A series of laboratory tests and an on-site pilot scale demonstration of Bio-Recovery Systems' AlgaSORB technology for the removal and recovery of mercury-contaminated groundwater were conducted under the SITE program. ptimum conditions were determined for mercury binding to Alga...

  6. 2018 National Resources Inventory (NRI) Rangeland Resource Assessment

    USDA-ARS?s Scientific Manuscript database

    This report presents summary results from National Resources Inventory (NRI) on-site data collected on non-Federal rangelands. The survey is conducted by the U.S. Department of Agriculture’s Natural Resources Conservation Service (NRCS) as a part of the NRI survey program. The findings reported here...

  7. Evaluating the effects of local floodplain management policies on property owner behavior

    NASA Astrophysics Data System (ADS)

    Bollens, Scott A.; Kaiser, Edward J.; Burby, Raymond J.

    1988-05-01

    Floodplain management programs have been adopted by more than 85% of local governments in the nation with designated flood hazard areas. Yet, there has been little evaluation of the influence of floodplain policies on private sector decisions. This article examines the degree to which riverine floodplain management affects purchase and mitigation decisions made by owners of developed floodplain property in ten selected cities in the United States. We find that the stringency of such policies does not lessen floodplain property buying because of the overriding importance of site amenity factors. Indeed, flood protection measures incorporated into development projects appear to add to the attractiveness of floodplain location by increasing the perceived safety from the hazard. Property owner responses to the flood hazard after occupancy involve political action more often than individual on-site mitigation. Floodplain programs only minimally encourage on-site mitigation by the owner because most owners have not experienced a flood and many are unaware of the flood threat. It is suggested that floodplain programs will be more effective in meeting their objectives if they are directed at intervention points earlier in the land conversion process.

  8. Novel Damping Concepts for Mechanical Backup Bearings and Passive Magnetically Suspended Rotors

    NASA Technical Reports Server (NTRS)

    Keith, Theo G., Jr.

    2003-01-01

    The following summarizes the research accomplished under the titled project. The period of research extended from August 2001 to August 2002. The team of researchers consisted of two Senior Research Associates: Mark Siebert and Carl Buccieri. one PhD student: Pete Kenney and one faculty member: Theo Keith, who was the P.I. Karen Balog was the Program Coordinator. The research was performed at both the NASA Glenn Research Center (GRC) in Cleveland, Ohio and at the University of Toledo. Accordingly, periodic group telephone meetings were held with the team members, the NASA technical coordinators and several other University of Toledo researchers working on-site at GRC. Two passive magnetic bearing test rigs were designed and tested as a result of the work of this NRA. Additionally, two technical papers, based on this effort, were generated and are currently being reviewed.

  9. A standardized non-instrumental tool for characterizing workstations concerned with exposure to engineered nanomaterials

    NASA Astrophysics Data System (ADS)

    Canu I, Guseva; C, Ducros; S, Ducamp; L, Delabre; S, Audignon-Durand; C, Durand; Y, Iwatsubo; D, Jezewski-Serra; Bihan O, Le; S, Malard; A, Radauceanu; M, Reynier; M, Ricaud; O, Witschger

    2015-05-01

    The French national epidemiological surveillance program EpiNano aims at surveying mid- and long-term health effects possibly related with occupational exposure to either carbon nanotubes or titanium dioxide nanoparticles (TiO2). EpiNano is limited to workers potentially exposed to these nanomaterials including their aggregates and agglomerates. In order to identify those workers during the in-field industrial hygiene visits, a standardized non-instrumental method is necessary especially for epidemiologists and occupational physicians unfamiliar with nanoparticle and nanomaterial exposure metrology. A working group, Quintet ExpoNano, including national experts in nanomaterial metrology and occupational hygiene reviewed available methods, resources and their practice in order to develop a standardized tool for conducting company industrial hygiene visits and collecting necessary information. This tool, entitled “Onsite technical logbook”, includes 3 parts: company, workplace, and workstation allowing a detailed description of each task, process and exposure surrounding conditions. This logbook is intended to be completed during the company industrial hygiene visit. Each visit is conducted jointly by an industrial hygienist and an epidemiologist of the program and lasts one or two days depending on the company size. When all collected information is computerized using friendly-using software, it is possible to classify workstations with respect to their potential direct and/or indirect exposure. Workers appointed to workstations classified as concerned with exposure are considered as eligible for EpiNano program and invited to participate. Since January 2014, the Onsite technical logbook has been used in ten company visits. The companies visited were mostly involved in research and development. A total of 53 workstations with potential exposure to nanomaterials were pre-selected and observed: 5 with TiO2, 16 with single-walled carbon nanotubes, 27 multiwalled carbon nanotubes. Among the tasks observed there were: nanomaterial characterisation analysis (8), weighing (7), synthesis (6), functionalization (5), and transfer (5). The manipulated quantities were usually very small. After analysis of the data gathered in logbooks, 30 workstations have been classified as concerned with exposure to carbon nanotubes or TiO2. Additional tool validity as well as inter-and intra-evaluator reproducibility studies are ongoing. The first results are promising.

  10. 40 CFR 62.14356 - Compliance schedules and increments of progress.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... POLLUTANTS Federal Plan Requirements for Municipal Solid Waste Landfills That Commenced Construction Prior to...) to initiate on-site construction or initiate on-site installation of emission collection and/or control equipment. (3) Initiate on-site construction: Initiate on-site construction or initiate on-site...

  11. 40 CFR 62.14356 - Compliance schedules and increments of progress.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... POLLUTANTS Federal Plan Requirements for Municipal Solid Waste Landfills That Commenced Construction Prior to...) to initiate on-site construction or initiate on-site installation of emission collection and/or control equipment. (3) Initiate on-site construction: Initiate on-site construction or initiate on-site...

  12. 77 FR 34229 - Idaho: Final Authorization of State Hazardous Waste Management Program; Revision

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... capability for the disposal of remote-handled low-level radioactive waste ((LLW) generated at the Idaho... (FONSI), for the Remote-Handled Low-Level Radioactive Waste Onsite Disposal (RHLLWOD) on an Environmental... regulating phosphate (mineral processing) plants within the state. In response to this commenter's concerns...

  13. Preliminary Training Proposal for Cessna Aircraft of Independence.

    ERIC Educational Resources Information Center

    Independence Community Coll., KS.

    This proposal for a program designed to train workers to manufacture single-engine, piston-driven aircraft for Cessna Corporation was developed by Independence Community College in conjunction with Pittsburgh State University (Kansas) and the Southeast Kansas Area Vocational-Technical School. The proposal provides for on-site training in a…

  14. Claretian Medical Center Task Analysis. Worker Education Program.

    ERIC Educational Resources Information Center

    Union of Needletrades, Industrial and Textile Employees.

    This task analysis for positions at the Claretian Medical Center in southeast Chicago was developed to improve communication and customer service in the workplace. The task analysis was prepared through clinic tours, employee interviews, and supervisor questionnaires. It is used for the purpose of curriculum development for onsite instruction in…

  15. 32 CFR 260.5 - Responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Available from http://www.dtic.mil/whs/directives/corres/html/416570.htm. (5) The On-Site Official shall be... 32 National Defense 2 2010-07-01 2010-07-01 false Responsibilities. 260.5 Section 260.5 National... VENDING FACILITY PROGRAM FOR THE BLIND ON DOD-CONTROLLED FEDERAL PROPERTY § 260.5 Responsibilities. (a...

  16. 7 CFR 633.4 - Program requirements.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... with a State government which permits agricultural use; or (iii) Other privately owned land which is... be futile due to on-site or off-site conditions; and (6) Land on which the ownership has changed... protection of wetlands and associated lands. To participate in WBP, a person will agree to the implementation...

  17. Academically Creative Education: An Interim Report.

    ERIC Educational Resources Information Center

    Southwest Virginia Community Coll., Richlands, VA.

    An overview is provided of activities undertaken by Southwest Virginia Community College and the Russell County School System to provide a cost-effective delivery system for education/enrichment opportunities for gifted seniors in rural high schools that lack the "critical mass" to sustain individual on-site programs. The delivery system used an…

  18. EMERGING TECHNOLOGY SUMMARY: REMOVAL AND RECOVERY OF METAL IONS FROM GROUNDWATER

    EPA Science Inventory

    A series of bench-scale tests and an onsite pilot scale demonstration of Bio-Recovery Systems' AlgaSORB® technology for the removal and recovery of mercury-contaminated groundwaters were conducted under the SITE program. The AlgaSORB® process is based on the natural, very st...

  19. Evaluation Report on the Community Learning Center.

    ERIC Educational Resources Information Center

    Fried, Robert L.

