Sample records for provide considerable information

  1. Appraisal Skills, Health Literacy and the Patient-Provider Relationship: Considerations as the Health Care Consumer Turns to the Internet to Inform their Care

    PubMed Central

    O’Dell, Rosann

    2012-01-01

    Health care consumers increasingly obtain health information from the Internet to inform their health care; the health care consumer, who also has the role of patient, maintains the right to access information from sources of their choosing for this purpose. However, noteworthy considerations exist including information appraisal skills, health literacy and the patient-provider relationship. Awareness and education are warranted to assist the health care consumer in achieving proficiency as they turn to the Internet for health information. PMID:23569625

  2. Appraisal Skills, Health Literacy and the Patient-Provider Relationship: Considerations as the Health Care Consumer Turns to the Internet to Inform their Care.

    PubMed

    O'Dell, Rosann

    2012-01-01

    Health care consumers increasingly obtain health information from the Internet to inform their health care; the health care consumer, who also has the role of patient, maintains the right to access information from sources of their choosing for this purpose. However, noteworthy considerations exist including information appraisal skills, health literacy and the patient-provider relationship. Awareness and education are warranted to assist the health care consumer in achieving proficiency as they turn to the Internet for health information.

  3. Survey of Information Sharing Related to the Occupational Considerations of Working Cancer Patients Between Occupational Physicians and Treating Physicians.

    PubMed

    Furuya, Yuko; Takahashi, Miyako; Tateishi, Seiichiro; Tomita, Makiko; Hiraoka, Kou; Shibata, Yoshiyuki; Mori, Koji

    2016-06-07

    Although a vital element in providing career support to workers with medical ailments is coordination between the worker, the treating physician, and the company (the occupational health staff), little is known about factors that promote or impede coordination between these parties. This study aims to demonstrate what kinds of actions by treating physicians promote or impede the occupational considerations made by occupational physicians. A total of 43 occupational physicians who had completed the postgraduate training course (4 years) at the University of Occupational and Environmental Health Japan and were current or former instructors at the Occupational Health Training Center were surveyed using a self-reported questionnaire form. The questionnaire asked about individual attributes (age, years of experience as an occupational physician, etc.) and actions taken by treating physicians that were useful in making occupational considerations in the workplace (good practice cases) or that impeded such considerations (trouble cases). Responses about cases were obtained as freely written descriptions. Case content was analyzed qualitatively according to the KJ method. During the survey period from December 17, 2013 to January 18, 2014, responses were received from 33 occupational physicians (valid response rate, 76.7%; mean age, 37.4±6.1 years). Of these, 60.6% exclusively specialized in occupational medicine. Respondents provided 32 good practice cases and 16 trouble cases. The timing of coordination was the period of rehabilitation in 35 of the 48 cases (72.9%). Actions by the treating physicians that influenced occupational considerations were divided into seven major categories: "providing treatment information," "providing physical information," "appropriateness of rehabilitation or occupational considerations," "consistency of information provided," "issuing documentation," "communication that was cognizant of the occupational physician's presence," and "providing information unknown to the worker." This study clarified the kind of actions by the treating physicians that were relevant to occupational support provided by occupational physicians. Additionally, this study clarified the need for information sharing with occupational physician and treating physician. The good practice cases and trouble cases presented by the respondents were inextricably linked, and actions by the treating physicians that are based on good practices are highly likely to lead to smooth information sharing and occupational considerations.

  4. Subjective Probabilities in Household Surveys

    PubMed Central

    Hurd, Michael D.

    2011-01-01

    Subjective probabilities are now collected on a number of large household surveys with the objective of providing data to better understand inter-temporal decision making. Comparison of subjective probabilities with actual outcomes shows that the probabilities have considerable predictive power in situations where individuals have considerable private information such as survival and retirement. In contrast the subjective probability of a stock market gain varies greatly across individuals even though no one has private information and the outcome is the same for everyone. An explanation is that there is considerable variation in accessing and processing information. Further, the subjective probability of a stock market gain is considerably lower than historical averages, providing an explanation for the relatively low frequency of stock holding. An important research objective will be to understand how individuals form their subjective probabilities. PMID:21643535

  5. Design Considerations for Creating a Chemical Information Workstation.

    ERIC Educational Resources Information Center

    Mess, John A.

    1995-01-01

    Discusses what a functional chemical information workstation should provide to support the users in an academic library and examines how it can be implemented. Highlights include basic design considerations; natural language interface, including grammar-based, context-based, and statistical methodologies; expert system interface; and programming…

  6. Human factors considerations for the integration of traffic information and alerts on an airport surface map

    DOT National Transportation Integrated Search

    2010-12-01

    The purpose of this document is to provide human factors considerations in the integration of traffic information and indications and alerts for runway status on an airport surface moving map. The US DOT Volpe Center, in support of the Federal Aviati...

  7. 45 CFR 155.1020 - QHP issuer rate and benefit information.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Management will provide a process for rate increase consideration. (c) Benefit and rate information. The... provided in a form and manner determined by the U.S. Office of Personnel Management. The information... 45 Public Welfare 1 2013-10-01 2013-10-01 false QHP issuer rate and benefit information. 155.1020...

  8. 45 CFR 155.1020 - QHP issuer rate and benefit information.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Management will provide a process for rate increase consideration. (c) Benefit and rate information. The... provided in a form and manner determined by the U.S. Office of Personnel Management. The information... 45 Public Welfare 1 2014-10-01 2014-10-01 false QHP issuer rate and benefit information. 155.1020...

  9. Are History Textbooks More "Considerate" after 20 Years?

    ERIC Educational Resources Information Center

    Berkeley, Sheri; King-Sears, Margaret E.; Hott, Brittany L.; Bradley-Black, Katherine

    2014-01-01

    Features of eighth-grade history textbooks were examined through replication of a 20-year-old study that investigated "considerateness" of textbooks. Considerate texts provide clear, coherent information and include features that promote students' comprehension, such as explicit use of organizational structures, a range of question types…

  10. Space Tethers: Design Criteria

    NASA Technical Reports Server (NTRS)

    Tomlin, D. D.; Faile, G. C.; Hayashida, K. B.; Frost, C. L.; Wagner, C. Y.; Mitchell, M. L.; Vaughn, J. A.; Galuska, M. J.

    1997-01-01

    This document is prepared to provide a systematic process for the selection of tethers for space applications. Criteria arc provided for determining the strength requirement for tether missions and for mission success from tether severing due to micrometeoroids and orbital debris particle impacts. Background information of materials for use in space tethers is provided, including electricity-conducting tethers. Dynamic considerations for tether selection is also provided. Safety, quality, and reliability considerations are provided for a tether project.

  11. DEVELOPMENT OF A LAND-SURFACE MODEL PART I: APPLICATION IN A MESOSCALE METEOROLOGY MODEL

    EPA Science Inventory

    Parameterization of land-surface processes and consideration of surface inhomogeneities are very important to mesoscale meteorological modeling applications, especially those that provide information for air quality modeling. To provide crucial, reliable information on the diurn...

  12. 43 CFR 10010.4 - Consideration of environmental values.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... practicable, to provide environmental information, analyses, and reports as an integral part of their..., environmental, and other analyses. (3) The underlying environmental analyses will factually, objectively, and... planning processes as well as provide the Commission with necessary information to meet its own...

  13. 43 CFR 10010.4 - Consideration of environmental values.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... practicable, to provide environmental information, analyses, and reports as an integral part of their..., environmental, and other analyses. (3) The underlying environmental analyses will factually, objectively, and... planning processes as well as provide the Commission with necessary information to meet its own...

  14. 43 CFR 10010.4 - Consideration of environmental values.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... practicable, to provide environmental information, analyses, and reports as an integral part of their..., environmental, and other analyses. (3) The underlying environmental analyses will factually, objectively, and... planning processes as well as provide the Commission with necessary information to meet its own...

  15. 43 CFR 10010.4 - Consideration of environmental values.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... practicable, to provide environmental information, analyses, and reports as an integral part of their..., environmental, and other analyses. (3) The underlying environmental analyses will factually, objectively, and... planning processes as well as provide the Commission with necessary information to meet its own...

  16. Transition to Office-based Obstetric and Gynecologic Procedures: Safety, Technical, and Financial Considerations.

    PubMed

    Peacock, Lisa M; Thomassee, May E; Williams, Valerie L; Young, Amy E

    2015-06-01

    Office-based surgery is increasingly desired by patients and providers due to ease of access, overall efficiency, reimbursement, and satisfaction. The adoption of office-based surgery requires careful consideration of safety, efficacy, cost, and feasibility within a providers practice. This article reviews the currently available data regarding patient and provider satisfaction as well as practical considerations of staffing, equipment, and supplies. To aid the practitioner, issues of office-based anesthesia and safety with references to currently available national guidelines and protocols are provided. Included is a brief review of billing, coding, and reimbursement. Technical procedural aspects with information and recommendations are summarized.

  17. Managed care for Medicare: some considerations in designing effective information provision programs.

    PubMed

    Jayanti, R K

    2001-01-01

    Consumer information-processing theory provides a useful framework for policy makers concerned with regulating information provided by managed care organizations. The assumption that consumers are rational information processors and providing more information is better is questioned in this paper. Consumer research demonstrates that when faced with an uncertain decision, consumers adopt simplifying strategies leading to sub-optimal choices. A discussion on how consumers process risk information and the effects of various informational formats on decision outcomes is provided. Categorization theory is used to propose guidelines with regard to providing effective information to consumers choosing among competing managed care plans. Public policy implications borne out of consumer information-processing theory conclude the article.

  18. Refusal of Emergency Medical Treatment: Case Studies and Ethical Foundations.

    PubMed

    Marco, Catherine A; Brenner, Jay M; Kraus, Chadd K; McGrath, Norine A; Derse, Arthur R

    2017-11-01

    Informed consent is an important component of emergency medical treatment. Most emergency department patients can provide informed consent for treatment upon arrival. Informed consent should also be obtained for emergency medical interventions that may entail significant risk. A related concept to informed consent is informed refusal of treatment. Patients may refuse emergency medical treatment during their evaluation and treatment. This article addresses important considerations for patients who refuse treatment, including case studies and discussion of definitions, epidemiology, assessment of decisional capacity, information delivery, medicolegal considerations, and alternative care plans. Copyright © 2017 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  19. Developmentalism: Learning as the Basis for Evaluating Information

    ERIC Educational Resources Information Center

    Lenker, Mark

    2017-01-01

    The developmentalist conception of information's value makes learning the central consideration for evaluating information. Following philosopher Richard Kraut, this article argues that developmentalism provides an important complement to prevalent methods of teaching the evaluation of information. These methods emphasize (a) trustworthiness--for…

  20. Counselling adults who experience a first seizure.

    PubMed

    Legg, Karen T; Newton, Mark

    2017-07-01

    A first seizure can result in significant uncertainty, fear and apprehension. One of the key roles of the clinician in the setting of first seizure is to provide accurate, timely information and counselling. We review the numerous components to be considered when counselling an adult patient after a first seizure. We provide a framework and manner to provide that counselling. We focus on an individualized approach and provide recommendations and information on issues of diagnosis, etiology, prognosis, the role and importance of medical testing, lifestyle considerations, driving, medication and other key counselling considerations. Accurate, timely counselling can allay fears and anxieties, remove misconceptions and reduce the risk for injury in seizure recurrence. Copyright © 2016 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  1. 47 CFR 0.501 - General.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Security Information § 0.501 General. Executive Order 12356 requires that information relating to national security be protected against unauthorized disclosure as long as required by national security considerations. The Order also provides that all information classified under Executive Order 12356 or...

  2. 47 CFR 0.501 - General.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Security Information § 0.501 General. Executive Order 12356 requires that information relating to national security be protected against unauthorized disclosure as long as required by national security considerations. The Order also provides that all information classified under Executive Order 12356 or...

  3. Human factors considerations for the use of color in display systems

    NASA Technical Reports Server (NTRS)

    Demars, S. A.

    1975-01-01

    Identified and assessed are those human factor considerations impacting an operator's ability to perform when information is displayed in color as contrasted to monochrome (black and white only). The findings provide valuable guidelines for the assessment of the advantages (and disadvantages) of using a color display system. The use of color provides an additional sensory channel (color perception) which is not available with black and white. The degree to which one can exploit the use of this channel is highly dependent on available display technology, mission information display requirements, and acceptable operational modes.

  4. Cardiovascular drugs and dental considerations.

    PubMed

    Wynn, R L

    2000-07-01

    This paper provides current information on the pharmacologic management of cardiovascular diseases. It also describes the drugs used to treat five common cardiovascular disorders--heart failure, coronary artery disease, atrial fibrillation, hypertension, and unstable angina--and lists their dental implications. This information can be used to monitor patients for potential adverse drug reactions and drug interactions and to provide an information base for medical consultation.

  5. Nurses' and patients' perceptions of privacy protection behaviours and information provision.

    PubMed

    Kim, Kyunghee; Han, Yonghee; Kim, Ji-Su

    2017-08-01

    With increased attention to patient privacy and autonomy, privacy protection and information provision for patients are becoming increasingly important. The aim of this study was to identify and analyse nurses' and patients' perceptions of the importance and performance of protecting patients' privacy and providing them with relevant information. This study is a descriptive cross-sectional investigation. Participants and research context: Participants were 168 patients hospitalised in medical and surgical wards and 176 nurses who cared for them. Ethical consideration: This study was approved by the Chung-Ang University Bioethics Committee, and informed written consent was collected from all participants. Nurses' recognition of the importance of protecting patients' privacy and providing adequate information was higher compared to their actual performance, and the nurses' level of performance was higher in comparison with the patients' recognition of its importance. Although a holistic approach to patient privacy protection and information provision is needed, the medical field has not embraced this model of care. These findings provide empirical data to create an ethical environment for the future, as considerable attention has been devoted to patients' rights and medical institutions' liability for providing explanations to patients.

  6. PARENTS’ UNDERSTANDING OF INFORMATION REGARDING THEIR CHILD’S POSTOPERATIVE PAIN MANAGEMENT

    PubMed Central

    Tait, Alan R.; Voepel-Lewis, Terri; Snyder, Robin M.; Malviya, Shobha

    2009-01-01

    Objectives Unlike information provided for research, information disclosed to patients for treatment or procedures is largely unregulated and, as such, there is likely considerable variability in the type and amount of disclosure. This study was designed to examine the nature of information provided to parents regarding options for postoperative pain control and their understanding thereof. Methods 187 parents of children scheduled to undergo a surgical procedure requiring inpatient postoperative pain control completed questionnaires that elicited information regarding their perceptions and understanding of, and satisfaction with, information regarding postoperative pain management. Results Results showed that there was considerable variability in the content and amount of information provided to parents based on the method of postoperative pain control provided. Parents whose child received Patient Controlled Analgesia (PCA) were given significantly (P< 0.025) more information on the risks and benefits compared to those receiving Nurse Controlled or intravenous-prn (NCA or IV) analgesia. Approximately one third of parents had no understanding of the risks associated with postoperative pain management. Parents who received pain information preoperatively and who were given information regarding the risks and benefits had improved understanding compared to parents who received no or minimal information (P< 0.001). Furthermore, information that was deemed unclear or insufficient resulted in decreased parental understanding. Discussion These results demonstrate the variability in the type and amount of information provided to parents regarding their child’s postoperative pain control and reinforce the importance of clear and full disclosure of pain information, particularly with respect to the risks and benefits. PMID:18716495

  7. Measuring cancer patients' reasons for their information preference: construction of the Considerations Concerning Cancer Information (CCCI) questionnaire.

    PubMed

    ter Hoeven, Claartje L; Zandbelt, Linda C; Fransen, Sanne; de Haes, Hanneke; Oort, Frans; Geijsen, Debby; Koning, Caro; Smets, Ellen

    2011-11-01

    This paper describes the further development and psychometric properties of an instrument to measure cancer patients' reasons to want complete or limited information: the Considerations Concerning Cancer Information questionnaire (CCCI). Understanding cancer patients' reasons to want complete or limited information will provide the physician with information that enables him or her to tailor information giving. CCCI's content validity, internal structure, and convergent validity were investigated among 145 cancer patients, new to radiotherapy. Underlying reasons for information preference among cancer patients were derived from existing qualitative studies, narratives, and interviews. This resulted in the CCCI containing two parts: reasons to favor complete information disclosure and reasons to prefer only limited information about disease and treatment. The four identified dimensions to prefer information consist of: sense of control, expectations of others, anxiety, and autonomy. The four dimensions for reasons to give up on acquiring information consist of: avoidance, optimism, comprehension, and not wanting to be a burden. Confirmatory factor analysis indicated that the measurement model provided good fit to the data. Scales had good internal consistency, satisfactory item-total correlations corrected for overlap and satisfactory convergent validity. These findings confirm evidence of the reliability and validity of the CCCI for use in cancer care. Researchers and health-care providers can use the instrument to assess cancer patients' reasons to want complete or limited information and provide tailored care. Copyright © 2010 John Wiley & Sons, Ltd.

  8. "Friends" Raping Friends. Could It Happen to You?

    ERIC Educational Resources Information Center

    Hughes, Jean O'Gorman; Sandler, Bernice R.

    This publication concerning rape committed by acquaintances and "friends" is designed to provide information and support for college students. The early warning signs and how to react to potential "acquaintance" or "date" rape are addressed. Consideration is given to why this type of rape occurs and information is provided on how to avoid date…

  9. Dynamic mobility applications policy analysis : policy and institutional issues for enabling advanced traveler information services (EnableATIS).

    DOT National Transportation Integrated Search

    2014-10-01

    This report documents policy considerations for Enabling Advanced Traveler Information Services, or EnableATIS. EnableATIS is the traveler information element of the Dynamic Mobility Applications program, and it provides a framework to develop multi-...

  10. Integration of Open Educational Resources in Undergraduate Chemistry Teaching--A Mapping Tool and Lecturers' Considerations

    ERIC Educational Resources Information Center

    Feldman-Maggor, Yael; Rom, Amira; Tuvi-Arad, Inbal

    2016-01-01

    This study examines chemistry lecturers' considerations for using open educational resources (OER) in their teaching. Recent technological developments provide innovative approaches for teaching chemistry and visualizing chemical phenomena. End users' improved ability to upload information online enables integration of various pedagogical models…

  11. Theory-Based Considerations Influence the Interpretation of Generic Sentences

    ERIC Educational Resources Information Center

    Cimpian, Andrei; Gelman, Susan A.; Brandone, Amanda C.

    2010-01-01

    Under what circumstances do people agree that a kind-referring generic sentence (e.g., "Swans are beautiful") is true? We hypothesised that theory-based considerations are sufficient, independently of prevalence/frequency information, to lead to acceptance of a generic statement. To provide evidence for this general point, we focused on…

  12. Information Technology: Making It All Fit. Track III: Financial Impact and Considerations.

    ERIC Educational Resources Information Center

    CAUSE, Boulder, CO.

    Seven papers from the 1988 CAUSE conference's Track III, Financial Impact and Considerations, are presented. They include: "Providing Applications Development Services in a Competitive Environment" (Donald E. Heller and Mary Ellen Bushnell); "The Cost of Not Staying Current" (Jack T. Tinsley and Betty R. Nyer); "Project…

  13. Evaluation of guardrail embedded lighting system in Trinidad, Colorado.

    DOT National Transportation Integrated Search

    2014-02-01

    This report provides information on the design considerations of the embedded highway lighting : design on Interstate-25 in Trinidad, Colorado, in terms of visibility. The information is based on : visibility characterizations of small targets using ...

  14. Intercity Passenger Parametric Analysis: Overview: Maglev Analysis

    DOT National Transportation Integrated Search

    1990-04-02

    This document provides information intended to clarify consideration of some of the technically-based questions which arise in connection with intercity passenger transportation, and to provide insight into the characteristics and potential roles o...

  15. Fairness requires deliberation: the primacy of economic over social considerations.

    PubMed

    Hochman, Guy; Ayal, Shahar; Ariely, Dan

    2015-01-01

    While both economic and social considerations of fairness and equity play an important role in financial decision-making, it is not clear which of these two motives is more primal and immediate and which one is secondary and slow. Here we used variants of the ultimatum game to examine this question. Experiment 1 shows that acceptance rate of unfair offers increases when participants are asked to base their choice on their gut-feelings, as compared to when they thoroughly consider the available information. In line with these results, Experiments 2 and 3 provide process evidence that individuals prefer to first examine economic information about their own utility rather than social information about equity and fairness, even at the price of foregoing such social information. Our results suggest that people are more economically rational at the core, but social considerations (e.g., inequality aversion) require deliberation, which under certain conditions override their self-interested impulses.

  16. Fairness requires deliberation: the primacy of economic over social considerations

    PubMed Central

    Hochman, Guy; Ayal, Shahar; Ariely, Dan

    2015-01-01

    While both economic and social considerations of fairness and equity play an important role in financial decision-making, it is not clear which of these two motives is more primal and immediate and which one is secondary and slow. Here we used variants of the ultimatum game to examine this question. Experiment 1 shows that acceptance rate of unfair offers increases when participants are asked to base their choice on their gut-feelings, as compared to when they thoroughly consider the available information. In line with these results, Experiments 2 and 3 provide process evidence that individuals prefer to first examine economic information about their own utility rather than social information about equity and fairness, even at the price of foregoing such social information. Our results suggest that people are more economically rational at the core, but social considerations (e.g., inequality aversion) require deliberation, which under certain conditions override their self-interested impulses. PMID:26106342

  17. Measure Guideline. Wood Window Repair, Rehabilitation, and Replacement

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

    Baker, P.; Eng, P.

    2012-12-01

    This measure guideline provides information and guidance on rehabilitating, retrofitting, and replacing existing window assemblies in residential construction. The intent is to provide information regarding means and methods to improve the energy and comfort performance of existing wood window assemblies in a way that takes into consideration component durability, in-service operation, and long term performance of the strategies.

  18. Measure Guideline: Window Repair, Rehabilitation, and Replacement

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

    Baker, P.

    2012-12-01

    This measure guideline provides information and guidance on rehabilitating, retrofitting, and replacing existing window assemblies in residential construction. The intent is to provide information regarding means and methods to improve the energy and comfort performance of existing wood window assemblies in a way that takes into consideration component durability, in-service operation, and long term performance of the strategies.

  19. Information Technology, Campus Libraries, and Patrons with Disabilities: Emerging issues and Access Strategies.

    ERIC Educational Resources Information Center

    Hilton-Chalfen, Danny

    1992-01-01

    Discussion of the potential for academic libraries to provide improved opportunities for patrons with disabilities focuses on access to online information, including online catalogs, campuswide information systems, CD-ROM products, graphical user interfaces, and electronic documents. Other considerations include location of online resources,…

  20. National Aeronautics and Space Administration's (NASA) Automated Information Security Handbook

    NASA Technical Reports Server (NTRS)

    Roback, E.

    1991-01-01

    The NASA Automated Information Security Handbook provides NASA's overall approach to automated information systems security including discussions of such aspects as: program goals and objectives, assignment of responsibilities, risk assessment, foreign national access, contingency planning and disaster recovery, awareness training, procurement, certification, planning, and special considerations for microcomputers.

  1. 76 FR 78663 - Agency Information Collection Activities; Submission for Office of Management and Budget Review...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-19

    ... that there are numerous issues that this research does not address, including online data mining by... described in this document will provide data that, along with other input and considerations, will inform...

  2. Structural considerations for solar installers : an approach for small, simplified solar installations or retrofits.

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

    Richards, Elizabeth H.; Schindel, Kay; Bosiljevac, Tom

    2011-12-01

    Structural Considerations for Solar Installers provides a comprehensive outline of structural considerations associated with simplified solar installations and recommends a set of best practices installers can follow when assessing such considerations. Information in the manual comes from engineering and solar experts as well as case studies. The objectives of the manual are to ensure safety and structural durability for rooftop solar installations and to potentially accelerate the permitting process by identifying and remedying structural issues prior to installation. The purpose of this document is to provide tools and guidelines for installers to help ensure that residential photovoltaic (PV) power systemsmore » are properly specified and installed with respect to the continuing structural integrity of the building.« less

  3. Implications of the UK NHS consent policy for nuclear medicine practice.

    PubMed

    Greaves, Claire D; Tindale, Wendy B

    2005-02-01

    To comply with government policy on consent, the Sheffield Teaching Hospitals (STH) National Health Service (NHS) Trust introduced a new consent policy in February 2002. Verbal or written consent (depending on the level of risk) must be obtained prior to each study. The patient must be fully informed and given time to reach a decision. Consideration needs to be given to the following: to whom, when and how to provide such information and obtain consent. Each study type and patient circumstance needs to be classified according to risk. Consideration of the risks resulted in a local policy in which written consent is required for the following: therapeutic procedures, studies on pregnant women, studies in which pregnancy needs to be avoided, research procedures, cardiac stress for myocardial perfusion scintigraphy and intrathecal administration. Patient information leaflets have been updated with new information about the study and any risks. Information is now available for both patients and hospital staff. Compliance with the consent policy in a service department provides logistic challenges, but it is possible to fully inform patients in advance about their treatment, allowing them to give informed consent.

  4. Dynamic mobility applications policy analysis : policy and institutional issues for freight advanced traveler information systems (FRATIS).

    DOT National Transportation Integrated Search

    2014-10-30

    This report documents policy considerations for the Freight Advanced Traveler Information System, or FRATIS. FRATIS applications provide freight-specific route guidance and optimize drayage operations so that load movements are coordinated between fr...

  5. Providing for the consideration of the resolution (H. Res. 251) directing the Secretary of the Treasury to transmit to the House of Representatives all information in his possession relating to specific communications with American International Group, Inc. (AIG).

    THOMAS, 111th Congress

    Rep. LaTourette, Steven C. [R-OH-14

    2009-04-23

    House - 05/07/2009 Motion to Discharge Committee filed by Mr. LaTourette. Petition No: 111-3. (All Actions) Notes: On 5/7/2009, a motion was filed to discharge the Committee on Rules from consideration of H.Res.359 a resolution providing for consideration of H.Res.251. A discharge petition requires 218 signatures for further action. (Discharge Petition No. 111-3: text with signatures.) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  6. Landfill gas control at military installations. Final report

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

    Shafer, R.A.; Renta-Babb, A.; Bandy, J.T.

    1984-01-01

    This report provides information useful to Army personnel responsible for recognizing and solving potential problems from gas generated by landfills. Information is provided on recognizing and gauging the magnitude of landfill gas problems; selecting appropriate gas control strategies, procedures, and equipment; use of computer modeling to predict gas production and migration and the success of gas control devices; and safety considerations.

  7. Ecological support for rural land-use planning.

    Treesearch

    David M. Theobald; Thomas Spies; Jeff Kline; Bruce Maxwell; N. T. Hobbs; Virginia H. Dale

    2005-01-01

    How can ecologists be more effective in supporting ecologically informed rural land-use planning and policy? Improved decision making about rural lands requires careful consideration of how ecological information and analyses can inform specific planning and policy needs. We provide a brief overview of rural land-use planning, including recently developed approaches to...

  8. Security Classification Reform: The Waiting Agenda.

    ERIC Educational Resources Information Center

    Relyea, Harold C.

    1993-01-01

    Provides an overview of security classification reform for consideration by the Clinton administration and the 103rd Congress. Historical background and current issues related to the security classification of information, personnel security clearances, and industrial safeguarding of classified information are discussed. A checklist of basic…

  9. 77 FR 35475 - Internal Revenue Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-13

    ... contributions, consideration does not include de minimis goods or services. It also provides guidance on how..., maintenance, and purchase of services to provide information. Approved: June 6, 2012. Allan Hopkins, Tax... DEPARTMENT OF THE TREASURY Internal Revenue Service Proposed Collection; Comment Request for...

  10. Multi-model inference for incorporating trophic and climate uncertainty into stock assessments

    NASA Astrophysics Data System (ADS)

    Ianelli, James; Holsman, Kirstin K.; Punt, André E.; Aydin, Kerim

    2016-12-01

    Ecosystem-based fisheries management (EBFM) approaches allow a broader and more extensive consideration of objectives than is typically possible with conventional single-species approaches. Ecosystem linkages may include trophic interactions and climate change effects on productivity for the relevant species within the system. Presently, models are evolving to include a comprehensive set of fishery and ecosystem information to address these broader management considerations. The increased scope of EBFM approaches is accompanied with a greater number of plausible models to describe the systems. This can lead to harvest recommendations and biological reference points that differ considerably among models. Model selection for projections (and specific catch recommendations) often occurs through a process that tends to adopt familiar, often simpler, models without considering those that incorporate more complex ecosystem information. Multi-model inference provides a framework that resolves this dilemma by providing a means of including information from alternative, often divergent models to inform biological reference points and possible catch consequences. We apply an example of this approach to data for three species of groundfish in the Bering Sea: walleye pollock, Pacific cod, and arrowtooth flounder using three models: 1) an age-structured "conventional" single-species model, 2) an age-structured single-species model with temperature-specific weight at age, and 3) a temperature-specific multi-species stock assessment model. The latter two approaches also include consideration of alternative future climate scenarios, adding another dimension to evaluate model projection uncertainty. We show how Bayesian model-averaging methods can be used to incorporate such trophic and climate information to broaden single-species stock assessments by using an EBFM approach that may better characterize uncertainty.

  11. Tested Demonstrations.

    ERIC Educational Resources Information Center

    Gilbert, George L., Ed.

    1986-01-01

    Background information, list of materials needed, and procedures used are provided for a demonstration involving the transformation of a hydrophobic liquid to a partially hydrophobic semisolid. Safety considerations are noted. (JN)

  12. Forum Guide to Facilities Information Management: A Resource for State and Local Education Agencies. NFES 2012-808

    ERIC Educational Resources Information Center

    National Forum on Education Statistics, 2012

    2012-01-01

    Safe and secure facilities that foster learning are crucial to providing quality education services, and developing and maintaining these facilities requires considerable resources and organization. Facility information systems allow education organizations to collect and manage data that can be used to inform and guide decisionmaking about the…

  13. How To Modify a Trailer for Accessibility (Up to a Point) [and] Accessibility Considerations for Home Buyers. Key Notes.

    ERIC Educational Resources Information Center

    Access Group, Atlanta, GA.

    Two brief fact sheets for people with disabilities provide information on: (1) modifying a trailer to make it accessible for persons with mobility impairments, especially those in wheelchairs, and (2) accessibility considerations for home buyers or home owners with mobility impairments. The first fact sheet identifies inherent problems in…

  14. An assessment of transportation issues under exceptional conditions : the case of the mass media and the Northridge Earthquake

    DOT National Transportation Integrated Search

    1998-05-01

    This study explores how the mass media covered transportation issues following the 1994 Northridge earthquake. The mass media were a vital channel for travel information, and they provided considerable information to the public about the safety of tr...

  15. A Hierarchic System for Information Usage.

    ERIC Educational Resources Information Center

    Lu, John; Markham, David

    This paper demonstrates an approach which enables one to reduce in a systematic way the immense complexity of a large body of knowledge. This approach provides considerable insight into what is known and unknown in a given academic field by systematically and pragmatically ordering the information. As a case study, the authors selected…

  16. Sequentially Observed Periodic Surveys of Management Compartments to Monitor Red-cockaded Woodpecker Populations

    Treesearch

    Robert G. Hooper; H. David Muse

    1989-01-01

    Management of the red-cockaded woodpeckcer (Picoides borealis) requires knowledge of size and trend of individual poulations. Periodic entry into management compartments for thinning and regeneration of stands provides considerable information on individual cavity trees and colonies. The statistical rationale and formulas for using this information...

  17. From Tenet to Practice: Putting Diversity-Informed Services into Action

    ERIC Educational Resources Information Center

    Ippen, Chandra Ghosh; Norona, Carmen Rosa; Thomas, Kandace

    2012-01-01

    The Diversity-Informed Infant Mental Health Tenets provide guidelines for addressing inequities in American society. Embedding the Tenets into infant mental health systems requires intentionality and careful consideration. With the use of vignettes, this article examines each Tenet and how infant mental health practitioners, agencies, and systems…

  18. Infections in Children: A Sourcebook for Educators and Child Care Providers. Second Edition.

    ERIC Educational Resources Information Center

    Andersen, Richard D.; And Others

    Noting the rapid changes occurring in the world of infectious diseases, this book provides updated information for care providers, educators, and parents on the increasingly complex issues of childhood infection. The book is organized into two parts. The first part discusses general considerations for group settings. Chapter 1 introduces the…

  19. Breathing Easy

    EPA Pesticide Factsheets

    This fact sheet provides practical information and guidance to auto refinish shops on proper ventilation of paint mixing rooms, including ventilation system basics and diagrams, risk reduction ideas, common mistakes, tips, and design considerations.

  20. Considerations Taken in Developing the Frequency Assignment Guidelines for Communications in the Mars Region Provided in SFCG Recommendation 22-1, (SFCG Action Item No. 23/10)

    NASA Technical Reports Server (NTRS)

    Wang, Charles C.; Peng, Ted; Sue, Miles K.

    2004-01-01

    In the 23'd Annual SFCG meeting in San Diego, CA, the SFCG created SFCG Action Item No. 23/10 to provide a readable summary of the work done by the Mars Interim Working Group (MIWG). The SFCG created the MIWG to develop a frequency plan for future Mars missions. The working group has produced a number of documents resulting in a recommendation, SFCG Rec 22-1 [1], titled Frequency Assignment Guidelines for Communications in Mars Region, including a frequency plan for the Mars Region. This document is prepared in response to the SFCG Action Item to provide an overview of the considerations taken when selecting the frequencies and to point out where detailed information of the considerations can be found.

  1. Sarbanes-Oxley Act and Acquisition Trends: Information Technology Managers' Perceptions of the Impact on Information Technology Outsourcing

    ERIC Educational Resources Information Center

    Bui-Le, Linda Thanhthuy

    2010-01-01

    This research study provides a platform for extending the body of knowledge associated with the sourcing of Information Technology (IT) in the legal environment determined by the Sarbanes-Oxley Act. This analysis of IT sourcing was conducted via consideration of legal and situational factors which may influence an IT manager's decision to…

  2. Quality of the Information on Educational and Therapy Interventions Provided on the Web Sites of National Autism Associations

    ERIC Educational Resources Information Center

    Stephenson, Jennifer; Carter, Mark; Kemp, Coral

    2012-01-01

    Parents and teachers of children with autism spectrum disorders (ASD) are often presented with a confusing array of intervention options that vary considerably in their level of research support. Logical sources of information and guidance are the web sites of national autism associations. This research examined the quality of the information that…

  3. Measure Guideline: Ventilation Cooling

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

    Springer, D.; Dakin, B.; German, A.

    2012-04-01

    The purpose of this measure guideline is to provide information on a cost-effective solution for reducing cooling system energy and demand in homes located in hot-dry and cold-dry climates. This guideline provides a prescriptive approach that outlines qualification criteria, selection considerations, and design and installation procedures.

  4. Overview of EDSP Tier II Larval Amphibian Growth and Development Assay histopathology and statistics

    EPA Science Inventory

    These presentations are meant to provide expert pathologists and statisticians with background information on the Tier II LAGDA design. Expert pathologists at this workshop are charged with providing guidance on histopathology considerations unique to the LAGDA. Expert statisti...

  5. Parent educational materials regarding the newborn hearing screening process.

    PubMed

    Krishnan, Lata A; Lawler, Breanne; Van Hyfte, Shannon

    2017-04-01

    Newborn hearing screening (NHS) procedures and implementation vary from state to state in the US. The purpose of this study was to evaluate the content and nature of information provided to parents about their infant's NHS across states to answer two questions: 1) what information is included in each state's parent information brochure? and 2) do the brochures include educational information requested by parents that may help reduce parental anxiety, improve satisfaction, and decrease the potential for misunderstandings? Each state's parent brochures and educational resources provided to parents were accessed via the National Center for Hearing Assessment and Management (NCHAM) website, categorized, and reviewed for content. Results indicate that the information provided to parents varies considerably across states and many brochures do not contain important information that is desired by parents. NHS procedures may be improved by providing standardized information regarding the process to parents in all states. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Physician Encounters with Human Trafficking: Legal Consequences and Ethical Considerations.

    PubMed

    Todres, Jonathan

    2017-01-01

    There is growing recognition and evidence that health care professionals regularly encounter-though they may not identify-victims of human trafficking in a variety of health care settings. Identifying and responding appropriately to trafficking victims or survivors requires not only training in trauma-informed care but also consideration of the legal and ethical issues that arise when serving this vulnerable population. This essay examines three areas of law that are relevant to this case scenario: criminal law, with a focus on conspiracy; service provider regulations, with a focus on mandatory reporting laws; and human rights law. In addition to imposing a legal mandate, the law can inform ethical considerations about how health care professionals should respond to human trafficking. © 2017 American Medical Association. All Rights Reserved.

  7. 77 FR 41185 - Farm, Ranch, and Rural Communities Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-12

    ... gives notice of a teleconference meeting of the Farm, Ranch, and Rural Communities Committee (FRRCC). The FRRCC is a policy-oriented committee that provides policy advice, information, and recommendations... relevance for consideration by the Committee in order to provide advice and insights to the Agency on...

  8. Brownfields Technology Primer: Selecting and Using Phytoremediation for Site Cleanup

    EPA Pesticide Factsheets

    This primer explains the phytoremediation process, discusses the potential advantages and considerations in selecting phytoremediation to clean up brownfields sites, and provides information on additional resources about phytoremediation.

  9. Information Technology Resources Assessment

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

    Not Available

    1993-04-01

    The Information Technology Resources Assessment (ITRA) is being published as a companion document to the Department of Energy (DOE) FY 1994--FY 1998 Information Resources Management Long-Range Plan. This document represents a collaborative effort between the Office of Information Resources Management and the Office of Energy Research that was undertaken to achieve, in part, the Technology Strategic Objective of IRM Vision 21. An integral part of this objective, technology forecasting provides an understanding of the information technology horizon and presents a perspective and focus on technologies of particular interest to DOE program activities. Specifically, this document provides site planners with anmore » overview of the status and use of new information technology for their planning consideration.« less

  10. Taking a Hard Look at Formal Mentoring Programs: A Consideration of the Potential Challenges Facing Women.

    ERIC Educational Resources Information Center

    Blake-Beard, Stacy D.

    2001-01-01

    Comparison of women in formal and informal mentoring relationships showed that formal mentoring often led to unrealistic expectations; unbalanced focus on proteges; difficulty managing relationships among supervisors, proteges, and mentors; and damage from gossip. Informal mentoring may provide psychosocial and career support without these…

  11. A Guide to Networking for K-12 Schools.

    ERIC Educational Resources Information Center

    Northwest Regional Educational Lab., Portland, OR.

    The purpose of this guide is to provide basic networking information and planning assistance for technology coordinators and others involved in building networks for K-12 schools. The information in this guide focuses on the first few steps in the networking process. It reviews planning considerations and network design issues facing educators who…

  12. Anesthesia information management systems marketplace and current vendors.

    PubMed

    Stonemetz, Jerry

    2011-09-01

    This article addresses the brief history of anesthesia information management systems (AIMS) and discusses the vendors that currently market AIMS. The current market penetration based on the information provided by these vendors is presented and the rationale for the purchase of AIMS is discussed. The considerations to be evaluated when making a vendor selection are also discussed. Copyright © 2011 Elsevier Inc. All rights reserved.

  13. Information and cervical screening: a qualitative study of women's awareness, understanding and information needs about HPV.

    PubMed

    Goldsmith, Megan R; Bankhead, Clare R; Kehoe, Sean T; Marsh, Gill; Austoker, Joan

    2007-01-01

    To explore women's attitudes towards the information about human papilloma virus (HPV) provided during cervical screening and to describe women's HPV information needs. Women with a range of screening results (normal, inadequate, borderline and abnormal) were identified by three screening centres in England. Two consecutive samples of women attending for colposcopy for the first time following screening were also approached. Seven focus groups were conducted between May 2005 and April 2006 with 38 women who had recently been for cervical screening or had attended a colposcopy appointment. Most women had no prior awareness of HPV. Many women queried the importance of being informed about HPV as no preventive advice or treatment is available. The HPV information included in the UK national screening programme abnormal result leaflet left women with more questions than answers (a list of unanswered questions is included with the results). Further information was requested about HPV detection, infection and transmission as well as the natural history and progression of cervical cancer. No consensus was reached regarding the best time to provide HPV information. Clear communication of the complicated issues surrounding HPV infection and the natural history of cervical cancer is a considerable educational challenge for screening providers. As awareness of HPV becomes more widespread and HPV testing is explored as a triage during cervical screening, women are likely to require more information about the virus and the implications of infection. Consideration should be given to the production of a separate national screening programme HPV leaflet.

  14. Family and Consumer Studies 13: Fashion Analysis.

    ERIC Educational Resources Information Center

    Carleo, A. Susan

    A description is provided of Family and Consumer Studies 13: Fashion Analysis, an introductory course on the basic principles of fashion and clothing, giving special consideration to the impact of societal, cultural, religious, and psychological factors on clothing choices. First, general information is provided on the course, its place in the…

  15. Student Aid Research. A Manual for Financial Aid Administrators.

    ERIC Educational Resources Information Center

    Davis, Jerry Sheehan, Ed.

    This manual contains nine articles intended to assist student financial aid professionals in conducting research. Initial chapters provide basic information for those starting to do such research while later chapters deal with more complex issues. Some chapters include appendices that provide examples of the techniques under consideration. from…

  16. 77 FR 16818 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-22

    ... forms of information technology. DATES: Consideration will be given to all comments received by May 21... Number: 0704-TBD. Needs and Uses: The Application of Child Care Services Form, DLA Form 1854, is used to request child care services provided by DLA managed facilities. Enrollee records are provided to the Child...