    The Community Learning Center (CLC) evaluation is based on on-site visits and interviews with staff and students of widely differing ethnic backgrounds. Teaching resources are varied. The Model Cities program is the basic source for CLC funding; the Cambridge Public Library is the center's local sponsor. The external bureaucratic framework needs…

  20. Kansas Rural Schools and Education Service Centers : A 21st Century Solution.

    ERIC Educational Resources Information Center

    Cook, Rita C.

    2003-01-01

    Rural Kansas schools facing financial problems and demands for more accountability must cooperate to survive. Smoky Hill Education Service Center, representing 45 school districts, provides on-site staff development and online classes for students and staff, maintains a multimedia library, has a cooperative purchasing program, provides…

  1. Wellness Intervention Effects on Lifestyle, Attitudes and Stress.

    ERIC Educational Resources Information Center

    Horowitz, Stephen M.; And Others

    The effect of an on-site health promotion program on lifestyle behavior, health, attitude, and stress was studied with 41 university faculty and nonacademic administrators. The participants were administered a maximal graded exercise tolerance test, hydrostatic weighing, and the Lifestyle Analysis Questionnaire. While 32 staff were assigned to an…

  2. Workplace Literacy Development Guide for Employers.

    ERIC Educational Resources Information Center

    Seattle-King County Private Industry Council, Seattle, WA.

    Developed to assist employers in implementing a company-sponsored, on-site workplace literacy program for their employees, this guide is the result of experiences gained by the Seattle-King County, Washington, Private Industry Council, its partner agencies, and participating local employers. The guide contains sections on the following stages in…

  3. Reducing barriers to breast cancer care through Avon patient navigation programs.

    PubMed

    Stanley, Sandte; Arriola, Kimberly Jacob; Smith, Shakiyla; Hurlbert, Marc; Ricci, Carolyn; Escoffery, Cam

    2013-01-01

    Avon Foundation for Women grantees provide breast cancer services through patient navigation (PN) in an effort to alleviate barriers to care among underserved women. To gain a better understanding of how PN programs function, this study explores variations in the use of navigators, types of services offered, description of clients they serve, tracking of treatment completion, and evaluation mechanisms. Fifty-six Avon PN programs funded since 2008 throughout the United States were contacted. An online survey was distributed to the grantees of which 44 (81%) complete responses were collected and analyzed. Clients were racially and ethnically diverse, mostly in the 40- to 64-year old age range (64%) and 91.6% with an average income of less than $30 000. Women were either uninsured (50.7%) or receiving Medicaid (32.4%). PN programs were both community and hospital-based (22.5%); many hospitals (35.2%) were described as safety nets (eg, provide a significant level of care to low-income, uninsured, vulnerable populations). On-site services included breast screening (eg, mammography and breast ultrasound) and treatment (eg, breast surgery and radiation therapy). Some barriers to care identified by the programs included transportation, access to appointments, language, and financial issues (eg, cost of screening and treatment specifically for those uninsured). More than 39% of programs provided care across the cancer continuum. Many Avon PN programs incorporated navigation services that span the cancer care continuum. They addressed disparities by offering navigation and on-site medical services to reduce multiple systems barriers and social issues related to breast care.

  4. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program.

    PubMed

    Weinstock, Peter H; Kappus, Liana J; Kleinman, Monica E; Grenier, Barry; Hickey, Patricia; Burns, Jeffrey P

    2005-11-01

    The low incidence of crises in pediatrics, coupled with logistic issues and restricted work hours for trainees, hinders opportunities for frequent practice of crisis management and teamwork skills. We hypothesized that a dedicated simulator suite contiguous to the intensive care unit (ICU) would enhance the frequency and breadth of critical-incident training for a range of clinicians. Descriptive study. A tertiary-care pediatric teaching hospital. A realistic pediatric simulator suite was constructed 100 feet from the ICU, at a total base cost of $290,000. The simulation room is an exact replica of an ICU bed space, incorporating high-fidelity mannequin simulators. To capture an even wider audience, a portable unit was also created. Leaders from seven departments-critical care, cardiac intensive care, emergency medicine, transport medicine, anesthesia, respiratory care, and general pediatrics-completed instructor training to ensure effective debriefing techniques. Pediatric staff, including 100% of critical care fellows, 86% of nurses, 90% of respiratory therapists, and 74% of pediatric house staff, participated in >1500 learning encounters per year. All individuals were trained during their normal workday in the hospital. Courses in crisis resource management, skills acquisition, annual review, orientation, and trauma management (1,116, 98, 90, 60, and 60 encounters per year, respectively) were all designed by a multidisciplinary committee to ensure goal-directed education to a range of audiences. Annual costs were on par with those at other centers (approximately 44 dollars per trainee encounter). An onsite and comprehensive simulation program can significantly increase the opportunities for clinicians from multiple disciplines, in the course of their daily routines, to repetitively practice responses to pediatric medical crises. After an initial capital investment, the training appears to be cost-effective. Hospital-based simulator suites may point the way forward as a new paradigm for the effective education of today's busy clinicians.

  5. Hanford science and technology needs statements document

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

    Piper, L.L.

    This document is a compilation of the Hanford science and technology needs statements for FY 1998. The needs were developed by the Hanford Site Technology Coordination Group (STCG) with full participation and endorsement of site user organizations, stakeholders, and regulators. The purpose of this document is to: (a) provide a comprehensive listing of Hanford science and technology needs, and (b) identify partnering and commercialization opportunities with industry, other federal and state agencies, and the academic community. The Hanford STCG reviews and updates the needs annually. Once completed, the needs are communicated to DOE for use in the development and prioritizationmore » of their science and technology programs, including the Focus Areas, Cross-Cutting Programs, and the Environmental Management Science Program. The needs are also transmitted to DOE through the Accelerating Cleanup: 2006 Plan. The public may access the need statements on the Internet on: the Hanford Home Page (www.hanford.gov), the Pacific Rim Enterprise Center`s web site (www2.pacific-rim.org/pacific rim), or the STCG web site at DOE headquarters (em-52.em.doegov/ifd/stcg/stcg.htm). This page includes links to science and technology needs for many DOE sites. Private industry is encouraged to review the need statements and contact the Hanford STCG if they can provide technologies that meet these needs. On-site points of contact are included at the ends of each need statement. The Pacific Rim Enterprise Center (206-224-9934) can also provide assistance to businesses interested in marketing technologies to the DOE.« less

  6. 75 FR 66795 - TTM Technologies, Including On-Site Leased Workers From Kelly Services, Aerotek, and an On-Site...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ... follows: ``All workers TTM Technologies, including on-site leased workers from Kelly Services and Aerotek... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-64,993] TTM Technologies, Including On-Site Leased Workers From Kelly Services, Aerotek, and an On-Site Leased Worker From Orbotech...

  7. Water Quality Monitoring in Developing Countries; Can Microbial Fuel Cells be the Answer?

    PubMed Central

    Chouler, Jon; Di Lorenzo, Mirella

    2015-01-01

    The provision of safe water and adequate sanitation in developing countries is a must. A range of chemical and biological methods are currently used to ensure the safety of water for consumption. These methods however suffer from high costs, complexity of use and inability to function onsite and in real time. The microbial fuel cell (MFC) technology has great potential for the rapid and simple testing of the quality of water sources. MFCs have the advantages of high simplicity and possibility for onsite and real time monitoring. Depending on the choice of manufacturing materials, this technology can also be highly cost effective. This review covers the state-of-the-art research on MFC sensors for water quality monitoring, and explores enabling factors for their use in developing countries. PMID:26193327

  8. Cytotechnologists and On-Site Evaluation of Adequacy

    PubMed Central

    Collins, Jennifer A.; Novak, Anna; Ali, Syed Z.

    2013-01-01

    While fine needle aspiration (FNA) is certainly not a new biopsy technique, recent developments in advanced imaging techniques, molecular testing, and targeted therapies have coincided with a rapid increase in the number of FNA procedures being performed. Concurrently, the demand for on-site evaluation of adequacy (OSEA) has also increased, outstripping the capacity of available cytopathologists at some institutions. Among the several alternatives to cytopathologist-performed OSEA, cytotechnologist-attended OSEA stands out because it preserves the representation of the pathology service at the time of the procedure. Herein, we review the current literature about OSEA and the necessity of cytotechnologists to expand access of this useful pathology service to a broader patient population. We also examine how cytotechnologists are likely to fit into the emerging practice of telecytology. PMID:24255627

  9. Water Quality Monitoring in Developing Countries; Can Microbial Fuel Cells be the Answer?

    PubMed

    Chouler, Jon; Di Lorenzo, Mirella

    2015-07-16

    The provision of safe water and adequate sanitation in developing countries is a must. A range of chemical and biological methods are currently used to ensure the safety of water for consumption. These methods however suffer from high costs, complexity of use and inability to function onsite and in real time. The microbial fuel cell (MFC) technology has great potential for the rapid and simple testing of the quality of water sources. MFCs have the advantages of high simplicity and possibility for onsite and real time monitoring. Depending on the choice of manufacturing materials, this technology can also be highly cost effective. This review covers the state-of-the-art research on MFC sensors for water quality monitoring, and explores enabling factors for their use in developing countries.

  10. 76 FR 18751 - National Fuel Gas Supply Corporation; Tennessee Gas Pipeline Company; Notice of Intent To Prepare...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-05

    ... Prepare an Environmental Assessment for the Proposed Northern Access Project and Station 230c Project... County, Pennsylvania. TGP's Station 230C Project would involve construction and operation of facilities... conduct two onsite environmental reviews of National Fuel's proposed East Aurora Compressor Station site...

  11. EPA's Response to the February 2014 Release of Radioactive Material from the Waste Isolation Pilot Plant (WIPP): EPA's WIPP Air Sampling Data from April 2014

    EPA Pesticide Factsheets

    In April 2014, U.S. Environmental Protection Agency (EPA) environmental monitoring and assessment team members reviewed DOE's air sampling plan, visited DOE's air samplers and placed air samplers onsite near existing DOE samplers to corroborate results.

  12. Entry Strategies of First-Time High School Principals.

    ERIC Educational Resources Information Center

    Hall, Gene E.; Mani, M. N. G.

    To determine the first things that a new principal does during the first few months on the job, an intensive case study was conducted of 12 first-time high school principals in Florida, Virginia, Missouri, and Colorado. Each beginning principal was assigned a research team member who conducted on-site visits, reviewed documentation regarding the…

  13. 23 CFR 230.409 - Contract compliance review procedures.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... (Actions R-1 and R-2). (2) Contractor Notification (Action R-3). (3) Preliminary Analysis (Phase I) (Action R-4). (4) Onsite Verification and Interviews (Phase II) (Action R-5). (5) Exit Conference (Action R-6). (6) Compliance Determination and Formal Notification (Actions R-8, R-9, R-10, R-11, R-12). The...

  14. Nanomaterials-based biosensors for detection of microorganisms and microbial toxins.

    PubMed

    Sutarlie, Laura; Ow, Sian Yang; Su, Xiaodi

    2017-04-01

    Detection of microorganisms and microbial toxins is important for health and safety. Due to their unique physical and chemical properties, nanomaterials have been extensively used to develop biosensors for rapid detection of microorganisms with microbial cells and toxins as target analytes. In this paper, the design principles of nanomaterials-based biosensors for four selected analyte categories (bacteria cells, toxins, mycotoxins, and protozoa cells), closely associated with the target analytes' properties is reviewed. Five signal transducing methods that are less equipment intensive (colorimetric, fluorimetric, surface enhanced Raman scattering, electrochemical, and magnetic relaxometry methods) is described and compared for their sensory performance (in term oflimit of detection, dynamic range, and response time) for all analyte categories. In the end, the suitability of these five sensing principles for on-site or field applications is discussed. With a comprehensive coverage of nanomaterials, design principles, sensing principles, and assessment on the sensory performance and suitability for on-site application, this review offers valuable insight and perspective for designing suitable nanomaterials-based microorganism biosensors for a given application. Copyright © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  15. Meeting blood requirements following terrorist attacks: the Israeli experience.

    PubMed

    Shinar, Eilat; Yahalom, Vered; Silverman, Barbara G

    2006-11-01

    Blood services worldwide must be prepared to meet surges in demand for blood components needed by casualties of domestic disasters and acts of terrorism. Israel's National Blood Services, operated by Magen David Adom, has extensive experience in managing blood collections and supply in emergencies. This review summarizes the structure and function of Magen David Adom's national blood program, and relates its experience to other practices that have been reported in the medical literature. Between 2000 and 2005, 7497 victims (85% civilians) were involved in 1645 terrorist attacks in Israel. On-site triage resulted in 967 (13%) deaths at the scene, 615 (8%) with severe injuries, 897 (12%) with moderate injuries and 5018 (67%) with mild injuries. Requests for blood averaged 1.3 blood units and 0.9 components per casualty, or 6.7 units and 4.5 components per severe and moderately injured patient. Public appeals for blood donations were managed centrally to match supply with demand and prevent wastage. This experience illustrates the advantages of a comprehensive program for managing blood operations in emergency situations. A coordinated national program can stabilize in-hospital inventories during routine activities, ensure instant access to precisely defined inventories, facilitate sufficient supply in times of disasters, and minimize outdating and wastage.

  16. Bio-analytical applications of microbial fuel cell-based biosensors for onsite water quality monitoring.

    PubMed

    ElMekawy, A; Hegab, H M; Pant, D; Saint, C P

    2018-01-01

    Globally, sustainable provision of high-quality safe water is a major challenge of the 21st century. Various chemical and biological monitoring analytics are presently utilized to guarantee the availability of high-quality water. However, these techniques still face some challenges including high costs, complex design and onsite and online limitations. The recent technology of using microbial fuel cell (MFC)-based biosensors holds outstanding potential for the rapid and real-time monitoring of water source quality. MFCs have the advantages of simplicity in design and efficiency for onsite sensing. Even though some sensing applications of MFCs were previously studied, e.g. biochemical oxygen demand sensor, recently numerous research groups around the world have presented new practical applications of this technique, which combine multidisciplinary scientific knowledge in materials science, microbiology and electrochemistry fields. This review presents the most updated research on the utilization of MFCs as potential biosensors for monitoring water quality and considers the range of potentially toxic analytes that have so far been detected using this methodology. The advantages of MFCs over established technology are also considered as well as future work required to establish their routine use. © 2017 The Society for Applied Microbiology.

  17. State Compliance Monitoring Expectations | ECHO | US EPA

    EPA Pesticide Factsheets

    EPA sets national goals for how frequently facilities should be evaluated by the authorized enforcement agency for three programs included in ECHO (Clean Air Act, Clean Water Act, and Resource Conservation and Recovery Act). EPA develops Compliance Monitoring Strategies (CMSs) to ensure that the regulated facilities across the country are evaluated for compliance on a regular basis. Information on CMSs, evaluations (such as on-site inspections), and inspection frequency goals that are defined by each program is included.

  18. [Development of a New Scholastic Program for Medication Counseling Practice in Preclinical Training, Constructed for Junior Students by Senior Students Based on Their Experiences of On-site Practice].

    PubMed

    Suzuki, Sayo; Aono, Izumi; Imai, Natsumi; Kuwabara, Aki; Kenda, Yuki; Matsumoto, Minako; Yoshida, Aya; Watanabe, Asuka; Takagi, Akinori; Kobayashi, Noriko; Saeki, Haruko; Ohtani, Hisakazu; Nakamura, Tomonori; Kizu, Junko

    2017-01-01

     Long-term practical on-site training, based on the Model Core Curriculum for Pharmaceutical Education, is a core program of the 6-year course of pharmaceutical education, introduced in Japan in 2010. In particular, medication counseling in practical training in 5th-year provides valuable opportunities for communication with real patients rather than simulated patients (SPs). However, it can also cause anxiety in 4th-year students before practical training. To address such concerns, upperclassmen (5th- and 6th-year students), who have already completed practical training, constructed and conducted a new educational program for medication counseling practice in preclinical training based on their experiences. They also developed case scenarios and played the role of patients themselves to create more realistic clinical settings. Advice from professional SPs was also provided. The 5-step program is composed of 1st counseling, 1st small group discussion (SGD) for improving counseling, 2nd revised counseling based on the 1st SGD, 2nd SGD, and development of a counseling plan and presentation. Educational effects of the program were evaluated by questionnaire survey after preclinical training in 4th-year students and after their practical training in 5th-year students. This new program, the Advanced Medication Counseling Practice, was found to be useful to reduce anxiety about communication with patients among 4th-year students (about 90%). Even after their practical training in 5th-year, they still appreciated usefulness of this program (about 80%). This program is still valued 4 years after its development. We developed the Advanced Medication Counseling Practice in preclinical training for junior students by senior students.

  19. Efficient management of cardiovascular risk screening programs

    NASA Technical Reports Server (NTRS)

    Roth, Carol

    1993-01-01

    The Environmental Health Unit, located on-site at the the Goddard Space Flight Center (GSFC), is responsible for the implementation of the Center's Employee Environmental and Occupational Health Program. The Health Unit, Health Physics (HP), and Industrial Hygiene (IH) staffs collaborate to provide quality service to the employees at GSFC. The Health Unit staff identifies, evaluates, and ensures the control of occupational hazards on the Center. In the past, components of the Industrial Hygiene Program have included the Industrial Hygiene Health Hazard Identification Program (IHHIP), the Hearing Conservation Program (HCP), the Hazard Communication Program, and the bi-annual fume hood survey. More recently, the Environmental Health Unit has expanded its services by adding the Ergonomics Program. Various aspects of the Ergonomics Program are discussed.