  17. Tracking the Gender Pay Gap: A Case Study

    ERIC Educational Resources Information Center

    Travis, Cheryl B.; Gross, Louis J.; Johnson, Bruce A.

    2009-01-01

    This article provides a short introduction to standard considerations in the formal study of wages and illustrates the use of multiple regression and resampling simulation approaches in a case study of faculty salaries at one university. Multiple regression is especially beneficial where it provides information on strength of association, specific…

  18. Measure Guideline: Ventilation Cooling

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

    Springer, D.; Dakin, B.; German, A.

    2012-04-01

    The purpose of this measure guideline on ventilation cooling is to provide information on a cost-effective solution for reducing cooling system energy and demand in homes located in hot-dry and cold-dry climates. This guideline provides a prescriptive approach that outlines qualification criteria, selection considerations, and design and installation procedures.

  19. 78 FR 41795 - Farm, Ranch, and Rural Communities Committee Teleconference

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-11

    ..., EPA gives notice of a teleconference meeting of the Farm, Ranch, and Rural Communities Committee (FRRCC). The FRRCC is a policy-oriented committee that provides policy advice, information, and... specific topics of relevance for consideration by the Committee in order to provide advice and insights to...

  20. D Reconstruction from Uav-Based Hyperspectral Images

    NASA Astrophysics Data System (ADS)

    Liu, L.; Xu, L.; Peng, J.

    2018-04-01

    Reconstructing the 3D profile from a set of UAV-based images can obtain hyperspectral information, as well as the 3D coordinate of any point on the profile. Our images are captured from the Cubert UHD185 (UHD) hyperspectral camera, which is a new type of high-speed onboard imaging spectrometer. And it can get both hyperspectral image and panchromatic image simultaneously. The panchromatic image have a higher spatial resolution than hyperspectral image, but each hyperspectral image provides considerable information on the spatial spectral distribution of the object. Thus there is an opportunity to derive a high quality 3D point cloud from panchromatic image and considerable spectral information from hyperspectral image. The purpose of this paper is to introduce our processing chain that derives a database which can provide hyperspectral information and 3D position of each point. First, We adopt a free and open-source software, Visual SFM which is based on structure from motion (SFM) algorithm, to recover 3D point cloud from panchromatic image. And then get spectral information of each point from hyperspectral image by a self-developed program written in MATLAB. The production can be used to support further research and applications.

  1. Defining information need in health - assimilating complex theories derived from information science.

    PubMed

    Ormandy, Paula

    2011-03-01

    Key policy drivers worldwide include optimizing patients' roles in managing their care; focusing services around patients' needs and preferences; and providing information to support patients' contributions and choices. The term information need penetrates many policy documents. Information need is espoused as the foundation from which to develop patient-centred or patient-led services. Yet there is no clear definition as to what the term means or how patients' information needs inform and shape information provision and patient care. The assimilation of complex theories originating from information science has much to offer considerations of patient information need within the context of health care. Health-related research often focuses on the content of information patients prefer, not why they need information. This paper extends and applies knowledge of information behaviour to considerations of information need in health, exposing a working definition for patient information need that reiterates the importance of considering the patient's goals and understanding the patient's context/situation. A patient information need is defined as 'recognition that their knowledge is inadequate to satisfy a goal, within the context/situation that they find themselves at a specific point in the time'. This typifies the key concepts of national/international health policy, the centrality and importance of the patient. The proposed definition of patient information need provides a conceptual framework to guide health-care practitioners on what to consider and why when meeting the information needs of patients in practice. This creates a solid foundation from which to inform future research. © 2010 The Author. Health Expectations © 2010 Blackwell Publishing Ltd.

  2. 10 CFR 1003.26 - Decision and Order.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... § 1003.26 Decision and Order. (a) Upon consideration of the application and other relevant information... the relevant facts and the legal basis of the order. The Decision and Order shall provide that any...

  3. Funding Transparency under ESSA. Special Report

    ERIC Educational Resources Information Center

    Woods, Julie Rowland

    2018-01-01

    This special report explains the new requirements states have in reporting per-pupil expenditures under the Every Student Succeeds Act. It also provides key considerations for states and information about technical assistance and support.

  4. Informed consent in the context of pharmacogenomic research: ethical considerations.

    PubMed

    Howard, H C; Joly, Y; Avard, D; Laplante, N; Phillips, M; Tardif, J C

    2011-06-01

    Although the scientific research surrounding pharmacogenomics (PGx) has been relatively plentiful, the ethical research concerning this discipline has developed rather conservatively. Following investigation of the ethical, legal and social issues (ELSI) of PGx research, as well as consulting with key stakeholders, we identified six outstanding ethical issues raised by the informed consent process in PGx research: (1) scope of consent; (2) consent to 'add-on' studies; (3) protection of personal information; (4) commercialization; (5) data sharing; and (6) potential risks stemming from population-based research. In discussing these six areas as well as offering specific considerations, this article offers a solid base from which future practical guidelines for informed consent in PGx research can be constructed. As such, this effort works toward filling the ELSI gap and provides ethical support to the numerous PGx projects undertaken by researchers every year.

  5. ALARA radiation considerations for the AP600 reactor

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

    Lau, F.L.

    1995-03-01

    The radiation design of the AP600 reactor plant is based on an average annual occupational radiation exposure (ORE) of 100 man-rem. As a design goal we have established a lower value of 70 man-rem per year. And, with our current design process, we expect to achieve annual exposures which are well below this goal. To accomplish our goal we have established a process that provides criteria, guidelines and customer involvement to achieve the desired result. The criteria and guidelines provide the shield designer, as well as the systems and plant layout designers with information that will lead to an integratedmore » plant design that minimizes personnel exposure and yet is not burdened with complicated shielding or unnecessary component access limitations. Customer involvement is provided in the form of utility input, design reviews and information exchange. Cooperative programs with utilities in the development of specific systems or processes also provides for an ALARA design. The results are features which include ALARA radiation considerations as an integral part of the plant design and a lower plant ORE. It is anticipated that a further reduction in plant personnel exposures will result through good radiological practices by the plant operators. The information in place to support and direct the plant designers includes the Utility Requirements Document (URD), Federal Regulations, ALARA guidelines, radiation design information and radiation and shielding design criteria. This information, along with the utility input, design reviews and information feedback, will contribute to the reduction of plant radiation exposure levels such that they will be less than the stated goals.« less

  6. AsMA Medical Guidelines for Air Travel: Fitness to Fly and Medical Clearances.

    PubMed

    Thibeault, Claude; Evans, Anthony D; Dowdall, Nigel P

    2015-07-01

    Medical Guidelines for Airline Travel provide information that enables healthcare providers to properly advise patients who plan to travel by air. Not everyone is fit to travel by air and physicians should advise their patients accordingly. They should review the passenger's medical condition, giving special consideration to the dosage and timing of any medications, contagiousness, and the need for special assistance during travel. In general, an individual with an unstable medical condition should not fly; cabin altitude, duration of exposure, and altitude of the destination airport are all considerations when recommending a passenger for flight.

  7. Implementing Sexual Orientation and Gender Identity Data Collection in Emergency Departments: Patient and Staff Perspectives.

    PubMed

    German, Danielle; Kodadek, Lisa; Shields, Ryan; Peterson, Susan; Snyder, Claire; Schneider, Eric; Vail, Laura; Ranjit, Anju; Torain, Maya; Schuur, Jeremiah; Lau, Brandyn; Haider, Adil

    2016-12-01

    To identify patient and provider perspectives concerning collection of sexual orientation and gender identity (SO&GI) information in emergency departments (EDs). Semistructured interviews were conducted during the period of 2014-2015 with a diverse purposive sample of patients across the spectrum of sexual orientation and gender identities (n = 53) and ED nurses, physician assistants, physicians, and registrars (n = 38) in a major metropolitan area. Interviews were recorded, transcribed verbatim, and analyzed by multiple coders using constant comparative methods. Patients were willing to provide SO&GI information if collected safely and appropriately, and staff described willingness to collect SO&GI information to inform understanding of health disparities. Key themes across respondents were as follows: What will be done with the data? How will it be collected? Who will collect it? Is the environment conducive to safe disclosure? Confidentiality and potential sensitivity; standardized collection emphasizing population health; nurse intake and/or nonverbal data collection; and environmental cues and cultural competency promoting comfort for sexual and gender minorities emerged as critical considerations for effective implementation. Staff and patients are amenable to SO&GI data collection in EDs, but data quality and patient and provider comfort may be compromised without attention to specific implementation considerations.

  8. Public Health Information Systems: Priorities and Practices for Successful Deployments.

    PubMed

    Pearce, Martin

    2016-01-01

    A fast paced workshop designed for senior public health decision makers and clinical leaders implementing information systems to support delivery of public health programs. The tutorial will introduce public health information systems and provide best practices for implementing solutions related to immunization, communicable disease case management and outbreak management. Using a combination of formats, the tutorial will: • Highlight key functionality of public health information systems. • Review global crises currently exposing gaps and deficiencies in public health information. • Examine governance, planning, and implementation priorities. • Highlight considerations supporting implementations nationally and in special populations. • Provide real, actionable lessons learned to take away and apply in the real world.

  9. The energy balance of the nighttime thermosphere

    NASA Technical Reports Server (NTRS)

    Glenar, D. A.

    1977-01-01

    The discrepancy between the input from the day hemisphere and the observed loss rates is discussed in terms of ion-neutral processes and gravity wave inputs. There has been considerable speculation as to the energy balance of the thermosphere and in particular about the fraction of the total energy input supplied by ultraviolet radiation. The problem is considerably simplified by considering the energy balance of the nighttime hemisphere alone. Sunrise and sunset vapor trail measurements provide data on the wind systems at the terminator boundary, and temperature measurements provide information on the vertical energy conduction. North-south winds from high latitude vapor trail measurements provide a measure of the energy input from auroral processes.

  10. Rhetoric vs. reality: employer views on consumer-driven health care.

    PubMed

    Trude, Sally; Conwell, Leslie

    2004-07-01

    Because of rising premiums, employers are investigating new health insurance approaches that maintain workers' broad choice of providers while raising awareness of health care costs through increased patient financial responsibility. Employers' knowledge of new health plan products, including consumer-driven health plans and tiered-provider networks, has grown considerably in recent years, according to findings from the Center for Studying Health System Change's (HSC) 2002-03 site visit to 12 nationally representative communities. But employers are concerned that consumer-driven health plans would take considerable effort to implement without much cost savings. They also are skeptical that tiered-provider networks can adequately capture both cost and quality information in a way that is understandable to patients.

  11. Controls Over Project Management Oversight Program

    DOT National Transportation Integrated Search

    1997-12-08

    This is the final report on Federal Transit Administration's (FTA) controls over its Project Management Oversight (PMO) Program. This report reflects Office of Inspector General's (OIG) consideration of information provided in FTA's May 29, 1997, rep...

  12. Learning Styles.

    ERIC Educational Resources Information Center

    Missouri Univ., Columbia. Coll. of Education.

    Information is provided regarding major learning styles and other factors important to student learning. Several typically asked questions are presented regarding different learning styles (visual, auditory, tactile and kinesthetic, and multisensory learning), associated considerations, determining individuals' learning styles, and appropriate…

  13. The Job Hunt: The Biggest Job You'll Ever Have. A Practical Guide for New College Graduates. Revised Edition.

    ERIC Educational Resources Information Center

    Nelson, Robert B.

    A practical handbook to guide the job-hunting process, especially directed to recent college graduates, is presented. Information is provided on: marketing yourself, deciding what to do, the resume, informational interviewing, searching, interviewing, follow-up, considerations for the individual after being hired, the most common job-hunting…

  14. Personal Privacy in an Information Society: What are the Trade-Offs? Insights into Consumer Issues.

    ERIC Educational Resources Information Center

    J.C. Penney Co., Inc., New York, NY.

    Insights into Consumer Issues is one of a group of educational publications and teaching units that J.C. Penney provides for consumer educators as a public service. This folder illustrates that although computerized processing of personal information has brought considerable convenience, the potential risk to personal privacy is of increasing…

  15. Digital Avionics Information System (DAIS): Mid-1980's Maintenance Task Analysis. Final Report.

    ERIC Educational Resources Information Center

    Czuchry, Andrew J.; And Others

    The fundamental objective of the Digital Avionics Information System (DAIS) Life Cycle Cost (LCC) Study is to provide the Air Force with an enhanced in-house capability to incorporate LCC considerations during all stages of the system acquisition process. The purpose of this report is to describe the technical approach, results, and conclusions…

  16. Camp selection and the role of health care providers.

    PubMed

    Thurber, Christopher A

    2007-10-01

    The selection of a summer camp that best matches a child's interests, abilities, and developmental level is essential. This article provides information to assist families in their consideration of camp type, location, length of stay, gender composition, and structure. It also outlines the way that health care providers can assist families in selecting the most appropriate camp for their child.

  17. Caregiver informational support in different patient care settings at end of life.

    PubMed

    Lavalley, Susan A

    2018-01-01

    Caregivers of the terminally ill face many complicated tasks including providing direct patient care, communicating with clinicians, and managing the logistical demands of daily activities. They require instructive information at all points in the illness process and across several settings where patients receive end-of-life care. This study examines how the setting where a patient receives end-of-life care affects caregivers' informational support needs by thematically analyzing data from caregiver interviews and clinical observations. Caregivers providing care for patients at home received informational support related to meeting patients' mobility, medication, and nutritional needs. Caregivers who provided care remotely received informational support to navigate transitions between patient care settings or long-term care arrangements, including financial considerations and insurance logistics. The findings document that interventions designed to enhance information for caregivers should account for caregiving context and that health care providers should proactively and repeatedly assess caregiver information needs related to end-of-life patient care.

  18. A fast method for detecting Cryptosporidium parvum oocysts in real world samples

    NASA Astrophysics Data System (ADS)

    Stewart, Shona; McClelland, Lindy; Maier, John

    2005-04-01

    Contamination of drinking water with pathogenic microorganisms such as Cryptosporidium has become an increasing concern in recent years. Cryptosporidium oocysts are particularly problematic, as infections caused by this organism can be life threatening in immunocompromised patients. Current methods for monitoring and analyzing water are often laborious and require experts to conduct. In addition, many of the techniques require very specific reagents to be employed. These factors add considerable cost and time to the analytical process. Raman spectroscopy provides specific molecular information on samples, and offers advantages of speed, sensitivity and low cost over current methods of water monitoring. Raman spectroscopy is an optical method that has demonstrated the capability to identify and differentiate microorganisms at the species and strain levels. In addition, this technique has exhibited sensitivities down to the single organism detection limit. We have employed Raman spectroscopy and Raman Chemical Imaging, in conjunction with chemometric techniques, to detect small numbers of oocysts in the presence of interferents derived from real-world water samples. Our investigations have also indicated that Raman Chemical Imaging may provide chemical and physiological information about an oocyst sample which complements information provided by the traditional methods. This work provides evidence that Raman imaging is a useful technique for consideration in the water quality industry.

  19. Issues in School Finance/A Texas Primer.

    ERIC Educational Resources Information Center

    Hooker, Richard L.

    This booklet attempts to provide the layman with information on the need to equalize educational opportunities and taxpayer burdens in a high quality State system of public schools for Texas. The publication attempts to stimulate discussion and provide a foundation, in the briefest form, for the consideration of Texas school finance issues.…

  20. Practical Considerations for Conducting Delphi Studies: The Oracle Enters a New Age.

    ERIC Educational Resources Information Center

    Eggers, Renee M.; Jones, Charles M.

    1998-01-01

    In addition to giving an overview of Delphi methodology and describing the methodology used by the researchers in two Delphi studies, the authors provide information about electronic communication in Delphi studies. Also provided are suggestions that can be used in a Delphi study involving any form of communication. (SLD)

  1. Lifelong Learning in Public Libraries in 12 European Union Countries: Policy and Considerations

    ERIC Educational Resources Information Center

    Stanziola, Javier

    2010-01-01

    Public libraries have traditionally provided key inputs to support lifelong learning. More recently, significant social and technological changes have challenged this sector to redefine their role in this field. For most public libraries in Europe this has meant continuing their role as providers of information and advice while increasing services…

  2. 76 FR 71015 - Pick-Sloan Missouri Basin Program-Eastern Division-2021 Power Marketing Initiative

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-16

    ... (45 FR 71860, October 30, 1980) and provided the marketing plan principles used to market P-SMBP--ED... opportunity to review current Marketing Plan principles and provide informal input to Western for consideration in the 2021 PMI proposal. Key Marketing Plan principles discussed with firm power customers...

  3. Studying Child Care Subsidies with Secondary Data Sources. Methodological Brief OPRE 2012-54

    ERIC Educational Resources Information Center

    Ha, Yoonsook; Johnson, Anna D.

    2012-01-01

    This brief describes four national surveys with data relevant to subsidy-related research and provides a useful set of considerations for subsidy researchers considering use of secondary data. Specifically, this brief describes each of the four datasets reviewed, highlighting unique features of each dataset and providing information on the survey…

  4. "A Technical Assistance Report" on Computer Technology Applications. Smithville School District, Smithville, Massachusetts.

    ERIC Educational Resources Information Center

    Merrimack Education Center, Chelmsford, MA.

    This report of the Technical Assistance Study provided to the Smithville Public Schools by the Technology Lighthouse of the Merrimack Education Center offers information for use in planning computer technology applications over a 3-year period. It provides specific guidelines and criteria for planning and development, equipment considerations,…

  5. Development of a Method for Assessing the Organizational, Cultural, and Political Considerations Affecting the Insertion of Siloms into the MoD

    DTIC Science & Technology

    2002-03-01

    Patterson AFB, Ohio. Upon his graduation in 2002 he will be assigned to ILA. Permanent Address: Institutto de Logistica da Aeronautica - ILA, Av...Henrique Sbrissia, Capt Rita de Cassia, Capt Flavio Marcio de Souza and Capt Fabricio Saito. Special thanks to Janice Farr for providing help in...information related to maintenance, supply, and transportation within the COMGAP. The overall goal of the system is to provide information to support

  6. The WebQuest: constructing creative learning.

    PubMed

    Sanford, Julie; Townsend-Rocchiccioli, Judith; Trimm, Donna; Jacobs, Mike

    2010-10-01

    An exciting expansion of online educational opportunities is occurring in nursing. The use of a WebQuest as an inquiry-based learning activity can offer considerable opportunity for nurses to learn how to analyze and synthesize critical information. A WebQuest, as a constructivist, inquiry-oriented strategy, requires learners to use higher levels of thinking as a means to analyze and apply complex information, providing an exciting online teaching and learning strategy. A WebQuest is an inquiry-oriented lesson format in which most or all of the information learners work with comes from the web. This article provides an overview of the WebQuest as a teaching strategy and provides examples of its use. Copyright 2010, SLACK Incorporated.

  7. Methodological and Epistemological Considerations in Utilizing Qualitative Inquiry to Develop Interventions.

    PubMed

    Duggleby, Wendy; Williams, Allison

    2016-01-01

    The purpose of this article is to discuss methodological and epistemological considerations involved in using qualitative inquiry to develop interventions. These considerations included (a) using diverse methodological approaches and (b) epistemological considerations such as generalization, de-contextualization, and subjective reality. Diverse methodological approaches have the potential to inform different stages of intervention development. Using the development of a psychosocial hope intervention for advanced cancer patients as an example, the authors utilized a thematic study to assess current theories/frameworks and interventions. However, to understand the processes that the intervention needed to target to affect change, grounded theory was used. Epistemological considerations provided a framework to understand and, further, critique the intervention. Using diverse qualitative methodological approaches and examining epistemological considerations were useful in developing an intervention that appears to foster hope in patients with advanced cancer. © The Author(s) 2015.

  8. Fire ecology of western Montana forest habitat types

    Treesearch

    William C. Fischer; Anne F. Bradley

    1987-01-01

    Provides information on fire as an ecological factor for forest habitat types in western Montana. Identifies Fire Groups of habitat types based on fire's role in forest succession. Describes forest fuels and suggests considerations for fire management.

  9. The Suitability of Diazo Films for Long Term Storage.

    ERIC Educational Resources Information Center

    Turner, Jeffrey H.

    1988-01-01

    Outlines the suitability of diazo film for the use of micrographics in libraries. Background information is provided, and diazo and silver film are compared. Film construction, environmental considerations, and fade resistance are discussed. (1 reference) (MES)

  10. Spermiogenesis in birds

    PubMed Central

    Aire, Tom A

    2014-01-01

    Current knowledge on avian spermiogenesis, including strengths and weaknesses, has been reviewed. Information on avian spermiogenesis considerably lags behind that in mammals because of the paucity of reports in birds. Spermiogenesis in passerine birds has received even much less attention than in non-passerine birds. Mechanisms underlying morphogenesis of the acrosome and nucleus, and roles of microtubular assemblies are poorly understood. The proximal centriole found in non-passerine birds, but hitherto considered to be absent in passerine birds, has recently been described in spermatids and mature spermatozoa of 2 passeridan species, including the Masked weaver for which new and detailed spermiogenetic information is provided in this review. A great deal more studies on spermiogenesis, and spermatogenesis generally, in various avian species are required to considerably enhance knowledge of this phenomenon, contribute to comparative spermatology, provide a basis for appropriate applied studies, and contribute to understanding of phylogeny in this vast order of vertebrates. PMID:26413401

  11. Behavioral and Organizational Considerations in the Design of Information Systems and Processes for Planning and Decision Support,

    DTIC Science & Technology

    1981-06-01

    analysis and display capability provided by management information systems to include interpretation and aggregation of information and values such as...accomplishment of these) 2. analysis of the issue d) systems analysis and modeling (determination of the structure of the decision situation, the...existingltrtie2) Surveying lsata i situation’ alternatives I altraivDsad Is this alternative -" altrnav acceptable? ANALYSIS o NOYES SHave a sufficient

  12. Display methods of electronic patient record screens: patient privacy concerns.

    PubMed

    Niimi, Yukari; Ota, Katsumasa

    2013-01-01

    To provide adequate care, medical professionals have to collect not only medical information but also information that may be related to private aspects of the patient's life. With patients' increasing awareness of information privacy, healthcare providers have to pay attention to the patients' right of privacy. This study aimed to clarify the requirements of the display method of electronic patient record (EPR) screens in consideration of both patients' information privacy concerns and health professionals' information needs. For this purpose, semi-structured group interviews were conducted of 78 medical professionals. They pointed out that partial concealment of information to meet patients' requests for privacy could result in challenges in (1) safety in healthcare, (2) information sharing, (3) collaboration, (4) hospital management, and (5) communication. They believed that EPRs should (1) meet the requirements of the therapeutic process, (2) have restricted access, (3) provide convenient access to necessary information, and (4) facilitate interprofessional collaboration. This study provides direction for the development of display methods that balance the sharing of vital information and protection of patient privacy.

  13. Social Skills that Are Not Always Social and Problems that Are Not Always Problems

    ERIC Educational Resources Information Center

    Carr, Edward G.

    2007-01-01

    The best research studies are more noteworthy for the issues they raise than for the questions they answer. Being informative is good; being heuristic is better. The two papers under consideration are heuristic as well as informative. Thus, Wong, Kasari, Freeman, and Paparella (2007) provide an answer to the question of what might influence the…

  14. Fact Sheet on Evapotranspiration Cover Systems for Waste Containment

    EPA Pesticide Factsheets

    This Fact Sheet updates the 2003 Fact Sheet on Evapotranspiration Covers and provides information on the regulatory setting for ET covers, general considerations in their design, performance, and monitoring, and status at the time of writing (2011).

  15. Pendred Syndrome

    MedlinePlus

    ... weigh the medical, emotional, and ethical considerations of testing. A genetic counselor is a health professional who provides information and support to people (and their families) who have a genetic disorder or who are at risk for a genetic disorder. How is Pendred syndrome ...

  16. The Doppler Effect: A Consideration of Quasar Redshifts.

    ERIC Educational Resources Information Center

    Gordon, Kurtiss J.

    1980-01-01

    Provides information on the calculation of the redshift to blueshift ratio introduced by the transverse Doppler effect at relativistic speeds. Indicates that this shift should be mentioned in discussions of whether quasars are "local" rather than "cosmological" objects. (GS)

  17. Using Risk Assessment Methodologies to Meet Management Objectives

    NASA Technical Reports Server (NTRS)

    DeMott, D. L.

    2015-01-01

    Current decision making involves numerous possible combinations of technology elements, safety and health issues, operational aspects and process considerations to satisfy program goals. Identifying potential risk considerations as part of the management decision making process provides additional tools to make more informed management decision. Adapting and using risk assessment methodologies can generate new perspectives on various risk and safety concerns that are not immediately apparent. Safety and operational risks can be identified and final decisions can balance these considerations with cost and schedule risks. Additional assessments can also show likelihood of event occurrence and event consequence to provide a more informed basis for decision making, as well as cost effective mitigation strategies. Methodologies available to perform Risk Assessments range from qualitative identification of risk potential, to detailed assessments where quantitative probabilities are calculated. Methodology used should be based on factors that include: 1) type of industry and industry standards, 2) tasks, tools, and environment 3) type and availability of data and 4) industry views and requirements regarding risk & reliability. Risk Assessments are a tool for decision makers to understand potential consequences and be in a position to reduce, mitigate or eliminate costly mistakes or catastrophic failures.

  18. Neuropsychological Assessment and the Habilitation of Learning: Considerations in the Search for the Aptitude X Treatment Interaction.

    ERIC Educational Resources Information Center

    Reynolds, Cecil R.

    1981-01-01

    The importance of neuropsychological paradigms of higher order human information processing in providing remedial services to learning-problem children and in providing a guide to the habilitation of learning for all children is explained. The conceptual requirements of such models as well as their implementation are described. (Author/AL)

  19. Manual of Considerations and Techniques for Start-Up of Municipal Wastewater Treatment Facilities.

    ERIC Educational Resources Information Center

    Rader, R. D.; And Others

    This manual provides guidance for putting into initial operation a new municipal wastewater treatment plant, a new addition to an existing treatment plant, or a change in the mode of a treatment plant's operation. Information is provided on preparing for actual treatment plant start-up. Preparation for start-up includes: staffing the plant,…

  20. A Review of Methods and Instruments Used in State and Local School Readiness Evaluations. Issues & Answers. REL 2007-No. 004

    ERIC Educational Resources Information Center

    Brown, Glyn; Scott-Little, Catherine; Amwake, Lynn; Wynn, Lucy

    2007-01-01

    The report provides detailed information about the methods and instruments used to evaluate school readiness initiatives, discusses important considerations in selecting instruments, and provides resources and recommendations that may be helpful to those who are designing and implementing school readiness evaluations. Study results indicate that…

  1. Role of Information in Consumer Selection of Health Plans

    PubMed Central

    Sainfort, François; Booske, Bridget C.

    1996-01-01

    Considerable efforts are underway in the public and private sectors to increase the amount of information available to consumers when making health plan choices. The objective of this study was to examine the role of information in consumer health plan decisionmaking. A computer system was developed which provides different plan descriptions with the option of accessing varying types and levels of information. The system tracked the information search processes and recorded the hypothetical plan choices of 202 subjects. Results are reported showing the relationship between information and problem perception, preference structure, choice of plan, and attitude towards the decision. PMID:10165036

  2. Attention Deficit Disorder: Diagnosis, Etiology and Treatment.

    ERIC Educational Resources Information Center

    Barabasz, Marianne; Barabasz, Arreed

    1996-01-01

    Provides most recent information on attention deficit disorder including: (1) diagnostic considerations according to the latest behavioral criteria and breakthroughs using neurometric EEG assessment; (2) prevalence; (3) etiologies; (4) neurological basis; and (5) treatments. Evaluates alternatives to medication, behavior modification, cognitive…

  3. 7 CFR 2.29 - Chief Economist.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Committees prior to any release outside the Department. (6) Related to remote sensing. (i) Provide technical... satellite remote sensing activities to assure full consideration and evaluation of advanced technology. (ii) Coordinate administrative, management, and budget information relating to the Department's remote sensing...

  4. 75 FR 78953 - Department of the Treasury Acquisition Regulation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-17

    ...) A small business, women-owned small business, small disadvantaged business, small business owned and... optimal contract types, including considerations of performance based approaches, small business..., including any business or personal information provided, such as names, addresses, e-mail addresses, or...

  5. Students with Shunts: Program Considerations.

    ERIC Educational Resources Information Center

    French, Ron; And Others

    1997-01-01

    Examines how the medical condition of hydrocephalus can affect physical education students and physical education programs, and stresses the need to provide physical educators with information on students' medical conditions. Describes hydrocephalus and its treatment with ventricular peritoneal shunts, and offers suggestions on modifying…

  6. Clinically relevant safety issues associated with St. John's wort product labels.

    PubMed

    Clauson, Kevin A; Santamarina, Marile L; Rutledge, Jennifer C

    2008-07-17

    St. John's wort (SJW), used to treat depression, is popular in the USA, Canada, and parts of Europe. However, there are documented interactions between SJW and prescription medications including warfarin, cyclosporine, indinavir, and oral contraceptives. One source of information about these safety considerations is the product label. The aim of this study was to evaluate the clinically relevant safety information included on labeling in a nationally representative sample of SJW products from the USA. Eight clinically relevant safety issues were identified: drug interactions (SJW-HIV medications, SJW-immunosupressants, SJW-oral contraceptives, and SJW-warfarin), contraindications (bipolar disorder), therapeutic duplication (antidepressants), and general considerations (phototoxicity and advice to consult a healthcare professional (HCP)). A list of SJW products was identified to assess their labels. Percentages and totals were used to present findings. Of the seventy-four products evaluated, no product label provided information for all 8 evaluation criteria. Three products (4.1%) provided information on 7 of the 8 criteria. Four products provided no safety information whatsoever. Percentage of products with label information was: SJW-HIV (8.1%), SJW-immunosupressants (5.4%), SJW-OCPs (8.1%), SJW-warfarin (5.4%), bipolar (1.4%), antidepressants (23.0%), phototoxicity (51.4%), and consult HCP (87.8%). Other safety-related information on labels included warnings about pregnancy (74.3%), lactation (64.9%), discontinue if adverse reaction (23.0%), and not for use in patients under 18 years old (13.5%). The average number of a priori safety issues included on a product label was 1.91 (range 0-8) for 23.9% completeness. The vast majority of SJW products fail to adequately address clinically relevant safety issues on their labeling. A few products do provide an acceptable amount of information on clinically relevant safety issues which could enhance the quality of counseling by HCPs and health store clerks. HCPs and consumers may benefit if the FDA re-examined labeling requirements for dietary supplements.

  7. Clinically relevant safety issues associated with St. John's wort product labels

    PubMed Central

    Clauson, Kevin A; Santamarina, Marile L; Rutledge, Jennifer C

    2008-01-01

    Background St. John's wort (SJW), used to treat depression, is popular in the USA, Canada, and parts of Europe. However, there are documented interactions between SJW and prescription medications including warfarin, cyclosporine, indinavir, and oral contraceptives. One source of information about these safety considerations is the product label. The aim of this study was to evaluate the clinically relevant safety information included on labeling in a nationally representative sample of SJW products from the USA. Methods Eight clinically relevant safety issues were identified: drug interactions (SJW-HIV medications, SJW-immunosupressants, SJW-oral contraceptives, and SJW-warfarin), contraindications (bipolar disorder), therapeutic duplication (antidepressants), and general considerations (phototoxicity and advice to consult a healthcare professional (HCP)). A list of SJW products was identified to assess their labels. Percentages and totals were used to present findings. Results Of the seventy-four products evaluated, no product label provided information for all 8 evaluation criteria. Three products (4.1%) provided information on 7 of the 8 criteria. Four products provided no safety information whatsoever. Percentage of products with label information was: SJW-HIV (8.1%), SJW-immunosupressants (5.4%), SJW-OCPs (8.1%), SJW-warfarin (5.4%), bipolar (1.4%), antidepressants (23.0%), phototoxicity (51.4%), and consult HCP (87.8%). Other safety-related information on labels included warnings about pregnancy (74.3%), lactation (64.9%), discontinue if adverse reaction (23.0%), and not for use in patients under 18 years old (13.5%). The average number of a priori safety issues included on a product label was 1.91 (range 0–8) for 23.9% completeness. Conclusion The vast majority of SJW products fail to adequately address clinically relevant safety issues on their labeling. A few products do provide an acceptable amount of information on clinically relevant safety issues which could enhance the quality of counseling by HCPs and health store clerks. HCPs and consumers may benefit if the FDA re-examined labeling requirements for dietary supplements. PMID:18637192

  8. Considerations on automation of coating machines

    NASA Astrophysics Data System (ADS)

    Tilsch, Markus K.; O'Donnell, Michael S.

    2015-04-01

    Most deposition chambers sold into the optical coating market today are outfitted with an automated control system. We surveyed several of the larger equipment providers, and nine of them responded with information about their hardware architecture, data logging, level of automation, error handling, user interface, and interfacing options. In this paper, we present a summary of the results of the survey and describe commonalities and differences together with some considerations of tradeoffs, such as between capability for high customization and simplicity of operation.

  9. Preoperative Medical Evaluation: Part 1: General Principles and Cardiovascular Considerations

    PubMed Central

    Becker, Daniel E

    2009-01-01

    A thorough assessment of a patient's medical status is standard practice when dental care is provided. Although this is true for procedures performed under local anesthesia alone, the information gathered may be viewed somewhat differently if the dentist is planning to use sedation or general anesthesia as an adjunct to dental treatment. This article is the first of a 2-part sequence and will address general principles and cardiovascular considerations. A second article will address pulmonary, metabolic, and miscellaneous disorders. PMID:19769423

  10. Exploration of how women make treatment decisions after a breast cancer diagnosis.

    PubMed

    Spittler, Cheryl A; Pallikathayil, Leonie; Bott, Marjorie

    2012-09-01

    To examine the information needs of women after receiving a diagnosis of breast cancer, investigate how decisions about treatment options are made, and assess personal responses to the decisions made. Mixed-methods approach using quantitative and qualitative data. The University of Kansas Medical Center and Quinn Plastic Surgery Center, both in the midwestern United States. 102 breast cancer survivors who had completed all forms of treatment for at least three months and less than five years. Phase I participants completed five questionnaires about informational needs, confidence and satisfaction with the decision, decisional regret, and conflict. In phase II, 15 participants were purposively sampled from the 102 survivors to participate in a focus group session. Data analysis included frequencies and multiple regression for phase I and qualitative content analysis for phase II. Informational needs, confidence and satisfaction with the decision, and decisional regret and conflict. The variables (widowed, confidence and satisfaction with decision, and decisional conflict and regret) significantly (p = 0.01) accounted for 14% of the variance in informational needs. Two themes emerged from the study: (a) feelings, thoughts, and essential factors that impact treatment considerations, and (b) tips for enhancing treatment consideration options. The study's results show that women viewed informational needs as very important in making treatment decisions after being diagnosed with breast cancer. The treatment team should provide the information, with consideration of the patient's personal preferences, that will assist women to make informed, confident, and satisfied decisions about treatment choices.

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

    Not Available

    The Department of Energy (DOE) has contracted with Asea Brown Boveri-Combustion Engineering (ABB-CE) to provide information on the capability of ABB-CE`s System 80 + Advanced Light Water Reactor (ALWR) to transform, through reactor burnup, 100 metric tonnes (MT) of weapons grade plutonium (Pu) into a form which is not readily useable in weapons. This information is being developed as part of DOE`s Plutonium Disposition Study, initiated by DOE in response to Congressional action. This document Volume 2, provides a discussion of: Plutonium Fuel Cycle; Technology Needs; Regulatory Considerations; Cost and Schedule Estimates; and Deployment Strategy.

  12. High-quality Health Information Provision for Stroke Patients.

    PubMed

    Du, Hong-Sheng; Ma, Jing-Jian; Li, Mu

    2016-09-05

    High-quality information provision can allow stroke patients to effectively participate in healthcare decision-making, better manage the stroke, and make a good recovery. In this study, we reviewed information needs of stroke patients, methods for providing information to patients, and considerations needed by the information providers. The literature concerning or including information provision for patients with stroke in English was collected from PubMed published from 1990 to 2015. We included all the relevant articles on information provision for stroke patients in English, with no limitation of study design. Stroke is a major public health concern worldwide. High-quality and effective health information provision plays an essential role in helping patients to actively take part in decision-making and healthcare, and empowering them to effectively self-manage their long-standing chronic conditions. Different methods for providing information to patients have their relative merits and suitability, and as a result, the effective strategies taken by health professionals may include providing high-quality information, meeting patients' individual needs, using suitable methods in providing information, and maintaining active involvement of patients. It is suggested that to enable stroke patients to access high-quality health information, greater efforts need to be made to ensure patients to receive accurate and current evidence-based information which meets their individual needs. Health professionals should use suitable information delivery methods, and actively involve stroke patients in information provision.

  13. Perceived quality of management information and the influence of overspending penalties in the NHS.

    PubMed

    Marriott, N; Mellett, H

    1996-11-01

    The information needs of managers have changed considerably since the introduction of the internal market and many NHS units have invested in new management information systems to enhance the organization's performance. The characteristics of good quality information include accuracy, timeliness and comprehension. Information for management control also benefits from participation between the provider and the user. There are behavioural implications of using information as a control device and managers must internalize the financial objectives of the organization, usually expressed in budget reports. Failure to meet targets must attract penalties that will influence the managers' behaviour. They must respond to the information provided if control is to be exercised. This paper gives the results of a study into managers' perceptions of the adequacy and usefulness of financial information and the impact of penalties for overspending. It concludes that the financial information currently provided fails to meet many of the criteria of good quality information. Any perceived penalty for failing to attain budget-related goals is better than none, and there is little distinction between an overt reprimand and the ultimate sanction of dismissal.

  14. Permanent-Magnet Motors and Generators for Aircraft

    NASA Technical Reports Server (NTRS)

    Echolds, E. F.

    1983-01-01

    Electric motors and generators that use permarotating machinery, but aspects of control and power conditioning are also considered. The discussion is structured around three basic areas: rotating machine design considerations presents various configuration and material options, generator applications provides insight into utilization areas and shows actual hardware and test results, and motor applications provides the same type of information for drive systems.

  15. Harnessing the Power of Learning Management Systems: An E-Learning Approach for Professional Development.

    PubMed

    White, Meagan; Shellenbarger, Teresa

    E-learning provides an alternative approach to traditional professional development activities. A learning management system may help nursing professional development practitioners deliver content more efficiently and effectively; however, careful consideration is needed during planning and implementation. This article provides essential information in the selection and use of a learning management system for professional development.

  16. Microgrid-Ready Solar PV - Planning for Resiliency

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

    Booth, Samuel S

    2017-10-17

    This fact sheet provides background information on microgrids with suggested language for several up-front considerations that can be added to a solar project procurement or request for proposal (RFP) that will help ensure that PV systems are built for future microgrid connection.

  17. Tourette Syndrome & the School Psychologist. Revised.

    ERIC Educational Resources Information Center

    Hagin, Rosa A.

    This pamphlet alerts school psychologists to the educational implications of Tourette Syndrome (TS) and provides information on: the nature of the disorder and its incidence, diagnostic criteria, etiology, treatment, and considerations in testing and classroom accommodations. TS is characterized as a complex neurobiological disorder with…

  18. Fire ecology of the forest habitat types of northern Idaho

    Treesearch

    Jane Kapler Smith; William C. Fischer

    1997-01-01

    Provides information on fire ecology in forest habitat and community types occurring in northern Idaho. Identifies fire groups based on presettlement fire regimes and patterns of succession and stand development after fire. Describes forest fuels and suggests considerations for fire management.

  19. Automatic Query Formulations in Information Retrieval.

    ERIC Educational Resources Information Center

    Salton, G.; And Others

    1983-01-01

    Introduces methods designed to reduce role of search intermediaries by generating Boolean search formulations automatically using term frequency considerations from natural language statements provided by system patrons. Experimental results are supplied and methods are described for applying automatic query formulation process in practice.…

  20. Report of the Field and Laboratory Utilization Study Group. Appendix

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

    None

    1975-12-01

    These appendices (ERDA organization and management, summary of other resources, and FLU study considerations/inputs) provide detailed and quantitative information in support of the findings and recommendations presented in the report of the field and laboratory utilization study group. (RWR)

  1. Scanning-electron-microscope used in real-time study of friction and wear

    NASA Technical Reports Server (NTRS)

    Brainard, W. A.; Buckley, D. H.

    1975-01-01

    Small friction and wear apparatus built directly into scanning-electron-microscope provides both dynamic observation and microscopic view of wear process. Friction and wear tests conducted using this system have indicated that considerable information can readily be gained.

  2. Wild Marshmallows.

    ERIC Educational Resources Information Center

    Kallas, John N.

    1984-01-01

    Provides information for teaching a unit on wild plants, including resources to use, plants to learn, safety considerations, list of plants (with scientific name, edible parts, and uses), list of plants that might cause allergic reactions when eaten. Also describes the chickweed, bull thistle, and common mallow. (BC)

  3. Providing for consideration of the bill (H.R. 2655) to amend Rule 11 of the Federal Rules of Civil Procedure to improve attorney accountability, and for other purposes, and providing for consideration of the bill (H.R. 982) to amend title 11 of the United States Code to require the public disclosure by trusts established under section 524(g) of such title, of quarterly reports that contain detailed information regarding the receipt and disposition of claims for injuries based on exposure to asbestos; and for other purposes.

    THOMAS, 113th Congress

    Rep. Woodall, Rob [R-GA-7

    2013-11-12

    House - 11/13/2013 On agreeing to the resolution Agreed to by recorded vote: 223 - 194 (Roll no. 574). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

  4. Synthetic Vision Systems - Operational Considerations Simulation Experiment

    NASA Technical Reports Server (NTRS)

    Kramer, Lynda J.; Williams, Steven P.; Bailey, Randall E.; Glaab, Louis J.

    2007-01-01

    Synthetic vision is a computer-generated image of the external scene topography that is generated from aircraft attitude, high-precision navigation information, and data of the terrain, obstacles, cultural features, and other required flight information. A synthetic vision system (SVS) enhances this basic functionality with real-time integrity to ensure the validity of the databases, perform obstacle detection and independent navigation accuracy verification, and provide traffic surveillance. Over the last five years, NASA and its industry partners have developed and deployed SVS technologies for commercial, business, and general aviation aircraft which have been shown to provide significant improvements in terrain awareness and reductions in the potential for Controlled-Flight-Into-Terrain incidents/accidents compared to current generation cockpit technologies. It has been hypothesized that SVS displays can greatly improve the safety and operational flexibility of flight in Instrument Meteorological Conditions (IMC) to a level comparable to clear-day Visual Meteorological Conditions (VMC), regardless of actual weather conditions or time of day. An experiment was conducted to evaluate SVS and SVS-related technologies as well as the influence of where the information is provided to the pilot (e.g., on a Head-Up or Head-Down Display) for consideration in defining landing minima based upon aircraft and airport equipage. The "operational considerations" evaluated under this effort included reduced visibility, decision altitudes, and airport equipage requirements, such as approach lighting systems, for SVS-equipped aircraft. Subjective results from the present study suggest that synthetic vision imagery on both head-up and head-down displays may offer benefits in situation awareness; workload; and approach and landing performance in the visibility levels, approach lighting systems, and decision altitudes tested.

  5. Synthetic vision systems: operational considerations simulation experiment

    NASA Astrophysics Data System (ADS)

    Kramer, Lynda J.; Williams, Steven P.; Bailey, Randall E.; Glaab, Louis J.

    2007-04-01

    Synthetic vision is a computer-generated image of the external scene topography that is generated from aircraft attitude, high-precision navigation information, and data of the terrain, obstacles, cultural features, and other required flight information. A synthetic vision system (SVS) enhances this basic functionality with real-time integrity to ensure the validity of the databases, perform obstacle detection and independent navigation accuracy verification, and provide traffic surveillance. Over the last five years, NASA and its industry partners have developed and deployed SVS technologies for commercial, business, and general aviation aircraft which have been shown to provide significant improvements in terrain awareness and reductions in the potential for Controlled-Flight-Into-Terrain incidents / accidents compared to current generation cockpit technologies. It has been hypothesized that SVS displays can greatly improve the safety and operational flexibility of flight in Instrument Meteorological Conditions (IMC) to a level comparable to clear-day Visual Meteorological Conditions (VMC), regardless of actual weather conditions or time of day. An experiment was conducted to evaluate SVS and SVS-related technologies as well as the influence of where the information is provided to the pilot (e.g., on a Head-Up or Head-Down Display) for consideration in defining landing minima based upon aircraft and airport equipage. The "operational considerations" evaluated under this effort included reduced visibility, decision altitudes, and airport equipage requirements, such as approach lighting systems, for SVS-equipped aircraft. Subjective results from the present study suggest that synthetic vision imagery on both head-up and head-down displays may offer benefits in situation awareness; workload; and approach and landing performance in the visibility levels, approach lighting systems, and decision altitudes tested.

  6. Cyber security: a critical examination of information sharing versus data sensitivity issues for organisations at risk of cyber attack.

    PubMed

    Mallinder, Jason; Drabwell, Peter

    Cyber threats are growing and evolving at an unprecedented rate.Consequently, it is becoming vitally important that organisations share information internally and externally before, during and after incidents they encounter so that lessons can be learned, good practice identified and new cyber resilience capabilities developed. Many organisations are reluctant to share such information for fear of divulging sensitive information or because it may be vague or incomplete. This provides organisations with a complex dilemma: how to share information as openly as possibly about cyber incidents, while protecting their confidentiality and focusing on service recovery from such incidents. This paper explores the dilemma of information sharing versus sensitivity and provides a practical overview of considerations every business continuity plan should address to plan effectively for information sharing in the event of a cyber incident.

  7. The Role of Geoscience Information in Reducing Catastrophic Loss Using a Web-Based Economics Experiment

    USGS Publications Warehouse

    Bernknopf, Richard L.; Brookshire, David S.; Ganderton, Philip T.

    2003-01-01

    What role can geoscience information play in the assessment of risk and the value of insurance, especially for natural hazard type risks? In an earlier, related paper Ganderton and others (2000) provided subjects with relatively simple geoscience information concerning natural hazard-type risks. Their research looked at how subjects purchase insurance when faced with relatively low probability but high loss risks of the kind that characterize natural hazards and now, increasingly, manmade disasters. They found evidence to support the expected utility theory (definitions of economics terms can be found in a glossary at the end of report), yet there remained the implication that subjects with excessive aversion to risk were willing to pay considerably more for insurance than the actuarially fair price plus any reasonable risk premium. Here, we report the results of additional experiments that provide further support for the basic postulates of expected utility theory. However, these new experiments add considerably to the decision environment facing subjects by offering an option to purchase geoscientific information that would assist them when calculating expected losses from hazards more accurately. Using an Internet-based mechanism to present information and gather data in an experimental setting, this research provided subjects with considerable textual and graphical information, and time to process it. Over a period of three months, almost 400 subjects participated in on-line experiments that generated approximately 22,000 usable data points for the empirical analysis discussed in this report. In the design of the experiment, we modeled the decisions to purchase (1) a detailed map giving subjects more information regarding the distribution of losses from a hazard and (2) insurance to indemnify them from any losses should they occur. On the basis of this design, we find strong evidence in support of the expected utility theory. Many of the findings reinforce those found in the early, similar study (Ganderton and others, 2000). However, this research also finds interactions between the decision to become better informed and the decision to insure. We chose an empirical framework that allows for both explicit and implicit (unobservable) correlations between the two decisions. The results suggest that at the end of the computer game subjects recognize the benefits of greater geoscience information. They take advantage of it, but are sensitive to its cost. When subjects use the more detailed information, they are more likely to purchase insurance when it offers a net benefit.

  8. Observation, Serendipity, and Climatic Change

    ERIC Educational Resources Information Center

    Schaefer, Vincent J.

    1974-01-01

    Provides an illustration of the contribution of serendipitous happenings to scientific information and relates this to a consideration of social and technical problems confronting mankind. The author decries an unfortunate tendency in science today: that of discarding observational aspects of field activities which cannot easily be made…

  9. Data Collection for Foreign Scholars. Working Paper #11.

    ERIC Educational Resources Information Center

    Dean, Michael F.

    This working paper provides suggestions and considerations for anyone contemplating the electronic collection of data on foreign scholars (as distinct from international students). It is noted that, because the Immigration and Naturalization Service requires employment verification and immigration information such as country of citizenship and…

  10. Fire ecology of forests and woodlands in Utah

    Treesearch

    Anne F. Bradley; Nonan V. Noste; William C. Fischer

    1992-01-01

    Provides information on fire as an ecological factor in forest habitat types, and in pinyon-juniper woodland and oak-maple brushland communities occurring in Utah. Identifies Fire Groups based on fire's role in forest succession. Describes forest fuels and suggests considerations for fire management.

  11. V-TECS Guide for Bookkeeping/Accounting/Payroll Clerk.

    ERIC Educational Resources Information Center

    Gregory, Margaret R.; Benson, Robert T.

    This guide, an extension of the Vocational-Technical Education Consortium of States (V-TECS) catalog, includes such considerations as background information, decision-making skills, attitudes, and learning methods surrounding the occupations of bookkeeper/accountant/payroll clerk. The guide provides job-relevant task, performance objectives,…

  12. Fire ecology of the forest habitat types of eastern Idaho and western Wyoming

    Treesearch

    Anne F. Bradley; William C. Fischer; Nonan V. Noste

    1992-01-01

    Provides information on fire as an ecological factor in the forest habitat types occurring in eastern Idaho and western Wyoming. Identifies Fire Groups based on fire's role in forest succession. Describes forest fuels and suggests considerations for fire management.

  13. New Source Review (NSR) Air Permitting and Energy Efficiency for Industrial Projects, IECA Manufacturers for Energy Efficiency Coalition Meeting (Presentation) – April 18, 2012

    EPA Pesticide Factsheets

    This presentation provides information about major new source review (NSR), including recent improvement changes and court rulings, flexible air permits rule, significant deterioration rules, and energy efficiency considerations.

  14. 77 FR 12318 - National Cancer Institute; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-29

    ... potential new cancer diagnostics. The outcome of the evaluation will provide information for consideration... available contract resources for development of the potential diagnostics to improve the treatment of cancer... development resources for potential new diagnostics for cancer. Place: National Cancer Institute, NIH, 6001...

  15. Renting It Right.

    ERIC Educational Resources Information Center

    Snyder, Sarah

    A booklet for limited English speakers on renting housing provides information on searching for housing, finding the right place, considerations before signing a lease, and relations with the landlord. Cartoons, questions about the message in cartoons and narrative passages, checklists on things to consider, and the phonetic pronunciation of key…

  16. Legal and regulatory considerations associated with use of patient-generated health data from social media and mobile health (mHealth) devices.

    PubMed

    Petersen, C; DeMuro, P

    2015-01-01

    Patient-generated health data are coming into broader use across the health care spectrum and hold great promise as a means to improve care and health outcomes. At the same time, rapid evolution in the social media and mobile health (mHealth) market has promoted an environment in which creation and transmission of personal health information is easy, quick, and appealing to patients. However, adoption of social media and mHealth by providers is hampered by legal and regulatory concerns with regard to data ownership and data use. This article defines common forms of patient-generated health data (PGHD) and describes how PGHD is used in clinical settings. It explores issues related to protection of personal health information, including that of children and adolescents, data security, and other potential barriers such as physician licensure. It also discusses regulatory and legal considerations providers and patients should consider before using social media and mobile health apps.

  17. Structural integrity of wind tunnel wooden fan blades

    NASA Technical Reports Server (NTRS)

    Young, Clarence P., Jr.; Wingate, Robert T.; Rooker, James R.; Mort, Kenneth W.; Zager, Harold E.

    1991-01-01

    Information is presented which was compiled by the NASA Inter-Center Committee on Structural Integrity of Wooden Fan Blades and is intended for use as a guide in design, fabrication, evaluation, and assurance of fan systems using wooden blades. A risk assessment approach for existing NASA wind tunnels with wooden fan blades is provided. Also, state of the art information is provided for wooden fan blade design, drive system considerations, inspection and monitoring methods, and fan blade repair. Proposed research and development activities are discussed, and recommendations are provided which are aimed at future wooden fan blade design activities and safely maintaining existing NASA wind tunnel fan blades. Information is presented that will be of value to wooden fan blade designers, fabricators, inspectors, and wind tunnel operations personnel.

  18. Variation in Vaccination Data Available at School Entry Across the United States.

    PubMed

    Leslie, Timothy F; Street, Erica J; Delamater, Paul L; Yang, Y Tony; Jacobsen, Kathryn H

    2016-12-01

    To compile substate-level data on US school-age children's vaccination rates. For states that did not have suitable data online, in 2015 we submitted information requests to the state health department and followed up with the state's Freedom of Information Act when necessary. The accessibility, scale, and types of vaccination data varied considerably. Whereas 26 states provided data online, 14 released data only after a Freedom of Information Act request. School or school-district data were available for 24 states, 19 at the county level, 2 at the health department level, and 6 provided no substate-level data. Effective vaccination policy requires a robust understanding of vaccination behavior. Some states make it difficult to access data or provide low-resolution data of limited value for identifying vaccination behavior.

  19. PRINCIPAL STARS [Secondary Training for Alaskan Rural Students]: An Administrative Manual for the Initial Consideration and Implementation of the STARS Materials.

    ERIC Educational Resources Information Center

    Johnson, Mike

    The manual provides information to assist administrators in deciding whether to adopt and implement the STARS program, a grade 9 and 10 science, math, and language arts curriculum designed to provide Kodiak Island, Alaska, students with academic skills, vocational training, and village skills to be successful whether they choose to go to college,…

  20. Optimization of hydrometric monitoring network in urban drainage systems using information theory.

    PubMed

    Yazdi, J

    2017-10-01

    Regular and continuous monitoring of urban runoff in both quality and quantity aspects is of great importance for controlling and managing surface runoff. Due to the considerable costs of establishing new gauges, optimization of the monitoring network is essential. This research proposes an approach for site selection of new discharge stations in urban areas, based on entropy theory in conjunction with multi-objective optimization tools and numerical models. The modeling framework provides an optimal trade-off between the maximum possible information content and the minimum shared information among stations. This approach was applied to the main surface-water collection system in Tehran to determine new optimal monitoring points under the cost considerations. Experimental results on this drainage network show that the obtained cost-effective designs noticeably outperform the consulting engineers' proposal in terms of both information contents and shared information. The research also determined the highly frequent sites at the Pareto front which might be important for decision makers to give a priority for gauge installation on those locations of the network.

  1. Sustained cooperation by running away from bad behavior

    PubMed Central

    Efferson, Charles; Roca, Carlos P.; Vogt, Sonja; Helbing, Dirk

    2016-01-01

    For cooperation to evolve, some mechanism must limit the rate at which cooperators are exposed to defectors. Only then can the advantages of mutual cooperation outweigh the costs of being exploited. Although researchers widely agree on this, they disagree intensely about which evolutionary mechanisms can explain the extraordinary cooperation exhibited by humans. Much of the controversy follows from disagreements about the informational regularity that allows cooperators to avoid defectors. Reliable information can allow cooperative individuals to avoid exploitation, but which mechanisms can sustain such a situation is a matter of considerable dispute. We conducted a behavioral experiment to see if cooperators could avoid defectors when provided with limited amounts of explicit information. We gave each participant the simple option to move away from her current neighborhood at any time. Participants were not identifiable as individuals, and they could not track each other's tendency to behave more or less cooperatively. More broadly, a participant had no information about the behavior she was likely to encounter if she moved, and so information about the risk of exploitation was extremely limited. Nonetheless, our results show that simply providing the option to move allowed cooperation to persist for a long period of time. Our results further show that movement, even though it involved considerable uncertainty, allowed would-be cooperators to assort positively and eliminate on average any individual payoff disadvantage associated with cooperation. This suggests that choosing to move, even under limited information, can completely reorganize the mix of selective forces relevant for the evolution of cooperation. PMID:26766895

  2. Extraction of stability and control derivatives from orbiter flight data

    NASA Technical Reports Server (NTRS)

    Iliff, Kenneth W.; Shafer, Mary F.

    1993-01-01

    The Space Shuttle Orbiter has provided unique and important information on aircraft flight dynamics. This information has provided the opportunity to assess the flight-derived stability and control derivatives for maneuvering flight in the hypersonic regime. In the case of the Space Shuttle Orbiter, these derivatives are required to determine if certain configuration placards (limitations on the flight envelope) can be modified. These placards were determined on the basis of preflight predictions and the associated uncertainties. As flight-determined derivatives are obtained, the placards are reassessed, and some of them are removed or modified. Extraction of the stability and control derivatives was justified by operational considerations and not by research considerations. Using flight results to update the predicted database of the orbiter is one of the most completely documented processes for a flight vehicle. This process followed from the requirement for analysis of flight data for control system updates and for expansion of the operational flight envelope. These results show significant changes in many important stability and control derivatives from the preflight database. This paper presents some of the stability and control derivative results obtained from Space Shuttle flights. Some of the limitations of this information are also examined.

  3. Application of remote sensors in coastal zone observations

    NASA Technical Reports Server (NTRS)

    Caillat, J. M.; Elachi, C.; Brown, W. E., Jr.

    1975-01-01

    A review of processes taking place along coastlines and their biological consideration led to the determination of the elements which are required in the study of coastal structures and which are needed for better utilization of the resources from the oceans. The processes considered include waves, currents, and their influence on the erosion of coastal structures. Biological considerations include coastal fisheries, estuaries, and tidal marshes. Various remote sensors were analyzed for the information which they can provide and sites were proposed where a general ocean-observation plan could be tested.

  4. Progress in performance enhancement methods for capacitive silicon resonators

    NASA Astrophysics Data System (ADS)

    Van Toan, Nguyen; Ono, Takahito

    2017-11-01

    In this paper, we review the progress in recent studies on the performance enhancement methods for capacitive silicon resonators. We provide information on various fabrication technologies and design considerations that can be employed to improve the performance of capacitive silicon resonators, including low motional resistance, small insertion loss, and high quality factor (Q). This paper contains an overview of device structures and working principles, fabrication technologies consisting of hermetic packaging, deep reactive-ion etching and neutral beam etching, and design considerations including mechanically coupled, movable electrode structures and piezoresistive heat engines.

  5. Handbook of clinical nursing practice

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

    Asheervath, J.; Blevins, D.R.

    Written in outline format, this reference will help nurses further their understanding of advanced nursing procedures. Information is provided on the physiological, psychological, environmental, and safety considerations of nursing activities associated with diagnostic and therapeutic procedures. Special consideration is given to the areas of pediatric nursing, nursing assessment, and selected radiologic and nuclear medicine procedures for each system. Contents: Clinical Introduction. Clinical Nursing Practice: Focus on Basics. Focus on Cardiovascular Function. Focus on Respiratory Function. Focus on Gastrointestinal Function. Focus on Renal and Genito-Urological Function. Focus on Neuro-Skeletal and Muscular Function. Appendices.

  6. Recreational Water Contact and Fish Consumption Assessment to Inform Risk Estimates and Evaluate Ecosystem Services

    EPA Science Inventory

    Background: Surface waters provide invaluable ecosystem services, including drinking water, food, waste water disposal, and recreation. The nature and frequency of recreational contact with surface waters is a critical consideration in evaluating benefits to human well-being (e.g...

  7. Web Camp: A Faculty Development Opportunity.

    ERIC Educational Resources Information Center

    Braun, Connie L.

    Winona State University's (Minnesota) Web Camp is an eight-day event that focuses on providing teaching faculty with opportunities to explore curricular enhancements through World Wide Web site creation, organization and display of information, consideration of new teaching strategies, and various means of electronic communication. Two purposes of…

  8. 75 FR 13204 - Notice of Petition for Approval

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-18

    ... different railroad territory type configurations. Consequently, ETMS and the PSP has evolved over time as... configuration types. The revised PSP provides descriptions of: The ETMS itself, ETMS safety process and analyses... written information or comments pertinent to FRA's consideration of the above petition for approval of a...

  9. Fire ecology of Montana forest habitat types east of the Continental Divide

    Treesearch

    William C. Fischer; Bruce D. Clayton

    1983-01-01

    Provides information on fire as an ecological factor for forest habitat types occurring east of the Continental Divide in Montana. Identifies "Fire Groups" of habitat types based on fire's role in forest succession. Describes forest fuels and suggests considerations for fire management.

  10. A10 – UAS Control Station Ergo-nomics Considerations : Tasks CS-6 through CS-8

    DOT National Transportation Integrated Search

    2017-08-01

    The overall objective of the control station tasks within Project A-10 is to provide the Federal Aviation Administration (FAA) with information on an ergonomic design of unmanned aircraft system (UAS) control stations which will allow safe piloting o...

  11. Budgeting and Funding School Technology: Essential Considerations

    ERIC Educational Resources Information Center

    Ireh, Maduakolam

    2010-01-01

    School districts need adequate financial resources to purchase hardware and software, wire their buildings to network computers and other information and communication devices, and connect to the Internet to provide students, teachers, and other school personnel with adequate access to technology. Computers and other peripherals, particularly,…

  12. Editorial Commentary: International Society for Hip Arthroscopy Surgeons! Time for a Rethink on Rehab!

    PubMed

    Konyves, Arpad

    2017-11-01

    Although the majority of arthroscopic hip surgeons have active websites, only few of these provide postoperative rehabilitation protocols. The available information and instructions show considerable variability. Copyright © 2017 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  13. Agricultural Plant Pest Control. Manual 93.

    ERIC Educational Resources Information Center

    Missouri Univ., Columbia. Agricultural Experiment Station.

    This training manual provides information needed to meet the minimum EPA standards for certification as a commercial applicator of pesticides for the agricultural plant pest control category. The text discusses the insect pests including caterpillars, beetles, and soil inhabiting insects; diseases and nematodes; and weeds. Consideration is given…

  14. Guidelines for Consumer Education. Revised.

    ERIC Educational Resources Information Center

    Illinois State Office of Education, Springfield.

    This guide is intended to assist school personnel by clarifying issues, provide directions in basic information, and stimulate practical considerations for the learner in the area of consumer education. Its objectives are to (1) assist school administrators in the implementation of consumer education, and (2) assist secondary teachers in planning…

  15. Mathematics and Science Instruction in Southern California.

    ERIC Educational Resources Information Center

    Myers, Edwin C.; Mineo, R. James

    To provide information to support school district considerations of changes in mathematics and science instruction, three issues were considered: (1) the adequacy of the California Basic Education Data System (CBEDS) for supporting an analysis of subject matter instruction; (2) the distribution of teaching effort and student enrollments among…

  16. Use of programme theory to understand the differential effects of interventions across socio-economic groups in systematic reviews-a systematic methodology review.

    PubMed

    Maden, Michelle; Cunliffe, Alex; McMahon, Naoimh; Booth, Andrew; Carey, Gina Michelle; Paisley, Suzy; Dickson, Rumona; Gabbay, Mark

    2017-12-29

    Systematic review guidance recommends the use of programme theory to inform considerations of if and how healthcare interventions may work differently across socio-economic status (SES) groups. This study aimed to address the lack of detail on how reviewers operationalise this in practice. A methodological systematic review was undertaken to assess if, how and the extent to which systematic reviewers operationalise the guidance on the use of programme theory in considerations of socio-economic inequalities in health. Multiple databases were searched from January 2013 to May 2016. Studies were included if they were systematic reviews assessing the effectiveness of an intervention and included data on SES. Two reviewers independently screened all studies, undertook quality assessment and extracted data. A narrative approach to synthesis was adopted. A total of 37 systematic reviews were included, 10 of which were explicit in the use of terminology for 'programme theory'. Twenty-nine studies used programme theory to inform both their a priori assumptions and explain their review findings. Of these, 22 incorporated considerations of both what and how interventions do/do not work in SES groups to both predict and explain their review findings. Thirteen studies acknowledged 24 unique theoretical references to support their assumptions of what or how interventions may have different effects in SES groups. Most reviewers used supplementary evidence to support their considerations of differential effectiveness. The majority of authors outlined a programme theory in the "Introduction" and "Discussion" sections of the review to inform their assumptions or provide explanations of what or how interventions may result in differential effects within or across SES groups. About a third of reviews used programme theory to inform the review analysis and/or synthesis. Few authors used programme theory to inform their inclusion criteria, data extraction or quality assessment. Twenty-one studies tested their a priori programme theory. The use of programme theory to inform considerations of if, what and how interventions lead to differential effects on health in different SES groups in the systematic review process is not yet widely adopted, is used implicitly, is often fragmented and is not implemented in a systematic way.

  17. Computing and information services at the Jet Propulsion Laboratory - A management approach to a diversity of needs

    NASA Technical Reports Server (NTRS)

    Felberg, F. H.

    1984-01-01

    The Jet Propulsion Laboratory, a research and development organization with about 5,000 employees, presents a complicated set of requirements for an institutional system of computing and informational services. The approach taken by JPL in meeting this challenge is one of controlled flexibility. A central communications network is provided, together with selected computing facilities for common use. At the same time, staff members are given considerable discretion in choosing the mini- and microcomputers that they believe will best serve their needs. Consultation services, computer education, and other support functions are also provided.

  18. PalmCIS: A Wireless Handheld Application for Satisfying Clinician Information Needs

    PubMed Central

    Chen, Elizabeth S.; Mendonça, Eneida A.; McKnight, Lawrence K.; Stetson, Peter D.; Lei, Jianbo; Cimino, James J.

    2004-01-01

    Wireless handheld technology provides new ways to deliver and present information. As with any technology, its unique features must be taken into consideration and its applications designed accordingly. In the clinical setting, availability of needed information can be crucial during the decision-making process. Preliminary studies performed at New York Presbyterian Hospital (NYPH) determined that there are inadequate access to information and ineffective communication among clinicians (potential proximal causes of medical errors). In response to these findings, the authors have been developing extensions to their Web-based clinical information system including PalmCIS, an application that provides access to needed patient information via a wireless personal digital assistant (PDA). The focus was on achieving end-to-end security and developing a highly usable system. This report discusses the motivation behind PalmCIS, design and development of the system, and future directions. PMID:14527976

  19. Evaluating the effects of the Dietary Guidelines for Americans on consumer behavior and health: methodological challenges.

    PubMed

    Guthrie, Joanne F; Smallwood, David M

    2003-12-01

    The Dietary Guidelines for Americans is the official nutrition policy statement for the United States. Government involvement in providing information on private behavior, such as food choice, is justified by the high cost of poor diets, as measured in medical expenses and lost productivity. The Guidelines are intended to provide an up-to-date, consistent information base for federal nutrition education and information efforts and food assistance program regulations. Through these policy mechanisms, the Guidelines are assumed to improve dietary behavior, and, ultimately, health. By law, the Dietary Guidelines for Americans must be updated every five years; however, there is no mandate for evaluation. Evaluation could provide useful information to assess the extent to which the Guidelines positively influence health and provide insights into reasons for their successes and limitations. However, evaluation would also present considerable challenges. This paper discusses the critical data and methodological needs for improving evaluation of the Dietary Guidelines for Americans.

  20. Ransomware: Minimizing the Risks.

    PubMed

    Pope, Justin

    2016-01-01

    This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (www.prms.com), a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company. Other risk management consulting companies or insurance carriers may provide different advice, and readers should take this into consideration. The information in this column does not constitute legal advice. For legal advice, contact your personal attorney. Note: The information and recommendations in this article are applicable to physicians and other healthcare professionals so "clinician" is used to indicate all treatment team members.

  1. Risk Management Issues When Taking Locum Tenens Assignments.

    PubMed

    Cash, Charles D

    2017-01-01

    This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (www.prms.com), a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company. Other risk management consulting companies or insurance carriers may provide different advice, and readers should take this into consideration. The information in this column does not constitute legal advice. For legal advice, contact your personal attorney. Note: The information and recommendations in this article are applicable to physicians and other healthcare professionals so "clinician" is used to indicate all treatment team members.

  2. Managing Your Aging Patient Population

    PubMed Central

    McNary, Ann L.

    2017-01-01

    This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (www.prms.com), a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company. Other risk management consulting companies or insurance carriers may provide different advice, and readers should take this into consideration. The information in this column does not constitute legal advice. For legal advice, contact your personal attorney. Note: The information and recommendations in this article are applicable to physicians and other healthcare professionals so “clinician” is used to indicate all treatment team members. PMID:28584697

  3. Ransomware: Minimizing the Risks

    PubMed Central

    Pope, Justin

    2016-01-01

    This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (www.prms.com), a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company. Other risk management consulting companies or insurance carriers may provide different advice, and readers should take this into consideration. The information in this column does not constitute legal advice. For legal advice, contact your personal attorney. Note: The information and recommendations in this article are applicable to physicians and other healthcare professionals so “clinician” is used to indicate all treatment team members. PMID:28210525

  4. Risk Management Issues When Taking Locum Tenens Assignments

    PubMed Central

    Cash, Charles D.

    2017-01-01

    This ongoing column is dedicated to providing information to our readers on managing legal risks associated with medical practice. We invite questions from our readers. The answers are provided by PRMS, Inc. (www.prms.com), a manager of medical professional liability insurance programs with services that include risk management consultation, education and onsite risk management audits, and other resources to healthcare providers to help improve patient outcomes and reduce professional liability risk. The answers published in this column represent those of only one risk management consulting company. Other risk management consulting companies or insurance carriers may provide different advice, and readers should take this into consideration. The information in this column does not constitute legal advice. For legal advice, contact your personal attorney. Note: The information and recommendations in this article are applicable to physicians and other healthcare professionals so “clinician” is used to indicate all treatment team members. PMID:28386523

  5. Revisiting Postoperative Vision Loss following Non-Ocular Surgery: A Short Review of Etiology and Legal Considerations.

    PubMed

    Mendel, Ehud; Stoicea, Nicoleta; Rao, Rahul; Niermeyer, Weston; Revilla, Stephen; Cluse, Marcus; Sandhu, Gurneet; Todaro, Gerald J; Bergese, Sergio D

    2017-01-01

    Postoperative vision loss (POVL) following non-ocular surgery is a serious complication where the causes are not fully understood. Studies have identified several causes of POVL as well as risk factors and prevention strategies. POVL research is made difficult by the fact that cases are often subject to malpractice claims, resulting in a lack of public access to case reports. This literature review was conducted in order to identify legal issues as a major barrier to studying POVL and address how this affects current knowledge. Informed consent provides an opportunity to overcome legal challenges by reducing malpractice litigation through educating the patient on this outcome. Providing pertinent information regarding POVL during the informed consent process has potential to reduce malpractice claims and increase available clinical information.

  6. Comparative analysis of package inserts of local and imported antihypertensive medications in Palestine.

    PubMed

    Qatmosh, Sandra A; Koni, Amer A; Qeeno, Baraa G; Arandy, Dina A; Abu-Hashia, Maysa W; Al-Hroub, Bahaa M; Zyoud, Sa'ed H

    2017-09-25

    Package inserts (PIs) as a reliable reference for patients and health care providers should provide accurate, complete and up-to-date information. The purpose of the current study is to assess and compare the PIs of antihypertensive agents locally produced in Palestine and their imported counterparts. Thirty-five PIs were assessed for the presence of 31 information statements using a scoring method. Word counting of 20 headings and subheadings was used to evaluate and compare local and imported PIs for information quantity. None of the analysed PIs fulfilled the criteria. All of them included the brand name, active ingredients, indications, directions for use, adverse drug reactions, drug-drug interactions, pregnancy and lactation considerations, and storage. Whereas none of them, either local or imported PIs, included the shelf life and instructions to convert tablets or capsules into liquid forms. Additionally, only one (5%) imported and no (0%) local PIs mentioned the duration of therapy. Moreover, 93.4% of local PIs were deficient in areas regarding the inactive ingredients and date of last revision, and 86.7% did not mention the drug dose and possibility of tablet splitting. Furthermore, the maximum dose was not indicated in 90% of imported and 86.7% of local PIs. In general, imported PIs contained more detailed information than their local counterparts, where the range of differences in medians between the local and imported PIs was from 1.5-fold for pregnancy considerations to >42.00-fold for the effect on the ability to drive and use machines. The findings of this study revealed the superiority of imported over local PIs in both quality and quantity of information provided. This emphasises the need for appropriate measures to be taken by the Ministry of Health and local manufacturers to ensure efficiency of local PIs in providing accurate, complete and up-to-date information.

  7. Design considerations for a comprehensive regional energy information system. Working paper

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

    Naumann, J.D.; Knobloch, P.C.; Chervany, N.L.

    1974-07-01

    The Regional Energy Information System concerns itself with decision making on sub-state, state, and regional levels in emergencies, for tactical decisions, and long-range strategic policies by both government and industry. Effective access to energy information is critical, and REIS is designed to provide a standardized data base with design goals, constraints, parameters, and schedules. The REIS system is being developed now; many states, the FEA and other agencies are likewise developing energy information systems. Shareability of data must be sought, and both technical and procedural requirements for this are discussed and a plan for action is presented. (GRA)

  8. An intermediary's perspective of online databases for local governments

    NASA Technical Reports Server (NTRS)

    Jack, R. F.

    1984-01-01

    Numerous public administration studies have indicated that local government agencies for a variety of reasons lack access to comprehensive information resources; furthermore, such entities are often unwilling or unable to share information regarding their own problem-solving innovations. The NASA/University of Kentucky Technology Applications Program devotes a considerable effort to providing scientific and technical information and assistance to local agencies, relying on its access to over 500 distinct online databases offered by 20 hosts. The author presents a subjective assessment, based on his own experiences, of several databases which may prove useful in obtaining information for this particular end-user community.

  9. Considerations for Providing Ambulatory Pharmacy Services for Pediatric Patients.

    PubMed

    Lampkin, Stacie J; Gildon, Brooke; Benavides, Sandra; Walls, Kelly; Briars, Leslie

    2018-01-01

    Pediatric clinical pharmacists are an integral part of the health care team. By practicing in an ambulatory care clinic, they can reduce the risk of medication errors, improve health outcomes, and enhance patient care. Unfortunately, because of limited data, misconceptions surrounding the role of pharmacists, and reimbursement challenges, there may be difficulty in establishing or expanding pediatric clinical pharmacy services to an ambulatory care setting. The purpose of this paper is to provide an overview of considerations for establishing or expanding pharmacy services in a pediatric ambulatory care clinic. The primer will discuss general and pediatric-specific pharmacy practice information, as well as potential barriers, and recommendations for identifying a practice site, creating a business plan, and integrating these services into a clinic setting.

  10. Contraceptive Evaluation.

    ERIC Educational Resources Information Center

    Hulka, Barbara S.; And Others

    The objective of research in contraceptive evaluation is to improve the ability of individuals to choose contraceptive methods best suited to their needs and circumstances and to provide information that will lead to the development of safer and more effective methods. There are usually three considerations in judging the importance of a method of…

  11. Planning for Technology: An Administrator's Guide to the Next Century.

    ERIC Educational Resources Information Center

    Day, William C.

    1998-01-01

    Discusses ways for preparing schools for integrating technology, including designing the wiring infrastructure, equipment purchases, furniture needs, and ergonomic considerations. Describes four levels of Internet connectivity access and provides a list of contact names, phone numbers, and Web sites for technology fund information from each state.…

  12. 48 CFR 239.7305 - Exclusion and limitation on disclosure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... TECHNOLOGY Requirements for Information Relating to Supply Chain Risk 239.7305 Exclusion and limitation on... accordance with the requirements of 10 U.S.C. 2319, for the purpose of reducing supply chain risk in the... an evaluation factor providing for the consideration of supply chain risk in the evaluation of...

  13. Institutional Educational Technology Policy and Strategy Documents: An Inequality Gaze

    ERIC Educational Resources Information Center

    Czerniewicz, Laura; Rother, Kyle

    2018-01-01

    Issues of inequality in higher education have received considerable attention in recent decades, but the intersection of inequality and educational technology at an institutional level has received little attention. This study aims to provide a perspective on institutional educational technology policy informed by current understandings of…

  14. Materials Selection. Resources in Technology.

    ERIC Educational Resources Information Center

    Technology Teacher, 1991

    1991-01-01

    This learning activity develops algorithms to ensure that the process of selecting materials is well defined and sound. These procedures require the use of many databases to provide the designer with information such as physical, mechanical, and chemical properties of the materials under consideration. A design brief, student quiz, and five…

  15. How to Review a Manuscript for "TEACHING Exceptional Children"

    ERIC Educational Resources Information Center

    Ludlow, Barbara L.; Dieker, Lisa A.; Powell, Selma

    2014-01-01

    Professional journals are an integral component of information dissemination and professional development in the field of special education. Peer review of manuscripts submitted for consideration for publication in journals is the cornerstone of the professional review process, providing editors with advice about the value of the information…

  16. Atmospheric Pollution: Its Origins and Prevention.

    ERIC Educational Resources Information Center

    Meetham, A. R.

    Although atmospheric pollution can be reduced or eliminated in many different ways, each way involves questions of economics, the time factor, availability of materials, priority over other urgent reforms, and individual and social psychology. To provide a basis for consideration of these questions, this book gives information not only about the…

  17. Illinois State University Handbook, 1974-1975.

    ERIC Educational Resources Information Center

    Illinois State Univ., Normal.

    The 1974-1975 edition of this handbook is intended to provide the students and employees of the university with a broad insight into the university and its operations. The handbook's four chapters deal with university organization and governance, general university information, student life, and faculty life. Specific consideration is given to:…

  18. Isotope labeling of rubisco subunits provides in vivo information on subcellular biosynthesis and exchange of amino acids between compartments.

    USDA-ARS?s Scientific Manuscript database

    The architecture of plant metabolism includes substantial duplication of metabolite pools and enzyme catalyzed reactions in different subcellular compartments. This poses considerable challenges for understanding the regulation of metabolism particularly in primary metabolism and amino acid biosynth...

  19. Engineering specifications for construction of truck only and passenger vehicle only travelways in Missouri--phase I : final report, September 2009.

    DOT National Transportation Integrated Search

    2009-09-01

    The objective of this study is to provide information detailing the safety consideration specifications for the : truck only and passenger only facilities for I-70 and I-44. The categories discussed in this report include: : Traffic Operation and Tru...

  20. Going Beyond, Going Further: Chemical Properties of Commonly Available Hydrocarbons.

    ERIC Educational Resources Information Center

    Perina, Ivo

    1985-01-01

    Background information, procedures used, and safety considerations are provided for experiments using natural gas. They include: (1) exploding a mixture of natural gas and oxygen; (2) testing for unsaturated hydrocarbons in natural gas; (3) substituting higher saturated hydrocarbons contained in kerosene with bromine; and (4) the pyrolysis of…

  1. 75 FR 27601 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-17

    ... effect trades with or for U.S. institutional investors through a U.S. registered broker-dealer, provided... other forms of information technology. Consideration will be given to comments and suggestions submitted... Green Way, Alexandria, VA 22312 or send an e- mail to: [email protected] . Dated: May 10, 2010...

  2. The Complete Guide to Job Sharing.

    ERIC Educational Resources Information Center

    Hohn, Marcia D.

    This booklet provides information on job sharing that resulted from the research and experience of the Merrimack Valley Job Sharing Project. An overview of the topic considers the need for job sharing, employer benefits, types of jobs shared, job division, benefits, employer costs and savings, financial considerations for job sharers, perspectives…

  3. Add-Ons: The Ultimate Guide to Peripherals for the Blind Computer User.

    ERIC Educational Resources Information Center

    Croft, Diane L., Ed.

    Detailed product information on peripherals for the blind computer user is provided and applications, availability, reliability, price, and selection considerations are described. Chapters address the following topics and product categories: (1) scanners (optical character readers, Kurzweil Reading Machine); (2) a buyer's guide to modems; (3)…

  4. 48 CFR 652.237-73 - Statement of Qualifications for Preference as a U.S. Person.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false Statement of... System DEPARTMENT OF STATE CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of... determines, after consideration of all available information, including but not limited to that provided by...

  5. 48 CFR 652.237-73 - Statement of Qualifications for Preference as a U.S. Person.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false Statement of... System DEPARTMENT OF STATE CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of... determines, after consideration of all available information, including but not limited to that provided by...

  6. 48 CFR 652.237-73 - Statement of Qualifications for Preference as a U.S. Person.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false Statement of... System DEPARTMENT OF STATE CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of... determines, after consideration of all available information, including but not limited to that provided by...

  7. Response to the Critique of "New Meningococcal Vaccine Recommendations under Consideration"

    ERIC Educational Resources Information Center

    Turner, James C.

    2005-01-01

    The CDC recently published the ACIP recommendations regarding the use of meningococcal conjugate vaccine. The report includes detailed epidemiologic and cost analysis information. At the conclusion of lengthy discussions, the ACIP voted unanimously to approve the recommendation as written. In this article, the author provides his counterreaction…

  8. Geographic information systems applications for livability considerations : peer exchange summary report, Boulder, Colorado, July 18-20, 2011

    DOT National Transportation Integrated Search

    2011-07-31

    This report provides a summary of a 2-day peer exchange held in July 2011. The peer exchange was sponsored by FHWA's Office of Planning and took place in Boulder, Colorado. The event convened several transportation agencies from around the country to...

  9. 77 FR 60430 - Farm, Ranch, and Rural Communities Committee

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-03

    ... Advisory Committee Act, Public Law 92-463, EPA gives notice of a teleconference meeting of the Farm, Ranch... advice, information, and recommendations to the EPA Administrator on a range of environmental issues and... to discuss specific topics of relevance for consideration by the Committee in order to provide advice...

  10. An Introduction to Developing an Urban Business Incubator.

    ERIC Educational Resources Information Center

    Montgomery, James; And Others

    Designed to provide a brief overview of the considerations involved in establishing a small business incubator, this guide presents information on incubator classification, funding methods, incubator operation techniques, and two-year college involvement in the formation of a working business incubator. Part 1 describes a small business incubator…

  11. Visual Enhancements: Improving Deaf Students' Transition Skills Using Multimedia Technology.

    ERIC Educational Resources Information Center

    Davis, Cheryl D.

    1999-01-01

    Discusses developments in technology that provide high-quality visual access to transition information and multimedia instruction for learners with deafness. Identifies a variety of considerations in using multimedia products and describes the pros and cons of different media in the context of several multimedia projects. (Author/CR)

  12. Authors@UF Campus Conversation Series: A Case Study

    ERIC Educational Resources Information Center

    Silver, Isabel

    2014-01-01

    The Authors@UF program series emerged to showcase the scholarship and creativity of faculty, creating an intellectual forum within the academic library, and providing informal, extra-curriculum, academic engagement between students and faculty outside the classroom. This article identifies steps to launch an author program, and considerations in…

  13. 7 CFR 1486.103 - Are regional projects possible under the program?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... consideration provided such projects target qualifying emerging markets in the specified region. CCC may consider activities which target qualified emerging markets in a specific region, but are conducted in a... MARKETS PROGRAM General Information § 1486.103 Are regional projects possible under the program? Projects...