  20. Tritium recapture behavior at a nuclear power reactor due to airborne releases.

    PubMed

    Harris, Jason T; Miller, David W; Foster, Doug W

    2008-08-01

    This paper describes the initiatives taken by Cook Nuclear Plant to study the on-site behavior of recaptured tritium released in its airborne effluents. Recapture is the process where a released radioactive effluent, in this case tritium, is brought back on-site through some mechanism. Precipitation, shifts in wind direction, or anthropogenic structures that restrict or alter effluent movement can all lead to recapture. The investigation was started after tritium was detected in the north storm drain outfall. Recent inadvertent tritium releases by several other nuclear power plants, many of which entered the groundwater, have led to increased surveillance and scrutiny by regulatory authorities and the general public. To determine the source of tritium in the outfall, an on-site surface water, well water, rainwater and air-conditioning condensate monitoring program was begun. Washout coefficients were also determined to compare with results reported by other nuclear power plants. Program monitoring revealed detectable tritium concentrations in several precipitation sample locations downwind of the two monitored containment building release vents. Tritium was found in higher concentrations in air-conditioning condensate, with a mean value of 528 Bq L(-1) (14,300 pCi L(-1)). The condensate, and to a lesser extent rainwater, were contributing to the tritium found in the north storm drain outfall. Maximum concentration values for each sample type were used to estimate the most conservative dose. A maximum dose of 1.1 x 10(-10) mSv (1.1 x 10(-8) mrem) total body was calculated to determine the health impact of the tritium detected.

  1. Collaboration of hospital case managers and home care liaisons when transitioning patients.

    PubMed

    Kelly, Margaret M; Penney, Erika D

    2011-01-01

    Hospital case managers frequently collaborate with home care liaisons when coordinating special discharge plans. This article focuses on the collaborative relationship between the hospital case manager and on-site liaison whose primary role centers around care coordination and patient teaching. Ineffective collaboration between hospital case managers and these clinical on-site liaisons can lead to serious lapses in care and services for patients, families, and the health care team when transitioning from hospital to home care. In a review of literature, little detail was found about the collaborative practice between hospital case managers and home care liaisons. This article discusses how collegiality, collaboration, and role clarification between hospital case managers and on-site home care liaisons can improve coordination of care and services for patients and their families in the transition from hospital to home care. Included is a set of guidelines developed by case managers at a major metropolitan acute care hospital to inform and improve their practice with home care liaisons. The authors are nursing case managers who practice in a major metropolitan teaching hospital. They met by telephone and in person with case managers from 3 metropolitan medical centers as well as on-site liaisons from 2 skilled nursing facilities and 5 home care agencies to develop practice recommendations for their department regarding work with home care liaisons. Conversations between hospital case managers and on-site home care liaisons revealed that all had experiences in which suboptimal collaboration negatively impacted home care coordination for patients and their families. Furthermore, outcomes in similar patient scenarios varied widely based on the individual practices of the case managers and liaisons involved in discharge coordination. Multiple issues were discussed, including blurred role and responsibility delineations, variations in communication styles and practices, and different levels of experience and training. Consensus regarding the implementation of the hospital's guidelines was achieved through a series of discussions within the workgroup in developing practice guidelines. Multiple revisions and secondary reviews by colleagues and directors took place before the guidelines were accepted and implemented. Recommendations for improving collaboration with liaisons included (1) taking time to become familiar with one another's practices and backgrounds; (2) ensuring clear discussions of roles, responsibilities, and expectations with liaisons related to individual cases and organizational requirements and limitations; (3) providing time and forums for ongoing communication and follow-up; and (4) recognizing that responsibility for certain aspects of the discharge planning process may be shared but that the case manager, in partnership with the multidisciplinary team, is ultimately accountable for the effectiveness and outcomes of the discharge plan.

  2. Observing with SOAR | SOAR

    Science.gov Websites

    Control Room SOAR offers both classical (on-site) observing (SOAR Control Room, right), and remote tools you need for preparing your science proposal and then carrying out your program. Tracking at Non -Sidereal Rates with SOAR The SOAR telescope has the ability to track at non-sidereal rates, ideal for

  3. 76 FR 58842 - The Marlin Firearms Company, Inc., a Subsidiary of Remington Arms Company Including On-Site...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-22

    ... take into account information related to the application of Marlin for the TAA for Firms program. The Plaintiff's Counsel also claimed that the Department should take into consideration information related to... surveys of the subject firm's customers; (2) contact Plaintiff to solicit information relevant to his...

  4. Career Field Experience: A Look at On-site Usage by High School Communication Class.

    ERIC Educational Resources Information Center

    Kaye, Thomas

    The career field experience program at a midwestern high school places broadcasting students on location for observation of the profession and optional job training or work. In addition to radio and television stations, field locations include advertising agencies with production studios, corporate production facilities, recording studios, cable…

  5. 75 FR 12253 - 60-Day Notice of Intention To Request Clearance of Collection of Information-Opportunity for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-15

    ... the Land and Water Conservation Fund (L&WCF) State assistance program. Matching grants are provided to... free-of-charge. SUPPLEMENTARY INFORMATION: OMB Control Number: 1024-0034. Title: Land and Water Conservation Fund On-Site Inspection Report. Expiration Date: August 31, 2010. Form: None. Type of Request...

  6. 76 FR 11529 - Gregory Desobry, Ph.D.; Order Requiring Notification of Involvement in NRC-Licensed Activities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... the reported medical events, the VA National Health Physics Program (NHPP) conducted onsite... Radiology in 1989 and subsequent practice in the field of Medical Physics, Mr. Desobry's actions at the... medical physicist, but had been employed at the Capital Health System--Mercer Campus, in Trenton, New...

  7. 10 CFR 26.4 - FFD program applicability to categories of individuals.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... health and safety; (2) Performing health physics or chemistry duties required as a member of the onsite... evaluation process has shown to be significant to public health and safety; and (5) Performing security... presence of drugs and drug metabolites at a laboratory certified by the Department of Health and Human...

  8. Does Delivery Format Make a Difference in Learning about Global and Cultural Understanding?

    ERIC Educational Resources Information Center

    Rawls, Janita; Hammons, Stacy A.

    2016-01-01

    This study assessed a learning outcome for nontraditional seniors who were in accelerated degree programs in both online and on-site formats. Using items from the National Survey of Student Engagement, researchers explored engagement with global understanding and cultural awareness. A quantitative, single-case analysis method was used to determine…

  9. Using Mentors and Interdisciplinary Teams To "Genderize" Teacher Education.

    ERIC Educational Resources Information Center

    Sanders, Jo; Campbell, Patricia B.

    This paper describes a national project concerning gender equity in teacher education in mathematics, science, and technology. Using a model of external mentors and on-site teams, the Teacher Education Mentor Program (TEMP) worked with seven universities to facilitate the inclusion of gender equity in individual college courses and in college of…

  10. Master Plan, Tucson Diversion Channel, Recreation Development Program. Gila River and Tributaries, Arizona and New Mexico.

    DTIC Science & Technology

    1981-10-01

    area. • A need for recreation opportunities for the preteen and teen- age groups. The people of Tucson believe recreation oppor- tunity might help...be able to accommodate large group activities and have adequate onsite parking. Also needed are facilities for the preteen and teen-age groups

  11. Padilla Bay: The Estuary Guide. Level 2.

    ERIC Educational Resources Information Center

    Friesem, Judy; Lynn, Valerie, Ed.

    Estuaries are marine systems that serve as nurseries for animals, links in the migratory pathways, and habitat for a complex community of organisms. This curriculum guide intended for use at the middle school level is designed for use with the on-site program developed by the Padilla Bay National Esturine Research Reserve (Washington). The guide…

  12. 40 CFR 98.420 - Definition of the source category.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Definition of the source category. 98.420 Section 98.420 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... distribution of CO2. (4) Purification, compression, or processing of CO2. (5) On-site use of CO2 captured on...

  13. Customized On-site Resource Training Services (CORTS): A Partnership Program.

    ERIC Educational Resources Information Center

    Macquarie Univ., North Ryde (Australia). Special Education Centre.

    In 1983, New Brunswick Community College-Moncton (NBCCM) was awarded funding to establish a Computer Aided Drafting/Manufacturing (CAD/CAM) resource center to train students and assist industry in researching and adopting CAD/CAM technology. However, inherent constraints in industry and the absorption of college resources by in-house training…

  14. Project COMPUOCC.LEP, 1988-89. Evaluation Section Report [and] Executive Summary. OREA Report.

    ERIC Educational Resources Information Center

    Berney, Tomi D.; Velasquez, Clara

    Project COMPUOCC.LEP, a Title VII-funded program of instructional and support services, served 400 Hispanic students of limited English proficiency with special handicapping conditions. It also served 36 special education teachers at 14 Bronx (New York) intermediate and junior high schools, offering on-site technical assistance in curriculum…

  15. 40 CFR 98.420 - Definition of the source category.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 22 2012-07-01 2012-07-01 false Definition of the source category. 98.420 Section 98.420 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... distribution of CO2. (4) Purification, compression, or processing of CO2. (5) On-site use of CO2 captured on...

  16. 40 CFR 98.420 - Definition of the source category.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 21 2011-07-01 2011-07-01 false Definition of the source category. 98.420 Section 98.420 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... distribution of CO2. (4) Purification, compression, or processing of CO2. (5) On-site use of CO2 captured on...

  17. 40 CFR 98.420 - Definition of the source category.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 22 2013-07-01 2013-07-01 false Definition of the source category. 98.420 Section 98.420 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... distribution of CO2. (4) Purification, compression, or processing of CO2. (5) On-site use of CO2 captured on...

  18. 40 CFR 98.420 - Definition of the source category.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 21 2014-07-01 2014-07-01 false Definition of the source category. 98.420 Section 98.420 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS... distribution of CO2. (4) Purification, compression, or processing of CO2. (5) On-site use of CO2 captured on...

  19. Shaping the Corporate Response to Workers with Elder Care Commitments: Considerations for Gerontologists.

    ERIC Educational Resources Information Center

    Dellmann-Jenkins, Mary; And Others

    1994-01-01

    Initially designed in response to substance abuse, employee assistance programs are now recognizing needs of family caregivers of the elderly by providing such services as referral, education, information, flexible schedules/leaves, counseling, health promotion, financial assistance, and direct services--respite care and onsite adult day care. (SK)

  20. Embracing Change: Museum Educators in the Digital Age

    ERIC Educational Resources Information Center

    Moore, Claire

    2015-01-01

    As access to high speed internet connections and digital tools increase, many museums are incorporating online and/or blended (a combination of onsite and online) programming in their portfolio to deepen work with existing audiences and/or reach new ones. To leverage the potential of ongoing innovation in the tech sector, museum educators will…

  1. All About OSHA and How It Will Help -- and Unnerve -- Your District

    ERIC Educational Resources Information Center

    American School Board Journal, 1973

    1973-01-01

    In response to OSHA, school board members and administrators should initiate a comprehensive, districtwide safety education and accident prevention program. OSHA will affect schools by requiring injury and illness records and onsite inspections. It will affect the operation of the physical plant and effect the provision of a comprehensive,…

  2. Employer-Sponsored Child Care Models and Related Issues.

    ERIC Educational Resources Information Center

    Renfroe, Martha Lou

    This study was designed to describe the different models of Employer-Sponsored Child Care (ESCC) available to employers and child care professionals. Examples of specific child care programs sponsored by employers are described, and five ESCC models are identified: on-site and off-site centers for a single employer, off-site centers for multiple…

  3. Small Systems. Instructor Guide. Working for Clean Water: An Information Program for Advisory Groups.

    ERIC Educational Resources Information Center

    Cole, Charles A.

    The rehabilitation of existing on-site wastewater treatment facilities is often the best approach to meeting waste disposal needs. Upon completing the learning session described in this instructor's guide, participants should understand the technology and treatment methods for low-volume wastewater flows. These materials are part of the Working…

  4. Analysis of Bright Harvest Remote Analysis for Residential Solar Installations

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

    Nangle, John; Simon, Joseph

    Bright Harvest provides remote shading analysis and design products for residential PV system installers. The National Renewable Energy Laboratory (NREL) through the NREL Commercialization Assistance Program, completed comparative assessments between on-site measurements and remotely calculated values to validate the accuracy of Bright Harvest’s remote shading and power generation.

  5. Assessing the representativeness of wind data for wind turbine site evaluation

    NASA Technical Reports Server (NTRS)

    Renne, D. S.; Corotis, R. B.

    1982-01-01

    Once potential wind turbine sites (either for single installations or clusters) are identified through siting procedures, actual evaluation of the sites must commence. This evaluation is needed to obtain estimates of wind turbine performance and to identify hazards to the machine from the turbulence component of the atmosphere. These estimates allow for more detailed project planning and for preliminary financing arrangements to be secured. The site evaluation process can occur in two stages: (1) utilizing existing nearby data, and (2) establishing and monitoring an onsite measurement program. Since step (2) requires a period of at least 1 yr or more from the time a potential site has been identified, step (1) is often an essential stage in the preliminary evaluation process. Both the methods that have been developed and the unknowns that still exist in assessing the representativeness of available data to a nearby wind turbine site are discussed. How the assessment of the representativeness of available data can be used to develop a more effective onsite meteorological measurement program is also discussed.

  6. Intensive Group Learning and On-Site Services to Improve Sexual and Reproductive Health Among Young Adults in Liberia: A Randomized Evaluation of HealthyActions.

    PubMed

    Firestone, Rebecca; Moorsmith, Reid; James, Simon; Urey, Marilyn; Greifinger, Rena; Lloyd, Danielle; Hartenberger-Toby, Lisa; Gausman, Jewel; Sanoe, Musa

    2016-09-28

    Young Liberians, particularly undereducated young adults, face substantial sexual and reproductive health (SRH) challenges, with low uptake of contraceptive methods, high rates of unintended pregnancy, and low levels of knowledge about HIV status. The purpose of this study was to assess the impact of a 6-day intensive group learning intervention combined with on-site SRH services (called HealthyActions) among out-of-school young adults, implemented through an existing alternative education program, on uptake of contraception and HIV testing and counseling (HTC). The intervention was implemented among young women and men ages 15-35 who were enrolled in alternative basic education learning sites in 5 counties of Liberia. We conducted a randomized evaluation to assess program impact. Baseline data were collected in January-March 2014, and endline data in June-July 2014. Key outcomes of condom use, contraceptive use, and HTC were estimated with difference-in-difference models using fixed effects. All analyses were conducted in Stata 13. We assessed outcomes for 1,157 learners at baseline and 1,052 learners at endline, across 29 treatment and 26 control sites. After adjusting for potential confounders, learners in the HealthyActions intervention group were 12% less likely to report never using a condom with a regular partner over the last month compared with the control group (P = .02). Female learners who received HealthyActions were 13% more likely to use any form of modern contraception compared with learners in control sites (P<.001), with the greatest increase in the use of contraceptive implants. Learners in HealthyActions sites were 45% more likely to have received HTC (P<.001). Providing intensive group learning in a supportive environment coupled with on-site health services improved SRH outcomes among participating learners. The focus of HealthyActions on participatory learning for low-literacy populations presents an adaptable solution for health programming across Liberia and the region. © Firestone et al.

  7. Reducing HIV Risks in the Places where People Drink: Prevention Interventions in Alcohol Venues

    PubMed Central

    Pitpitan, Eileen V.; Kalichman, Seth C.

    2015-01-01

    Apart from individual alcohol drinking behavior, the context or places where people drink play a significant role in HIV transmission risk. In this paper, we review the research that has been conducted on alcohol venues to identify the social and structural factors (e.g., social norms, sexual behavior) that are associated with HIV risk in these places, to review HIV prevention interventions based in alcohol venues, and to discuss appropriate methodologies for alcohol venue research. Alcohol venues are defined here as places that sell or serve alcohol for onsite consumption, including bars, bottle stores, nightclubs, wine shops, and informal shebeens. Despite the many established HIV risk factors at play in alcohol venues, limited prevention strategies have been implemented in such places. A total of 11 HIV prevention interventions or programs were identified. HIV prevention interventions in alcohol venues may be conducted at the individual, social, or structural level. However, multilevel interventions that target more than one level appear to lead to the most sustainable behavior change. Strategies to incorporate alcohol venues in biomedical prevention strategies including antiretroviral therapy for alcohol users are also discussed. PMID:26099244

  8. Adult Learners, Tutors and the Challenge of Assessment at a Distance

    ERIC Educational Resources Information Center

    Stephens, Simon; O'Donnell, David; McCusker, Paul

    2007-01-01

    This article explores the experiences of adult learners and tutors on a particular externally assessed distance-learning degree programme. On this programme, assignments are set, reviewed and graded independently of the on-site tutor by the external awarding body. An analysis of eight interviews with four tutors and four graduates from one such…

  9. Interpretive Studies on Bilingual Education. Final Report.

    ERIC Educational Resources Information Center

    Ulibarri, Horacio

    This project, carried out in 1968-1969, undertook as its main purposes (1) to review the research that has been conducted on bilingual education; (2) to obtain the recommendations on bilingual education from those persons who have been actively engaged in working with this problem; (3) to conduct on-site visitations to see at first hand programs…

  10. Assessing Opportunities to Enhance Comprehensive Health Promotion and Wellness Programming in a State Community College System.