  14. 47 CFR 1.1409 - Commission consideration of the complaint.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... rebuttal, studies that have been conducted. The Commission may also request that one or more of the parties make additional filings or provide additional information. Where one of the parties has failed to... formulas for determining a maximum just and reasonable rate: (1) The following formula shall apply to...

  15. A Guide to Planning Alcoholism Treatment Programs.

    ERIC Educational Resources Information Center

    McGough, Dixie P.; Hindman, Margaret H.

    This guide contains information from the alcoholism literature and from interviews with people in state alcoholism agencies, major professional associations, and public and private service programs. It is designed to help readers plan and develop community alcoholism programs by providing an overview of the many considerations involved in starting…

  16. Sacramento City College Re-Entry Services Comprehensive Plan.

    ERIC Educational Resources Information Center

    White, Maureen E.; Smith, William A.

    Sacramento City College (SCC) established its Re-Entry Services program to provide information, referral and support services to students returning to the academic environment after an absence. Since the inception of the program in 1977, the college community has changed considerably. Among these changes are an aging student population, increased…

  17. Uses for Sawdust, Shavings, And Waste Chips

    Treesearch

    J. M. Harkin

    1969-01-01

    Although many outlets are available for the utilization of wood fines, economical disposal of sawdust, shavings, and waste chips remains a problem of growing concern to the wood industry. This report summarizes current uses for wood residues and provides sources of further information on available outlets, processing methods, and economic considerations.

  18. Educational Attainment in South Africa: A View from the Census 1865-2011

    ERIC Educational Resources Information Center

    Christopher, A. J.

    2015-01-01

    Population censuses record considerable volumes of personal information, which when aggregated and tabulated provide significant insights into national societies. South African censuses have recorded levels of educational attainment since their inception in the mid-nineteenth century, initially measuring literacy and later the level of education…

  19. Influence of rubbing on rotor dynamics, part 2

    NASA Technical Reports Server (NTRS)

    Muszynska, Agnes; Bently, Donald E.; Franklin, Wesley D.; Hayashida, Robert D.; Kingsley, Lori M.; Curry, Arthur E.

    1989-01-01

    Rotor dynamic behavior depends considerably on how much the specific physical phenomena accompanying rotor rubbing against the stator is involved. The experimental results of rotor-to-stator rubbing contact are analyzed. The computer code is described for obtaining numerical calculations of rotor-to-stator rubbing system dynamic responses. Computer generated results are provided. The reduced dynamic data from High Pressure Fuel Turbo Pump (HPFTP) hot fire test are given. The results provide some significant conclusions. Information is provided on the electronic instrumentation used in the experimental testing.

  20. Developing low-literacy health education materials for women.

    PubMed

    Wilson, Lindsey D

    2011-01-01

    Research has consistently shown that people absorb information significantly better when written information is provided in conjunction with verbal explanations. Despite this, studies also show that many written health education materials do not have readability levels that are appropriate for women who have low literacy skills. This article summarizes the process and essential considerations, such as content of the material, readability, layout, design, culture, language, and medium of delivery in the development of low-literacy health education materials.

  1. Solar He-3: Information from nuclear reactions in flares

    NASA Technical Reports Server (NTRS)

    Ramaty, R.; Kozlovsky, B.

    1974-01-01

    Information on solar He-3 from nuclear reactions in flares was considered. Consideration was also given to the development of models for these reactions as well as the abundance of He-3 in the photosphere. Data show that abundances may be explained by nuclear reactions of flare acceleration protons and alpha particles with the ambient atmosphere, provided that various assumptions are made on the directionality of the interacting beams and acceleration of the particles after production.

  2. Extending Data Worth Analyses to Select Multiple Observations Targeting Multiple Forecasts.

    PubMed

    Vilhelmsen, Troels N; Ferré, Ty P A

    2018-05-01

    Hydrological models are often set up to provide specific forecasts of interest. Owing to the inherent uncertainty in data used to derive model structure and used to constrain parameter variations, the model forecasts will be uncertain. Additional data collection is often performed to minimize this forecast uncertainty. Given our common financial restrictions, it is critical that we identify data with maximal information content with respect to forecast of interest. In practice, this often devolves to qualitative decisions based on expert opinion. However, there is no assurance that this will lead to optimal design, especially for complex hydrogeological problems. Specifically, these complexities include considerations of multiple forecasts, shared information among potential observations, information content of existing data, and the assumptions and simplifications underlying model construction. In the present study, we extend previous data worth analyses to include: simultaneous selection of multiple new measurements and consideration of multiple forecasts of interest. We show how the suggested approach can be used to optimize data collection. This can be used in a manner that suggests specific measurement sets or that produces probability maps indicating areas likely to be informative for specific forecasts. Moreover, we provide examples documenting that sequential measurement election approaches often lead to suboptimal designs and that estimates of data covariance should be included when selecting future measurement sets. © 2017, National Ground Water Association.

  3. Estimating Bayesian Phylogenetic Information Content

    PubMed Central

    Lewis, Paul O.; Chen, Ming-Hui; Kuo, Lynn; Lewis, Louise A.; Fučíková, Karolina; Neupane, Suman; Wang, Yu-Bo; Shi, Daoyuan

    2016-01-01

    Measuring the phylogenetic information content of data has a long history in systematics. Here we explore a Bayesian approach to information content estimation. The entropy of the posterior distribution compared with the entropy of the prior distribution provides a natural way to measure information content. If the data have no information relevant to ranking tree topologies beyond the information supplied by the prior, the posterior and prior will be identical. Information in data discourages consideration of some hypotheses allowed by the prior, resulting in a posterior distribution that is more concentrated (has lower entropy) than the prior. We focus on measuring information about tree topology using marginal posterior distributions of tree topologies. We show that both the accuracy and the computational efficiency of topological information content estimation improve with use of the conditional clade distribution, which also allows topological information content to be partitioned by clade. We explore two important applications of our method: providing a compelling definition of saturation and detecting conflict among data partitions that can negatively affect analyses of concatenated data. [Bayesian; concatenation; conditional clade distribution; entropy; information; phylogenetics; saturation.] PMID:27155008

  4. Revisiting Postoperative Vision Loss following Non-Ocular Surgery: A Short Review of Etiology and Legal Considerations

    PubMed Central

    Mendel, Ehud; Stoicea, Nicoleta; Rao, Rahul; Niermeyer, Weston; Revilla, Stephen; Cluse, Marcus; Sandhu, Gurneet; Todaro, Gerald J.; Bergese, Sergio D.

    2017-01-01

    Postoperative vision loss (POVL) following non-ocular surgery is a serious complication where the causes are not fully understood. Studies have identified several causes of POVL as well as risk factors and prevention strategies. POVL research is made difficult by the fact that cases are often subject to malpractice claims, resulting in a lack of public access to case reports. This literature review was conducted in order to identify legal issues as a major barrier to studying POVL and address how this affects current knowledge. Informed consent provides an opportunity to overcome legal challenges by reducing malpractice litigation through educating the patient on this outcome. Providing pertinent information regarding POVL during the informed consent process has potential to reduce malpractice claims and increase available clinical information. PMID:28695122

  5. Using RFID to Enhance Security in Off-Site Data Storage

    PubMed Central

    Lopez-Carmona, Miguel A.; Marsa-Maestre, Ivan; de la Hoz, Enrique; Velasco, Juan R.

    2010-01-01

    Off-site data storage is one of the most widely used strategies in enterprises of all sizes to improve business continuity. In medium-to-large size enterprises, the off-site data storage processes are usually outsourced to specialized providers. However, outsourcing the storage of critical business information assets raises serious security considerations, some of which are usually either disregarded or incorrectly addressed by service providers. This article reviews these security considerations and presents a radio frequency identification (RFID)-based, off-site, data storage management system specifically designed to address security issues. The system relies on a set of security mechanisms or controls that are arranged in security layers or tiers to balance security requirements with usability and costs. The system has been successfully implemented, deployed and put into production. In addition, an experimental comparison with classical bar-code-based systems is provided, demonstrating the system’s benefits in terms of efficiency and failure prevention. PMID:22163638

  6. Using RFID to enhance security in off-site data storage.

    PubMed

    Lopez-Carmona, Miguel A; Marsa-Maestre, Ivan; de la Hoz, Enrique; Velasco, Juan R

    2010-01-01

    Off-site data storage is one of the most widely used strategies in enterprises of all sizes to improve business continuity. In medium-to-large size enterprises, the off-site data storage processes are usually outsourced to specialized providers. However, outsourcing the storage of critical business information assets raises serious security considerations, some of which are usually either disregarded or incorrectly addressed by service providers. This article reviews these security considerations and presents a radio frequency identification (RFID)-based, off-site, data storage management system specifically designed to address security issues. The system relies on a set of security mechanisms or controls that are arranged in security layers or tiers to balance security requirements with usability and costs. The system has been successfully implemented, deployed and put into production. In addition, an experimental comparison with classical bar-code-based systems is provided, demonstrating the system's benefits in terms of efficiency and failure prevention.

  7. Information-sharing to promote informed choice in prenatal screening in the spirit of the SOGC clinical practice guideline: a proposal for an alternative model.

    PubMed

    Vanstone, Meredith; Kinsella, Elizabeth Anne; Nisker, Jeff

    2012-03-01

    The 2011 SOGC clinical practice guideline "Prenatal Screening for Fetal Aneuploidy in Singleton Pregnancies" recommends that clinicians offer prenatal screening to all pregnant women and provide counselling in a non-directive manner. Non-directive counselling is intended to facilitate autonomous decision-making and remove the clinician's views regarding a particular course of action. However, recent research in genetic counselling raises concerns that non-directive counselling is neither possible nor desirable, and that it may not be the best way to facilitate informed choice. We propose an alternative model of information-sharing specific to prenatal screening that combines attributes of the models of informative decision-making and shared decision-making. Our proposed model is intended to provide clinicians with a strategy to communicate information about prenatal screening in a way that facilitates a shared deliberative process and autonomous decision-making. Our proposed model may better prepare a pregnant woman to make an informed choice about participating in prenatal screening on the basis of her consideration of the medical information provided by her clinician and her particular circumstances and values.

  8. Preparing for influenza after 2009 H1N1: special considerations for pregnant women and newborns.

    PubMed

    Rasmussen, Sonja A; Kissin, Dmitry M; Yeung, Lorraine F; MacFarlane, Kitty; Chu, Susan Y; Turcios-Ruiz, Reina M; Mitchell, Elizabeth W; Williams, Jennifer; Fry, Alicia M; Hageman, Jeffrey; Uyeki, Timothy M; Jamieson, Denise J

    2011-06-01

    Pregnant women and their newborn infants are at increased risk for influenza-associated complications, based on data from seasonal influenza and influenza pandemics. The Centers for Disease Control and Prevention (CDC) developed public health recommendations for these populations in response to the 2009 H1N1 pandemic. A review of these recommendations and information that was collected during the pandemic is needed to prepare for future influenza seasons and pandemics. The CDC convened a meeting entitled "Pandemic Influenza Revisited: Special Considerations for Pregnant Women and Newborns" on August 12-13, 2010, to gain input from experts and key partners on 4 main topics: antiviral prophylaxis and therapy, vaccine use, intrapartum/newborn (including infection control) issues, and nonpharmaceutical interventions and health care planning. Challenges to communicating recommendations regarding influenza to pregnant women and their health care providers were also discussed. After careful consideration of the available information and individual expert input, the CDC updated its recommendations for these populations for future influenza seasons and pandemics. Published by Mosby, Inc.

  9. Completeness of reporting of patient-relevant clinical trial outcomes: comparison of unpublished clinical study reports with publicly available data.

    PubMed

    Wieseler, Beate; Wolfram, Natalia; McGauran, Natalie; Kerekes, Michaela F; Vervölgyi, Volker; Kohlepp, Petra; Kamphuis, Marloes; Grouven, Ulrich

    2013-10-01

    Access to unpublished clinical study reports (CSRs) is currently being discussed as a means to allow unbiased evaluation of clinical research. The Institute for Quality and Efficiency in Health Care (IQWiG) routinely requests CSRs from manufacturers for its drug assessments. Our objective was to determine the information gain from CSRs compared to publicly available sources (journal publications and registry reports) for patient-relevant outcomes included in IQWiG health technology assessments (HTAs) of drugs. We used a sample of 101 trials with full CSRs received for 16 HTAs of drugs completed by IQWiG between 15 January 2006 and 14 February 2011, and analyzed the CSRs and the publicly available sources of these trials. For each document type we assessed the completeness of information on all patient-relevant outcomes included in the HTAs (benefit outcomes, e.g., mortality, symptoms, and health-related quality of life; harm outcomes, e.g., adverse events). We dichotomized the outcomes as "completely reported" or "incompletely reported." For each document type, we calculated the proportion of outcomes with complete information per outcome category and overall. We analyzed 101 trials with CSRs; 86 had at least one publicly available source, 65 at least one journal publication, and 50 a registry report. The trials included 1,080 patient-relevant outcomes. The CSRs provided complete information on a considerably higher proportion of outcomes (86%) than the combined publicly available sources (39%). With the exception of health-related quality of life (57%), CSRs provided complete information on 78% to 100% of the various benefit outcomes (combined publicly available sources: 20% to 53%). CSRs also provided considerably more information on harms. The differences in completeness of information for patient-relevant outcomes between CSRs and journal publications or registry reports (or a combination of both) were statistically significant for all types of outcomes. The main limitation of our study is that our sample is not representative because only CSRs provided voluntarily by pharmaceutical companies upon request could be assessed. In addition, the sample covered only a limited number of therapeutic areas and was restricted to randomized controlled trials investigating drugs. In contrast to CSRs, publicly available sources provide insufficient information on patient-relevant outcomes of clinical trials. CSRs should therefore be made publicly available. Please see later in the article for the Editors' Summary.

  10. Directing the Secretary of the Treasury to transmit to the House of Representatives all information in his possession relating to specific communications with American International Group, Inc. (AIG).

    THOMAS, 111th Congress

    Rep. LaTourette, Steven C. [R-OH-14

    2009-03-17

    House - 04/23/2009 Placed on the House Calendar, Calendar No. 45. (All Actions) Notes: On 5/7/2009, a motion was filed to discharge the Committee on Rules from consideration of H.Res.359 a resolution providing for consideration of H.Res.251. A discharge petition requires 218 signatures for further action. (Discharge Petition No. 111-3: text with signatures.) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  11. Technical Considerations on Scanning and Image Analysis for Amyloid PET in Dementia.

    PubMed

    Akamatsu, Go; Ohnishi, Akihito; Aita, Kazuki; Ikari, Yasuhiko; Yamamoto, Yasuji; Senda, Michio

    2017-01-01

    Brain imaging techniques, such as computed tomography (CT), magnetic resonance imaging (MRI), single photon emission computed tomography (SPECT), and positron emission tomography (PET), can provide essential and objective information for the early and differential diagnosis of dementia. Amyloid PET is especially useful to evaluate the amyloid-β pathological process as a biomarker of Alzheimer's disease. This article reviews critical points about technical considerations on the scanning and image analysis methods for amyloid PET. Each amyloid PET agent has its own proper administration instructions and recommended uptake time, scan duration, and the method of image display and interpretation. In addition, we have introduced general scanning information, including subject positioning, reconstruction parameters, and quantitative and statistical image analysis. We believe that this article could make amyloid PET a more reliable tool in clinical study and practice.

  12. Remote sensing of ocean wave spectra by interferometric synthetic aperture radar

    NASA Technical Reports Server (NTRS)

    Marom, M.; Thornton, E. B.; Goldstein, R. M.; Shemer, L.

    1990-01-01

    Ocean surface waves can be clearly observed by SAR in the interferometric configuration (INSAR) due to the ability of INSAR to provide images of the local surface velocity field. It is shown here that INSAR can be used to obtain wavenumber spectra that are in agreement with power spectra measured in situ. This new method has considerable potential to provide instantaneous spatial information about the structure of ocean wave fields.

  13. USGS QA Plan: Certification of digital airborne mapping products

    USGS Publications Warehouse

    Christopherson, J.

    2007-01-01

    To facilitate acceptance of new digital technologies in aerial imaging and mapping, the US Geological Survey (USGS) and its partners have launched a Quality Assurance (QA) Plan for Digital Aerial Imagery. This should provide a foundation for the quality of digital aerial imagery and products. It introduces broader considerations regarding processes employed by aerial flyers in collecting, processing and delivering data, and provides training and information for US producers and users alike.

  14. WORKSHOP REPORT - CONSIDERATIONS FOR DEVELOPING LEACHING TEST METHODS FOR SEMI- AND NON-VOLATILE ORGANIC COMPOUNDS

    EPA Science Inventory

    The report provides a summary of the information exchange at a workshop on the potential for release of semi- or non-volatile organic constituents at contaminated sites where sub-surface treatment has been used to control migration, and from waste that is disposed or re-used. The...

  15. 75 FR 68008 - Agency Information Collection Activities: Submission for the Office of Management and Budget (OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... report: All recipients of Federal financial assistance (grants) from the Nuclear Regulatory Commission... request: 3,600 hours. 10. Abstract: Recipients of NRC financial assistance provide data to demonstrate... received after this date will be considered if it is practical to do so, but assurance of consideration...

  16. 30 CFR 285.204 - What areas are available for leasing consideration?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE RENEWABLE ENERGY ALTERNATE USES OF EXISTING FACILITIES ON THE OUTER CONTINENTAL SHELF Issuance of OCS Renewable Energy Leases General Lease Information § 285.204 What... OCS, as provided in § 285.205, for a renewable energy lease, except any area within the exterior...

  17. Language-in-Education Policies in the South Pacific: Some Possibilities for Consideration.

    ERIC Educational Resources Information Center

    Mangubhai, Francis

    2002-01-01

    Discusses research related to bilingual education as a means of providing background information for policy makers, and then discusses a number of bilingual education models. Suggests separate models of language-in-education policies for the Melanesian, Micronesian/Polynesian parts of the South Pacific and for Fiji. (Author/VWL)

  18. Learning About Sex: The Contemporary Guide for Young Adults.

    ERIC Educational Resources Information Center

    Kelly, Gary F.

    This book provides information about sex to help readers, particularly teenagers, clarify their needs and values relating to sex--to understand sex, to deal with their own sexuality constructively and responsibly, and to deal with the sexuality of others in ways that are considerate and helpful. It is designed for either classroom or individual…

  19. Optical communication in free space

    NASA Technical Reports Server (NTRS)

    Plotkin, H. H.; Mcavoy, N.; Fitzmaurice, M. W.

    1974-01-01

    Two classes of laser communication systems for handling very high data rates across inter-satellite distances are considered that provide for high antenna gains, wide modulation bandwidths, and optical receiver sensitivities. System design considerations are based upon the carbon dioxide laser modulation to accommodate digital or analog information, and the neodymium doped YAG laser pulse for digital modulation.

  20. Ethics and the HPV Vaccine: Considerations for School Nurses

    ERIC Educational Resources Information Center

    Bennett, Mary P.

    2008-01-01

    School nurses are at the forefront of health care providers for many families of junior high and high school students and are used as primary sources of information and guidance about recommended student vaccinations. In the case of the relatively new vaccine for human papillomavirus (HPV), school nurses must be both knowledgeable about the…

  1. How Students' Values Are Intertwined with Decisions in a Socio-Scientific Issue

    ERIC Educational Resources Information Center

    Paraskeva-Hadjichambi, Demetra; Hadjichambis, Andreas Ch.; Korfiatis, Konstantinos

    2015-01-01

    The present study incorporated a scaffolding decision making procedure on an authentic environmental socio-scientific issue and investigated how students' decisions are intertwined with their values. Computer-based activities provided necessary information and allowed for the consideration of multiple aspects of the issue, the study of the effects…

  2. Facts About Unlicensed Use of 1/2" Videocassette Productions in the Classroom.

    ERIC Educational Resources Information Center

    Lavoie, Donna M.

    1986-01-01

    Provides information on copyright law on classroom use of theatrical film productions. Canadian copyright law is reviewed as it applies to classroom use of 1/2" home video movies. Discussion covers issues relating to copyright law revision, fair prices to schools for videocassette use, and special considerations for schools from video…

  3. The Willingness to Change to Formalized Child Care Arrangements: Parental Considerations of Cost and Quality.

    ERIC Educational Resources Information Center

    Camasso, Michael J.; Roche, Susan E.

    1991-01-01

    Data from 1988 sample of 1,058 state employees provided evidence that family structure, price, and quality were important determinants of parent's willingness to change from informal to formal child care arrangements. Measured 43 facets of program structure, curriculum, and child development goals. (Author/NB)

  4. Special Issue: Veterans in Higher Education--When Johnny and Jane Come Marching to Campus

    ERIC Educational Resources Information Center

    DiRamio, David; Jarvis, Kathryn

    2011-01-01

    This volume is intended to provide useful information about students with military experience who are attending college by blending the theoretical, practical, and empirical. The chapters contain theories, frameworks, facts, and ideas for consideration when approaching the subject of the newest generation of college students who have experienced…

  5. Clinical Reasoning in the Assessment and Planning for Intervention for Oppositional Defiant Disorder

    ERIC Educational Resources Information Center

    Wilcox, Gabrielle; Heudes, Alethea

    2017-01-01

    Clinical reasoning requires thoughtful consideration of a variety of factors that contribute to the conceptualization of a case such as the reason for referral, school information, home environment, assessment outcomes, and behavioural observations made during assessments. The purpose of this article is to provide the reader with insight into the…

  6. Helping Latina/o Students Navigate the College Choice Process: Considerations for Secondary School Counselors

    ERIC Educational Resources Information Center

    Martinez, Melissa A.

    2013-01-01

    This qualitative study utilized interviews with 20 Latina/o high school seniors and five secondary school counselors in South Texas to further understand how counselors help Latina/o students navigate their college choice process. Findings indicate counselors provided students with access to college information and facilitated university…

  7. 77 FR 39561 - Advanced Braking Technologies That Rely on Forward-Looking Sensors; Request for Comments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-03

    ... test scenarios: driving over a 1-inch thick steel plate lying flat on the pavement (a plate often used... provide specific recommendations for other surrogate vehicle design considerations that should be... perform as designed (e.g., driving in the dark or in adverse weather)? What information should be...

  8. OUS Diversity Report 2005: Charting a Course for the Future

    ERIC Educational Resources Information Center

    Oregon University System, 2005

    2005-01-01

    In recognition of the need for Oregon to address issues associated with the increasing diversity of students in the education pipeline as well as on postsecondary campuses, the 2005 annual diversity report provides an overview of information relating to all sectors of Oregon University System (OUS) involvement in diversity considerations,…

  9. 12 CFR Appendix B to Part 3 - Risk-Based Capital Guidelines; Market Risk Adjustment

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... impact of adverse market events on a bank's covered positions. Backtests provide information about the... meets such criteria as a consequence of accounting, operational, or similar considerations, and the OCC... must use its internal model to measure its daily VAR, in accordance with the requirements of this...

  10. Environmentally Sound Small-Scale Energy Projects. Guidelines for Planning.

    ERIC Educational Resources Information Center

    Bassan, Elizabeth Ann; Wood, Timothy S., Ed.

    This manual is the fourth volume in a series of publications that provide information for the planning of environmentally sound small-scale projects. Programs that aim to protect the renewable natural resources that supply most of the energy used in developing nations are suggested. Considerations are made for physical environmental factors as…

  11. 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…

  12. Merging Traditional Technique Vocabularies with Democratic Teaching Perspectives in Dance Education: A Consideration of Aesthetic Values and Their Sociopolitical Contexts

    ERIC Educational Resources Information Center

    Dyer, Becky

    2009-01-01

    This article suggests how movement analysis from a socially contextualized perspective can inform understanding about the significance of sociopolitical contexts and aesthetic values in Western dance training. Perspectives of movement analysis provide groundwork for discussing perceivable ways to address discrepancies between democratic and…

  13. Identifying influences on model uncertainty: an application using a forest carbon budget model

    Treesearch

    James E. Smith; Linda S. Heath

    2001-01-01

    Uncertainty is an important consideration for both developers and users of environmental simulation models. Establishing quantitative estimates of uncertainty for deterministic models can be difficult when the underlying bases for such information are scarce. We demonstrate an application of probabilistic uncertainty analysis that provides for refinements in...

  14. Health Care Administrators. Project TEAMS. (Techniques and Education for Achieving Management Skills).

    ERIC Educational Resources Information Center

    Platte Technical Community Coll., Columbus, NE.

    The result of a project to develop short courses to help health care administrators and supervisors in developing practical, up-to-date management skills, this instructional workbook provides information and exercises applicable to on-the-job situations. Unit I covers the following leadership considerations: self-awareness, time management,…

  15. From the Lab Bench: Can cattle meet their nutrient needs on toxic tall fescue pasture?

    USDA-ARS?s Scientific Manuscript database

    A column is written to provide information on nutrient utilization by cattle grazing toxic endophyte-infected tall fescue. We have considerable knowledge and understanding of ergot alkaloid-induced constriction of blood flow to peripheral tissues, but what about blood flow to other parts of the bod...

  16. A Comparison of Web Resource Access Experiments: Planning for the New Millennium.

    ERIC Educational Resources Information Center

    Greenberg, Jane

    This paper reports on research that compared five leading experiments that aim to improve access to the growing number of information resources on the World Wide Web. The objective was to identify characteristics of success and considerations for improvement in experiments providing access to Web resources via bibliographic control methods. The…

  17. 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)

  18. May I Recruit through Your Agency? Considerations for Researchers of Spousal Caregivers

    ERIC Educational Resources Information Center

    Pote, Steven

    2016-01-01

    Few resources within social science literature provide helpful information related to participant recruitment for research on spousal caregivers of individuals with dementia. Independent researchers with limited resources may not have access to large databases or centers in which access to caregivers is readily available. As a result, these…

  19. 75 FR 22560 - Federal Advisory Committee; U.S. Air Force Scientific Advisory Board; Charter Renewal

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-29

    ... Chairperson. In addition, the Secretary of the Air Force may appoint, as deemed necessary non-voting... provided to the membership for their consideration. Contact information for the U.S. Air Force Scientific... DEPARTMENT OF DEFENSE Office of the Secretary Federal Advisory Committee; U.S. Air Force...

  20. Implicit Word Learning Benefits from Semantic Richness: Electrophysiological and Behavioral Evidence

    ERIC Educational Resources Information Center

    Rabovsky, Milena; Sommer, Werner; Abdel Rahman, Rasha

    2012-01-01

    Words differ considerably in the amount of associated semantic information. Despite the crucial role of meaning in language, it is still unclear whether and how this variability modulates language learning. Here, we provide initial evidence demonstrating that implicit learning in repetition priming is influenced by the amount of semantic features…

  1. Prescribed fire opportunities in grasslands invaded by Douglas-fir: state-of-the-art guidelines

    Treesearch

    George E. Gruell; James K. Brown; Charles L. Bushey

    1986-01-01

    Provides information on use of prescribed fire to enhance productivity of bunchgrass ranges that have been invaded by Douglas-fir. Six vegetative "situations" representative of treatment opportunities most commonly encountered in Montana are discussed. Included are fire prescription considerations and identification of the resource objective, fire objective,...

  2. Day Care Legal Handbook: Legal Aspects of Organizing and Operating Day Care Programs.

    ERIC Educational Resources Information Center

    Aikman, William F.

    This guide for providers of day care services presents information on business regulations and other legal considerations affecting for-profit and not-for-profit day care programs. Three basic topics covered are: (1) choosing the type of organization (sole proprietorship, partnership or corporation), (2) forming the organization, and (3) operating…

  3. Municipal Decision-Making Factors Relative to Cable Television Ownership.

    ERIC Educational Resources Information Center

    Clayton, Richard E., Ed.

    A study was made to identify and provide information and factors which should be taken into consideration by a municipality in its development of policy regarding the ownership, franchising, and ordinance issues involved in cable television. Since the report discusses Southern California activities, specifically those of the San Gabriel Valley, it…

  4. Performance of multimirror quartzline lamps in a high-pressure, underwater environment

    NASA Technical Reports Server (NTRS)

    Slater, Howard A.

    1988-01-01

    Multimirror Quartzline Lamps are extremely versatile and effective for nonconventional imaging requirements such as high-speed photo and video instrumentation and high-magnification imaging. The lamps' versatility though, is not limited to conventional environments. Many research experiments and projects require a high pressure environment. Continuous photographic data acquisition in a high-pressure vessel requires wall penetrations and creates design problems as well as potential failure sites. Underwater photography adds the extra consideration of a liquid. This report expands upon the basic research presented in, Performance of Multimirror Quartzline Lamps in High-Pressure Environments, (NASA-TM-83793, Ernie Walker and Howard Slater, 1984). The report provides information to professional industrial, scientific, and technical photographers as well as research personnel on the survivability of lighting a multimirror quartzline lamp in a nonconventional high-pressure underwater environment. Test results of lighted ELH 300 W multimirror quartzline lamps under high-pressure conditions are documented and general information on the lamps' intensity (footcandle output), cone of light coverage, approximate color temperature is provided. Continuous lighting considerations in liquids are also discussed.

  5. Operator interface design considerations for a PACS information management system

    NASA Astrophysics Data System (ADS)

    Steinke, James E.; Nabijee, Kamal H.; Freeman, Rick H.; Prior, Fred W.

    1990-08-01

    As prototype PACS grow into fully digital departmental and hospital-wide systems, effective information storage and retrieval mechanisms become increasingly important. Thus far, designers of PACS workstations have concentrated on image communication and display functionality. The new challenge is to provide appropriate operator interface environments to facilitate information retrieval. The "Marburg Model" 1 provides a detailed analysis of the functions, control flows and data structures used in Radiology. It identifies a set of "actors" who perform information manipulation functions. Drawing on this model and its associated methodology it is possible to identify four modes of use of information systems in Radiology: Clinical Routine, Research, Consultation, and Administration. Each mode has its own specific access requirements and views of information. An operator interface strategy appropriate for each mode will be proposed. Clinical Routine mode is the principal concern of PACS primary diagnosis workstations. In a full PACS implementation, such workstations must provide a simple and consistent navigational aid for the on-line image database, a local work list of cases to be reviewed, and easy access to information from other hospital information systems. A hierarchical method of information access is preferred because it provides the ability to start at high-level entities and iteratively narrow the scope of information from which to select subsequent operations. An implementation using hierarchical, nested software windows which fulfills such requirements shall be examined.

  6. A Critical Examination of Mild Traumatic Brain Injury Management Information Distributed to Parents.

    PubMed

    Boddé, Tamar Roos Annemarie; Scheinberg, Adam; McKinlay, Audrey

    2015-01-01

    Considerable confusion surrounds pediatric mild traumatic brain injury (mTBI) and its management. This study provides a comparison between mTBI management pamphlets distributed by Australasian hospitals and the Centers for Disease Control and Prevention (CDC) gold standard. Twenty-seven different pamphlets were collected from 96 hospitals in Australia and New Zealand and were assessed for readability, compliance with nine CDC criteria, and inclusion of confusing or incorrect information. None of the pamphlets completely complied with the CDC criteria and all included incorrect information. Findings demonstrate that mTBI management information in Australasia needs urgent revision, and evaluation in other countries is strongly advised.

  7. Mobile Location-Based Services for Trusted Information in Disaster Management

    NASA Astrophysics Data System (ADS)

    Ragia, Lemonia; Deriaz, Michel; Seigneur, Jean-Marc

    The goal of the present chapter is to provide location-based services for disaster management. The application involves services related to the safety of the people due to an unexpected event. The current prototype is implemented for a specific issue of disaster management which is road traffic control. The users can ask requests on cell phones or via Internet to the system and get an answer in a display or in textual form. The data are in a central database and every user can input data via virtual tags. The system is based on spatial messages which can be sent from any user to any other in a certain distance. In this way all the users and not a separate source provide the necessary information for a dangerous situation. To avoid any contamination problems we use trust security to check the input to the system and a trust engine model to provide information with a considerable reliability.

  8. Overview of the Design, Development, and Application of Nickel-hydrogen Batteries

    NASA Technical Reports Server (NTRS)

    Thaller, Lawrence H.; Zimmerman, Albert H.

    2003-01-01

    This document provides an overview of the design, development, and application of nickel-hydrogen (Ni-H2) battery technology for aerospace applications. It complements and updates the information presented in NASA RP-1314, NASA Handbook for Nickel- Hydrogen Batteries, published in 1993. Since that time, nickel-hydrogen batteries have become widely accepted for aerospace energy storage requirements and much more has been learned. The intent of this document is to capture some of that additional knowledge. This document addresses various aspects of nickel-hydrogen technology including the electrochemical reactions, cell component design, and selection considerations; overall cell and battery design considerations; charge control considerations; and manufacturing issues that have surfaced over the years that nickel-hydrogen battery technology has been the major energy storage technology for geosynchronous and low-Earth-orbiting satellites.

  9. Ethical Considerations in Research Participation Virality.

    PubMed

    Ellis-Barton, Carol

    2016-07-01

    This article seeks to commence and encourage discussion around the upcoming ethical challenges of virality in network structures. When the call for participation in a research project on lupus in Ireland went from an advertisement in a newsletter to a meme (unit of transmissible information) on a closed Facebook page, the ethical considerations of virality were raised. The article analyzes the Association of Internet Researchers guidelines, Facebook policies, and the context of privacy in relation to virality. Virality creates the leverage for methodological pluralism. The nature of the inquiry can determine the method rather than the other way around. Viral ethical considerations are evolving due to the cyber world becoming the primary meme of communication, with flexibility in the researcher's protocol providing opportunities for efficient, cost-effective, and diverse recruitment. © The Author(s) 2016.

  10. Complexities of Providing Dental Hygiene Services in Community Care Settings.

    PubMed

    Zarkowski, Pamela; Aksu, Mert N

    2016-06-01

    Direct access care provided by dental hygienists can reduce oral health disparities for the underserved, yet legal, regulatory, and ethical considerations create complexities and limits. Individual state dental practice acts regulate the scope of practice and level of supervision required when dental hygienists deliver care. Yet, inconsistent state practice act regulations contribute to ethical and legal limitations and dilemmas for practitioners. The dental hygienist is positioned to assume an increasingly larger role in the management of oral health disparities. However, there are several legal and ethical considerations that impact both dental hygienists and dentists providing care in complex community settings. This article informs dental hygienists and other related constituencies about conundrums that are encountered when providing care 'beyond the operatory.' An evidence-based view of ways in which dental hygienists are reducing oral health disparities illustrates the complex issues involved in providing such care. Potential scenarios that can occur during care provision in underserved settings provide the basis for a discussion of legal and other associated issues impacting dental hygiene practice. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Public health action and mass chemoprophylaxis in response to a small meningococcal infection outbreak at a nursery in the West Midlands, England.

    PubMed

    Stewart, Antony; Coetzee, Nic; Knapper, Elizabeth; Rajanaidu, Subhadra; Iqbal, Zafar; Duggal, Harsh

    2013-03-01

    Meningococcal infection is fatal in 10% of cases, and age-specific attack rates are highest in infancy. A nursery outbreak was declared just before a bank holiday weekend in August 2010, when two children attending the same nursery were confirmed to have meningococcal infection. Although such outbreaks are rare, they generate considerable public alarm and are challenging to manage and control. This report describes the investigation and public health response to the outbreak. Both cases had relatively mild disease and were confirmed as having serogroup B infection. Chemoprophylaxis and advice were given to most of the 146 children and 30 staff at the nursery. Within 28 hours of declaring the outbreak, over 95% of parents received information, advice and prescriptions for their children. GPs were also given information and the after-hours service provided continuity over the weekend. No further cases were identified and the outbreak was closed four weeks after being declared. Considerable logistical challenges were involved in providing timely advice and chemoprophylaxis to the entire nursery and staff one day before a bank holiday weekend. The speed of the public health response and implementation of preventive measures was crucial in providing assurance to parents and staff, and reducing their anxiety. The decision to provide on-site prescribing at the nursery (coupled with information sessions and individual counselling) proved to be a key implementation-success factor. Effective coordination and management by the outbreak control team was able to rapidly provide leadership, delegate tasks, identify gaps, allocate resources and ensure a proactive media response. A number of useful lessons were learnt and recommendations were made for future local practice.

  12. Evolution of an Intelligent Information Fusion System

    NASA Technical Reports Server (NTRS)

    Campbell, William J.; Cromp, Robert F.

    1990-01-01

    Consideration is given to the hardware and software needed to manage the enormous amount and complexity of data that the next generation of space-borne sensors will provide. An anthology is presented illustrating the evolution of artificial intelligence, science data processing, and management from the 1960s to the near future. Problems and limitations of technologies, data structures, data standards, and conceptual thinking are addressed. The development of an end-to-end Intelligent Information Fusion System that embodies knowledge of the user's domain-specific goals is proposed.

  13. Apparatus and method for optimal phase balancing using dynamic programming with spatial consideration

    DOEpatents

    Robertazzi, Thomas G.; Skiena, Steven; Wang, Kai

    2017-08-08

    Provided are an apparatus and method for load-balancing of a three-phase electric power distribution system having a multi-phase feeder, including obtaining topology information of the feeder identifying supply points for customer loads and feeder sections between the supply points, obtaining customer information that includes peak customer load at each of the points between each of the feeder sections, performing a phase balancing analysis, and recommending phase assignment at the customer load supply points.

  14. Health professionals' use of documents obtained through the Regional Medical Library Network.

    PubMed

    Lovas, I; Graham, E; Flack, V

    1991-01-01

    The Pacific Southwest Regional Medical Library Service (PSRMLS) studied how health professionals use documents obtained through the regional medical library (RML) network and how various factors, such as delivery time, affected that use. A random sample of libraries in Region 7 of the RML network was selected to survey health professionals who had received documents through the interlibrary loan (ILL) network. The survey provided data about the purposes for which health professionals requested documents, how the immediacy of need for the items affected their usefulness, what effect the obtained information had on the health professionals' work, and whether the illustrations represented an important part of the information content of the items. Survey results provided a positive assessment of the ILL network. Results also verified the basic value of the materials provided to health professionals through ILL and identified some areas for consideration in future network development. Users of the documents indicated that the network works efficiently and effectively to provide timely and useful information needed by health professionals. Technological developments in electronic information transmission and imaging will further enhance network operation in the future.

  15. Web-based provision of information on infectious diseases: a systems study.

    PubMed

    Roy, Anjana; Kostkova, Patty; Catchpole, Michael; Carson, Ewart

    2006-12-01

    The National electronic Library for Health (NeLH) is an Internet medical information resources portal, principally for healthcare professionals, within which the National electronic Library of Infection (NeLI) is one of NeLH Specialist Libraries providing evidence on infectious diseases. In this article, we describe a systems-based evaluation of NeLI based on a soft systems methodology. User feedback and other data for the analysis were obtained using online questionnaires. This evaluation, which is a pilot study aimed at demonstrating proof of concept, provided evidence for improving three systems that are crucial to effective NeLI provision. These are navigation of the site, quality and tagging of information provided by NeLI, and information regarding users and their usage of the system. On the basis of a soft systems analysis, an action plan was formulated identifying areas where improvement is needed. Actions for consideration included simplifying terminologies to improve the navigation, enhancing the provision of research assessments, quality tagging NeLI documents, provided by experts in the field, and attracting a broader cross-section of healthcare professional user.

  16. Making health markets work better for poor people: the case of informal providers.

    PubMed

    Bloom, Gerald; Standing, Hilary; Lucas, Henry; Bhuiya, Abbas; Oladepo, Oladimeji; Peters, David H

    2011-07-01

    There has been a dramatic spread of market relationships in many low- and middle-income countries. This spread has been much faster than the development of the institutional arrangements to influence the performance of health service providers. In many countries poor people obtain a large proportion of their outpatient medical care and drugs from informal providers working outside a regulatory framework, with deleterious consequences in terms of the safety and efficacy of treatment and its cost. Interventions that focus only on improving the knowledge of these providers have had limited impact. There is a considerable amount of experience in other sectors with interventions for improving the performance of markets that poor people use. This paper applies lessons from this experience to the issue of informal providers, drawing on the findings of studies in Bangladesh and Nigeria. These studies analyse the markets for informal health care services in terms of the sources of health-related knowledge for the providers, the livelihood strategies of these providers and the institutional arrangements within which they build and maintain their reputation. The paper concludes that there is a need to build a systematic understanding of these markets to support collaboration between key actors in building institutional arrangements that provide incentives for better performance.

  17. A framework for improving the quality of health information on the world-wide-web and bettering public (e-)health: the MedCERTAIN approach.

    PubMed

    Eysenbach, G; Köhler, C; Yihune, G; Lampe, K; Cross, P; Brickley, D

    2001-01-01

    There has been considerable debate about the variable quality of health information on the world-wide-web and its impact on public health. While central authorities to regulate, control, censor, or centrally approve information, in-formation providers or websites are neither realistic nor desirable, public health professionals are interested in making systems available that direct patient streams to the best available information sources. National governments and medical societies have also recognized their responsibility to help users to identify "good quality" information sources. But what constitutes good quality, and how can such a system be implemented in a decentralized and democratic manner? This paper presents a model which combines aspects of consumer education, encouragement of best practices among information providers, self-labeling and external evaluations. The model is currently being implemented and evaluated in the MedCERTAIN project, funded by the European Union under the Action Plan for Safer Use of the Internet. The aim is to develop a technical and organisational infrastructure for a pilot system that allows consumers to access metainformation about web-sites and health information providers, including disclosure information from health providers and opinions of external evaluators. The paper explains the general conceptual framework of the model and presents preliminary experiences including results from an expert consensus meeting, where the framework was discussed.