    PubMed

    Linnan, Laura A; Arandia, Gabriela; Naseer, Carolyn; Li, Jiang; Pomerantz, Meg; Diehl, Sandra J

    2017-01-01

    BACKGROUND North Carolina has the third largest community college system in the nation and reaches residents in all 100 counties. Few studies have focused on the health of employees who work at these institutions. We assessed the current status of and interest in supporting health promotion efforts among North Carolina Community College System members. METHODS North Carolina Community College System presidents completed a brief 15-item survey assessing support for and interest in offering health promotion programs. Wellness coordinators completed a 60-item questionnaire assessing current health promotion programming and organizational, environmental, and policy supports for health promotion efforts. Onsite interviews with a sub-sample of Wellness coordinators offered insights into important implementation considerations. We examined differences by campus size with Fisher's exact test. RESULTS All 58 presidents (100%) and 51 wellness coordinators (88%) completed surveys. Ten percent of colleges offered comprehensive employee health promotion programming. Most offered physical activity (70.6%), tobacco cessation (51.0%), weight loss/management (49.0%), and/or nutrition counseling (47.1%). Larger colleges were more likely to offer programming and environmental support. Nearly all presidents (89.7%) believed it is "very" or "extremely" important to offer health promotion programs to employees, and most (84%) were interested in promoting health through a university partnership. LIMITATIONS Despite very high survey response rates from presidents and wellness coordinators at each community college, onsite interviews were only done at select campuses, limiting the generalizability and scope of conclusions derived from interview data. CONCLUSION Community colleges in North Carolina are promising settings for promoting employee health. Findings identify resources, barriers, and technical assistance that could facilitate greater adoption and implementation of programs. ©2017 by the North Carolina Institute of Medicine and The Duke Endowment. All rights reserved.

  11. Program Manager: The Journal of the Defense Systems Management College, Volume 15, Number 2, March-April 1986.

    DTIC Science & Technology

    1986-04-01

    benefits to the user, and economic benefits to the host country. Figure 2 shows the develop- ment of the NATO Infrastructure Pro- grams since 1951. FH...generalized benefits of stream- classified programs work with less dollar expenditures based solely on the lined specialized management include: than one-third...for contractors to demon- significant cost and schedule benefits on-site visits by the SPO are strate their management integrity, and new improvements

  12. On your time: online training for the public health workforce.

    PubMed

    Kenefick, Hope Worden; Ravid, Sharon; MacVarish, Kathleen; Tsoi, Jennifer; Weill, Kenny; Faye, Elizabeth; Fidler, Anne

    2014-03-01

    The need for competency-based training for the public health workforce is well documented. However, human and financial resource limitations within public health agencies often make it difficult for public health practitioners to attend classroom-based training programs. The Internet is an increasingly popular way of extending training beyond the workforce. Although research describes attributes of effective online learning modules, much of the available training delivered via the Internet does not incorporate such attributes. The authors describe the On Your Time training series, an effective distance education program and training model for public health practitioners, which includes a standardized process for development, review, evaluation, and continuous quality improvement. On Your Time is a series of awareness-level (i.e., addressing what practitioners should know), competency-based training modules that address topics related to regulatory responsibilities of public health practitioners (e.g., assuring compliance with codes and regulations governing housing, retail food safety, private water supplies, hazardous and solid waste, on-site wastewater systems, etc.), public health surveillance, case investigation, disease prevention, health promotion, and emergency preparedness. The replicable model incorporates what is known about best practices for online training and maximizes available resources in the interests of sustainability.

  13. Videoconferencing at psychology internships: interns' perceptions of interactive television experiences and prospects.

    PubMed

    Yozwiak, John A; Robiner, William N; Victor, Andrea M; Durmusoglu, Gokce

    2010-09-01

    This article reviews the use and perceptions of videoconferencing in psychology internship training from the perspective of interns. Videoconferencing offers a means of expanding training beyond conventional on-site models. Psychology interns completed an online survey about their experiences with videoconferencing and perspectives of its impact on training. Most participants encountered it in their didactics. Some used it for supervision or other purposes. Interns' perspectives were complex, with videoconferencing seen as supporting learning similar to conventional training in some ways, yet as less desirable overall. Direct comparisons between videoconferencing and on-site training revealed interns perceived videoconferencing as somewhat less effective, and as deleteriously affecting learning dynamics. Challenges and potential benefits of incorporating videoconferencing into psychology internship training were identified. Potential benefits include augmenting available internship training and increasing rural sites' access to training.

  14. Systematic teaching method to enhance the effectiveness of training for paragonimiasis.

    PubMed

    Zhang, Jian; Zhang, Xilin; Huang, Fusheng; Xu, Wenyue

    2013-01-01

    The clinical symptoms of human paragonimiasis are complex and variable, and patients can easily be misdiagnosed. Pagumogonimus skrjabini is the species causing this disease found only in China. A 2002 epidemiological survey showed that the rate of paragonimiasis was 21·96% in the migration areas of the Three-Gorge Reservoir, Chongqing, China. Therefore, there is a need to train medical workers to treat individuals in these areas. The Third Military Medical University (TMMU) in Chongqing built a comprehensive and systematic teaching method, which included teaching students about the basic biology of the organism, guiding students to use appropriate diagnostic tests and participate in scientific research to develop diagnostic kits, and visiting endemic areas to provide on-site teaching. The use of on-site teaching is an innovative approach for training undergraduate medical students in human parasitology. Three improvements were implemented during the on-site teaching component of the program: (1) systematizing the learning process; (2) integrating formal knowledge with clinical experience; and (3) enhancing students' knowledge of medical ethics. Based on a survey, 95% of students believed that this systematic teaching system gave them a more comprehensive grasp of knowledge on P. skrjabini, and graduate students were able to provide early diagnosis of P. skrjabini cases in this remote region. Students also participated in the research and development of a P. skrjabini diagnostic kit, for which a patent has been applied, and during the on-site teaching process, data were collected for the government and health sector to assist in public-health planning and decision-making for this disease.

  15. Use of telemedicine in the remote programming of cochlear implants.

    PubMed

    Ramos, Angel; Rodriguez, Carina; Martinez-Beneyto, Paz; Perez, Daniel; Gault, Alexandre; Falcon, Juan Carlos; Boyle, Patrick

    2009-05-01

    Remote cochlear implant (CI) programming is a viable, safe, user-friendly and cost-effective procedure, equivalent to standard programming in terms of efficacy and user's perception, which can complement the standard procedures. The potential benefits of this technique are outlined. We assessed the technical viability, risks and difficulties of remote CI programming; and evaluated the benefits for the user comparing the standard on-site CI programming versus the remote CI programming. The Remote Programming System (RPS) basically consists of completing the habitual programming protocol in a regular CI centre, assisted by local staff, although guided by a remote expert, who programs the CI device using a remote programming station that takes control of the local station through the Internet. A randomized prospective study has been designed with the appropriate controls comparing RPS to the standard on-site CI programming. Study subjects were implanted adults with a HiRes 90K(R) CI with post-lingual onset of profound deafness and 4-12 weeks of device use. Subjects underwent two daily CI programming sessions either remote or standard, on 4 programming days separated by 3 month intervals. A total of 12 remote and 12 standard sessions were completed. To compare both CI programming modes we analysed: program parameters, subjects' auditory progress, subjects' perceptions of the CI programming sessions, and technical aspects, risks and difficulties of remote CI programming. Control of the local station from the remote station was carried out successfully and remote programming sessions were achieved completely and without incidents. Remote and standard program parameters were compared and no significant differences were found between the groups. The performance evaluated in subjects who had been using either standard or remote programs for 3 months showed no significant difference. Subjects were satisfied with both the remote and standard sessions. Safety was proven by checking emergency stops in different conditions. A very small delay was noticed that did not affect the ease of the fitting. The oral and video communication between the local and the remote equipment was established without difficulties and was of high quality.