  18. Lessons Learned from the Development of an Example Precision Information Environment for International Safeguards

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

    Gastelum, Zoe N.; Henry, Michael J.; Burtner, IV, E. R.

    The International Atomic Energy Agency (IAEA) is interested in increasing capabilities of IAEA safeguards inspectors to access information that would improve their situational awareness on the job. A mobile information platform could potentially provide access to information, analytics, and technical and logistical support to inspectors in the field, as well as providing regular updates to analysts at IAEA Headquarters in Vienna or at satellite offices. To demonstrate the potential capability of such a system, Pacific Northwest National Laboratory (PNNL) implemented a number of example capabilities within a PNNL-developed precision information environment (PIE), and using a tablet as a mobile informationmore » platform. PNNL’s safeguards proof-of-concept PIE intends to; demonstrate novel applications of mobile information platforms to international safeguards use cases; demonstrate proof-of-principle capability implementation; and provide “vision” for capabilities that could be implemented. This report documents the lessons learned from this two-year development activity for the Precision Information Environment for International Safeguards (PIE-IS), describing the developed capabilities, technical challenges, and considerations for future development, so that developers working to develop a similar system for the IAEA or other safeguards agencies might benefit from our work.« less

  19. Ethical considerations in internet use of electronic protected health information.

    PubMed

    Polito, Jacquelyn M

    2012-03-01

    Caregivers, patients, and their family members are increasingly reliant on social network websites for storing, communicating, and referencing medical information. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule seeks balance by protecting the privacy of patients' health information and assuring that this information is available to those who need it to provide health care. Though federal and state governments have created laws and policies to safeguard patient privacy and confidentiality, the laws are inadequate against the rapid and innovative use of electronic health websites. As Internet use broadens access to information, health professionals must be aware that this information is not always secure. We must identify and reflect on medical ethics issues and be accountable for maintaining privacy for the patient.

  20. New Frontiers AO: Advanced Materials Bi-propellant Rocket (AMBR) Engine Information Summary

    NASA Technical Reports Server (NTRS)

    Liou, Larry C.

    2008-01-01

    The Advanced Material Bi-propellant Rocket (AMBR) engine is a high performance (I(sub sp)), higher thrust, radiation cooled, storable bi-propellant space engine of the same physical envelope as the High Performance Apogee Thruster (HiPAT(TradeMark)). To provide further information about the AMBR engine, this document provides details on performance, development, mission implementation, key spacecraft integration considerations, project participants and approach, contact information, system specifications, and a list of references. The In-Space Propulsion Technology (ISPT) project team at NASA Glenn Research Center (GRC) leads the technology development of the AMBR engine. Their NASA partners were Marshall Space Flight Center (MSFC) and Jet Propulsion Laboratory (JPL). Aerojet leads the industrial partners selected competitively for the technology development via the NASA Research Announcement (NRA) process.

  1. A Roundtable Discussion: Combination Products: Twice the Challenge?

    PubMed

    Baird, Nolan; Binion, Steven B; Cammack, Jon; Paine, Stephanie Del; Gonzales, Rosemary; Passut, Jena; Weiner, John Barlow Barr

    2015-01-01

    Combination products are therapeutic or diagnostic medical products that combine drugs, devices, and/or biological products with one another. FDA developed a regulation (final rule) on Current Good Manufacturing Practices (CGMP) for combination products that became effective July 22, 2013 (21 CFR Part 4). AAMI recently developed a technical information report (TIR) that provides information on how to effectively implement FDA's regulation. The overall goal of the TIR is to aid informed, risk-based decisions in establishing CGMP operating systems that support development, manufacture, premarket regulatory evaluation, and ultimately commercialization of combination products. This article, a result of an discussion with industry and FDA representatives, explores the landscape of combination products, highlights important considerations in developing and seeking marketing clearance for these innovative products, and provides insight on trends in the area.

  2. [Predictors of competence in family caregivers of dementia patients].

    PubMed

    Chang, Tzu-Chung; Shyu, Yea-Ing Lotus; Chen, Min-Chi; Chiu, Yi-Chen; Huang, Huei-Ling

    2012-12-01

    Differences in dementia symptoms at different dementia stages increase the burden of caregiving. The inability of family caregivers to meet patient needs not only influences the health of the patient, but also impacts negatively on their personal physical and mental health. This study explores predictors of competence in family caregivers of dementia patients. We designed a cross-sectional study to examine 123 participant groups. Each group included one individual diagnosed with dementia and one family caregiver. Predictors of caregiver competence included few / no caregiver chronic diseases, relatively high level of caregiver education, and lack of comorbidities in the care recipient. These predictors explained 26.7% of total variance. We recommend that nurses evaluate caregivers' care competency in order to provide appropriate health information and assistance. Guidance provided should take into consideration the caregivers' educational background. Apart from providing information related to dementia behavior, nurses should also provide caregiver guidance information related to the effects of comorbidities on dementia, as appropriate.

  3. 76 FR 50496 - Agency Information Collection Activities: Proposed Collection; Comments Requested; Supplemental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-15

    ... Information on Water Quality Considerations ACTION: 60-Day Notice of Information Collection Under Review. The... Water Quality Considerations. (3) Agency form number, if any, and the applicable component of the..., [[Page 50497

  4. In-patient mental health services for young people--changing to meet new needs?

    PubMed

    Street, Cathy

    2004-05-01

    There is currently considerable interest in consulting with young people and involving them in the development and delivery of mental health services--both at the local and national level. This is a welcome development since, as various studies have highlighted, young people can offer both valuable insights into the services they receive and suggestions for what they want from services. In 2003, YoungMinds, a national charity that works to promote children's mental health, completed a two-year, in-depth qualitative study focused on a sample of in-patient units drawn from across England and Wales. Such units, found at Tier 4 (the most severe or complex problems) within Child and Adolescent Mental Health Services (CAMHS) provide highly specialist care and treatment to some of the most seriously ill and vulnerable children and young people. A key aim of the study was to give a 'voice' to these young people in order to help in-patient services develop their provision in ways that are possibly more 'young-person friendly'. Alongside this, information from staff working both within in-patient units and the community was gathered, to provide an important contrasting perspective and to build up understanding of the current pressures and challenges that face service providers in this area. In total, data was gathered from 107 young people, 35 parents and 169 staff. Information from a number of other services was also compiled to provide case study illustrations of some new models of in-patient care now emerging. Multi-centre Research Ethics Committee approval was gained for the study, with considerable attention being paid to the design of clear 'young person' friendly information sheets, consent forms and questionnaires. Much attention was also paid to explaining how information would be used and confidentiality respected. The study findings reveal a picture of considerable change--of improvements but also continuing service gaps. Most importantly, there was a high level of consistency amongst young people as to the areas of greatest concern and many highly realistic, practical suggestions and requests for how in-patient provision for young people should be improved. This article outlines some of the issues raised by young people and in particular highlights the importance of information sharing and of in-patient units being properly staffed. The need for inter-agency links and coordination between in-patient and community based mental health services is also emphasised.

  5. Ideas for Improving Retirement Wellness.

    PubMed

    Rappaport, Anna M

    Employers can and should take steps to support retirement and financial wellness. This article provides a framework for retirement wellness informed by research conducted or supported by the Society of Actuaries. Research insights about Americans' finances, planning, decisions, money management, debt, retiree income shocks and other areas point to ways employers can provide retirement wellness support as a vital part of an overall benefit program. The author suggests several key considerations employers should pay attention to in order to improve retirement wellness.

  6. Optical System Design for the Next Generation Space Telescope

    NASA Technical Reports Server (NTRS)

    Solomon, Leonard H. (Principal Investigator); Kahan, Mark A.

    1996-01-01

    This report provides considerations and suggested approaches for design of the Optical Telescope Assembly and the segmented primary mirror of a Next Generation Space Telescope (NGST). Based on prior studies and hardware development, we provide data and design information on low-risk materials and hardware configurations most likely to meet low weight, low temperature and long-life requirements of the nominal 8-meter aperture NGST. We also provide preliminary data for cost and performance trades, and recommendations for technology development and demonstration required to support the system design effort.

  7. Young consumers' considerations of healthy working conditions in purchasing decisions: a qualitative examination.

    PubMed

    Dixon, Shane M; Nordvall, Anna-Carin; Cukier, Wendy; Neumann, W Patrick

    2017-05-01

    Research has suggested that products manufactured under healthy work conditions (HWC) may provide a marketing advantage to companies. This paper explores young consumers' considerations of HWC in purchasing decisions using data from qualitative interviews with a sample of 21 university students. The results suggest that interviewees frequently considered the working conditions of those who produced the products they purchased. Participants reported a willingness to pay 17.5% more on a $100 product if it were produced under HWC compared to not. Their ability and willingness to act on this issue was, however, hampered by  a lack of credible information about working conditions in production, the limited availability of HWC goods and a presumed higher price of HWC goods. While caution should be applied when generalising from this targetable market segment to a general population, these results provide actionable direction for companies interested in using a HWC brand image to gain a strategic sales advantage. Practitioner Summary: This interview study shows that young consumers are interested in, and willing to pay a premium for, goods made under healthy working conditions (HWC). Reported barriers to acting on this impulse include a lack of credible information on working conditions. Ergonomics can help provide a strategic marketing advantage for companies.

  8. Impact of Authenticity on Sense Making in Word Problem Solving

    ERIC Educational Resources Information Center

    Palm, Torulf

    2008-01-01

    The study presented in this paper seeks to investigate the impact of authenticity on the students' disposition to make necessary real world considerations in their word problem solving. The aim is also to gather information about the extent to which different reasons for the students' behaviors are responsible for not providing solutions that are…

  9. More than 150 Years in the Making: The Evolution of Telepractice for Hearing, Speech, and Language Services

    ERIC Educational Resources Information Center

    Houston, K. Todd; Stredler-Brown, Arlene; Alverson, Dale C.

    2012-01-01

    For well over a century, individuals have sought new and efficient ways to communicate health-related information and provide medical services over distances. Often, this desire has sparked considerable innovation in technology and ushered in improved models of service delivery. Today, modern videoconferencing technology allows practitioners to…

  10. Children's Television Programming: Some Prior Considerations and Research Designs for Canadian Broadcasts.

    ERIC Educational Resources Information Center

    Solberg, Janet

    This handbook was produced to address some of the questions raised at a workshop for producers, programmers, performers, researchers, and writers in the field of Canadian children's television. Three main areas are covered. The first section provides an indication of some of the information that research can supply for the improvement of…

  11. Problem-Based Learning: Modifying the Medical School Model for Teaching High School Economics.

    ERIC Educational Resources Information Center

    Maxwell, Nan L.; Bellisimo, Yolanda; Mergendoller, John

    2001-01-01

    Provides background information on the problem-based learning (PBL) model used in medical education that was adapted for high school economics. Describes the high school economics curriculum and outline the stages of the PBL model using examples from a unit called "The High School Food Court." Discusses the design considerations. (CMK)

  12. NASPE Developed Informational Products and Applications. Article #4 in a 4-Part Series

    ERIC Educational Resources Information Center

    Fisette, Jennifer L.; Placek, Judith H.; Avery, Marybell; Dyson, Ben; Fox, Connie; Franck, Marian; Graber, Kim; Rink, Judith; Zhu, Weimo

    2009-01-01

    This is the fourth and final article in the "PE Metrics" series that focuses on assessing the National Standards for Physical Education (NASPE) for Standard 1. The first article focused on assessment of student learning. The second described formative and summative assessments and provided considerations on how to implement assessment within…

  13. Providing for consideration of the bill (S. 627) to establish the Commission on Freedom of Information Act Processing Delays, and for other purposes.

    THOMAS, 112th Congress

    Rep. Dreier, David [R-CA-26

    2011-07-27

    House - 07/28/2011 On agreeing to the resolution Agreed to by the Yeas and Nays: 238 - 186 (Roll no. 663). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

  14. Infrared film for aerial photography

    USGS Publications Warehouse

    Anderson, William H.

    1979-01-01

    Considerable interest has developed recently in the use of aerial photographs for agricultural management. Even the simplest hand-held aerial photographs, especially those taken with color infrared film, often provide information not ordinarily available through routine ground observation. When fields are viewed from above, patterns and variations become more apparent, often allowing problems to be spotted which otherwise may go undetected.

  15. Historical jigsaw puzzles: piecing together the understory of Garry Oak (Quercus garryana) ecosystems and the implications for restoration

    Treesearch

    Carrina Maslovat

    2002-01-01

    Ecosystem restoration requires a set of reference vegetation conditions which are difficult to find for Garry oak (Quercus garryana) ecosystems in Canada because contemporary sites have been drastically altered. A survey of historical information provides only limited clues about the original understory vegetation. Although there is considerable...

  16. Practical Considerations for Integrating Alternate Reality Gaming into Science Education

    ERIC Educational Resources Information Center

    Bellocchi, Alberto

    2012-01-01

    In this article, I present my experience with integrating an alternate reality gaming (ARG) framework into a pre-service science teacher education course. My goal is to provide an account of my experiences that can inform other science education practitioners at the tertiary and secondary levels that wish to adopt a similar approach in their…

  17. Strategic plan : providing high precision search to NASA employees using the NASA engineering network

    NASA Technical Reports Server (NTRS)

    Dutra, Jayne E.; Smith, Lisa

    2006-01-01

    The goal of this plan is to briefly describe new technologies available to us in the arenas of information discovery and discuss the strategic value they have for the NASA enterprise with some considerations and suggestions for near term implementations using the NASA Engineering Network (NEN) as a delivery venue.

  18. 75 FR 62404 - Agency Information Collection Activities; Proposed Collection; Comment Request; Additional...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-08

    ... TEA final rule). The regulations in Sec. 330.14 state that OTC drug products introduced into the U.S... and extent'' application (TEA) to be submitted to us by any party for our consideration to include new conditions in the OTC drug monograph system. TEAs must provide evidence described in Sec. 330.14(c...

  19. Selecting a Z39.50 Client or Web Gateway.

    ERIC Educational Resources Information Center

    Turner, Fay

    1998-01-01

    Provides a brief description of the Z39.50 information retrieval standard and reviews evaluation criteria and questions that should be asked when selecting a Z39.50 client. Areas for consideration include whether to buy or build a Z39.50 client, the end-user's requirements, connecting to a remote server, searching, managing the search response,…

  20. The School Psychologist's Primer on Early Onset Schizophrenia: A Review of Research Regarding Epidemiology, Etiology, Assessment, and Treatment

    ERIC Educational Resources Information Center

    Hernandez, Rafael J. C.; Rime, W. Jeremy; Jimerson, Shane R.

    2013-01-01

    The purpose of this article is to provide school psychologists and other educational professionals with important information regarding the epidemiology, etiology, assessment, and treatment of early onset schizophrenia (EOS). The central aim herein is to bring science to practice by succinctly highlighting key considerations for school…

  1. The Use of Vocational Assessments: What Do Students Have to Say?

    ERIC Educational Resources Information Center

    Kortering, Larry; Braziel, Patricia M.

    2008-01-01

    Youths with disabilities are at risk of failing to complete high school and face considerable uncertainty as they attempt to transition toward a productive adulthood. One potential tool to help more of these youths to stay in school and provide them with information as to suitable post-school careers is the use of vocational assessments. This…

  2. A ride in the time machine: information management capabilities health departments will need.

    PubMed

    Foldy, Seth; Grannis, Shaun; Ross, David; Smith, Torney

    2014-09-01

    We have proposed needed information management capabilities for future US health departments predicated on trends in health care reform and health information technology. Regardless of whether health departments provide direct clinical services (and many will), they will manage unprecedented quantities of sensitive information for the public health core functions of assurance and assessment, including population-level health surveillance and metrics. Absent improved capabilities, health departments risk vestigial status, with consequences for vulnerable populations. Developments in electronic health records, interoperability and information exchange, public information sharing, decision support, and cloud technologies can support information management if health departments have appropriate capabilities. The need for national engagement in and consensus on these capabilities and their importance to health department sustainability make them appropriate for consideration in the context of accreditation.

  3. Information security governance: a risk assessment approach to health information systems protection.

    PubMed

    Williams, Patricia A H

    2013-01-01

    It is no small task to manage the protection of healthcare data and healthcare information systems. In an environment that is demanding adaptation to change for all information collection, storage and retrieval systems, including those for of e-health and information systems, it is imperative that good information security governance is in place. This includes understanding and meeting legislative and regulatory requirements. This chapter provides three models to educate and guide organisations in this complex area, and to simplify the process of information security governance and ensure appropriate and effective measures are put in place. The approach is risk based, adapted and contextualized for healthcare. In addition, specific considerations of the impact of cloud services, secondary use of data, big data and mobile health are discussed.

  4. 77 FR 49451 - Agency Information Collection Activities: Consideration of Deferred Action for Childhood Arrivals...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-16

    ...-NEW] Agency Information Collection Activities: Consideration of Deferred Action for Childhood Arrivals... Deferred Action for Childhood Arrivals, 1615-NEW'' in the subject box. Regardless of the method used for... collection. (2) Title of the Form/Collection: Consideration of Deferred Action for Childhood Arrivals. (3...

  5. Establishing Correlates of Protection for Vaccine Development: Considerations for the Respiratory Syncytial Virus Vaccine Field.

    PubMed

    Kulkarni, Prasad S; Hurwitz, Julia L; Simões, Eric A F; Piedra, Pedro A

    2018-03-01

    Correlates of protection (CoPs) can play a significant role in vaccine development by assisting the selection of vaccine candidates for clinical trials, supporting clinical trial design and implementation, and simplifying tests of vaccine modifications. Because of this important role in vaccine development, it is essential that CoPs be defined by well-designed immunogenicity and efficacy studies, with attention paid to benefits and limitations. The respiratory syncytial virus (RSV) field is unique in that a great deal of information about the humoral response is available from basic research and clinical studies. Polyclonal and monoclonal antibodies have been used routinely in the clinic to protect vulnerable infants from infection, providing a wealth of information about correlations between neutralizing antibodies and disease prevention. Considerations for the establishment of future CoPs to support RSV vaccine development in different populations are therefore discussed.

  6. Woman's Pre-Conception Evaluation: Genetic and Fetal Risk Considerations for Counselling and Informed Choice.

    PubMed

    Wilson, R Douglas

    2017-10-11

    To inform reproductive and other health care providers about genetic and fetal risk information to consider during a woman/couples' pre-conception evaluation, including considerations for genetic risk assessment, genetic screening, or testing to allow for improved counselling and informed choice. This genetic information can be used for patient education, planning, and possible pre-conception and/or prenatal testing. This information may allow improved risk assessment for pre-conception counselling for individual patients and their families. PubMed or Medline and the Cochrane Database were searched in May 2017 using appropriate key words ("pre-conception," "genetic disease," "maternal," "family history," "genetic," "health risk," "genetic health surveillance," "prenatal screening," "prenatal diagnosis," "birth defects," and "teratogen"). Grey (unpublished) literature was identified through searching the websites of health technology assessment and health technology assessment-related agencies, clinical practice guideline collections, and national and international medical specialty societies. The benefits for the patient and her family include an increased understanding of relevant genetic risk pre-conception and in early pregnancy, and better pregnancy outcomes as a result of use of the information. The harm includes potential increased anxiety or psychological stress associated with the possibility of identifying genetic risks. The evidence obtained was peer-reviewed by the Genetics Committee of The Society of Obstetricians and Gynaecologists of Canada. Consideration for Care Statements For this review article, the Consideration for Care Statements use the GRADE strength and quality as it is comparable for the clinician and the patient/public user. [GRADE from the Canadian Task Force on Preventive Health Care (www.canadiantaskforce.ca). For clinicians, Strong = The recommendation would apply to most individuals. Formal discussion aids are not likely to be needed to help individuals make decisions consistent with their values and preferences. For patients/public, Strong = We believe most people in this situation would want the recommended course of actions and only a small number would not. Quality of evidence (High, Moderate, Low) based on the confidence that the true effect lies close to that of the estimate of the effect.] Conclusion Pre-conception planning is presently underutilized by both patients and providers. Pre-conception genetic assessment is only a part of the counselling, education, and health management change that can improve perinatal and maternal morbidity and mortality. A published literature review on pre-conception genetic counselling identified mainly clinical cohort studies, surveys, and expert opinion with no RCTs. There is strong support for pre-conception counselling and moderate quality based on the understanding that most individuals would support and use pre-conception counselling when choice, timing, and ease of access is considered. Copyright © 2017 Society of Obstetricians and Gynaecologists of Canada. Published by Elsevier Inc. All rights reserved.

  7. Perceived barriers to effective implementation of public reporting of hospital performance data in Australia: a qualitative study.

    PubMed

    Canaway, Rachel; Bismark, Marie; Dunt, David; Kelaher, Margaret

    2017-06-07

    Public reporting of government funded (public) hospital performance data was mandated in Australia in 2011. Studies suggest some benefit associated with such public reporting, but also considerable scope to improve reporting systems. In 2015, a purposive sample of 41 expert informants were interviewed, representing consumer, provider and purchasers perspectives across Australia's public and private health sectors, to ascertain expert opinion on the utility and impact of public reporting of health service performance. Qualitative data was thematically analysed with a focus on reporting perceived strengths and barriers to public reporting of hospital performance data (PR). Many more weaknesses and barriers to PR were identified than strengths. Barriers were: conceptual (unclear objective, audience and reporting framework); systems-level (including lack of consumer choice, lack of consumer and clinician involvement, jurisdictional barriers, lack of mandate for private sector reporting); technical and resource related (including data complexity, lack of data relevance consistency, rigour); and socio-cultural (including provider resistance to public reporting, poor consumer health literacy, lack of consumer empowerment). Perceptions of the Australian experience of PR highlight important issues in its implementation that can provide lessons for Australia and elsewhere. A considerable weakness of PR in Australia is that the public are often not considered its major audience, resulting in information ineffectually framed to meet the objective of PR informing consumer decision-making about treatment options. Greater alignment is needed between the primary objective of PR, its audience and audience needs; more than one system of PR might be necessary to meet different audience needs and objectives. Further research is required to assess objectively the potency of the barriers to PR suggested by our panel of informants.

  8. Digital technology use among disadvantaged Australians: implications for equitable consumer participation in digitally-mediated communication and information exchange with health services.

    PubMed

    Newman, Lareen; Biedrzycki, Kate; Baum, Fran

    2012-05-01

    To present research findings on access to, and use of, digital information and communication technologies (ICTs) by Australians from lower income and disadvantaged backgrounds to determine implications for equitable consumer access to digitally-mediated health services and information. Focus groups were held in 2008-09 with 80 residents from lower income and disadvantaged backgrounds in South Australia, predominantly of working- and family-formation age (25 to 55 years). Qualitative analysis was conducted on a-priori and emergent themes to describe dominant categories. Access to, and use of, computers, the Internet and mobile phones varied considerably in extent, frequency and quality within and across groups due to differences in abilities, resources and life experience. Barriers and facilitators included English literacy (including for native speakers), technological literacy, education, income, housing situation, social connection, health status, employment status, and trust. Many people gained ICT skills by trial and error or help from friends, and only a few from formal programs, resulting in varied skills. The considerable variation in ICT access and use within lower income and disadvantaged groups must be acknowledged and accommodated by health initiatives and services when delivering digitally-mediated consumer-provider interaction, online health information, or online self-management of health conditions. If services require consumers to participate in a digitally-mediated communication exchange, then we suggest they might support skills and technology acquisition, or provide non-ICT alternatives, in order to avoid exacerbating health inequities.

  9. Low NO sub x heavy fuel combustor concept program

    NASA Technical Reports Server (NTRS)

    Russell, P.; Beal, G.; Hinton, B.

    1981-01-01

    A gas turbine technology program to improve and optimize the staged rich lean low NOx combustor concept is described. Subscale combustor tests to develop the design information for optimization of the fuel preparation, rich burn, quick air quench, and lean burn steps of the combustion process were run. The program provides information for the design of high pressure full scale gas turbine combustors capable of providing environmentally clean combustion of minimally of minimally processed and synthetic fuels. It is concluded that liquid fuel atomization and mixing, rich zone stoichiometry, rich zone liner cooling, rich zone residence time, and quench zone stoichiometry are important considerations in the design and scale up of the rich lean combustor.

  10. The detection and analysis of point processes in biological signals

    NASA Technical Reports Server (NTRS)

    Anderson, D. J.; Correia, M. J.

    1977-01-01

    A pragmatic approach to the detection and analysis of discrete events in biomedical signals is taken. Examples from both clinical and basic research are provided. Introductory sections discuss not only discrete events which are easily extracted from recordings by conventional threshold detectors but also events embedded in other information carrying signals. The primary considerations are factors governing event-time resolution and the effects limits to this resolution have on the subsequent analysis of the underlying process. The analysis portion describes tests for qualifying the records as stationary point processes and procedures for providing meaningful information about the biological signals under investigation. All of these procedures are designed to be implemented on laboratory computers of modest computational capacity.

  11. Neuromarketing: the hope and hype of neuroimaging in business.

    PubMed

    Ariely, Dan; Berns, Gregory S

    2010-04-01

    The application of neuroimaging methods to product marketing - neuromarketing - has recently gained considerable popularity. We propose that there are two main reasons for this trend. First, the possibility that neuroimaging will become cheaper and faster than other marketing methods; and second, the hope that neuroimaging will provide marketers with information that is not obtainable through conventional marketing methods. Although neuroimaging is unlikely to be cheaper than other tools in the near future, there is growing evidence that it may provide hidden information about the consumer experience. The most promising application of neuroimaging methods to marketing may come before a product is even released - when it is just an idea being developed.

  12. Neuromarketing: the hope and hype of neuroimaging in business

    PubMed Central

    Ariely, Dan; Berns, Gregory S.

    2010-01-01

    The application of neuroimaging methods to product marketing — neuromarketing — has recently gained considerable popularity. We propose that there are two main reasons for this trend. First, the possibility that neuroimaging will become cheaper and faster than other marketing methods; and second, the hope that neuroimaging will provide marketers with information that is not obtainable through conventional marketing methods. Although neuroimaging is unlikely to be cheaper than other tools in the near future, there is growing evidence that it may provide hidden information about the consumer experience. The most promising application of neuroimaging methods to marketing may come before a product is even released — when it is just an idea being developed. PMID:20197790

  13. A Neural Network Approach to Intention Modeling for User-Adapted Conversational Agents

    PubMed Central

    Griol, David

    2016-01-01

    Spoken dialogue systems have been proposed to enable a more natural and intuitive interaction with the environment and human-computer interfaces. In this contribution, we present a framework based on neural networks that allows modeling of the user's intention during the dialogue and uses this prediction to dynamically adapt the dialogue model of the system taking into consideration the user's needs and preferences. We have evaluated our proposal to develop a user-adapted spoken dialogue system that facilitates tourist information and services and provide a detailed discussion of the positive influence of our proposal in the success of the interaction, the information and services provided, and the quality perceived by the users. PMID:26819592

  14. Alternative approaches to vertebrate ecotoxicity tests in the 21st century: A review of developments over the last 2 decades and current status

    USGS Publications Warehouse

    Lillicrap, Adam; Belanger, Scott; Burden, Natalie; Du Pasquier, David; Embry, Michelle; Halder, Marlies; Lampi, Mark; Lee, Lucy; Norberg-King, Teresa J.; Rattner, Barnett A.; Schirmer, Kristin; Thomas, Paul

    2016-01-01

    The need for alternative approaches to the use of vertebrate animals for hazard assessment of chemicals and pollutants has become of increasing importance. It is now the first consideration when initiating a vertebrate ecotoxicity test, to ensure that unnecessary use of vertebrate organisms is minimized wherever possible. For some regulatory purposes, the use of vertebrate organisms for environmental risk assessments has been banned; in other situations, the number of organisms tested has been dramatically reduced or the severity of the procedure refined. However, there is still a long way to go to achieve a complete replacement of vertebrate organisms to generate environmental hazard data. The development of animal alternatives is based not just on ethical considerations but also on reducing the cost of performing vertebrate ecotoxicity tests and in some cases on providing better information aimed at improving environmental risk assessments. The present Focus article provides an overview of the considerable advances that have been made toward alternative approaches for ecotoxicity assessments over the last few decades.

  15. Considerations for the Use of Remote Gaze Tracking to Assess Behavior in Flight Simulators

    NASA Technical Reports Server (NTRS)

    Kalar, Donald J.; Liston, Dorion; Mulligan, Jeffrey B.; Beutter, Brent; Feary, Michael

    2016-01-01

    Complex user interfaces (such as those found in an aircraft cockpit) may be designed from first principles, but inevitably must be evaluated with real users. User gaze data can provide valuable information that can help to interpret other actions that change the state of the system. However, care must be taken to ensure that any conclusions drawn from gaze data are well supported. Through a combination of empirical and simulated data, we identify several considerations and potential pitfalls when measuring gaze behavior in high-fidelity simulators. We show that physical layout, behavioral differences, and noise levels can all substantially alter the quality of fit for algorithms that segment gaze measurements into individual fixations. We provide guidelines to help investigators ensure that conclusions drawn from gaze tracking data are not artifactual consequences of data quality or analysis techniques.

  16. Integrated Science Assessment (ISA) for Sulfur Oxides ...

    EPA Pesticide Factsheets

    EPA announced the availability of the final report, Integrated Science Assessment (ISA) for Sulfur Oxides – Health Criteria final assessment. This report represents a concise synthesis and evaluation of the most policy-relevant science and will ultimately provide the scientific bases for EPA’s decision regarding whether the current standard for oxides of sulfur (SO2) sufficiently protects public health. The Integrated Plan for Review of the Primary NAAQS for SOx U.S. 2: EPA (2007) identifies key policy-relevant questions that provide a framework for this review of the scientific evidence. These questions frame the entire review of the NAAQS, and thus are informed by both science and policy considerations. The ISA organizes and presents the scientific evidence such that, when considered along with findings from risk analyses and policy considerations, will help the EPA address these questions in completing the NAAQS review.

  17. Human factors considerations for integrating traffic information on airport moving maps.

    DOT National Transportation Integrated Search

    2011-05-01

    The purpose of this research effort was to identify human factors considerations in the integration of traffic information and surface indications and alerts for runway status on airport moving maps for flight deck displays. The information is primar...

  18. Prisoners as Living Donors: A Vulnerabilities Analysis.

    PubMed

    Ross, Lainie Friedman; Thistlethwaite, J Richard

    2018-01-01

    Although national guidelines exist for evaluating the eligibility of potential living donors and for procuring their informed consent, no special protections or considerations exist for potential living donors who are incarcerated. Human research subject protections in the United States are codified in the Federal Regulations, 45 CFR 46, and special protections are given to prisoners. Living donor transplantation has parallels with human subject research in that both activities are performed with the primary goal of benefiting third parties. In this article, we describe what special considerations should be provided to prisoners as potential living donors using a vulnerabilities approach adapted from the human research subject protection literature.

  19. Vocal acoustic analysis as a biometric indicator of information processing: implications for neurological and psychiatric disorders.

    PubMed

    Cohen, Alex S; Dinzeo, Thomas J; Donovan, Neila J; Brown, Caitlin E; Morrison, Sean C

    2015-03-30

    Vocal expression reflects an integral component of communication that varies considerably within individuals across contexts and is disrupted in a range of neurological and psychiatric disorders. There is reason to suspect that variability in vocal expression reflects, in part, the availability of "on-line" resources (e.g., working memory, attention). Thus, understanding vocal expression is a potentially important biometric index of information processing, not only across but within individuals over time. A first step in this line of research involves establishing a link between vocal expression and information processing systems in healthy adults. The present study employed a dual attention experimental task where participants provided natural speech while simultaneously engaged in a baseline, medium or high nonverbal processing-load task. Objective, automated, and computerized analysis was employed to measure vocal expression in 226 adults. Increased processing load resulted in longer pauses, fewer utterances, greater silence overall and less variability in frequency and intensity levels. These results provide compelling evidence of a link between information processing resources and vocal expression, and provide important information for the development of an automated, inexpensive and uninvasive biometric measure of information processing. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  20. Quality of Breast Cancer Information on the Internet by African Organizations: An Appraisal

    PubMed Central

    2017-01-01

    Objective. The aim of this study was to appraise the quality of information on BC available at websites run by organizations in Africa. Methods. Three searches were conducted using Google search engine to generate a list of websites. The identified websites were assessed using European Commission (EC) quality criteria for health-related websites, which comprises different assessment areas including, completeness, transparency and honesty, authority, privacy and data protection, updating of information, accountability, and accessibility. Results. Thirteen (13) websites were included in the evaluation. Majority of the websites evaluated had low scores on the completeness and transparency of their websites. Scores on accessibility were however moderate and high for most of the websites. Breast cancer-specific organizations provided the highest quality information, particularly in terms of completeness. The overall lowest and highest quality scores were 9 and 43 out of 63, respectively, and 77% of the included websites scored less than 50% of the total quality score. Conclusion. This review has provided evidence of inadequate and inaccurate BC information provided by some cancer organizations in Africa. Considerable effort is required to make BC information on the Internet a valuable and up-to-date source for both professionals and patients. PMID:28168059

  1. Alternative approaches for vertebrate ecotoxicity tests in the ...

    EPA Pesticide Factsheets

    The need for alternative approaches to the use of vertebrate animals for hazard assessing chemicals and pollutants has become of increasing importance. It is now the first consideration when initiating a vertebrate ecotoxicity test, to ensure that unnecessary use of vertebrate organisms is minimised wherever possible. For some regulatory purposes, the use of vertebrate organisms for environmental risk assessments (ERA) has even been banned, and in other situations the numbers of organisms tested has been dramatically reduced, or the severity of the procedure refined. However, there is still a long way to go to achieve replacement of vertebrate organisms to generate environmental hazard data. The development of animal alternatives is not just based on ethical considerations but also to reduce the cost of performing vertebrate ecotoxicity tests and in some cases to provide better information aimed at improving ERAs. The present focus paper provides an overview of the considerable advances that have been made towards alternative approaches for ecotoxicity assessments over the last few decades. The need for alternative approaches to the use of vertebrate animals for hazard assessing chemicals and pollutants has become of increasing importance. It is now the first consideration when initiating a vertebrate ecotoxicity test, to ensure that unnecessary use of vertebrate organisms is minimised wherever possible. For some regulatory purposes, the use of vertebrate organi

  2. Best-practices approach to determination of blood alcohol concentration (BAC) at specific time points: Combination of ante-mortem alcohol pharmacokinetic modeling and post-mortem alcohol generation and transport considerations.

    PubMed

    Cowan, Dallas M; Maskrey, Joshua R; Fung, Ernest S; Woods, Tyler A; Stabryla, Lisa M; Scott, Paul K; Finley, Brent L

    2016-07-01

    Alcohol concentrations in biological matrices offer information regarding an individual's intoxication level at a given time. In forensic cases, the alcohol concentration in the blood (BAC) at the time of death is sometimes used interchangeably with the BAC measured post-mortem, without consideration for alcohol concentration changes in the body after death. However, post-mortem factors must be taken into account for accurate forensic determination of BAC prior to death to avoid incorrect conclusions. The main objective of this work was to describe best practices for relating ante-mortem and post-mortem alcohol concentrations, using a combination of modeling, empirical data and other qualitative considerations. The Widmark modeling approach is a best practices method for superimposing multiple alcohol doses ingested at various times with alcohol elimination rate adjustments based on individual body factors. We combined the selected ante-mortem model with a suggestion for an approach used to roughly estimate changes in BAC post-mortem, and then analyzed the available data on post-mortem alcohol production in human bodies and potential markers for alcohol production through decomposition and putrefaction. Hypothetical cases provide best practice approaches as an example for determining alcohol concentration in biological matrices ante-mortem, as well as potential issues encountered with quantitative post-mortem approaches. This study provides information for standardizing BAC determination in forensic toxicology, while minimizing real world case uncertainties. Copyright © 2016 Elsevier Inc. All rights reserved.

  3. The Internet, The Hidden Web, and Useful Web Resources: ERIC, ERIC/CASS, & The Virtual Library.

    ERIC Educational Resources Information Center

    Kirkman, Chris; Frady, Allen; Walz, Garry R.

    Counselors and educators face a constant struggle to keep abreast of the vast amounts of new information available, assessing this information, and continuing to gather even more information. Individual's information searching strategies often take considerable time and cause considerable frustration in getting the results wanted. While increasing…

  4. 77 FR 59619 - Agency Information Collection Activities; Proposed Collection; Comment Request; Environmental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... appropriate, and other forms of information technology. Environmental Impact Considerations--21 CFR Part 25...] Agency Information Collection Activities; Proposed Collection; Comment Request; Environmental Impact... ``Environmental Impact Considerations.'' DATES: Submit either electronic or written comments on the collection of...

  5. Engine dynamic analysis with general nonlinear finite element codes

    NASA Technical Reports Server (NTRS)

    Adams, M. L.; Padovan, J.; Fertis, D. G.

    1991-01-01

    A general engine dynamic analysis as a standard design study computational tool is described for the prediction and understanding of complex engine dynamic behavior. Improved definition of engine dynamic response provides valuable information and insights leading to reduced maintenance and overhaul costs on existing engine configurations. Application of advanced engine dynamic simulation methods provides a considerable cost reduction in the development of new engine designs by eliminating some of the trial and error process done with engine hardware development.

  6. The psychology of computer displays in the modern mission control center

    NASA Technical Reports Server (NTRS)

    Granaas, Michael M.; Rhea, Donald C.

    1988-01-01

    Work at NASA's Western Aeronautical Test Range (WATR) has demonstrated the need for increased consideration of psychological factors in the design of computer displays for the WATR mission control center. These factors include color perception, memory load, and cognitive processing abilities. A review of relevant work in the human factors psychology area is provided to demonstrate the need for this awareness. The information provided should be relevant in control room settings where computerized displays are being used.

  7. Otolaryngology in Low-Resource Settings: Practical and Ethical Considerations.

    PubMed

    Cordes, Susan R; Robbins, Kevin Thomas; Woodson, Gayle

    2018-06-01

    Providing otolaryngology care in low-resource settings requires careful preparation to ensure good outcomes. The level of care that can be provided is dictated by available resources and the supplementary equipment, supplies, and personnel brought in. Other challenges include personal health and safety risks as well as cultural and language differences. Studying outcomes will inform future missions. Educating and developing ongoing partnerships with local physicians can lead to sustained improvements in the local health care system. Copyright © 2018 Elsevier Inc. All rights reserved.

  8. Instantaneous Assessment Of Athletic Performance Using High Speed Video

    NASA Astrophysics Data System (ADS)

    Hubbard, Mont; Alaways, LeRoy W.

    1988-02-01

    We describe the use of high speed video to provide quantitative assessment of motion in athletic performance. Besides the normal requirement for accuracy, an essential feature is that the information be provided rapidly enough so that it my serve as valuable feedback in the learning process. The general considerations which must be addressed in the development of such a computer based system are discussed. These ideas are illustrated specifically through the description of a prototype system which has been designed for the javelin throw.

  9. A Fine Line: Ethical Issues Facing Childbirth Educators Negotiating Evidence, Beliefs, and Experience

    PubMed Central

    Morton, Christine H

    2009-01-01

    The trend toward evidence-based information in childbirth education has been ongoing for some time. Lamaze educators are encouraged to present evidence for the Six Care Practices That Support Normal Birth to pregnant women in their childbirth classes. In a previous article published in The Journal of Perinatal Education, my colleague and I provided an overview of the dilemmas facing American childbirth educators. Childbirth education is a domain in which many types of authoritative knowledge are used: evidence, beliefs, and experience. In our study, educators told us their goal is to provide class participants with unbiased information that allows women to choose what is best for them. In this article, I further analyze educators’ dilemmas and challenges in presenting unbiased information, and I discuss some ethical considerations in educators’ practices. PMID:19436597

  10. Remote sensing for rural development planning in Africa

    NASA Technical Reports Server (NTRS)

    Dunford, C.; Mouat, D. A.; Norton-Griffiths, M.; Slaymaker, D. M.

    1983-01-01

    Multilevel remote-sensing techniques were combined to provide land resource and land-use information for rural development planning in Arusha Region, Tanzania. Enhanced Landsat imagery, supplemented by low-level aerial survey data, slope angle data from topographic sheets, and existing reports on vegetation and soil conditions, was used jointly by image analysts and district-level land-management officials to divide the region's six districts into land-planning units. District-planning officials selected a number of these land-planning units for priority planning and development activities. For the priority areas, natural color aerial photographs provided detailed information for land-use planning discussions between district officials and villagers. Consideration of the efficiency of this remote sensing approach leads to general recommendations for similar applications. The technology and timing of data collection and interpretation activities should allow maximum participation by intended users of the information.

  11. Nuclear medicine in the management of patients with heart failure: guidance from an expert panel of the International Atomic Energy Agency (IAEA).

    PubMed

    Peix, Amalia; Mesquita, Claudio Tinoco; Paez, Diana; Pereira, Carlos Cunha; Felix, Renata; Gutierrez, Claudia; Jaimovich, Rodrigo; Ianni, Barbara Maria; Soares, Jose; Olaya, Pastor; Rodriguez, Ma Victoria; Flotats, Albert; Giubbini, Raffaele; Travin, Mark; Garcia, Ernest V

    2014-08-01

    Heart failure is increasing worldwide at epidemic proportions, resulting in considerable disability, mortality, and increase in healthcare costs. Gated myocardial perfusion single photon emission computed tomography or PET imaging is the most prominent imaging modality capable of providing information on global and regional ventricular function, the presence of intraventricular synchronism, myocardial perfusion, and viability on the same test. In addition, I-mIBG scintigraphy is the only imaging technique approved by various regulatory agencies able to provide information regarding the adrenergic function of the heart. Therefore, both myocardial perfusion and adrenergic imaging are useful tools in the workup and management of heart failure patients. This guide is intended to reinforce the information on the use of nuclear cardiology techniques for the assessment of heart failure and associated myocardial disease.

  12. Responsibility of health providers and the media in response to scientific information.

    PubMed

    Martinez, F

    1997-03-01

    During the last 2 years, there have been a number of reports on oral contraceptives (OCs) and their effects on breast cancer and vascular events. The pill scare that followed the controversy of the third-generation combined OCs has produced immeasurable amounts of medical publications and public mass media coverage, all showing great disparity on the aspects that they have emphasized. It would seem that personal points of view, whether or not they are associated with other interests, and not directly related to the nature of the scientific information, could lead to opposed interpretations of the same facts and would lead the reader to perceive a different message. The consequences of over-reporting the adverse effects of oral contraceptives on the general population, such as pill discontinuation and a rise in abortion rates, deserve special consideration in regard to the responsibility of health professionals and the mass media in the diffusion of scientific information. The aim of this paper is to analyze the repercussions of the diffusion of scientific information about oral contraceptives on the general public and the responsibility of health professionals and the mass media, and to propose some considerations to be taken into account when giving scientific information on oral contraceptives.

  13. Qualitative assessment of precocious puberty-related user-created contents on YouTube.

    PubMed

    Nam, Hyo-Kyoung; Bang, Soo Min; Rhie, Young Jun; Park, Sang Hee; Lee, Kee-Hyoung

    2015-09-01

    User-created content (UCC) has provided a considerable amount of medical information and become an important source. We aimed to evaluate the quality and scientific accuracy of precocious puberty-related UCC on YouTube. The keywords "precocious puberty", "early puberty", "sexual precocity", and "precocity" were searched for on YouTube during June and July 2014. More than 1,500 UCC matched the keywords. According to the information provider, UCC was classified as medical, oriental, or commercial & others. We evaluated the quality and scientific accuracy of the information provided in UCC using the DISCERN instrument and information scores, respectively. We selected 51 UCC, which were categorized into three types: medical (n=17), oriental (n=17), or commercial & others (n=17). The overall quality score for medical UCC (3.4) was significantly higher relative to those of oriental and commercial & others UCC (2.8 and 2.3, respectively) (P<0.001). In the assessment of scientific accuracy, the mean information score for medical UCC (30.7) was significantly higher than those of oriental and commercial & others UCC (15.9 and 5.1, respectively) (P<0.001). The mean duration of oriental UCC was the longest (P<0.001), however, it was viewed less frequently among them (P=0.086). The quality and accuracy of precocious puberty-related health information in UCC were variable and often unreliable. The overall quality of UCC regarding precocious puberty was moderate. Only medical UCC provided scientifically accurate information. As UCC becomes a popular source of health information, it is important to provide reliable, scientifically accurate information.

  14. Qualitative assessment of precocious puberty-related user-created contents on YouTube

    PubMed Central

    Nam, Hyo-Kyoung; Bang, Soo Min; Rhie, Young Jun; Park, Sang Hee

    2015-01-01

    Purpose User-created content (UCC) has provided a considerable amount of medical information and become an important source. We aimed to evaluate the quality and scientific accuracy of precocious puberty-related UCC on YouTube. Methods The keywords "precocious puberty", "early puberty", "sexual precocity", and "precocity" were searched for on YouTube during June and July 2014. More than 1,500 UCC matched the keywords. According to the information provider, UCC was classified as medical, oriental, or commercial & others. We evaluated the quality and scientific accuracy of the information provided in UCC using the DISCERN instrument and information scores, respectively. Results We selected 51 UCC, which were categorized into three types: medical (n=17), oriental (n=17), or commercial & others (n=17). The overall quality score for medical UCC (3.4) was significantly higher relative to those of oriental and commercial & others UCC (2.8 and 2.3, respectively) (P<0.001). In the assessment of scientific accuracy, the mean information score for medical UCC (30.7) was significantly higher than those of oriental and commercial & others UCC (15.9 and 5.1, respectively) (P<0.001). The mean duration of oriental UCC was the longest (P<0.001), however, it was viewed less frequently among them (P=0.086). Conclusion The quality and accuracy of precocious puberty-related health information in UCC were variable and often unreliable. The overall quality of UCC regarding precocious puberty was moderate. Only medical UCC provided scientifically accurate information. As UCC becomes a popular source of health information, it is important to provide reliable, scientifically accurate information. PMID:26512350

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

    Chironis, N.P.

    This book contains a wealth of valuable information carefully selected and compiled from recent issues of Coal Age magazine. Much of the source material has been gathered by Coal Age Editors during their visits to coal mines, research establishments, universities and technical symposiums. Equally important are the articles and data contributed by over 50 top experts, many of whom are well known to the mining industry. Specifically, this easy-to-use handbook is divided into eleven key areas of underground mining. Here you will find the latest information on continuous mining techniques, longwall and shortwall methods and equipment, specialized mining and boringmore » systems, continuous haulage techniques, improved roof control and ventilation methods, mine communications and instrumentation, power systems, fire control methods, and new mining regulations. There is also a section on engineering and management considerations, including the modern use of computer terminals, practical techniques for picking leaders and for encouraging more safety consciousness in employees, factors affecting absenteeism, and some highly important financial considerations. All of this valuable information has been thoroughly indexed to provide immediate access to the specific data needed by the reader.« less

  16. Building the Partners HealthCare Biobank at Partners Personalized Medicine: Informed Consent, Return of Research Results, Recruitment Lessons and Operational Considerations

    PubMed Central

    Karlson, Elizabeth W.; Boutin, Natalie T.; Hoffnagle, Alison G.; Allen, Nicole L.

    2016-01-01

    The Partners HealthCare Biobank is a Partners HealthCare enterprise-wide initiative whose goal is to provide a foundation for the next generation of translational research studies of genotype, environment, gene-environment interaction, biomarker and family history associations with disease phenotypes. The Biobank has leveraged in-person and electronic recruitment methods to enroll >30,000 subjects as of October 2015 at two academic medical centers in Partners HealthCare since launching in 2010. Through a close collaboration with the Partners Human Research Committee, the Biobank has developed a comprehensive informed consent process that addresses key patient concerns, including privacy and the return of research results. Lessons learned include the need for careful consideration of ethical issues, attention to the educational content of electronic media, the importance of patient authentication in electronic informed consent, the need for highly secure IT infrastructure and management of communications and the importance of flexible recruitment modalities and processes dependent on the clinical setting for recruitment. PMID:26784234

  17. Object reasoning for waste remediation

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

    Pennock, K.A.; Bohn, S.J.; Franklin, A.L.

    1991-08-01

    A large number of contaminated waste sites across the United States await size remediation efforts. These sites can be physically complex, composed of multiple, possibly interacting, contaminants distributed throughout one or more media. The Remedial Action Assessment System (RAAS) is being designed and developed to support decisions concerning the selection of remediation alternatives. The goal of this system is to broaden the consideration of remediation alternatives, while reducing the time and cost of making these considerations. The Remedial Action Assessment System is a hybrid system, designed and constructed using object-oriented, knowledge- based systems, and structured programming techniques. RAAS uses amore » combination of quantitative and qualitative reasoning to consider and suggest remediation alternatives. The reasoning process that drives this application is centered around an object-oriented organization of remediation technology information. This paper describes the information structure and organization used to support this reasoning process. In addition, the paper describes the level of detail of the technology related information used in RAAS, discusses required assumptions and procedural implications of these assumptions, and provides rationale for structuring RAAS in this manner. 3 refs., 3 figs.« less

  18. Completeness of Reporting of Patient-Relevant Clinical Trial Outcomes: Comparison of Unpublished Clinical Study Reports with Publicly Available Data

    PubMed Central

    Wieseler, Beate; Wolfram, Natalia; McGauran, Natalie; Kerekes, Michaela F.; Vervölgyi, Volker; Kohlepp, Petra; Kamphuis, Marloes; Grouven, Ulrich

    2013-01-01

    Background Access to unpublished clinical study reports (CSRs) is currently being discussed as a means to allow unbiased evaluation of clinical research. The Institute for Quality and Efficiency in Health Care (IQWiG) routinely requests CSRs from manufacturers for its drug assessments. Our objective was to determine the information gain from CSRs compared to publicly available sources (journal publications and registry reports) for patient-relevant outcomes included in IQWiG health technology assessments (HTAs) of drugs. Methods and Findings We used a sample of 101 trials with full CSRs received for 16 HTAs of drugs completed by IQWiG between 15 January 2006 and 14 February 2011, and analyzed the CSRs and the publicly available sources of these trials. For each document type we assessed the completeness of information on all patient-relevant outcomes included in the HTAs (benefit outcomes, e.g., mortality, symptoms, and health-related quality of life; harm outcomes, e.g., adverse events). We dichotomized the outcomes as “completely reported” or “incompletely reported.” For each document type, we calculated the proportion of outcomes with complete information per outcome category and overall. We analyzed 101 trials with CSRs; 86 had at least one publicly available source, 65 at least one journal publication, and 50 a registry report. The trials included 1,080 patient-relevant outcomes. The CSRs provided complete information on a considerably higher proportion of outcomes (86%) than the combined publicly available sources (39%). With the exception of health-related quality of life (57%), CSRs provided complete information on 78% to 100% of the various benefit outcomes (combined publicly available sources: 20% to 53%). CSRs also provided considerably more information on harms. The differences in completeness of information for patient-relevant outcomes between CSRs and journal publications or registry reports (or a combination of both) were statistically significant for all types of outcomes. The main limitation of our study is that our sample is not representative because only CSRs provided voluntarily by pharmaceutical companies upon request could be assessed. In addition, the sample covered only a limited number of therapeutic areas and was restricted to randomized controlled trials investigating drugs. Conclusions In contrast to CSRs, publicly available sources provide insufficient information on patient-relevant outcomes of clinical trials. CSRs should therefore be made publicly available. Please see later in the article for the Editors' Summary PMID:24115912

  19. Health information technology adoption in U.S. acute care hospitals.

    PubMed

    Zhang, Ning Jackie; Seblega, Binyam; Wan, Thomas; Unruh, Lynn; Agiro, Abiy; Miao, Li

    2013-04-01

    Previous studies show that the healthcare industry lags behind many other economic sectors in the adoption of information technology. The purpose of this study is to understand differences in structural characteristics between providers that do and that do not adopt Health Information Technology (HIT) applications. Publicly available secondary data were used from three sources: American Hospital Association (AHA) annual survey, Healthcare Information and Management Systems Society (HIMSS) analytics annual survey, and Healthcare Cost and Utilization Project (HCUP) Nationwide Inpatient Sample (NIS) databases. Fifty-two information technologies were grouped into three clusters: clinical, administrative, and strategic decision making ITs. Negative binomial regression was applied with adoption of technology as the dependent variables and eight organizational and contextual factors as the independent variables. Hospitals adopt a relatively larger proportion of administrative information technology as compared to clinical and strategic IT. Large size, urban location and HMO penetration were found to be the most influential hospital characteristics that positively affect information technology adoption. There are still considerable variations in the adoption of information technology across hospitals and in the type of technology adopted. Organizational factors appear to be more influential than market factors when it comes to information technology adoption. The future research may examine whether the Electronic Health Record (EHR) Incentive Program in 2011 would increase the information technology uses in hospitals as it provides financial incentives for HER adoptions and uses among providers.

  20. Integrated Science Assessment (ISA) for Sulfur Oxides ...

    EPA Pesticide Factsheets

    EPA announced the availability of the external review draft of the Integrated Science Assessment for Sulfur Oxides– Health Criteria for public comment and independent peer review in a November 24, 2015 Federal Register Notice. This draft document provides EPA’s evaluation and synthesis of the most policy-relevant science related to the health effects of sulfur oxides. When final, it will provide a critical part of the scientific foundation for EPA’s decision regarding the adequacy of the current primary (health-based) National Ambient Air Quality Standard (NAAQS) for sulfur dioxide. The Integrated Plan for Review of the Primary NAAQS for SOx U.S. 2: EPA (2007) identifies key policy-relevant questions that provide a framework for this review of the scientific evidence. These questions frame the entire review of the NAAQS, and thus are informed by both science and policy considerations. The ISA organizes and presents the scientific evidence such that, when considered along with findings from risk analyses and policy considerations, will help the EPA address these questions in completing the NAAQS review.

  1. Online Resource Sharing II. A Comparison of: OCLC, Incorporated, Research Libraries Information Network, and Washington Library Network.

    ERIC Educational Resources Information Center

    Jacobs, Mary Ellen; And Others

    This comparative study of three major online bibliographic systems is designed to provide assistance to library administrators in the assessment of the potential impact of such systems upon the operations of their libraries. A side by side arrangement of the text allows an overview of any specific characteristic under consideration. These…

  2. Effective Counseling, Empowered Borrowers: An Evidence-Based Policy Agenda for Informed Student Loan Borrowing and Repayment. Research Report

    ERIC Educational Resources Information Center

    Fernandez, Chris

    2016-01-01

    To manage their loans effectively, U.S. postsecondary student loan borrowers must make a variety of important decisions that require significant knowledge and financial skills and entail considerable risk. Federal law requires colleges to provide student loan counseling to their federal student loan borrowers, but there is significant room for…

  3. 76 FR 71442 - Enhanced-Use Lease (EUL) of Department of Veterans Affairs (VA) Real Property for the Development...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-17

    ... includes three buildings at the Bath VA Medical Center in Bath, New York. The selected lessee will finance... families, and provide a supportive services program for resident Veterans. FOR FURTHER INFORMATION CONTACT... consideration under such a lease for the provision of medical care and services would result in a demonstrable...

  4. Microgravity cursor control device evaluation for Space Station Freedom workstations

    NASA Technical Reports Server (NTRS)

    Adam, Susan; Holden, Kritina L.; Gillan, Douglas; Rudisill, Marianne

    1991-01-01

    This research addressed direct manipulation interface (curser-controlled device) usability in microgravity. The data discussed are from KC-135 flights. This included pointing and dragging movements over a variety of angles and distances. Detailed error and completion time data provided researchers with information regarding cursor control shape, selection button arrangement, sensitivity, selection modes, and considerations for future research.

  5. Hallucinogens and Dissociative Drugs, Including LSD, PCP, Ketamine, Dextromethorphan. National Institute on Drug Abuse Research Report Series.

    ERIC Educational Resources Information Center

    National Inst. on Drug Abuse (DHHS/PHS), Rockville, MD.

    Research is developing a clearer picture of the dangers of mind-altering drugs. The goal of this report is to present the latest information to providers to help them strengthen their prevention and treatment efforts. A description is presented of dissociative drugs, and consideration is given as to why people take hallucinogens. The physical…

  6. The Role of Vocational Educators in Planning Vocational Assessment Activities for Handicapped Students: An Indepth Review of a Six Step Model.

    ERIC Educational Resources Information Center

    Stodden, Robert A.; Boone, Rosalie

    1986-01-01

    Discusses the role of teachers in providing vocational assessment to disabled students. Steps in this process include (1) establish planning team and conduct information search, (2) define purpose, (3) establish basic considerations, (4) formulate assessment model, (5) establish implementation focus, and (6) pilot test and evaluate assessment…

  7. Development and Operations of the Astrophysics Data System

    NASA Technical Reports Server (NTRS)

    Murray, Stephen S.

    1998-01-01

    Preparations for the AAS meeting in January are progressing. We will have a talk, a poster, and a demonstration. We organized a meeting during the AAS conference to discuss bibliographic codes in order to make sure the different information providers can inter-operate. Our new server should be on-line for the AAS meeting. This will improve the search speed considerably.

  8. Rand Arroyo Center 2014

    DTIC Science & Technology

    2015-01-01

    field effective command and control sys- tems within the framework of current policies and processes. Cost Considerations in Cloud Computing ...www.rand.org/t/PE113 Finds that cloud provider costs can vary compared with tradi- tional information system alternatives because of different cost structures...for analysts evaluating new cloud investments. U.S. Army photo by Staff Sgt. Christopher Calvert FOCUS ON Capabilities Development and Acquisition

  9. Key Value Considerations for Consultant Pharmacists.

    PubMed

    Meyer, Lee; Perry, Ronald G; Rhodus, Susan M; Stearns, Wendy

    2016-07-01

    Managing the efficiency and costs of residents' drug regimens outside the acute-care hospital and through transitions of care requires a toolbox filled with cost-control tools and careful collaboration among the pharmacy provider(s), facility staff, and the consultant/senior care pharmacist. This article will provide the reader with key long-term care business strategies that affect the profitability of the pharmacy provider in various care settings while, at the same time, ensuring optimal therapy for residents as they transition across levels of care. Readers can take away ideas on how to access critical information, what they can do with this information, and how they can improve the overall care process. Four experts in various aspects of pharmacy management share their insights on pharmacy practice issues including formulary management, performance metrics, short-cycle dispensing challenges/solutions, cost-control measures, facility surveys, billing practices, medication reconciliation, prospective medication reviews, and transitions of care.

  10. Integrated Science Assessment (ISA) for Carbon Monoxide ...

    EPA Pesticide Factsheets

    EPA announced the availability of the final report, Integrated Science Assessment (ISA) for Carbon Monoxide (CO). This report is EPA’s latest evaluation of the scientific literature on the potential human health and welfare effects associated with ambient exposures to CO. The development of this document is part of the Agency's periodic review of the national ambient air quality standards (NAAQS) for CO. The recently completed CO ISA and supplementary annexes, in conjunction with additional technical and policy assessments developed by EPA’s Office of Air and Radiation, will provide the scientific basis to inform EPA decisions related to the review of the current CO NAAQS. The integrated Plan for Review of the National Ambient Air Quality Standards for Carbon Monoxide (U.S. EPA, 2008, 193995) identifies key policy-relevant questions that provide a framework for this assessment of the scientific evidence. These questions frame the entire review of the NAAQS for CO and thus are informed by both science and policy considerations. The ISA organizes, presents, and integrates the scientific evidence which is considered along with findings from risk analyses and policy considerations to help the U.S. Environmental Protection Agency (EPA) address these questions during the NAAQS review.

  11. Structuring the collaboration of science and service in pursuit of a shared vision.

    PubMed

    Chorpita, Bruce F; Daleiden, Eric L

    2014-01-01

    The enduring needs of our society highlight the importance of a shared vision to improve human functioning and yield better lives for families and communities. Science offers a powerful strategy for managing the inevitable uncertainty in pursuit of these goals. This article presents ideas and examples of methods that could preserve the strengths of the two major paradigms in children's mental health, evidence-based treatments and individualized care models, but that also have the potential to extend their applicability and impact. As exemplified in some of the articles throughout this issue, new models to connect science and service will likely emerge from novel consideration of better ways to structure and inform collaboration within mental health systems. We contend that the future models for effective systems will involve increased attention to (a) client and provider developmental pathways, (b) explicit frameworks for coordinating people and the knowledge and other resources they use, and (c) a balance of evidence-based planning and informed adaptation. We encourage the diverse community of scientists, providers, and administrators in our field to come together to enhance our collective wisdom through consideration of and reflection on these concepts and their illustrations.

  12. Is This Information Source Commercially Biased? How Contradictions between Web Pages Stimulate the Consideration of Source Information

    ERIC Educational Resources Information Center

    Kammerer, Yvonne; Kalbfell, Eva; Gerjets, Peter

    2016-01-01

    In two experiments we systematically examined whether contradictions between two web pages--of which one was commercially biased as stated in an "about us" section--stimulated university students' consideration of source information both during and after reading. In Experiment 1 "about us" information of the web pages was…

  13. Extracting Social Information from Chemosensory Cues: Consideration of Several Scenarios and Their Functional Implications

    PubMed Central

    Ben-Shaul, Yoram

    2015-01-01

    Across all sensory modalities, stimuli can vary along multiple dimensions. Efficient extraction of information requires sensitivity to those stimulus dimensions that provide behaviorally relevant information. To derive social information from chemosensory cues, sensory systems must embed information about the relationships between behaviorally relevant traits of individuals and the distributions of the chemical cues that are informative about these traits. In simple cases, the mere presence of one particular compound is sufficient to guide appropriate behavior. However, more generally, chemosensory information is conveyed via relative levels of multiple chemical cues, in non-trivial ways. The computations and networks needed to derive information from multi-molecule stimuli are distinct from those required by single molecule cues. Our current knowledge about how socially relevant information is encoded by chemical blends, and how it is extracted by chemosensory systems is very limited. This manuscript explores several scenarios and the neuronal computations required to identify them. PMID:26635515

  14. Effects of information on young consumers' willingness to pay for genetically modified food: experimental auction analysis.

    PubMed

    Kajale, Dilip B; Becker, T C

    2014-01-01

    This study examines the effects of information on consumers' willingness to pay (WTP) for genetically modified food (GMF). We used Vickrey second price experimental auction method for elicitation of consumer WTP for GM potato chips and GM soya-chocolate bar. The sample used in this study was university students from Delhi, India. Four information formats (positive, negative, no information, and combined information about GM technology) were used for the examination. The results show that, when students received the combine information they were willing to pay around 17%-20% premium for GMF and when received the negative information they demanded around 22% discount for GMF. While the positive- and the no-information formats alone have no considerable effect on consumers' WTP for GMF. Overall, our findings suggest that while doing marketing of GMF in India, the best strategy is to provide combined information about GM technology.

  15. Medical Management and Trauma-Informed Care for Children in Foster Care.

    PubMed

    Schilling, Samantha; Fortin, Kristine; Forkey, Heather

    2015-10-01

    Children enter foster care with a myriad of exposures and experiences, which can threaten their physical and mental health and development. Expanding evidence and evolving guidelines have helped to shape the care of these children over the past two decades. These guidelines address initial health screening, comprehensive medical evaluations, and follow-up care. Information exchange, attention to exposures, and consideration of how the adversities, which lead to foster placement, can impact health is crucial. These children should be examined with a trauma lens, so that the child, caregiver, and community supports can be assisted to view their physical and behavioral health from the perspective of what we now understand about the impact of toxic stress. Health care providers can impact the health of foster children by screening for the negative health consequences of trauma, advocating for trauma-informed services, and providing trauma-informed anticipatory guidance to foster parents. By taking an organized and comprehensive approach, the health care provider can best attend to the needs of this vulnerable population. Copyright © 2015 Mosby, Inc. All rights reserved.

  16. Addressing Low Literacy and Health Literacy in Clinical Oncology Practice

    PubMed Central

    Garcia, Sofia F.; Hahn, Elizabeth A.; Jacobs, Elizabeth A.

    2011-01-01

    Low functional literacy and low health literacy continue to be under-recognized and are associated with poorer patient health outcomes. Health literacy is a dynamic state influenced by how well a healthcare system delivers information and services that match patients’ abilities, needs and preferences. Oncology care poses considerable health literacy demands on patients who are expected to process high stakes information about complex multidisciplinary treatment over lengths of time. Much of the information provided to patients in clinical care and research is beyond their literacy levels. In this paper, we provide an overview of currently available guidelines and resources to improve how the needs of patients with diverse literacy skills are met by cancer care providers and clinics. We present recommendations for health literacy assessment in clinical practice and ways to enhance the usability of health information and services by improving written materials and verbal communication, incorporating multimedia and culturally appropriate approaches, and promoting health literacy in cancer care settings. The paper also includes a list of additional resources that can be used to develop and implement health literacy initiatives in cancer care clinics. PMID:20464884

  17. A little more conversation please? Qualitative study of researchers' and patients' interview accounts of training for patient and public involvement in clinical trials.

    PubMed

    Dudley, Louise; Gamble, Carrol; Allam, Alison; Bell, Philip; Buck, Deborah; Goodare, Heather; Hanley, Bec; Preston, Jennifer; Walker, Alison; Williamson, Paula; Young, Bridget

    2015-04-27

    Training in patient and public involvement (PPI) is recommended, yet little is known about what training is needed. We explored researchers' and PPI contributors' accounts of PPI activity and training to inform the design of PPI training for both parties. We used semi-structured qualitative interviews with researchers (chief investigators and trial managers) and PPI contributors, accessed through a cohort of clinical trials, which had been funded between 2006 and 2010. An analysis of transcripts of audio-recorded interviews drew on the constant comparative method. We interviewed 31 researchers and 17 PPI contributors from 28 trials. Most researchers could see some value in PPI training for researchers, although just under half had received such training themselves, and some had concerns about the purpose and evidence base for PPI training. PPI contributors were evenly split in their perceptions of whether researchers needed training in PPI. Few PPI contributors had themselves received training for their roles. Many informants across all groups felt that training PPI contributors was unnecessary because they already possessed the skills needed. Informants were also concerned that training would professionalise PPI contributors, limiting their ability to provide an authentic patient perspective. However, informants welcomed informal induction 'conversations' to help contributors understand their roles and support them in voicing their opinions. Informants believed that PPI contributors should be confident, motivated, intelligent, focussed on helping others and have relevant experience. Researchers looked for these qualities when selecting contributors, and spoke of how finding 'the right' contributor was more important than accessing 'the right' training. While informants were broadly receptive to PPI training for researchers, they expressed considerable reluctance to training PPI contributors. Providers of training will need to address these reservations. Our findings point to the importance of reconsidering how training is conceptualised, designed and promoted and of providing flexible, learning opportunities in ways that flow from researchers' and contributors' needs and preferences. We also identify some areas of training content and the need for further consideration to be given to the selection of PPI contributors and models for implementing PPI to ensure clinical trials benefit from a diversity of patient perspectives.

  18. Characterizing liability for cranial nerve injuries: a detailed analysis of 209 malpractice trials.

    PubMed

    Svider, Peter F; Sunaryo, Peter L; Keeley, Brieze R; Kovalerchik, Olga; Mauro, Andrew C; Eloy, Jean Anderson

    2013-05-01

    The potential for adverse events with lasting functional effects makes cranial nerve (CN) injury a target for litigation. Our objective was to comprehensively examine records of malpractice trials and detail issues influencing outcomes. Retrospective analysis. The Westlaw database (Thomson Reuters, New York, NY) was searched for jury verdict reports related to medical malpractice and CN injury. After excluding nonrelevant cases, we examined 209 trials for characteristics including nerve(s) injured, alleged causes of malpractice, demographic information, specialty, and outcome. The most commonly litigated CNs were VII (24.4%) and II (19.6%). Sixty-nine (33.0%) trials resulted in damages awarded. Outcomes varied, ranging from a 29.2% plaintiff success rate for CN XI injury to 48.4% for CN II injury. Plaintiffs had less success with increasing age. Average damages awarded were $1.7 million. The most commonly named defendants were otolaryngologists and general surgeons. Individual considerations varied but commonly included alleged deficits in informed consent (25.4%), unnecessary procedures (14.8%), undergoing additional surgery (25.8%), and untimely recognition of complications (23.9%). Malpractice trials were resolved in the defendant's favor the majority of the time. In cases where plaintiffs were successful, however, awards were considerable, averaging nearly $2 million. Factors influencing case outcome included age, location, perceived deficits in informed consent, allegedly unnecessary surgery, requiring additional surgery to repair a complication, and untimely recognition of complications. Although specific factors should be taken into consideration with each procedure, providing detailed informed consent and communicating with patients regarding expectations may minimize liability. Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

  19. Caring in the Information Age: Personal Online Networks to Improve Caregiver Support.

    PubMed

    Piraino, Emily; Byrne, Kerry; Heckman, George A; Stolee, Paul

    2017-06-01

    It is becoming increasingly important to find ways for caregivers and service providers to collaborate. This study explored the potential for improving care and social support through shared online network use by family caregivers and service providers in home care. This qualitative study was guided by Rogers' Theory of Diffusion of Innovations [NY: Free Press; 1995], and involved focus group and individual interviews of service providers (n = 31) and family caregivers (n = 4). Interview transcriptions were analyzed using descriptive, topic, and analytic coding, followed by thematic analysis. The network was identified as presenting an opportunity to fill communication gaps presented by other modes of communication and further enhance engagement with families. Barriers included time limitations and policy-related restrictions, privacy, security, and information ownership. Online networks may help address longstanding home-care issues around communication and information-sharing. The success of online networks in home care requires support from care partners. Future research should pilot the use of online networks in home care using barrier and facilitator considerations from this study.

  20. Implications of complete watershed soil moisture measurements to hydrologic modeling

    NASA Technical Reports Server (NTRS)

    Engman, E. T.; Jackson, T. J.; Schmugge, T. J.

    1983-01-01

    A series of six microwave data collection flights for measuring soil moisture were made over a small 7.8 square kilometer watershed in southwestern Minnesota. These flights were made to provide 100 percent coverage of the basin at a 400 m resolution. In addition, three flight lines were flown at preselected areas to provide a sample of data at a higher resolution of 60 m. The low level flights provide considerably more information on soil moisture variability. The results are discussed in terms of reproducibility, spatial variability and temporal variability, and their implications for hydrologic modeling.

  1. Shallow-water brittle stars (Echinodermata: Ophiuroidea) from Araçá Bay (Southeastern Brazil), with spatial distribution considerations.

    PubMed

    Alitto, Renata A S; Bueno, Maristela L; Guilherme, Pablo D B; Di Domenico, Maikon; Christensen, Ana Beardsley; Borges, Michela

    2018-04-05

    The detailed study of arm ossicles, particularly the lateral arm plates, is providing valuable information in the elucidation of ophiuroid taxonomy. The present study describes in detail 16 species of brittle stars from Araçá Bay, Brazil. This information is used to construct the first interactive electronic key, providing a valuable resource for a broad range of researchers. Brittle stars families were divided into three groups based on their spatial distribution: i) infaunal species of intertidal and shallow subtidal belonging to Amphiuridae and Ophiactidae, ii) epizoic species belonging to Amphiuridae, Ophiactidae, and Ophiotrichidae and, iii) epifaunal species of the subtidal belonging to Ophiodermatidae and Hemieuryalidae. In the global context of recent revisions of ophiuroid taxonomy, the present work provides additional characters for use in future phylogenetic studies.

  2. The Relevance of Vocational High School Curriculum with the Requirement of the Heavy Equipment Industries

    NASA Astrophysics Data System (ADS)

    Asfiyanur, E. P.; Sumardi, K.; Rahayu, Y.; Putra, R. C.

    2018-02-01

    This study aims to determine the relevance of competencies developed by vocational high schools with the needs of workers in the industrial world. This is to answer the statement from the world of industry that the competencies possessed by vocational secondary education graduates are not in accordance with industry standards. This research is a qualitative research conducted by collecting data, presenting accurate and objective information. Respondents of this research are industrial institutions in the field of heavy equipment, vocational education institutions and government agencies in charge of manpower. Selection of informants / sources of information used is purposive sample technique, which aims to give consideration to select informants who meet the criteria in providing accurate information. The results of this study provide insight and input to vocational secondary education managers about various information in developing vocational secondary education curriculum, major issues include curriculum content relevance, technological advances in the heavy equipment industry, updating of school facilities and collaboration between educational institutions and labor institutions and the industrial world in the development of vocational secondary education.

  3. 78 FR 77696 - Agency Information Collection Activities: Consideration of Deferred Action for Childhood Arrivals...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-24

    ... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [OMB Control Number 1615-0124] Agency Information Collection Activities: Consideration of Deferred Action for Childhood Arrivals... 77697

  4. Integrated Science Assessment (ISA) for Carbon Monoxide ...

    EPA Pesticide Factsheets

    EPA announced that the First External Review Draft of the Integrated Science Assessment (ISA) for Carbon Monoxide (CO) and related Annexes was made available for independent peer review and public review. This draft ISA document represents a concise synthesis and evaluation of the most policy-relevant science and will ultimately provide the scientific bases for EPA's decision regarding whether the current standards for CO sufficiently protect public health and the environment. The Integrated Plan for Review of the NAAQS for CO {U.S. EPA, 2008 #8615} identifies key policy-relevant questions that provide a framework for this review of the scientific evidence. These questions frame the entire review of the NAAQS, and thus are informed by both science and policy considerations. The ISA organizes and presents the scientific evidence such that it, when considered along with findings from risk analyses and policy considerations, will help the EPA address these questions during the NAAQS review:

  5. Special considerations for prophylaxis for and treatment of anthrax in pregnant and postpartum women.

    PubMed

    Meaney-Delman, Dana; Zotti, Marianne E; Creanga, Andreea A; Misegades, Lara K; Wako, Etobssie; Treadwell, Tracee A; Messonnier, Nancy E; Jamieson, Denise J

    2014-02-01

    In August 2012, the Centers for Disease Control and Prevention, in partnership with the Association of Maternal and Child Health Programs, convened a meeting of national subject matter experts to review key clinical elements of anthrax prevention and treatment for pregnant, postpartum, and lactating (P/PP/L) women. National experts in infectious disease, obstetrics, maternal fetal medicine, neonatology, pediatrics, and pharmacy attended the meeting, as did representatives from professional organizations and national, federal, state, and local agencies. The meeting addressed general principles of prevention and treatment for P/PP/L women, vaccines, antimicrobial prophylaxis and treatment, clinical considerations and critical care issues, antitoxin, delivery concerns, infection control measures, and communication. The purpose of this meeting summary is to provide updated clinical information to health care providers and public health professionals caring for P/PP/L women in the setting of a bioterrorist event involving anthrax.

  6. The Health Insurance Portability and Accountability Act Privacy Rule: a practical guide for researchers.

    PubMed

    Gunn, Patrick P; Fremont, Allen M; Bottrell, Melissa; Shugarman, Lisa R; Galegher, Jolene; Bikson, Tora

    2004-04-01

    The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, intended to address potential threats to patient privacy posed by the computerization and standardization of medical records, provides a new floor level of federal protection for health information in all 50 states. In most cases, compliance with the Privacy Rule was required as of April 2003. Yet considerable confusion and concern remain about the Privacy Rule and the specific changes it requires in the way healthcare providers, health plans, and others use, maintain, and disclose health information. Researchers worry that the Privacy Rule could hinder their access to health information needed to conduct their research. In this article, we explain how the final version of the Privacy Rule governs disclosure of health information, assess implications of the Privacy Rule for research, and offer practical suggestions for researchers who require access to health information. The Privacy Rule is fundamentally changing the way that healthcare providers, health plans, and others use, maintain, and disclose health information and the steps that researchers must take to obtain health data. The Privacy Rule requires researchers who seek access to identifiable health information to obtain written authorization from subjects, or, alternatively, to demonstrate that their research protocols meet certain Privacy Rule requirements that permit access without written authorization. To ensure continued access to data, researchers will need to work more closely than before with healthcare providers, health plans, and other institutions that generate and maintain health information.

  7. Lunar base agriculture: Soils for plant growth

    NASA Technical Reports Server (NTRS)

    Ming, Douglas W. (Editor); Henninger, Donald L. (Editor)

    1989-01-01

    This work provides information on research and experimentation concerning various aspects of food production in space and particularly on the moon. Options for human settlement of the moon and Mars and strategies for a lunar base are discussed. The lunar environment, including the mineralogical and chemical properties of lunar regolith are investigated and chemical and physical considerations for a lunar-derived soil are considered. It is noted that biological considerations for such a soil include controlled-environment crop production, both hydroponic and lunar regolith-based; microorganisms and the growth of higher plants in lunar-derived soils; and the role of microbes to condition lunar regolith for plant cultivation. Current research in the controlled ecological life support system (CELSS) project is presented in detail and future research areas, such as the growth of higher research plants in CELSS are considered. Optimum plant and microbiological considerations for lunar derived soils are examined.

  8. Abnormal ovarian cancer screening test result: women's informational, psychological and practical needs.

    PubMed

    Ryan, Patricia Y; Graves, Kristi D; Pavlik, Edward J; Andrykowski, Michael A

    2007-01-01

    Considerable effort has been devoted to the identification of cost-effective approaches to screening for ovarian cancer (OC). Transvaginal ultrasound (TVS) is one such screening approach. Approximately 5-7% of routine TVS screening tests yield abnormal results. Some women experience significant distress after receipt of an abnormal TVS screening test. Four focus groups provided in-depth, qualitative data regarding the informational, psychological, and practical needs of women after the receipt of an abnormal TVS result. Through question and content analytic procedures, we identified four themes: anticipation, emotional response, role of the screening technician, and impact of prior cancer experiences. Results provide initial guidance toward development of interventions to promote adaptive responses after receipt of an abnormal cancer screening test result.

  9. Cultural Sensitivity and Challenges in Management of the Transgender Patient With ESRD in Transplantation.

    PubMed

    Hoch, Deborah Ann; Bulman, Maya; McMahon, Dorn W

    2016-03-01

    Transgender patients with end-stage renal disease (ESRD) present with specific challenges during the transplant evaluation, perioperative management, and postoperative phase of care. Demographic information, health-care records, chosen name, and gender identity along with documentation of specific health-care needs can become a challenge when gender assigned at birth is incongruent with the patients gender identity. Medical care involves addressing the end-organ disease as well as addressing those aspects of care specific to the transgender patient. This review article provides information on defining transgender, the impact of ESRD, and transgender in the transplant process and considerations in the throughout phases of care. Current recommendations for management of this unique population are provided. © 2016, NATCO.

  10. Making information skills meaningful: a case study from occupational therapy.

    PubMed

    Spring, Hannah

    2018-03-01

    The effective delivery of information literacy training can be a challenging process, and health library and information professionals are constantly innovating in this area. This article presents a case study of the BHSc (Hons) Occupational therapy degree programme at York St John University to demonstrate ways in which deep integration of information skills into the curriculum can be achieved. The article advises that in the delivery of health and social care related information skills, we should look more broadly at where relevant learning can happen. In particular, contexts of the health care environment are suggested as a consideration rather than the narrow scope of the academic, classroom-based environment. Examples are provided of specific teaching and learning activities used on the programme alongside CPD activity and curriculum design. © 2018 Health Libraries Group.

  11. Professionalism in a digital age: opportunities and considerations for using social media in health care.

    PubMed

    Gagnon, Kendra; Sabus, Carla

    2015-03-01

    Since the beginning of the millennium, there has been a remarkable change in how people access and share information. Much of this information is user-generated content found on social media sites. As digital technologies and social media continue to expand, health care providers must adapt their professional communication to meet the expectations and needs of consumers. This adaptation may include communication on social media sites. However, many health care providers express concerns that professional social media use, particularly interactions with patients, is ethically problematic. Social media engagement does not create ethical dissonance if best practices are observed and online communication adheres to terms of service, professional standards, and organizational policy. A well-executed social media presence provides health care providers, including physical therapists, the opportunity-and perhaps a professional obligation-to use social media sites to share or create credible health care information, filling a consumer void for high-quality online information on fitness, wellness, and rehabilitation. This perspective article provides a broad review of the emergence of social media in society and health care, explores policy implications of organizational adoption of health care social media, and proposes individual opportunities and guidelines for social media use by the physical therapy professional. © 2015 American Physical Therapy Association.

  12. Interdependence of peat and vegetation in a tropical peat swamp forest.

    PubMed Central

    Page, S E; Rieley, J O; Shotyk, W; Weiss, D

    1999-01-01

    The visual uniformity of tropical peat swamp forest masks the considerable variation in forest structure that has evolved in response to differences and changes in peat characteristics over many millennia. Details are presented of forest structure and tree composition of the principal peat swamp forest types in the upper catchment of Sungai Sebangau, Central Kalimantan, Indonesia, in relation to thickness and hydrology of the peat. Consideration is given to data on peat geochemistry and age of peat that provide evidence of the ombrotrophic nature of this vast peatland and its mode of formation. The future sustainability of this ecosystem is predicted from information available on climate change and human impact in this region. PMID:11605630

  13. Workplace Violence: Practical Considerations for Mental Health Professionals in Consultation, Assessment, and Management of Risk.

    PubMed

    Saragoza, Philip; White, Stephen G

    2016-12-01

    Workplace predatory violence has been the focus of increased study over the past 30 years, leading to a more sophisticated understanding of the factors that contribute to it, and important considerations for its assessment and management. Risk assessment professionals involved in workplace violence consultations should be mindful of issues specific to the workplace context and the principles of threat assessment to provide a more precise opinion of risk, to inform and enhance critical decisions regarding the employment status of the individual of concern, security measures, possible treatment options, and other management responses, while being mindful of the employee's certain rights. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Conscious Sedation: Emerging Trends in Pediatric Dentistry

    PubMed Central

    Attri, Joginder Pal; Sharan, Radhe; Makkar, Vega; Gupta, Kewal Krishan; Khetarpal, Ranjana; Kataria, Amar Parkash

    2017-01-01

    Dental fear and anxiety is a common problem in pediatric patients. There is considerable variation in techniques used to manage them. Various sedation techniques using many different anesthetic agents have gained considerable popularity over the past few years. Children are not little adults; they differ physically, psychologically, and emotionally. The purpose of this review is to survey recent trends and concerning issues in the rapidly changing field of pediatric sedation. We will study the topic from the perspective of an anesthesiologist. It will also provide information to practitioners on the practice of conscious sedation in dentistry and will also outline the route of administration, pharmacokinetics, and pharmacodynamics of various drugs used. PMID:28663606

  15. Using quality indicators in anaesthesia: feeding back data to improve care.

    PubMed

    Benn, J; Arnold, G; Wei, I; Riley, C; Aleva, F

    2012-07-01

    After recent UK policy developments, considerable attention has been focused upon how clinical specialties measure and report on the quality of care delivered to patients. Defining the right indicators alone is insufficient to close the feedback loop. This narrative review aims to describe and synthesize a diverse body of research relevant to the question of how information from quality indicators can be fed back and used effectively to improve care. Anaesthesia poses certain challenges in the identification of valid outcome indicators sensitive to variations in anaesthetic care. Metrics collected during the immediate post-anaesthetic recovery period, such as patient temperature, patient-reported quality of recovery, and pain and nausea, provide potentially useful information for the anaesthetist, yet this information is not routinely fed back. Reviews of the effects of feeding back performance data to healthcare providers suggest that this may result in small to moderate positive effects upon outcomes and professional practice, with stronger effects where feedback is integrated within a broader quality improvement strategy. The dominant model for use of data within quality improvement is based upon the industrial process control approach, in which care processes are monitored continuously for process changes which are rapidly detectable for corrective action. From this review and experience of implementing these principles in practice, effective feedback from quality indicators is timely, credible, confidential, tailored to the recipient, and continuous. Considerable further work is needed to understand how information from quality indicators can be fed back in an effective way to clinicians and clinical units, in order to support revalidation and continuous improvement.