  16. Impact of an Onsite Clinic on Utilization of Preventive Services.

    PubMed

    Ostovari, Mina; Yu, Denny; Yih, Yuehwern; Steele-Morris, Charlotte Joy

    2017-07-01

    To assess impact of an onsite clinic on healthcare utilization of preventive services for employees of a public university and their dependents. Descriptive statistics, logistic regression and classification tree techniques were used to assess health claim data to identify changes in patterns of healthcare utilization and factors impacting usage of onsite clinic. Utilization of preventive services significantly increased for women and men employees by 9% and 14% one year after implementation of the onsite clinic. Hourly-paid employees, employees without diabetes, employees with spouse opt out or no coverage were more likely to go to the onsite clinic. Adapted framework for assessing performance of onsite clinics based on usage of health informatics would help to identify health utilization patterns and interaction between onsite clinic and offsite health providers.

  17. The expert site visitor chairperson: supportive, effective, efficient.

    PubMed

    Wawrzynski, Mary; Davidhizar, Ruth

    2004-01-01

    In much of nursing academe the words "self-study" and "accreditation site visit" are enough to squeeze the coronary arteries of nurse administrators and faculty. Such words conjure up images of months of labor intensive work, anxiety and concerns that all might not go well and that the program's accreditation will be placed in jeopardy. Both the completion of a self-study, designed as a self-assessment of program strengths and weaknesses, and preparation for the on-site visit are an addition to the normal tasks of nurse administrators and thus often result in overtaxing resources allotted to maintenance of the program.

  18. Tiger Team Assessment of the Pantex Plant, Amarillo, Texas

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

    Not Available

    1990-02-01

    This document contains the findings and associated root causes identified during the Tiger Team Assessment of the Department of Energy's (DOE) Pantex Plant in Amarillo, Texas. This assessment was conducted by the Department's Office of Environment, Safety and Health between October 2 and 31, 1989. The scope of the assessment of the Pantex Plant covered all areas of environment, safety and health (ES H) activities, including compliance with federal, state, and local regulations, requirements, permits, agreements, orders and consent decrees, and DOE ES H Orders. The assessment also included an evaluation of the adequacy of DOE and site contractor ESmore » H management programs. The draft findings were submitted to the Office of Defense Programs, the Albuquerque Operations Office, the Amarillo Area Office, and regulatory agencies at the conclusion of the on-site assessment activities for review and comment on technical accuracy. Final modifications and any other appropriate changes have been incorporated in the final report. The Tiger Team Assessment of the Pantex Plant is part of the larger Tiger Team Assessment program which will encompass over 100 DOE operating facilities. The assessment program is part of a 10-point initiative announced by Secretary of Energy James D. Watkins on June 27, 1989, to strengthen environmental protection and waste management activities in the Department. The results of the program will provide the Secretary with information on the compliance status of DOE facilities with regard to ES H requirements, root causes for noncompliance, adequacy of DOE and site contractor ES H management programs, and DOE-wide ES H compliance trends.« less

  19. [Analysis of tools, methods and results of toxicological screening for detection of drug abuse in Italian professional drivers].

    PubMed

    Rosso, G L

    2013-01-01

    Three years after a protocol agreement between the State and the Regions came into force in 2008 (drug testing at the workplace Law) a large number of studies have been conducted to analyse and test the efficacy of on-site screening tests for detection of drug consumption (opiates, cocaine, cannabinoids, amphetamine and methamphetamine, MDMA and methadone), which are frequently used by the occupational health physician, and also to present data resulting from workplace drug testing obtained during health surveillance programmes. The aim of the present study was to verify whether the features of sensitivity and specificity of the most common on-site testing ensure correct application of the provisions of current Italian legislation and also to analyse published studies showing the frequency of positive drug testing. A review of Italian and international literature was carried out aimed at identifying studies relating to: (1) performance of on-site screening tests frequently used by the occupational health physician, (2) prevalence of drug use/abuse among Italian public and commercial transport drivers. A comparison between the studies was then carried out. Several rapid on-site screening tests are commercially available (Italian law does not provide standards for the technical specifications of the tests), the sensitivity and specificity of which varies depending on the model and the substance tested. The sensitivity of these tools is poor when used for the detection of low concentrations of drugs and/or their metabolites in urine (close to the cut-off). Studies are lacking that compare on-site tests performed by the occupational health physician and confirmative tests in specialized laboratories (with particular regard to false positives found by the occupational health physician). The major studies in terms of methods and/or size reported a positive rate (confirmed at the first level) between 1.6% and 1.9%. The drugs most frequently used/abused were cannabis and cocaine. The performance of on-site screening tests (to detect psychotropic substances on urine matrix) and the methodology required by Italian law show that the aims of Italian workplace drug testing legislation have not been achieved The low positive rate observed in Italian studies could be due to an error in the first phase of screening performed by the occupational health physician.

  20. Resident and user support for urban natural areas restoration practices

    Treesearch

    Paul H. Gobster; Kristin Floress; Lynne M. Westphal; Cristy A. Watkins; Joanne Vining; Alaka Wali

    2016-01-01

    Public support is important to the success of natural areas restoration programs. Support can be especially critical in urban settings where stakeholders recreate in or reside near natural areas but may lack familiarity with practices for managing ecological processes. Surveys of on-site recreationists and nearby residents (N= 888) of 11 Chicago metropolitan natural...

  1. 20 CFR 672.525 - How are the costs associated with real property treated in the YouthBuild program?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...); (2) On-site trainee supervisors; (3) Construction management; (4) Relocation of buildings; and (5... families or low-income families or for use as transitional housing. (2) Construction of buildings for use...) Construction or rehabilitation of community or other public facilities, except, as provided in § 672.510(b...

  2. 20 CFR 672.525 - How are the costs associated with real property treated in the YouthBuild program?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...); (2) On-site trainee supervisors; (3) Construction management; (4) Relocation of buildings; and (5... families or low-income families or for use as transitional housing. (2) Construction of buildings for use...) Construction or rehabilitation of community or other public facilities, except, as provided in § 672.510(b...

  3. 20 CFR 672.525 - How are the costs associated with real property treated in the YouthBuild program?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...); (2) On-site trainee supervisors; (3) Construction management; (4) Relocation of buildings; and (5... families or low-income families or for use as transitional housing. (2) Construction of buildings for use...) Construction or rehabilitation of community or other public facilities, except, as provided in § 672.510(b...

  4. The Impact of Mass School Immunization on School Attendance

    ERIC Educational Resources Information Center

    Wiggs-Stayner, Kathleen S.; Purdy, Teresa R.; Go, Gailya N.; McLaughlin, Natalie C.; Tryzynka, Penny S.; Sines, Joyce R.; Hlaing, Thein

    2006-01-01

    The purpose of this study was to assess the impact a free, on-site influenza immunization program could have on attendance in Title 1 schools. Four Title 1 elementary schools participated in the study. Students at 2 schools were offered free FluMist[R] immunizations on site, and students at 2 control schools were not. Compliance on receiving…

  5. Alternative Student Teaching Experiences: Emerging Characteristics and Encouraging Payoffs. Teacher Education Forum Series. Vol. 2, No. 15.

    ERIC Educational Resources Information Center

    Mahan, James M.

    Three special field-based student teaching projects at Indiana University which include on-site course work are briefly described. Data are presented that indicate that education majors at the university: (a) enroll in demanding, multiculturally oriented student teaching programs; (b) request and accept out-of-state placements in ethnic minority…

  6. Gas chromatography of volatile organic compounds

    NASA Technical Reports Server (NTRS)

    Zlatkis, A.

    1973-01-01

    System has been used for problems such as analysis of volatile metabolities in human blood and urine, analysis of air pollutants, and in tobacco smoke chemistry. Since adsorbent is reusable after porper reconditioning, method is both convenient and economical. System could be used for large scale on-site sampling programs in which sample is shipped to central location for analysis.

  7. Student Teachers' Capacity and Willingness to Teach Financial Literacy in Flanders

    ERIC Educational Resources Information Center

    De Moor, Lieven; Verschetze, Lindsey

    2017-01-01

    The purpose of this article is to assess the student teachers' capacity and willingness to teach financial literacy in Flanders via on-site paper surveys of 368 final-year teacher education students. We argue that the Flemish teacher education program needs to be revised to introduce financial education in secondary schools. We find that revisions…

  8. School reentry for the patient with burn injuries: video and/or on-site intervention.

    PubMed

    Bishop, B; Gilinsky, V

    1995-01-01

    The student who has sustained a burn injury, the school's personnel, and the student's peer groups benefit from a school reentry program. Concrete, factual information about the burn injury assists to open lines of communication between the returning student and peers. Also, the concerns and expectations of school personnel are addressed.

  9. Impact Cratering: Bridging the Gap Between Modeling and Observations

    NASA Technical Reports Server (NTRS)

    2003-01-01

    This volume contains abstracts that have been accepted for presentation at the workshop on Impact Cratering: Bridging the Gap Between Modeling and Observations, February 7-9, 2003, in Houston, Texas. Logistics, onsite administration, and publications for this workshop were provided by the staff of the Publications and Program Services Department at the Lunar and Planetary Institute.