  16. Ethical, legal, and social issues in the translation of genomics into health care.

    PubMed

    Badzek, Laurie; Henaghan, Mark; Turner, Martha; Monsen, Rita

    2013-03-01

    The rapid continuous feed of new information from scientific discoveries related to the human genome makes translation and incorporation of information into the clinical setting difficult and creates ethical, legal, and social challenges for providers. This article overviews some of the legal and ethical foundations that guide our response to current complex issues in health care associated with the impact of scientific discoveries related to the human genome. Overlapping ethical, legal, and social implications impact nurses and other healthcare professionals as they seek to identify and translate into practice important information related to new genomic scientific knowledge. Ethical and legal foundations such as professional codes, human dignity, and human rights provide the framework for understanding highly complex genomic issues. Ethical, legal, and social concerns of the health provider in the translation of genomic knowledge into practice including minimizing harms, maximizing benefits, transparency, confidentiality, and informed consent are described. Additionally, nursing professional competencies related to ethical, legal, and social issues in the translation of genomics into health care are discussed. Ethical, legal, and social considerations in new genomic discovery necessitate that healthcare professionals have knowledge and competence to respond to complex genomic issues and provide appropriate information and care to patients, families, and communities. Understanding the ethical, legal, and social issues in the translation of genomic information into practice is essential to provide patients, families, and communities with competent, safe, effective health care. © 2013 Sigma Theta Tau International.

  17. The variation in quality and content of patient-focused health information on the Internet for otitis media.

    PubMed

    Joury, A; Joraid, A; Alqahtani, F; Alghamdi, A; Batwa, A; Pines, J M

    2018-03-01

    When symptoms of otitis media appear, parents and patients often access the Internet for health information. We study the content and quality of health information in parent-patient-focused websites for otitis media. We searched the 3 search engines (Google, Yahoo, and Bing) using "otitis media" and "middle ear infection" then reviewed the top 30 hits for each search. We included sites that were focused on providing patient-patient information about otitis media. A variety of instruments were used to assess website content and quality. In 35 included websites, there was considerable variation in content, with the average site having 11 out of 15 informational items potentially useful to parents and patients on otitis media (range 4-15). Across included websites, the mean DISCERN score was 47 out of 80 (low to medium quality), 16 (46%) were HONcode certified, and 8 (23%) fulfilled all the JAMA benchmark criteria. The average website was written at a 9th/10th-grade reading level. The content and quality of health information for otitis media in parent-and-patient-focused websites is highly variable. Although easy-to-read, high-quality websites with complete content are available, the average website sites is difficult to read without a high school education and is difficult to use. Consideration should be given to adopting a standard approach for presenting disease-specific information to parents and patients. © 2017 John Wiley & Sons Ltd.

  18. Mass spectrometry for the biophysical characterization of therapeutic monoclonal antibodies.

    PubMed

    Zhang, Hao; Cui, Weidong; Gross, Michael L

    2014-01-21

    Monoclonal antibodies (mAbs) are powerful therapeutics, and their characterization has drawn considerable attention and urgency. Unlike small-molecule drugs (150-600 Da) that have rigid structures, mAbs (∼150 kDa) are engineered proteins that undergo complicated folding and can exist in a number of low-energy structures, posing a challenge for traditional methods in structural biology. Mass spectrometry (MS)-based biophysical characterization approaches can provide structural information, bringing high sensitivity, fast turnaround, and small sample consumption. This review outlines various MS-based strategies for protein biophysical characterization and then reviews how these strategies provide structural information of mAbs at the protein level (intact or top-down approaches), peptide, and residue level (bottom-up approaches), affording information on higher order structure, aggregation, and the nature of antibody complexes. Copyright © 2013 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.

  19. Current limitations of the assessment of haemostasis in adult extracorporeal membrane oxygenation patients and the role of point-of-care testing.

    PubMed

    Venkatesh, K; Nair, P S; Hoechter, D J; Buscher, H

    2016-11-01

    Haemostatic perturbations are commonly seen in extracorporeal membrane oxygenation (ECMO) patients and remain a clinical challenge, contributing significantly to morbidity and mortality. The approach to anticoagulation monitoring and the management of bleeding varies considerably across ECMO centres. Routine laboratory tests have their limitations in terms of turnaround time and specificity of information provided. Newer point-of-care testing (POCT) for coagulation may overcome these issues, as it provides information about the entire coagulation pathway from clot initiation to lysis. It is also possible to obtain qualitative information on platelet function from these tests. Furthermore, the ability to incorporate these results into a goal-directed algorithm to manage bleeding with targeted transfusion strategies appears particularly attractive and cost effective. Further studies are required to evaluate the utility of POCT to optimise bleeding and anticoagulation management in these complex patients.

  20. Is there room in the DSM for consideration of deaf people?

    PubMed

    Lala, F J

    1998-10-01

    Recent changes to the Diagnostic and Statistical Manual of Mental Disorders, or DSM (4th ed., American Psychiatric Association, 1994), show recognition that cultural factors are relevant to assessment; thus, including specific information relevant to Deaf culture should help DSM users understand their deaf clients. For the present article, literature was surveyed on the psychological needs of the Deaf, and specifically how the Deaf views those needs. The review focused on four articles (Carver, 1995, 1997; Chapman, 1994; Dolnick, 1993). These articles suggest consensus on the thesis that the Deaf, as a minority culture, should provide information on Deaf culture to members of the helping professions. In addition to enhancing care providers' understanding, this would help society do a better job of including the Deaf in planning relevant to their needs. In particular, culturally deaf people should urge inclusion of relevant information about the Deaf in the next DSM revision.

  1. Chemically dependent physicians and informed consent disclosure.

    PubMed

    Ackerman, T F

    1996-01-01

    Developments in law, professional guidelines, and public attitudes support informed consent disclosure by physicians who have been treated for chemical dependency. This view is built on the apparent materiality of the risk of relapse to informed treatment decisions by patients. Several considerations undercut this position. The probability is remote that a patient will be injured by a recovering physician who suffers an undetected relapse while being properly monitored. Monitoring by impaired physicians programs provides a more sensitive and specific mechanism for detecting relapsed physicians. Moreover, compromise of the privacy and employment rights of recovering physicians by consent disclosure is not justified if programs provide rigorous monitoring that protects the welfare of patients. Finally, required consent disclosure will reduce referrals of chemically dependent physicians to impaired physicians programs, thereby increasing the danger to patients. Limiting demands for required consent disclosure necessitates effective operation of impaired physicians programs.

  2. Nuclear medicine in the management of patients with heart failure: guidance from an expert panel of the International Atomic Energy Agency (IAEA)

    PubMed Central

    Peix, Amalia; Mesquita, Claudio Tinoco; Paez, Diana; Pereira, Carlos Cunha; Felix, Renata; Gutierrez, Claudia; Jaimovich, Rodrigo; Ianni, Barbara Maria; Soares, Jose; Olaya, Pastor; Rodriguez, Ma. Victoria; Flotats, Albert; Giubbini, Raffaele; Travin, Mark

    2014-01-01

    Heart failure is increasing worldwide at epidemic proportions, resulting in considerable disability, mortality, and increase in healthcare costs. Gated myocardial perfusion single photon emission computed tomography or PET imaging is the most prominent imaging modality capable of providing information on global and regional ventricular function, the presence of intraventricular synchronism, myocardial perfusion, and viability on the same test. In addition, 123I-mIBG scintigraphy is the only imaging technique approved by various regulatory agencies able to provide information regarding the adrenergic function of the heart. Therefore, both myocardial perfusion and adrenergic imaging are useful tools in the workup and management of heart failure patients. This guide is intended to reinforce the information on the use of nuclear cardiology techniques for the assessment of heart failure and associated myocardial disease. PMID:24781009

  3. FY2016 Update on ILAW Glass Testing for Disposal at IDF

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

    Brown, E. E.; Swanberg, D. J.; Muller, Isabelle S.

    2017-04-12

    This status report provides a FY2016 update on work performed to collect information on the corrosion behavior of LAW glasses to support the IDF PA. In addition to the development of the baseline operating envelope for the WTP, since 2003, VSL has developed a wide range of LAW formulations that achieve considerably higher waste loadings than the WTP baseline formulations.

  4. Iowa Commercial Pesticide Applicator Manual, Category 1D: Fruit and Vegetable Pest Control and Supplement. CS-12 and CS-12a.

    ERIC Educational Resources Information Center

    Epstein, Abraham H.; And Others

    This manual provides information needed to meet specific standards for certification as a pesticide applicator. The major weed and insect pests of fruits and vegetables are pictured and discussed. Suggested methods for control by utilizing herbicides and pesticides are presented with attention given to safety considerations for both humans and the…

  5. Pregnancy and Marfan syndrome

    PubMed Central

    Goland, Sorel

    2017-01-01

    Pregnancy in women with Marfan syndrome (MFS) presents challenges to the clinician and the patient due to the increased incidence of maternal complications and involvement of the fetus, and deserves special consideration. The leading cause of morbidity and mortality in MFS is aortic dissection. This article presents an extensive review of available clinical information and provides recommendations for the management of patients with MFS during pregnancy. PMID:29270376

  6. [Some ethical considerations, especially identity, during xenotransplantation].

    PubMed

    Cüer, P

    2000-05-01

    Provided that a pandemic due to retroviruses or prions eventually transmitted by animals is under control, in accordance with the fundamental ethical rule to serve the best interest of the patient, any organ xenotransplantation raises an important ethical dilemma: how to deliver proper and adapted information to the patient on the preservation of his identity. Xenotransplantation of any part of the brain seems to us unethical.

  7. Cardiac disease and hypertension. Considerations for office treatment.

    PubMed

    Moskowitz, L

    1999-07-01

    This article focuses on four classifications of cardiac disease in an effort to provide the information necessary to recognize, process, and react appropriately to either a patient's symptoms or medical history. Each section covers relevant demographic data, discusses pathophysiology, and describes what the practicing dentist must know about the underlying illness to make treatment decisions about patients. Management issues on cardiac patient care are also discussed.

  8. Misconceptions on Buying A Computer! [and]"But, We Don't Have the Money..." (Or as It Should Be "The Check's in the Mail..."). Key Notes.

    ERIC Educational Resources Information Center

    Access Group, Atlanta, GA.

    Two brief information pamphlets for families of children with disabilities provide: (1) consideration of common misconceptions in buying a computer, and (2) suggestions of ways that parents can obtain assistive technology devices and services from various service delivery systems despite their claims of lack of funds. In the first information…

  9. Early Warning and Early Action during the 2015-16 El Nino Event

    NASA Astrophysics Data System (ADS)

    Robertson, A. W.; Goddard, L. M.

    2016-12-01

    Strong El Niño events have a marked impact on regional climate worldwide through their influence on large-scale atmospheric circulation. As a result, seasonal climate forecasts show greater skill during El Niño events, which provide communities, governments and humanitarian agencies greater ability to plan and prepare. The scientific community has advanced considerably in the quality and content of information provided about El Niño and its impacts. As a result, society has become better aware of and engaged with this information. This talk will present some details on how we navigate the fine line between expectations and probabilistic forecasts, and how this information was used during the 2015-16 El Niño event. Examples are drawn from the health sector and food security community. Specific attention will be given to the importance of problem-focus and data availability in the appropriate tailoring of climate information for Early Warning/Early Action.

  10. The role of population monitoring in the management of North American waterfowl

    USGS Publications Warehouse

    Nichols, J.D.; Williams, B.K.; Johnson, F.A.

    2000-01-01

    Despite the effort and expense devoted to large-scale monitoring programs, few existing programs have been designed with specific objectives in mind and few permit strong inferences about the dynamics of monitored systems. The waterfowl population monitoring programs of the U.S. Fish and Wildlife Service, Canadian Wildlife Service and state and provincial agencies provide a nice example with respect to program objectives, design and implementation. The May Breeding Grounds Survey provides an estimate of system state (population size) that serves two primary purposes in the adaptive management process: identifying the appropriate time-specific management actions and updating the information state (model weights) by providing a basis for evaluating predictions of competing models. Other waterfowl monitoring programs (e.g., banding program, hunter questionnaire survey, parts collection survey, winter survey) provide estimates of vital rates (rates of survival, reproduction and movement) associated with system dynamics and variables associated with management objectives (e.g., harvest). The reliability of estimates resulting from monitoring programs depends strongly on whether considerations about spatial variation and detection probability have been adequately incorporated into program design and implementation. Certain waterfowl surveys again provide nice examples of monitoring programs that incorporate these considerations.

  11. Analytic Considerations and Design Basis for the IEEE Distribution Test Feeders

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

    Schneider, K. P.; Mather, B. A.; Pal, B. C.

    For nearly 20 years the Test Feeder Working Group of the Distribution System Analysis Subcommittee has been developing openly available distribution test feeders for use by researchers. The purpose of these test feeders is to provide models of distribution systems that reflect the wide diversity in design and their various analytic challenges. Because of their utility and accessibility, the test feeders have been used for a wide range of research, some of which has been outside the original scope of intended uses. This paper provides an overview of the existing distribution feeder models and clarifies the specific analytic challenges thatmore » they were originally designed to examine. Additionally, the paper will provide guidance on which feeders are best suited for various types of analysis. The purpose of this paper is to provide the original intent of the Working Group and to provide the information necessary so that researchers may make an informed decision on which of the test feeders are most appropriate for their work.« less

  12. Analytic Considerations and Design Basis for the IEEE Distribution Test Feeders

    DOE PAGES

    Schneider, K. P.; Mather, B. A.; Pal, B. C.; ...

    2017-10-10

    For nearly 20 years the Test Feeder Working Group of the Distribution System Analysis Subcommittee has been developing openly available distribution test feeders for use by researchers. The purpose of these test feeders is to provide models of distribution systems that reflect the wide diversity in design and their various analytic challenges. Because of their utility and accessibility, the test feeders have been used for a wide range of research, some of which has been outside the original scope of intended uses. This paper provides an overview of the existing distribution feeder models and clarifies the specific analytic challenges thatmore » they were originally designed to examine. Additionally, the paper will provide guidance on which feeders are best suited for various types of analysis. The purpose of this paper is to provide the original intent of the Working Group and to provide the information necessary so that researchers may make an informed decision on which of the test feeders are most appropriate for their work.« less

  13. Consideration of health inequalities in systematic reviews: a mapping review of guidance.

    PubMed

    Maden, Michelle

    2016-11-28

    Given that we know that interventions shown to be effective in improving the health of a population may actually widen the health inequalities gap while others reduce it, it is imperative that all systematic reviewers consider how the findings of their reviews may impact (reduce or increase) on the health inequality gap. This study reviewed existing guidance on incorporating considerations of health inequalities in systematic reviews in order to examine the extent to which they can help reviewers to incorporate such issues. A mapping review was undertaken to identify guidance documents that purported to inform reviewers on whether and how to incorporate considerations of health inequalities. Searches were undertaken in Medline, CINAHL and The Cochrane Library Methodology Register. Review guidance manuals prepared by international organisations engaged in undertaking systematic reviews, and their associated websites were scanned. Studies were included if they provided an overview or discussed the development and testing of guidance for dealing with the incorporation of considerations of health inequalities in evidence synthesis. Results are summarised in narrative and tabular forms. Twenty guidance documents published between 2009 and 2016 were included. Guidance has been produced to inform considerations of health inequalities at different stages of the systematic review process. The Campbell and Cochrane Equity Group have been instrumental in developing and promoting such guidance. Definitions of health inequalities and guidance differed across the included studies. All but one guidance document were transparent in their method of production. Formal methods of evaluation were reported for six guidance documents. Most of the guidance was operationalised in the form of examples taken from published systematic reviews. The number of guidance items to operationalise ranges from 3 up to 26 with a considerable overlap noted. Adhering to the guidance will require more work for the reviewers. It requires a deeper understanding of how reviewers can operationalise the guidance taking into consideration the barriers and facilitators involved. This has implications not only for understanding the usefulness and burden of the guidance but also for the uptake of guidance and its ultimate goal of improving health inequalities considerations in systematic reviews.

  14. Minimum Information Specification For In Situ Hybridization and Immunohistochemistry Experiments (MISFISHIE)

    PubMed Central

    Deutsch, Eric W; Ball, Catherine A; Berman, Jules J; Bova, G Steven; Brazma, Alvis; Bumgarner, Roger E; Campbell, David; Causton, Helen C; Christiansen, Jeffrey H; Daian, Fabrice; Dauga, Delphine; Davidson, Duncan R; Gimenez, Gregory; Goo, Young Ah; Grimmond, Sean; Henrich, Thorsten; Herrmann, Bernhard G; Johnson, Michael H; Korb, Martin; Mills, Jason C; Oudes, Asa J; Parkinson, Helen E; Pascal, Laura E; Pollet, Nicolas; Quackenbush, John; Ramialison, Mirana; Ringwald, Martin; Salgado, David; Sansone, Susanna-Assunta; Sherlock, Gavin; Stoeckert, Christian J; Swedlow, Jason; Taylor, Ronald C; Walashek, Laura; Warford, Anthony; Wilkinson, David G; Zhou, Yi; Zon, Leonard I; Liu, Alvin Y; True, Lawrence D

    2015-01-01

    One purpose of the biomedical literature is to report results in sufficient detail so that the methods of data collection and analysis can be independently replicated and verified. Here we present for consideration a minimum information specification for gene expression localization experiments, called the “Minimum Information Specification For In Situ Hybridization and Immunohistochemistry Experiments (MISFISHIE)”. It is modelled after the MIAME (Minimum Information About a Microarray Experiment) specification for microarray experiments. Data specifications like MIAME and MISFISHIE specify the information content without dictating a format for encoding that information. The MISFISHIE specification describes six types of information that should be provided for each experiment: Experimental Design, Biomaterials and Treatments, Reporters, Staining, Imaging Data, and Image Characterizations. This specification has benefited the consortium within which it was initially developed and is expected to benefit the wider research community. We welcome feedback from the scientific community to help improve our proposal. PMID:18327244

  15. Patterns of informal reasoning in the context of socioscientific decision making

    NASA Astrophysics Data System (ADS)

    Sadler, Troy D.; Zeidler, Dana L.

    2005-01-01

    The purpose of this study is to contribute to a theoretical knowledge base through research by examining factors salient to science education reform and practice in the context of socioscientific issues. The study explores how individuals negotiate and resolve genetic engineering dilemmas. A qualitative approach was used to examine patterns of informal reasoning and the role of morality in these processes. Thirty college students participated individually in two semistructured interviews designed to explore their informal reasoning in response to six genetic engineering scenarios. Students demonstrated evidence of rationalistic, emotive, and intuitive forms of informal reasoning. Rationalistic informal reasoning described reason-based considerations; emotive informal reasoning described care-based considerations; and intuitive reasoning described considerations based on immediate reactions to the context of a scenario. Participants frequently relied on combinations of these reasoning patterns as they worked to resolve individual socioscientific scenarios. Most of the participants appreciated at least some of the moral implications of their decisions, and these considerations were typically interwoven within an overall pattern of informal reasoning. These results highlight the need to ensure that science classrooms are environments in which intuition and emotion in addition to reason are valued. Implications and recommendations for future research are discussed.

  16. Alternative approaches to vertebrate ecotoxicity tests in the 21st century: A review of developments over the last 2 decades and current status.

    PubMed

    Lillicrap, Adam; Belanger, Scott; Burden, Natalie; Pasquier, David Du; Embry, Michelle R; Halder, Marlies; Lampi, Mark A; Lee, Lucy; Norberg-King, Teresa; Rattner, Barnett A; Schirmer, Kristin; Thomas, Paul

    2016-11-01

    The need for alternative approaches to the use of vertebrate animals for hazard assessment of chemicals and pollutants has become of increasing importance. It is now the first consideration when initiating a vertebrate ecotoxicity test, to ensure that unnecessary use of vertebrate organisms is minimized wherever possible. For some regulatory purposes, the use of vertebrate organisms for environmental risk assessments has been banned; in other situations, the number of organisms tested has been dramatically reduced or the severity of the procedure refined. However, there is still a long way to go to achieve a complete replacement of vertebrate organisms to generate environmental hazard data. The development of animal alternatives is based not just on ethical considerations but also on reducing the cost of performing vertebrate ecotoxicity tests and in some cases on providing better information aimed at improving environmental risk assessments. The present Focus article provides an overview of the considerable advances that have been made toward alternative approaches for ecotoxicity assessments over the last few decades. Environ Toxicol Chem 2016;35:2637-2646. © 2016 SETAC. © 2016 SETAC.

  17. Deriving user-informed climate information from climate model ensemble results

    NASA Astrophysics Data System (ADS)

    Huebener, Heike; Hoffmann, Peter; Keuler, Klaus; Pfeifer, Susanne; Ramthun, Hans; Spekat, Arne; Steger, Christian; Warrach-Sagi, Kirsten

    2017-07-01

    Communication between providers and users of climate model simulation results still needs to be improved. In the German regional climate modeling project ReKliEs-De a midterm user workshop was conducted to allow the intended users of the project results to assess the preliminary results and to streamline the final project results to their needs. The user feedback highlighted, in particular, the still considerable gap between climate research output and user-tailored input for climate impact research. Two major requests from the user community addressed the selection of sub-ensembles and some condensed, easy to understand information on the strengths and weaknesses of the climate models involved in the project.

  18. Advanced study of global oceanographic requirements for EOS A/B: Technical volume

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Characteristics of the ocean are considered in terms of U.S. social, scientific and ecomomic priorities and in terms of the measurements that can best be made from a spacecraft. The kinds of information needed to advance the basic ocean sciences, to improve marine transportation and fisheries operations, and to provide information for pollution control are discussed. These information needs were related to sensor concepts and an optimum sensor complement is presented, together with orbital considerations. The data-gathering capabilities of an oceanographic spacecraft were considered in relation to those of terrestrial oceanographic programs, using airborne, surface, and submarine platforms. Data management problems are discussed and are considered to be solvable with current technology.

  19. Security for Telecommuting and Broadband Communications: Recommendations of the National Institute of Standards and Technology

    NASA Astrophysics Data System (ADS)

    Kuhn, D. R.; Tracy, Miles C.; Frankel, Sheila E.

    2002-08-01

    This document is intended to assist those responsible - users, system administrators, and management - for telecommuting security, by providing introductory information about broadband communication security and policy, security of home office systems, and considerations for system administrators in the central office. It addresses concepts relating to the selection, deployment, and management of broadband communications for a telecommuting user. This document is not intended to provide a mandatory framework for telecommuting or home office broadband communication environments, but rather to present suggested approaches to the topic.

  20. Neuroimaging in pediatric traumatic head injury: diagnostic considerations and relationships to neurobehavioral outcome.

    PubMed

    Bigler, E D

    1999-08-01

    Contemporary neuorimaging techniques in child traumatic brain injury are reviewed, with an emphasis on computerized tomography (CT) and magnetic resonance (MR) imaging. A brief overview of MR spectroscopy (MRS), functional MR imaging (fMRI), single-photon emission computed tomography (SPECT), and magnetoencephalography (MEG) is also provided because these techniques will likely constitute important neuroimaging techniques of the future. Numerous figures are provided to illustrate the multifaceted manner in which traumatic deficits can be imaged and the role of neuroimaging information as it relates to TBI outcome.

  1. An evaluation of the science needs to inform decisions on Outer Continental Shelf energy development in the Chukchi and Beaufort Seas, Alaska

    USGS Publications Warehouse

    Holland-Bartels, Leslie; Pierce, Brenda

    2011-01-01

    The U. S. Geological Survey (USGS) was asked to conduct an initial, independent evaluation of the science needs that would inform the Administration's consideration of the right places and the right ways in which to develop oil and gas resources in the Arctic Outer Continental Shelf (OCS), particularly focused on the Beaufort and Chukchi Seas. Oil and gas potential is significant in Arctic Alaska. Beyond petroleum potential, this region supports unique fish and wildlife resources and ecosystems, and indigenous people who rely on these resources for subsistence. This report summarizes key existing scientific information and provides initial guidance of what new and (or) continued research could inform decision making. This report is presented in a series of topical chapters and various appendixes each written by a subset of the USGS OCS Team based on their areas of expertise. Three chapters (Chapters 2, 3, and 4) provide foundational information on geology; ecology and subsistence; and climate settings important to understanding the conditions pertinent to development in the Arctic OCS. These chapters are followed by three chapters that examine the scientific understanding, science gaps, and science sufficiency questions regarding oil-spill risk, response, and impact (Chapter 5), marine mammals and anthropogenic noise (Chapter 6), and cumulative impacts (Chapter 7). Lessons learned from the 1989 Exxon Valdez Oil Spill are included to identify valuable "pre-positioned" science and scientific approaches to improved response and reduced uncertainty in damage assessment and restoration efforts (appendix D). An appendix on Structured Decision Making (appendix C) is included to illustrate the value of such tools that go beyond, but incorporate, science in looking at what can/should be done about policy and implementation of Arctic development. The report provides a series of findings and recommendations for consideration developed during the independent examination of science gaps and sufficiency. These recommendations are important for understanding what the USGS discovered in the course of this study and to help inform and improve decision making.

  2. Geospatial considerations for a multiorganizational, landscape-scale program

    USGS Publications Warehouse

    O'Donnell, Michael S.; Assal, Timothy J.; Anderson, Patrick J.; Bowen, Zachary H.

    2013-01-01

    Geospatial data play an increasingly important role in natural resources management, conservation, and science-based projects. The management and effective use of spatial data becomes significantly more complex when the efforts involve a myriad of landscape-scale projects combined with a multiorganizational collaboration. There is sparse literature to guide users on this daunting subject; therefore, we present a framework of considerations for working with geospatial data that will provide direction to data stewards, scientists, collaborators, and managers for developing geospatial management plans. The concepts we present apply to a variety of geospatial programs or projects, which we describe as a “scalable framework” of processes for integrating geospatial efforts with management, science, and conservation initiatives. Our framework includes five tenets of geospatial data management: (1) the importance of investing in data management and standardization, (2) the scalability of content/efforts addressed in geospatial management plans, (3) the lifecycle of a geospatial effort, (4) a framework for the integration of geographic information systems (GIS) in a landscape-scale conservation or management program, and (5) the major geospatial considerations prior to data acquisition. We conclude with a discussion of future considerations and challenges.

  3. EANM 2012 guidelines for radionuclide imaging of phaeochromocytoma and paraganglioma

    PubMed Central

    Timmers, Henri J.; Hindié, Elif; Guillet, Benjamin A.; Neumann, Hartmut P.; Walz, Martin K.; Opocher, Giuseppe; de Herder, Wouter W.; Boedeker, Carsten C.; de Krijger, Ronald R.; Chiti, Arturo; Al-Nahhas, Adil; Pacak, Karel

    2016-01-01

    Purpose Radionuclide imaging of phaeochromocytomas (PCCs) and paragangliomas (PGLs) involves various functional imaging techniques and approaches for accurate diagnosis, staging and tumour characterization. The purpose of the present guidelines is to assist nuclear medicine practitioners in performing, interpreting and reporting the results of the currently available SPECT and PET imaging approaches. These guidelines are intended to present information specifically adapted to European practice. Methods Guidelines from related fields, issued by the European Association of Nuclear Medicine and the Society of Nuclear Medicine, were taken into consideration and are partially integrated within this text. The same was applied to the relevant literature, and the final result was discussed with leading experts involved in the management of patients with PCC/PGL. The information provided should be viewed in the context of local conditions, laws and regulations. Conclusion Although several radionuclide imaging modalities are considered herein, considerable focus is given to PET imaging which offers high sensitivity targeted molecular imaging approaches. PMID:22926712

  4. Introduction to SIMRAND: Simulation of research and development project

    NASA Technical Reports Server (NTRS)

    Miles, R. F., Jr.

    1982-01-01

    SIMRAND: SIMulation of Research ANd Development Projects is a methodology developed to aid the engineering and management decision process in the selection of the optimal set of systems or tasks to be funded on a research and development project. A project may have a set of systems or tasks under consideration for which the total cost exceeds the allocated budget. Other factors such as personnel and facilities may also enter as constraints. Thus the project's management must select, from among the complete set of systems or tasks under consideration, a partial set that satisfies all project constraints. The SIMRAND methodology uses analytical techniques and probability theory, decision analysis of management science, and computer simulation, in the selection of this optimal partial set. The SIMRAND methodology is truly a management tool. It initially specifies the information that must be generated by the engineers, thus providing information for the management direction of the engineers, and it ranks the alternatives according to the preferences of the decision makers.

  5. Ethical considerations in adherence research.

    PubMed

    Patel, Nupur U; Moore, Blake A; Craver, Rebekah F; Feldman, Steven R

    2016-01-01

    Poor adherence to treatment is a common cause of medical treatment failure. Studying adherence is complicated by the potential for the study environment to impact adherence behavior. Studies performed without informing patients about adherence monitoring must balance the risks of deception against the potential benefits of the knowledge to be gained. Ethically monitoring a patient's adherence to a treatment plan without full disclosure of the monitoring plan requires protecting the patient's rights and upholding the fiduciary obligations of the investigator. Adherence monitoring can utilize different levels of deception varying from stealth monitoring, debriefing after the study while informing the subject that some information had been withheld in regard to the use of adherence monitoring (withholding), informed consent that discloses some form of adherence monitoring is being used and will be disclosed at the end of the study (authorized deception), and full disclosure. Different approaches offer different benefits and potential pitfalls. The approach used must balance the risk of nondisclosure against the potential for confounding the adherence monitoring data and the potential benefits that adherence monitoring data will have for the research subjects and/or other populations. This commentary aims to define various methods of adherence monitoring and to provide a discussion of the ethical considerations that accompany the use of each method and adherence monitoring in general as it is used in clinical research.

  6. Health information needs of pregnant women: information sources, motives and barriers.

    PubMed

    Kamali, Sudabeh; Ahmadian, Leila; Khajouei, Reza; Bahaadinbeigy, Kambiz

    2018-03-01

    Pregnant women should be provided with relevant and useful information to manage this specific period of their lives. Assessing information needs of this group is a prerequisite for providing this information. The aim of this study was to assess the information needs of pregnant women during their pregnancy and childbirth. This descriptive study was conducted on the pregnant women who attended antenatal clinics and obstetricians/gynaecologists' offices in Kerman, Iran, in 2015. Data were collected using a self-administered, valid and reliable questionnaire. A total of 400 women participated in the study. Most pregnant women needed information about care of the foetus (n = 344, 86%), physical and psychological complications after delivery (n = 333, 83%), development and growth of the foetus (n = 330, 82.5%), pregnancy nutrition (n = 327, 82%) and special tests during pregnancy (n = 326, 81.5%). They mostly (n = 195, 49%) looked for information when they were suffering from a disease or pregnancy complications. As pregnant women need extensive information to be able to take care of themselves and their babies, their information needs should be identified and taken into consideration when planning educational programmes for this group of women. © 2017 Health Libraries Group.

  7. 14 CFR 1203.303 - Dissemination considerations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Section 1203.303 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION INFORMATION SECURITY... of intended dissemination, use of the information and whether the end purpose to be served renders effective security control impractical are considerations during the classification process. These factors...

  8. 14 CFR 1203.303 - Dissemination considerations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Section 1203.303 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION INFORMATION SECURITY... of intended dissemination, use of the information and whether the end purpose to be served renders effective security control impractical are considerations during the classification process. These factors...

  9. Using Qualitative and Phenomenological Principles to Assess Stakeholders' Perceptions of Probability

    ERIC Educational Resources Information Center

    Newman, Isadore; Hitchcock, John H.; Nastasi, Bonnie K.

    2017-01-01

    Any attempt to influence behavior by sharing a research finding that makes a probabilistic statement (e.g., a p value) should necessarily entail consideration of how consumers of the information might interpret this information. Such consideration can be informed, at least in part, by applying phenomenological principles of inquiry. This does not…

  10. State-Sponsored Public Reporting Programs of Hospital Quality in the United States

    PubMed Central

    Ross, Joseph S.; Sheth, Sameer D.; Krumholz, Harlan M.

    2011-01-01

    The prevalence of state public reporting initiatives focused on hospital quality is not known. We systematically reviewed state-sponsored publicly reporting programs focused on clinical aspects of hospital quality and performance for adults, surveying the 50 U.S. states and the District of Columbia. We found that while identifying information about programs was frequently a challenge, programs were present in 25 states (49%) and provided hospital quality information that varied considerably from state to state both by condition and by process and outcome measures reported. We examine the implications of these findings for future state initiatives. PMID:21134936

  11. Community rotorcraft air transportation benefits and opportunities

    NASA Technical Reports Server (NTRS)

    Gilbert, G. A.; Freund, D. J.; Winick, R. M.; Cafarelli, N. J.; Hodgkins, R. F.; Vickers, T. K.

    1981-01-01

    Information about rotorcraft that will assist community planners in assessing and planning for the use of rotorcraft transportation in their communities is provided. Information useful to helicopter researchers, manufacturers, and operators concerning helicopter opportunities and benefits is also given. Three primary topics are discussed: the current status and future projections of rotorcraft technology, and the comparison of that technology with other transportation vehicles; the community benefits of promising rotorcraft transportation opportunities; and the integration and interfacing considerations between rotorcraft and other transportation vehicles. Helicopter applications in a number of business and public service fields are examined in various geographical settings.

  12. Ethical Considerations When Using Social Media for Research.

    PubMed

    Hammer, Marilyn J

    2017-07-01

    Because of its adaptation across age groups and populations, social media is being used as a venue for the conduction of research studies. The implications for use of social media to streamline data collection and analyses to understand epidemiologic effects of disease are intriguing. Public access to personalized Internet-based searches and conversations for patients with or at risk for cancer can potentially allow providers to target individuals for earlier interventions and improved outcomes. Although publicly posted, the use of personal information to solicit research participants, implement interventions, or abstract information for research studies raises questions regarding maintaining the ethical conduct of research.

  13. Information categorization approach to literary authorship disputes

    NASA Astrophysics Data System (ADS)

    Yang, Albert C.-C.; Peng, C.-K.; Yien, H.-W.; Goldberger, Ary L.

    2003-11-01

    Scientific analysis of the linguistic styles of different authors has generated considerable interest. We present a generic approach to measuring the similarity of two symbolic sequences that requires minimal background knowledge about a given human language. Our analysis is based on word rank order-frequency statistics and phylogenetic tree construction. We demonstrate the applicability of this method to historic authorship questions related to the classic Chinese novel “The Dream of the Red Chamber,” to the plays of William Shakespeare, and to the Federalist papers. This method may also provide a simple approach to other large databases based on their information content.

  14. Textbook coverage of a common topic: fluid management of patients after surgery.

    PubMed

    Chawla, Gunjan; Drummond, Gordon B

    2008-06-01

    Maintenance fluid therapy is a protean topic but is clinically often mismanaged. Our teaching of medical students led us to suspect that textbooks provide limited information about the topic, so we set out to verify this possibility by reviewing the content of books written in English that covered perioperative care. We reviewed publishers' lists of textbooks and found 22 suitable books. After compiling a standard list of questions on intravenous therapy, we read each book to find out to what extent it delivered the answers, and listed the information obtained. Only 13 books answered more than half of the questions. The information varied considerably. Suggested quantities of daily fluid, sodium and potassium requirements varied hugely. Information provided in standard textbooks to guide fluid prescription is scant and variable. This could be a cogent reason why junior doctors prescribe postoperative fluids badly: the information in textbooks is inadequate and varies from book to book. The reasons for the poor coverage are not clear. Perhaps other common topics that are often poorly managed are also badly addressed by standard books.

  15. Examining the Beliefs and Practices of Four Effective Australian Primary Science Teachers

    NASA Astrophysics Data System (ADS)

    Fitzgerald, Angela; Dawson, Vaille; Hackling, Mark

    2013-06-01

    With trends across many countries still indicating the decline of student interest in school science and diminishing numbers of students studying science beyond the compulsory years, it seems that the field remains in crisis. To address these unfortunate trends, there needs to be a greater emphasis on science education research that highlights the good news stories. For example, what are science teachers actually doing in their classrooms to increase student interest and understanding in science? This article focuses on the science teaching beliefs and practices of four Western Australian primary school teachers. The teachers were nominated by a professional colleague as effective practitioners. The study involved gathering information from classroom observations and teacher interviews to provide background information to assist in developing understandings of these teachers and their science teaching. This article reports on the initial findings drawn from Deanne A, Kate B, Lisa C and Rebecca D. Their practices were organised into the following six categories: classroom environment; conceptual knowledge and procedural skills; teaching strategies and approaches; student-specific considerations; teacher-specific considerations; and context-specific considerations. In examining the components contributing to these categories, it was evident that the teachers' beliefs, as well as the contextual factors inherent in each classroom environment, influenced how and why they teach science in the ways they do.

  16. 3D FISH to analyse gene domain-specific chromatin re-modeling in human cancer cell lines.

    PubMed

    Kocanova, Silvia; Goiffon, Isabelle; Bystricky, Kerstin

    2018-06-01

    Fluorescence in situ hybridization (FISH) is a common technique used to label DNA and/or RNA for detection of a genomic region of interest. However, the technique can be challenging, in particular when applied to single genes in human cancer cells. Here, we provide a step-by-step protocol for analysis of short (35 kb-300 kb) genomic regions in three dimensions (3D). We discuss the experimental design and provide practical considerations for 3D imaging and data analysis to determine chromatin folding. We demonstrate that 3D FISH using BACs (Bacterial Artificial Chromosomes) or fosmids can provide detailed information of the architecture of gene domains. More specifically, we show that mapping of specific chromatin landscapes informs on changes associated with estrogen stimulated gene activity in human breast cancer cell lines. Copyright © 2018 Elsevier Inc. All rights reserved.

  17. Legal and ethical implications in the evaluation and management of sports-related concussion.

    PubMed

    Kirschen, Matthew P; Tsou, Amy; Nelson, Sarah Bird; Russell, James A; Larriviere, Daniel

    2014-07-22

    To examine the ethical and legal issues physicians face when evaluating and managing athletes with sports-related concussions, and to offer guidance to physicians as they navigate these situations. This position paper reviews and compares the components of sports-related concussion laws, including education, removal from play, and clearance for return to play. It highlights the challenges privacy laws present relevant to providing care to concussed athletes and suggests ways to help physicians overcome these obstacles. The report also explores the ethical considerations physicians should bear in mind as they evaluate and manage concussed athletes, addressing them through a framework that includes considerations of professionalism, informed decision-making, patient autonomy, beneficence, nonmaleficence, conflicts of interest, and distributive justice. Physicians caring for concussed athletes have an ethical obligation to ensure that their primary responsibility is to safeguard the current and future physical and mental health of their patients. Physicians have a duty to provide athletes and their parents with information about concussion risk factors, symptoms, and the risks for postconcussion neurologic impairments. Physicians should facilitate informed and shared decision-making among athletes, parents, and medical teams while protecting athletes from potential harm. Additionally, including concussion evaluation and management training in neurology residency programs, as well as developing a national concussion registry, will benefit patients by the development of policies and clinical guidelines that optimize prevention and treatment of concussive head injury. © 2014 American Academy of Neurology.

  18. Exposure Estimation and Interpretation of Occupational Risk: Enhanced Information for the Occupational Risk Manager

    PubMed Central

    Waters, Martha; McKernan, Lauralynn; Maier, Andrew; Jayjock, Michael; Schaeffer, Val; Brosseau, Lisa

    2015-01-01

    The fundamental goal of this article is to describe, define, and analyze the components of the risk characterization process for occupational exposures. Current methods are described for the probabilistic characterization of exposure, including newer techniques that have increasing applications for assessing data from occupational exposure scenarios. In addition, since the probability of health effects reflects variability in the exposure estimate as well as the dose-response curve—the integrated considerations of variability surrounding both components of the risk characterization provide greater information to the occupational hygienist. Probabilistic tools provide a more informed view of exposure as compared to use of discrete point estimates for these inputs to the risk characterization process. Active use of such tools for exposure and risk assessment will lead to a scientifically supported worker health protection program. Understanding the bases for an occupational risk assessment, focusing on important sources of variability and uncertainty enables characterizing occupational risk in terms of a probability, rather than a binary decision of acceptable risk or unacceptable risk. A critical review of existing methods highlights several conclusions: (1) exposure estimates and the dose-response are impacted by both variability and uncertainty and a well-developed risk characterization reflects and communicates this consideration; (2) occupational risk is probabilistic in nature and most accurately considered as a distribution, not a point estimate; and (3) occupational hygienists have a variety of tools available to incorporate concepts of risk characterization into occupational health and practice. PMID:26302336

  19. Integrating community-based verbal autopsy into civil registration and vital statistics (CRVS): system-level considerations

    PubMed Central

    de Savigny, Don; Riley, Ian; Chandramohan, Daniel; Odhiambo, Frank; Nichols, Erin; Notzon, Sam; AbouZahr, Carla; Mitra, Raj; Cobos Muñoz, Daniel; Firth, Sonja; Maire, Nicolas; Sankoh, Osman; Bronson, Gay; Setel, Philip; Byass, Peter; Jakob, Robert; Boerma, Ties; Lopez, Alan D.