  10. ONSITE WASTEWATER TREATMENT AND DISPOSAL SYSTEMS (1980 EDITION) AND ONSITE WASTEWATER TREATMENT SYSTEMS MANUAL (2002 EDITION)

    EPA Science Inventory

    The U.S. Environmental Protection Agency (USEPA) first issued detailed guidance on the design, construction, and operation of onsite wastewater treatment systems (OWTSs) in 1980. Design Manual: Onsite Wastewater Treatment and Disposal Systems (USEPA.1980) was the most comprehens...

  11. Laboratory and clinical evaluation of on-site urine drug testing.

    PubMed

    Beck, Olof; Carlsson, Sten; Tusic, Marinela; Olsson, Robert; Franzen, Lisa; Hulten, Peter

    2014-11-01

    Products for on-site urine drug testing offer the possibility to perform screening for drugs of abuse directly at the point-of-care. This is a well-established routine in emergency and dependency clinics but further evaluation of performance is needed due to inherent limitations with the available products. Urine drug testing by an on-site product was compared with routine laboratory methods. First, on-site testing was performed at the laboratory in addition to the routine method. Second, the on-site testing was performed at a dependency clinic and urine samples were subsequently sent to the laboratory for additional analytical investigation. The on-site testing products did not perform with assigned cut-off levels. The subjective reading between the presence of a spot (i.e. negative test result) being present or no spot (positive result) was difficult in 3.2% of the cases, and occurred for all parameters. The tests performed more accurately in drug negative samples (specificity 96%) but less accurately for detecting positives (sensitivity 79%). Of all incorrect results by the on-site test the proportion of false negatives was 42%. The overall agreement between on-site and laboratory testing was 95% in the laboratory study and 98% in the clinical study. Although a high degree of agreement was observed between on-site and routine laboratory urine drug testing, the performance of on-site testing was not acceptable due to significant number of false negative results. The limited sensitivity of on-site testing compared to laboratory testing reduces the applicability of these tests.

  12. How are Canadian universities training and supporting undergraduate medical, physiotherapy and occupational therapy students for global health experiences in international low-resource settings?

    PubMed

    Bessette, Jennifer; Camden, Chantal

    2016-12-27

    Canadian medical (MD), physiotherapy (PT) and occupational therapy (OT) students increasingly show an interest in global health experiences (GHEs). As certain moral hazards can occur as a result of student GHEs, a growing consensus exists that universities must have an established selection process, in-depth pre-departure training (PDT), adequate onsite supervision and formal debriefing for their students. This study aimed to identify current practices in Canadian MD, PT and OT programs and discuss areas for improvement by comparing them with recommendations found in the literature. Canadian MD, PT and OT programs (n = 45) were invited to answer an online survey about their current practices for GHE support and training. The survey included 24 close-ended questions and 18 open-ended questions. Descriptive statistics and a thematic analysis were performed on the data and results were discussed in comparison with recommendations found in the literature. Twenty-three programs responded to the survey. Student selection processes varied across universities; examples included using academic performance, interviews and motivation letters. All but one MD program had mandatory PDT; content and teaching formats varied, as did training duration (2-38 hours). All but one MD program had onsite supervision; local clinicians were frequently involved. Debriefing, although not systematic, covered similar content; debriefing was variable in duration (1-8 hours). Many current practices are encouraging, but areas for improvement exist. Integrating global health content into the regular curriculum, with advanced study options for students participating in GHEs, could help universities standardize support and training.

  13. Development and Applications of Portable Biosensors.

    PubMed

    Srinivasan, Balaji; Tung, Steve

    2015-08-01

    The significance of microfluidics-based and microelectromechanical systems-based biosensors has been widely acknowledged, and many reviews have explored their potential applications in clinical diagnostics, personalized medicine, global health, drug discovery, food safety, and forensics. Because health care costs are increasing, there is an increasing need to remotely monitor the health condition of patients by point-of-care-testing. The demand for biosensors for detection of biological warfare agents has increased, and research is focused on ways of producing small portable devices that would allow fast, accurate, and on-site detection. In the past decade, the demand for rapid and accurate on-site detection of plant disease diagnosis has increased due to emerging pathogens with resistance to pesticides, increased human mobility, and regulations limiting the application of toxic chemicals to prevent spread of diseases. The portability of biosensors for on-site diagnosis is limited due to various issues, including sample preparation techniques, fluid-handling techniques, the limited lifetime of biological reagents, device packaging, integrating electronics for data collection/analysis, and the requirement of external accessories and power. Many microfluidic, electronic, and biological design strategies, such as handling liquids in biosensors without pumps/valves, the application of droplet-based microfluidics, paper-based microfluidic devices, and wireless networking capabilities for data transmission, are being explored. © 2015 Society for Laboratory Automation and Screening.

  14. Progression from on-site to point-of-care fine needle aspiration service: Opportunities and challenges

    PubMed Central

    Gupta, Prabodh K

    2010-01-01

    Background Standard-of-care requires the availability of an efficient, economical and accurate on-site fine needle aspiration (FNA) service. Presence of a trained individual during the procedure ensures an improved patient care. Appropriate selection of the equipment, interaction with the clinicians and compliance with the various regulations during the procedure is essential. This is often done by an on-site FNA service. Organization and implementation of such a system in a large academic center is challenging. Method we reviewed the ambulatory care needs in the new Perelman Center for Advanced Medicine (PeCAM). Multiple (9) FNA sites have been established keeping in view the patient's convenience, clinic demands, various regulatory requirements and laboratory staff. Each location has dedicated FNA station with microscopes and supplies. In addition, state- ofthe -art technologies including a mobile FNA cart (Penn-A- Cart), remote specimen evaluation (TeleCyP) have been incorporated. Results The new set up is extremely efficient and much valued by the patients and the clinicians. It has improved patient care. Conclusion With necessary investments and resources a point-of-care FNA service has been created which has improved patient care. This, albeit with certain modifications may serve as a model for FNA service. PMID:20607093

  15. The Changing Workplace: Implications of Quality of Work Life Developments for Vocational Education. Research and Development Series No. 249.

    ERIC Educational Resources Information Center

    Pratzner, Frank C.; Russell, Jill Frymier

    Based upon a review of literature and on-site interviews and observations at nine firms that are recognized leaders in the development and implementation of quality of work life (QWL) activities, this report examines implications of QWL developments for future skill requirements and their potential consequences for public vocational education…

  16. 75 FR 65475 - Tallulah Gas Storage, LLC; Notice of Intent To Prepare an Environmental Assessment for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-25

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP10-494-000] Tallulah Gas Storage, LLC; Notice of Intent To Prepare an Environmental Assessment for the Proposed Tallulah Gas Storage Project, Request for Comments on Environmental Issues, and Notice of Onsite Environmental Review October 18, 2010. The staff of the Federal...

  17. 77 FR 11527 - Bluewater Gas Storage, LLC; Notice of Intent To Prepare an Environmental Assessment for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-27

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP12-51-000] Bluewater Gas Storage, LLC; Notice of Intent To Prepare an Environmental Assessment for the Proposed St. Clair River Crossing Replacement Project, Request for Comments on Environmental Issues, and Notice of Onsite Environmental Review The staff of the Federal...

  18. 76 FR 12955 - CenterPoint Energy Gas Transmission Company, LLC; Notice of Intent To Prepare an Environmental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-09

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. CP11-78-000] CenterPoint Energy Gas Transmission Company, LLC; Notice of Intent To Prepare an Environmental Assessment for the Proposed Line AM- 46 Replacement Project, Request for Comments on Environmental Issues, and Notice of Onsite Environmental Review The staff of the...

  19. Phosphoric Acid Fuel Cell Technology Status

    NASA Technical Reports Server (NTRS)

    Simons, S. N.; King, R. B.; Prokopius, P. R.

    1981-01-01

    A review of the current phosphoric acid fuel cell system technology development efforts is presented both for multimegawatt systems for electric utility applications and for multikilowatt systems for on-site integrated energy system applications. Improving fuel cell performance, reducing cost, and increasing durability are the technology drivers at this time. Electrodes, matrices, intercell cooling, bipolar/separator plates, electrolyte management, and fuel selection are discussed.

  20. 75 FR 41523 - Delphi Corporation, a Subsidiary of Delphi Holdings, LLC, Including On-Site Leased Workers From...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... workers are engaged in the production of fuel modules, instrument clusters, and air meters. The review... production of instrument clusters, separated from employment on or after March 30, 2006 through May 15, 2009... date established for TA-W-70,988 to read May 16, 2009 for workers producing instrument clusters and...

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