    2017-01-01

    ABSTRACT Background: Reliable and representative cause of death (COD) statistics are essential to inform public health policy, respond to emerging health needs, and document progress towards Sustainable Development Goals. However, less than one-third of deaths worldwide are assigned a cause. Civil registration and vital statistics (CRVS) systems in low- and lower-middle-income countries are failing to provide timely, complete and accurate vital statistics, and it will still be some time before they can provide physician-certified COD for every death. Proposals: Verbal autopsy (VA) is a method to ascertain the probable COD and, although imperfect, it is the best alternative in the absence of medical certification. There is extensive experience with VA in research settings but only a few examples of its use on a large scale. Data collection using electronic questionnaires on mobile devices and computer algorithms to analyse responses and estimate probable COD have increased the potential for VA to be routinely applied in CRVS systems. However, a number of CRVS and health system integration issues should be considered in planning, piloting and implementing a system-wide intervention such as VA. These include addressing the multiplicity of stakeholders and sub-systems involved, integration with existing CRVS work processes and information flows, linking VA results to civil registration records, information technology requirements and data quality assurance. Conclusions: Integrating VA within CRVS systems is not simply a technical undertaking. It will have profound system-wide effects that should be carefully considered when planning for an effective implementation. This paper identifies and discusses the major system-level issues and emerging practices, provides a planning checklist of system-level considerations and proposes an overview for how VA can be integrated into routine CRVS systems. PMID:28137194

  20. Development of vendor evaluation criteria and post-implementation considerations for MSFC center-wide executive information system

    NASA Technical Reports Server (NTRS)

    Moynihan, Gary P.

    1992-01-01

    In June 1991, the MITRE Corporation submitted a series of recommendations as part of a Marshall Space Flight Center (MSFC) Management Information System Requirements Study, initiated by the Information Systems Office (ISO). A major recommendation of the study was to develop an Executive Information System (EIS) for MSFC executives. ISO was directed, by center management, to proceed with the development of a Center-Wide Executive Information System. Existing EIS prototypes, developed by the Space Shuttle Projects Office and the Payload Projects Office, were reviewed. These existing MSFC prototypes were considered not to encompass the required functionality needed on a center-wide basis. A follow-up study by MITRE provided top-level system requirements. These were later incorporated into a final requirements specification document by Boeing Computer Support Services.

  1. Health Economics Information in Wound Care: The Elephant in the Room

    PubMed Central

    Carter, Marissa Janine

    2013-01-01

    Objective To describe the role of health economics (HE) in wound care in relation to coverage and reimbursement. Approach Narrative description of key concepts with supporting references. Results The process of approval or clearance of wound care products within the U.S. regulatory framework often causes lack of high level of evidence regarding clinical outcomes. There is also a paucity of HE information and great reluctance to use such information (when it is available) by insurers and Centers for Medicare and Medicaid, as well as other health-care agencies. Cost-effectiveness (CE) studies are the most common type of HE study in wound care, and the most common outcomes are incremental CE ratios (ICERs). Interpretation of ICERs requires considerable judgment when results are not obvious and is hampered by lack of contemporary and useful benchmarks. While many lessons have been learned in applying CE to coverage and reimbursement decisions in other western countries—including transparency of decision-making and involvement of patients—there is still a major aversion to using CE in the United States Applying CE to basic wound care and advanced therapeutics has the potential to decrease the costs of wound healing considerably. Innovation and Conclusions Many CE approaches, including modeling, provide sufficiently detailed information that decision-makers can make informed decisions about wound care products in regard to coverage and reimbursement. The reluctance to use CE information in the United States, however, is likely to contribute heavily to the ever-increasing costs in wound care. PMID:24527322

  2. Mixing methodology, nursing theory and research design for a practice model of district nursing advocacy.

    PubMed

    Reed, Frances M; Fitzgerald, Les; Rae, Melanie

    2016-01-01

    To highlight philosophical and theoretical considerations for planning a mixed methods research design that can inform a practice model to guide rural district nursing end of life care. Conceptual models of nursing in the community are general and lack guidance for rural district nursing care. A combination of pragmatism and nurse agency theory can provide a framework for ethical considerations in mixed methods research in the private world of rural district end of life care. Reflection on experience gathered in a two-stage qualitative research phase, involving rural district nurses who use advocacy successfully, can inform a quantitative phase for testing and complementing the data. Ongoing data analysis and integration result in generalisable inferences to achieve the research objective. Mixed methods research that creatively combines philosophical and theoretical elements to guide design in the particular ethical situation of community end of life care can be used to explore an emerging field of interest and test the findings for evidence to guide quality nursing practice. Combining philosophy and nursing theory to guide mixed methods research design increases the opportunity for sound research outcomes that can inform a nursing model of care.

  3. A Framework for Analysis of Research Risks and Benefits to Participants in Standard of Care Pragmatic Clinical Trials

    PubMed Central

    Chen, Stephanie C; Kim, Scott Y H

    2016-01-01

    Background/Aims Standard of care pragmatic clinical trials (SCPCTs) that compare treatments already in use could improve care and reduce cost but there is considerable debate about the research risks of SCPCTs and how to apply informed consent regulations to such trials. We sought to develop a framework integrating the insights from opposing sides of the debate. Methods We developed a formal risk-benefit analysis framework for SCPCTs and then applied it to key provisions of the U.S. federal regulations. Results Our formal framework for SCPCT risk-benefit analysis takes into account three key considerations: the ex ante estimates of risks and benefits of the treatments to be compared in a SCPCT, the allocation ratios of treatments inside and outside a SCPCT, and the significance of some participants receiving a different treatment inside a SCPCT than outside the trial. The framework provides practical guidance on how the research ethics regulations on informed consent should be applied to SCPCTs. Conclusions Our proposed formal model makes explicit the relationship between the concepts used by opposing sides of the debate about the research risks of SCPCTs and can be used to clarify the implications for informed consent. PMID:27365010

  4. [Practice report: the process-based indicator dashboard. Visualising quality assurance results in standardised processes].

    PubMed

    Petzold, Thomas; Hertzschuch, Diana; Elchlep, Frank; Eberlein-Gonska, Maria

    2014-01-01

    Process management (PM) is a valuable method for the systematic analysis and structural optimisation of the quality and safety of clinical treatment. PM requires a high motivation and willingness to implement changes of both employees and management. Definition of quality indicators is required to systematically measure the quality of the specified processes. One way to represent comparable quality results is the use of quality indicators of the external quality assurance in accordance with Sect. 137 SGB V—a method which the Federal Joint Committee (GBA) and the institutions commissioned by the GBA have employed and consistently enhanced for more than ten years. Information on the quality of inpatient treatment is available for 30 defined subjects throughout Germany. The combination of specified processes with quality indicators is beneficial for the information of employees. A process-based indicator dashboard provides essential information about the treatment process. These can be used for process analysis. In a continuous consideration of these indicator results values can be determined and errors will be remedied quickly. If due consideration is given to these indicators, they can be used for benchmarking to identify potential process improvements. Copyright © 2014. Published by Elsevier GmbH.

  5. Toxic chemical considerations for tank farm releases

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

    Van Keuren, J.C.; Davis, J.S., Westinghouse Hanford

    1996-08-01

    This topical report contains technical information used to determine the accident consequences of releases of toxic chemical and gases for the Tank Farm Final Safety Analysis report (FSAR).It does not provide results for specific accident scenarios but does provide information for use in those calculations including chemicals to be considered, chemical concentrations, chemical limits and a method of summing the fractional contributions of each chemical. Tank farm composites evaluated were liquids and solids for double shell tanks, single shell tanks, all solids,all liquids, headspace gases, and 241-C-106 solids. Emergency response planning guidelines (ERPGs) were used as the limits.Where ERPGs weremore » not available for the chemicals of interest, surrogate ERPGs were developed. Revision 2 includes updated sample data, an executive summary, and some editorial revisions.« less

  6. Providing security for automated process control systems at hydropower engineering facilities

    NASA Astrophysics Data System (ADS)

    Vasiliev, Y. S.; Zegzhda, P. D.; Zegzhda, D. P.

    2016-12-01

    This article suggests the concept of a cyberphysical system to manage computer security of automated process control systems at hydropower engineering facilities. According to the authors, this system consists of a set of information processing tools and computer-controlled physical devices. Examples of cyber attacks on power engineering facilities are provided, and a strategy of improving cybersecurity of hydropower engineering systems is suggested. The architecture of the multilevel protection of the automated process control system (APCS) of power engineering facilities is given, including security systems, control systems, access control, encryption, secure virtual private network of subsystems for monitoring and analysis of security events. The distinctive aspect of the approach is consideration of interrelations and cyber threats, arising when SCADA is integrated with the unified enterprise information system.

  7. Interactions between patients and dental care providers: does gender matter?

    PubMed

    Inglehart, Marita R

    2013-04-01

    Research findings concerning the role of gender in patient-physician interactions can inform considerations about the role of gender in patient-dental care provider interactions. Medical research showed that gender differences in verbal and nonverbal communication in medical settings exist and that they affect the outcomes of these interactions. The process of communication is shaped by gender identities, gender stereotypes, and attitudes. Future research needs to consider the cultural complexity and diversity in which gender issues are embedded and the degree to which ongoing value change will shape gender roles and in turn interactions between dental patients and their providers. Copyright © 2013 Elsevier Inc. All rights reserved.

  8. Human Systems Integration: Unmanned Aircraft Control Station Certification Plan Guidance

    NASA Technical Reports Server (NTRS)

    2005-01-01

    This document provides guidance to the FAA on important human factors considerations that can be used to support the certification of a UAS Aircraft Control Station (ACS). This document provides a synopsis of the human factors analysis, design and test activities to be performed to provide a basis for FAA certification. The data from these analyses, design activities, and tests, along with data from certification/qualification tests of other key components should be used to establish the ACS certification basis. It is expected that this information will be useful to manufacturers in developing the ACS Certification Plan,, and in supporting the design of their ACS.

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

    Bennett, D.A.

    The hazardous waste cleanup program under the Comprehensive Environmental Response, Compensation, and Liability Act (Superfund) is delegated to the ten Regions of the US Environmental Protection Agency (EPA) and has, to date, identified more than 33,000 sites for consideration. The size and complexity of the program places great demands on those who would provide information to achieve national consistency in application of risk assessment while meeting site-specific needs for risk management and risk communication.

  10. 76 FR 70444 - Environmental Economics Advisory Committee Augmented for the Consideration of the Value of Water...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-14

    ...The Environmental Protection Agency (EPA or Agency) Science Advisory Board (SAB) Staff Office announces a public teleconference of the augmented SAB Environmental Economics Advisory Committee to provide early advice on the value of water to the United States (U.S.) Economy. The SAB Staff Office also announces the availability of information on committee members and the opportunity for public comment.

  11. Evaluation of hand sensibility: a review.

    PubMed

    Novak, C B

    2001-01-01

    Many assessment devices and measures have been described to evaluate sensibility, with little consensus on the optimal measurement tool. The purpose of this paper is to review the assessment methods and devices used in the evaluation of hand sensibility. Consideration is given to the characteristics of each measurement tool, the information necessary for complete patient evaluation, and the battery of valid and reliable measurements that provide the most complete and accurate patient assessment.

  12. Combating plagiarism: the role of the health librarian.

    PubMed

    Spring, Hannah; Adams, Rachel

    2013-12-01

    This feature looks at the issue of plagiarism in health care students and the role of the health librarian in combating the problem. In particular, consideration is given to how plagiarism can occur and provides some examples from two UK universities of approaches health librarians can take in supporting students to avoid these common pitfalls. © 2013 The authors. Health Information and Libraries Journal © 2013 Health Libraries Group.

  13. "These issues aren't talked about at home": a qualitative study of the sexual and reproductive health information preferences of adolescents in Vanuatu.

    PubMed

    Kennedy, Elissa C; Bulu, Siula; Harris, Jennifer; Humphreys, David; Malverus, Jayline; Gray, Natalie J

    2014-07-30

    Onset of sexual activity during adolescence is common in Vanuatu, however access to comprehensive sexual and reproductive health (SRH) information is limited. Improving adolescents' knowledge about SRH is necessary to improve health outcomes, however little is known about the information needs and preferences of adolescents in the Pacific to inform policy and programs in this region. Sixty-six focus group discussions were conducted with 341 male and female adolescents aged 15-19 years from rural and urban communities on two islands of Vanuatu. Twelve key-informant interviews were also conducted with policymakers and health service providers. Data were analysed thematically using an inductive approach. Much of the SRH information targeting adolescents focused on sexually transmitted infections and HIV. While this information was valued, important gaps were identified including prevention of pregnancy, condom use, puberty, sexuality and relationships. Peer educators and health workers were adolescents' preferred sources of information because they were considered knowledgeable and trustworthy. Parents were not a common source but were preferred, particularly by girls, despite considerable socio-cultural barriers. Schools were an important but underutilised source of information, as were a range of media sources. Providing adolescents with comprehensive SRH information can have life-long protective benefits, however there are important content gaps in information currently provided in Vanuatu. The broad range of sources preferred by adolescents highlights the need to strengthen information provision through multiple channels to reach in and out-of-school youth and respond to individual needs and contexts.

  14. Adverse outcome pathway (AOP) development and evaluation ...

    EPA Pesticide Factsheets

    The Adverse Outcome Pathway provides a construct for assembling mechanistic information at different levels of biological organization in a form designed to support regulatory decision making. In particular, it frames the link between molecular and cellular events that can be measured in high throughput toxicity testing and the organism or population-level events that are commonly relevant in defining risk. Recognizing the importance of this emerging framework, the Organisation for Economic Co-operation and Development (OECD) launched a program to support the development, documentation and consideration of AOPs by the international community in 2012 (http://www.oecd.org/chemicalsafety/testing/adverse-outcome-pathways-molecular-screening-and-toxicogenomics.htm). In 2014, a handbook (https://aopkb.org/common/AOP_Handbook.pdf) was developed to guide users in the documentation and evaluation of AOPs and their entry into an official knowledgebase. The handbook draws on longstanding experience in consideration of mechanistic data (e.g., mode of action analysis) to inform risk assessment. To further assist users, a training program was developed by members of the OECD Extended Advisory Group to teach users the basic principles of AOP development and the best practices as outlined in the OECD AOP handbook. Training sessions began in early 2015, and this course will provide training for interested SOT scientists. Following this course, all participants will be familiar w

  15. Beyond the corporeal: Extending propertisation of body parts to derivative information.

    PubMed

    Bonython, Wendy; Arnold, Bruce Baer

    2016-03-01

    Jurisprudential consideration of property in the human body has typically conceptualised it as tangible, of finite lifespan, with limited end uses. This article offers an alternative conceptualisation: the body as information--intangible, infinite, and perpetual. Global markets in health "big data"--including population genomic data--trade this information. Emerging jurisprudence on source rights in this information are derived from jurisprudence based on the traditional, tangible, finite conceptualisation of the body--itself controversial--criticised in part for disregarding property rights vesting in the self, while recognising them in strangers. As such, it provides an uncertain foundation for extension to govern rights over derivatives, enabling disregard of legitimate concerns about health, commercialisation and genetic privacy, concerns compounded by the intergenerational nature of genetic information. A more nuanced approach, recognising that donors and strangers alike hold only weak custodial rights over access, use, and dissemination of tissues and derivative information, is required.

  16. Information Security Analysis Using Game Theory and Simulation

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

    Schlicher, Bob G; Abercrombie, Robert K

    Information security analysis can be performed using game theory implemented in dynamic simulations of Agent Based Models (ABMs). Such simulations can be verified with the results from game theory analysis and further used to explore larger scale, real world scenarios involving multiple attackers, defenders, and information assets. Our approach addresses imperfect information and scalability that allows us to also address previous limitations of current stochastic game models. Such models only consider perfect information assuming that the defender is always able to detect attacks; assuming that the state transition probabilities are fixed before the game assuming that the players actions aremore » always synchronous; and that most models are not scalable with the size and complexity of systems under consideration. Our use of ABMs yields results of selected experiments that demonstrate our proposed approach and provides a quantitative measure for realistic information systems and their related security scenarios.« less

  17. ID201202961, DOE S-124,539, Information Security Analysis Using Game Theory and Simulation

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

    Abercrombie, Robert K; Schlicher, Bob G

    Information security analysis can be performed using game theory implemented in dynamic simulations of Agent Based Models (ABMs). Such simulations can be verified with the results from game theory analysis and further used to explore larger scale, real world scenarios involving multiple attackers, defenders, and information assets. Our approach addresses imperfect information and scalability that allows us to also address previous limitations of current stochastic game models. Such models only consider perfect information assuming that the defender is always able to detect attacks; assuming that the state transition probabilities are fixed before the game assuming that the players actions aremore » always synchronous; and that most models are not scalable with the size and complexity of systems under consideration. Our use of ABMs yields results of selected experiments that demonstrate our proposed approach and provides a quantitative measure for realistic information systems and their related security scenarios.« less

  18. A Petri Net-Based Software Process Model for Developing Process-Oriented Information Systems

    NASA Astrophysics Data System (ADS)

    Li, Yu; Oberweis, Andreas

    Aiming at increasing flexibility, efficiency, effectiveness, and transparency of information processing and resource deployment in organizations to ensure customer satisfaction and high quality of products and services, process-oriented information systems (POIS) represent a promising realization form of computerized business information systems. Due to the complexity of POIS, explicit and specialized software process models are required to guide POIS development. In this chapter we characterize POIS with an architecture framework and present a Petri net-based software process model tailored for POIS development with consideration of organizational roles. As integrated parts of the software process model, we also introduce XML nets, a variant of high-level Petri nets as basic methodology for business processes modeling, and an XML net-based software toolset providing comprehensive functionalities for POIS development.

  19. What information is provided in transcripts and Medical Student Performance Records from Canadian Medical Schools? A retrospective cohort study.

    PubMed

    Robins, Jason A; McInnes, Matthew D F; Esmail, Kaisra

    2014-01-01

    Resident selection committees must rely on information provided by medical schools in order to evaluate candidates. However, this information varies between institutions, limiting its value in comparing individuals and fairly assessing their quality. This study investigates what is included in candidates' documentation, the heterogeneity therein, as well as its objective data. Samples of recent transcripts and Medical Student Performance Records were anonymised prior to evaluation. Data were then extracted by two independent reviewers blinded to the submitting university, assessing for the presence of pre-selected criteria; disagreement was resolved through consensus. The data were subsequently analysed in multiple subgroups. Inter-rater agreement equalled 92%. Inclusion of important criteria varied by school, ranging from 22.2% inclusion to 70.4%; the mean equalled 47.4%. The frequency of specific criteria was highly variable as well. Only 17.7% of schools provided any basis for comparison of academic performance; the majority detailed only status regarding pass or fail, without any further qualification. Considerable heterogeneity exists in the information provided in official medical school documentation, as well as markedly little objective data. Standardization may be necessary in order to facilitate fair comparison of graduates from different institutions. Implementation of objective data may allow more effective intra- and inter-scholastic comparison.

  20. Design considerations for community mental health management information systems.

    PubMed

    Lowe, B H; Sugarman, B

    1978-01-01

    Many community mental health centers are presently faced with the necessity of implementing a management information system. This article offers guidelines for centers dealing with this situation. Whether a center chooses to adapt an existing system or develop one of its own, careful planning prior to the implementation of the system can help ensure that it will meet the needs of the center and operate successfully. The guidelines are organized into the categories of data considerations, people considerations, and system considerations. The first two categories are of general interest, whereas the last category is more technical in nature.

  1. New Evidence on Employment Effects of Informal Care Provision in Europe.

    PubMed

    Kolodziej, Ingo W K; Reichert, Arndt R; Schmitz, Hendrik

    2018-02-22

    To estimate how labor force participation is affected when adult children provide informal care to their parents. Survey of Health, Ageing and Retirement in Europe from 2004 to 2013. To offset the problem of endogeneity, we exploit the availability of other potential caregivers within the family as predictors of the probability to provide care for a dependent parent. Contrary to most previous studies, the dataset covers the whole working-age population in the majority of European countries. Individuals explicitly had to opt for or against the provision of care to their care-dependent parents, which allows us to more precisely estimate the effect of caregiving on labor force participation. Results reveal a negative causal effect that indicates that informal care provision reduces labor force participation by 14.0 percentage points (95 percent CI: -0.307, 0.026). Point estimates suggest that the effect is larger for men; however, this gender difference is not significantly different from zero at conventional levels. Results apply to individuals whose consideration in long-term care policy is highly relevant, that is, children whose willingness to provide informal care to their parents is altered by available alternatives of family caregivers. © Health Research and Educational Trust.

  2. Nudges and coercion: conceptual, empirical, and normative considerations.

    PubMed

    Cratsley, Kelso

    2015-01-01

    Given that the concept of coercion remains a central concern for bioethics, Quigley's (Monash Bioethics Rev 32:141-158, 2014) recent article provides a helpful analysis of its frequent misapplication in debates over the use of 'nudges'. In this commentary I present a generally sympathetic response to Quigley's argument while also raising several issues that are important for the larger debates about nudges and coercion. I focus on several closely related topics, including the definition of coercion, the role of empirical research, and the normative concerns at the core of these disputes. I suggest that while a degree of precision is certainly required when deploying the relevant concepts, perhaps informed by empirical data, we need to continue to push these debates towards more pressing normative considerations.

  3. Power Distribution System Planning with GIS Consideration

    NASA Astrophysics Data System (ADS)

    Wattanasophon, Sirichai; Eua-Arporn, Bundhit

    This paper proposes a method for solving radial distribution system planning problems taking into account geographical information. The proposed method can automatically determine appropriate location and size of a substation, routing of feeders, and sizes of conductors while satisfying all constraints, i.e. technical constraints (voltage drop and thermal limit) and geographical constraints (obstacle, existing infrastructure, and high-cost passages). Sequential quadratic programming (SQP) and minimum path algorithm (MPA) are applied to solve the planning problem based on net price value (NPV) consideration. In addition this method integrates planner's experience and optimization process to achieve an appropriate practical solution. The proposed method has been tested with an actual distribution system, from which the results indicate that it can provide satisfactory plans.

  4. Information as Resoures ; A View toward the 2lst Century - Let's Construct Databases by Ourselves -

    NASA Astrophysics Data System (ADS)

    Ohmi, Akira

    A highly-developed information-oriented society based on “Information Network Technology” will be realized in the 21st century. In enterprises, fundamental research will be regarded as important more and more, and the effective use of information as resources will be indispensable. From the viewpoint of international distribution of information there is a criticism that Japan has been offering the information on science and technology insufficiently to the overseas countries, but, for example, in the steel industry lots of house-organ technical journals in English version has been offered overseas. And recently several information firms have started translating Japanese information into English and providing overseas. However, there are some problems to be taken into consideration; 1. The information is not integrated, 2. there is not any co-ordination among the firms, 3. others. Then the author proposes communal use of machine translation system and construction of database for overseas that integrate such firms” work preserving each individuality.

  5. Analysis of the Factors Affecting Consumer Acceptance of Accredited Online Health Information

    PubMed Central

    2017-01-01

    With the increasing use of the internet and the spread of smartphones, health information seekers obtain considerable information through the internet. As the amount of online health information increases, the need for quality management of health information has been emphasized. The purpose of this study was to investigate the factors affecting the intention of using accredited online health information by applying the extended technology acceptance model (Extended-TAM). An online survey was conducted from September 15, 2016 to October 3, 2016, on 500 men and women aged 19–69 years. The results showed that the greatest factor influencing the acceptance of the accredited health information was perceived usefulness, and the expectation for the quality of the accreditation system was the most important mediator variable. In order to establish the health information accreditation system as a means to provide easy and useful information to the consumers, it is necessary to carry out quality management and promote the system through the continuous monitoring of the accreditation system. PMID:28960026

  6. Increasing clinical presence of mobile communication technology: avoiding the pitfalls.

    PubMed

    Visvanathan, Akila; Gibb, Alan P; Brady, Richard R W

    2011-10-01

    Mobile communication technologies are employed in many diverse areas of healthcare delivery to provide improved quality and efficiency of communication and facilitate increased rapidity of data or information transfer. Mobile phones enable healthcare professionals to possess a portable platform from which to provide many healthcare-related applications and are a popular means to directly communicate with colleagues and patients. As involvement of mobile communication technology in healthcare delivery continues to rapidly expand, there are also important considerations of relevance to patient safety and security as a result. Here, we review the previous evidence of reported clinical risks associated with mobile communication technology, such as electromagnetic interference, confidentiality and data security, distraction/noise, infection control, and cross contamination. In conclusion, although mobile phones provide much putative potential improvement to healthcare delivery, further evaluation and research are required to both inform and protect health professionals and users of such technology in the healthcare environment and provide the evidence base to support the provision of clear and comprehensive guidelines.

  7. The impaired anesthesiologist: what you should know about substance abuse.

    PubMed

    Samuelson, Stefan T; Bryson, Ethan O

    2017-02-01

    Despite our considerable experience with the problem of addiction in our specialty, most anesthesia care providers don't know how to identify or help an impaired colleague. The purpose of this article to provide sufficient information on substance use disorder (SUD) to aid in its identification amongst colleagues and to assist in its management. Depending on the region, 10-15% of the general population is prone to developing a SUD and will abuse drugs or alcohol at some point in their life. Physicians and other healthcare professionals are not immune to the disease of addiction and are just as prone to developing SUD as laypersons. Even so, the risk of mortality is significantly increased because of access to potent and highly addictive anesthetic agents with a narrow therapeutic index when self-administered. Also, the number of anesthesia residents who are identified as having SUD is currently increasing. Due to the considerable morbidity and mortality associated with the abuse of anesthetic agents as well as the continuous increase in the rate of substance abuse by anesthesia providers, it is essential for anesthesia care providers to become familiar with the presenting signs and symptoms of substance abuse and impairment.

  8. Evaluation of a Framework to Implement Electronic Health Record Systems Based on the openEHR Standard

    NASA Astrophysics Data System (ADS)

    Orellana, Diego A.; Salas, Alberto A.; Solarz, Pablo F.; Medina Ruiz, Luis; Rotger, Viviana I.

    2016-04-01

    The production of clinical information about each patient is constantly increasing, and it is noteworthy that the information is created in different formats and at diverse points of care, resulting in fragmented, incomplete, inaccurate and isolated, health information. The use of health information technology has been promoted as having a decisive impact to improve the efficiency, cost-effectiveness, quality and safety of medical care delivery. However in developing countries the utilization of health information technology is insufficient and lacking of standards among other situations. In the present work we evaluate the framework EHRGen, based on the openEHR standard, as mean to reach generation and availability of patient centered information. The framework has been evaluated through the provided tools for final users, that is, without intervention of computer experts. It makes easier to adopt the openEHR ideas and provides an open source basis with a set of services, although some limitations in its current state conspire against interoperability and usability. However, despite the described limitations respect to usability and semantic interoperability, EHRGen is, at least regionally, a considerable step toward EHR adoption and interoperability, so that it should be supported from academic and administrative institutions.

  9. Considerations for the Development of Mobile Phone Apps to Support Diabetes Self-Management: Systematic Review.

    PubMed

    Adu, Mary D; Malabu, Usman H; Callander, Emily J; Malau-Aduli, Aduli Eo; Malau-Aduli, Bunmi S

    2018-06-21

    There is increased research interest in the use of mobile phone apps to support diabetes management. However, there are divergent views on what constitute the minimum standards for inclusion in the development of mobile phone apps. Mobile phone apps require an evidence-based approach to development which will consequently impact on their effectiveness. Therefore, comprehensive information on developmental considerations could help designers and researchers to develop innovative and effective patient-centered self-management mobile phone apps for diabetes patients. This systematic review examined the developmental considerations adopted in trials that engaged mobile phone applications for diabetes self-management. A comprehensive search strategy was implemented across 5 electronic databases; Medline, Scopus, Social Science Citation Index, the Cochrane Central Register of Controlled Trials and Cumulative Index of Nursing and Allied Health Literature (CINALHL) and supplemented by reference list from identified studies. Study quality was evaluated using the Joanna Briggs Critical appraisal checklist for trials. Information on developmental factors (health behavioral theory, functionality, pilot testing, user and clinical expert involvements, data privacy and app security) were assessed across experimental studies using a template developed for the review. A total of 11 studies (10 randomized controlled trials and 1 quasi-experimental trial) that fitted the inclusion criteria were identified. All the included studies had the functionality of self-monitoring of blood glucose. However, only some of them included functions for data analytics (7/11, 63.6%), education (6/11, 54.5%) and reminder (6/11, 54.5%). There were 5/11(45.5%) studies with significantly improved glycosylated hemoglobin in the intervention groups where educational functionality was present in the apps used in the 5 trials. Only 1 (1/11, 9.1%) study considered health behavioral theory and user involvement, while 2 (2/11, 18.1%) other studies reported the involvement of clinical experts in the development of their apps. There were 4 (4/11, 36.4%) studies which referred to data security and privacy considerations during their app development while 7 (7/12, 63.6%) studies provided information on pilot testing of apps before use in the full trial. Overall, none of the studies provided information on all developmental factors assessed in the review. There is a lack of elaborate and detailed information in the literature regarding the factors considered in the development of apps used as interventions for diabetes self-management. Documentation and inclusion of such vital information will foster a transparent and shared decision-making process that will ultimately lead to the development of practical and user-friendly self-management apps that can enhance the quality of life for diabetes patients. ©Mary D Adu, Usman H Malabu, Emily J Callander, Aduli E O Malau-Aduli, Bunmi S Malau-Aduli. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 21.06.2018.

  10. 12 CFR 4.35 - Consideration of requests.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE OF INFORMATION, CONTRACTING OUTREACH PROGRAM, POST-EMPLOYMENT RESTRICTIONS FOR SENIOR EXAMINERS Release of Non-Public OCC Information § 4.35 Consideration of requests. (a) In general—(1) OCC...

  11. 12 CFR 4.35 - Consideration of requests.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE OF INFORMATION, CONTRACTING OUTREACH PROGRAM, POST-EMPLOYMENT RESTRICTIONS FOR SENIOR EXAMINERS Release of Non-Public OCC Information § 4.35 Consideration of requests. (a) In general—(1) OCC...

  12. 12 CFR 4.35 - Consideration of requests.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE OF INFORMATION, CONTRACTING OUTREACH PROGRAM, POST-EMPLOYMENT RESTRICTIONS FOR SENIOR EXAMINERS Release of Non-Public OCC Information § 4.35 Consideration of requests. (a) In general—(1) OCC...

  13. 12 CFR 4.35 - Consideration of requests.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY ORGANIZATION AND FUNCTIONS, AVAILABILITY AND RELEASE OF INFORMATION, CONTRACTING OUTREACH PROGRAM, POST-EMPLOYMENT RESTRICTIONS FOR SENIOR EXAMINERS Release of Non-Public OCC Information § 4.35 Consideration of requests. (a) In general—(1) OCC...

  14. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... exchange of electronic documents between offices using different software or operating systems. ... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems...

  15. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... exchange of electronic documents between offices using different software or operating systems. ... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems...

  16. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... exchange of electronic documents between offices using different software or operating systems. ... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems...

  17. Review of APR+ Level 2 PSA. Revision 2

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

    Lehner, John R.; Mubayi, Vinod; Pratt, W. Trevor

    2012-02-17

    Brookhaven National Laboratory (BNL) assisted the Korea Institute of Nuclear Safety (KINS) in reviewing the Level 2 Probabilistic Safety Assessment (PSA) of the APR+ Advanced Pressurized Water Reactor (PWR) prepared by the Korea Hydro & Nuclear Power Co., Ltd (KHNP) and KEPCO Engineering & Construction Co., Inc. (KEPCO-E&C). The work described in this report involves a review of the APR+ Level 2 PSA submittal [Ref. 1]. The PSA and, therefore, the review is limited to consideration of accidents initiated by internal events. As part of the review process, the review team also developed three sets of Requests for Additional Informationmore » (RAIs). These RAIs were provided to KHNP and KEPCO-E&C for their evaluation and response. This final detailed report documents the review findings for each technical element of the PSA and includes consideration of all of the RAIs made by the reviewers as well as the associated responses. This final report was preceded by an interim report [Ref. 2] that focused on identifying important issues regarding the PSA. In addition, a final meeting on the project was held at BNL on November 21-22, 2011, where BNL and KINS reviewers discussed their preliminary review findings with KHNP and KEPCO-E&C staffs. Additional information obtained during this final meeting was also used to inform the review findings of this final report. The review focused not only on the robustness of the APR+ design to withstand severe accidents, but also on the capability and acceptability of the Level 2 PSA in terms of level of detail and completeness. The Korean nuclear regulatory authorities will decide whether the PSA is acceptable and the BNL review team is providing its comments for KINS consideration. Section 2.0 provides the basis for the BNL review. Section 3.0 presents the review of each technical element of the PSA. Conclusions and a summary are presented in Section 4.0. Section 5.0 contains the references.« less

  18. Introduction to monitoring dynamic environmental phenomena of the world using satellite data collection systems, 1978

    USGS Publications Warehouse

    Carter, William Douglas; Paulson, Richard W.

    1979-01-01

    The rapid development of satellite technology, especially in the area of radio transmission and imaging systems, makes it possible to monitor dynamic surface phenomena of the Earth in considerable detail. The monitoring systems that have been developed are compatible with standard monitoring systems such as snow, stream, and rain gages; wind, temperature and humidity measuring instruments; tiltmeters and seismic event counters. Supported by appropriate power, radios and antennae, remote stations can be left unattended for at least 1 year and consistently relay local information via polar orbiting or geostationary satellites. These data, in conjunction with timely Landsat images, can provide a basis for more accurate estimates on snowfall, water runoff, reservoir level changes, flooding, drought effects, and vegetation trends and may be of help in forecasting volcanic eruptions. These types of information are critical for resource inventory and development, especially in developing countries where remote regions are commonly difficult to access. This paper introduces the reader to the systems available, describes their features and limitations, and provides suggestions on how to employ them. An extensive bibliography is provided for those who wish more information.

  19. Cooperative problem solving with personal mobile information tools in hospitals.

    PubMed

    Buchauer, A; Werner, R; Haux, R

    1998-01-01

    Health-care professionals have a broad range of needs for information and cooperation while working at different points of care (e.g., outpatient departments, wards, and functional units such as operating theaters). Patient-related data and medical knowledge have to be widely available to support high-quality patient care. Furthermore, due to the increased specialization of health-care professionals, efficient collaboration is required. Personal mobile information tools have a considerable potential to realize almost ubiquitous information and collaborative support. They enable to unite the functionality of conventional tools such as paper forms, dictating machines, and pagers into one tool. Moreover, they can extend the support already provided by clinical workstations. An approach is described for the integration of mobile information tools with heterogeneous hospital information systems. This approach includes identification of functions which should be provided on mobile tools. Major functions are the presentation of medical records and reports, electronic mailing to support interpersonal communication, and the provision of editors for structured clinical documentation. To realize those functions on mobile tools, we propose a document-based client-server architecture that enables mobile information tools to interoperate with existing computer-based application systems. Open application systems and powerful, partially wireless, hospital-wide networks are the prerequisites for the introduction of mobile information tools.

  20. Mixed messages: presentation of information in cystic fibrosis-screening pamphlets.

    PubMed Central

    Loeben, G L; Marteau, T M; Wilfond, B S

    1998-01-01

    Written pamphlets are an important source of information for individuals deciding whether to undergo carrier testing for cystic fibrosis (CF). Adequate understanding of the condition and reproductive options following the diagnosis of a fetus with CF are critical to informed decision making. The information given about CF and reproductive options in 28 pamphlets about carrier testing, from commercial and noncommercial organizations in the United States and the United Kingdom, aimed at prenatal and other populations, was assessed. The amount of information provided about CF showed a range of 1-37 sentences (median 6.5), with most being relatively neutral and with a minority conveying a positive or a negative image. Positive sentences were less common in British, U.S. commercial, and prenatal pamphlets. Statements about life expectancy also varied considerably, both in the ages provided and in the degree of optimism conveyed. In addition, the pamphlets varied in the amount of information they provided about reproductive options following the diagnosis of a fetus with CF. Abortion was mentioned in just 15 pamphlets, more often in the United Kingdom than in the United States and more frequently in pamphlets from noncommercial than in those from commercial organizations. Wide variation in the descriptions of CF and the reproductive options presented raises concerns about the extent to which any one pamphlet may present balanced information. The choices about what information to include in educational materials need to be explicitly considered on the basis of the message intended to be sent. PMID:9758594

  1. Mixed messages: presentation of information in cystic fibrosis-screening pamphlets.

    PubMed

    Loeben, G L; Marteau, T M; Wilfond, B S

    1998-10-01

    Written pamphlets are an important source of information for individuals deciding whether to undergo carrier testing for cystic fibrosis (CF). Adequate understanding of the condition and reproductive options following the diagnosis of a fetus with CF are critical to informed decision making. The information given about CF and reproductive options in 28 pamphlets about carrier testing, from commercial and noncommercial organizations in the United States and the United Kingdom, aimed at prenatal and other populations, was assessed. The amount of information provided about CF showed a range of 1-37 sentences (median 6.5), with most being relatively neutral and with a minority conveying a positive or a negative image. Positive sentences were less common in British, U.S. commercial, and prenatal pamphlets. Statements about life expectancy also varied considerably, both in the ages provided and in the degree of optimism conveyed. In addition, the pamphlets varied in the amount of information they provided about reproductive options following the diagnosis of a fetus with CF. Abortion was mentioned in just 15 pamphlets, more often in the United Kingdom than in the United States and more frequently in pamphlets from noncommercial than in those from commercial organizations. Wide variation in the descriptions of CF and the reproductive options presented raises concerns about the extent to which any one pamphlet may present balanced information. The choices about what information to include in educational materials need to be explicitly considered on the basis of the message intended to be sent.

  2. The AMCP Format for Formulary Submissions: Welcome to Version 4.0.

    PubMed

    2016-05-01

    Managed care pharmacists are increasingly presented with complex considerations related to prescription drug formulary management. As prescription drug spending soars, and new effective, but expensive drugs rush to the market, pharmacists and other health care decision makers must evaluate a myriad of important clinical and economic considerations in determining the relative value and, subsequently, the appropriate placement of a product within a formulary. The AMCP Format for Formulary Submissions, Version 4.0, is the next iteration of the Format, which was first released in 2000. Version 4.0, developed by pharmacists from health plan, manufacturer, and academic perspectives, provides updated recommendations on acquiring and evaluating clinical and economic evidence to inform formulary and medical policy decisions. It also includes new guidance related to emerging special topic considerations such as biosimilars, specialty pharmacy products, and companion diagnostic tests. Version 4.0 has been modified to improve the usability of the Format, with clarifying guidance related to logistical considerations such as a recommended time frame for implementation of Version 4.0, as well as dossier updates and ongoing communication between manufacturers and health care decision makers. The Format should be used as a framework for ongoing evidence-based dialogue between manufacturers and payers. The evolving health care landscape will require new levels of collaboration and communication among key stakeholders to successfully navigate the challenges of this new environment. The Format provides a framework to support these critical interactions related to product value by facilitating an evidence-based, transparent approach. This document was prepared by Jeff Lee, PharmD, FCCP, on behalf of the AMCP Format Executive Committee. Committee members reviewed and provided feedback on the final draft. No conflicts of interest, financial or otherwise, were reported.

  3. Efficient and Privacy-Preserving Online Medical Prediagnosis Framework Using Nonlinear SVM.

    PubMed

    Zhu, Hui; Liu, Xiaoxia; Lu, Rongxing; Li, Hui

    2017-05-01

    With the advances of machine learning algorithms and the pervasiveness of network terminals, the online medical prediagnosis system, which can provide the diagnosis of healthcare provider anywhere anytime, has attracted considerable interest recently. However, the flourish of online medical prediagnosis system still faces many challenges including information security and privacy preservation. In this paper, we propose an e fficient and privacy-preserving online medical prediagnosis framework, called eDiag, by using nonlinear kernel support vector machine (SVM). With eDiag, the sensitive personal health information can be processed without privacy disclosure during online prediagnosis service. Specifically, based on an improved expression for the nonlinear SVM, an efficient and privacy-preserving classification scheme is introduced with lightweight multiparty random masking and polynomial aggregation techniques. The encrypted user query is directly operated at the service provider without decryption, and the diagnosis result can only be decrypted by user. Through extensive analysis, we show that eDiag can ensure that users' health information and healthcare provider's prediction model are kept confidential, and has significantly less computation and communication overhead than existing schemes. In addition, performance evaluations via implementing eDiag on smartphone and computer demonstrate eDiag's effectiveness in term of real online environment.

  4. Understanding the Stress Management Needs and Preferences of Latinas Undergoing Chemotherapy.

    PubMed

    Martinez Tyson, Dinorah Dina; Jacobsen, Paul; Meade, Cathy D

    2016-12-01

    This exploratory study provides insights into everyday realities, concerns, and cultural perspectives of Latinas undergoing chemotherapy, and elicits information on stress management and information needs. Informed by a community-based participatory research approach using qualitative methods, we conducted ten interviews with providers, and two focus groups (n = 13) and 20 in-depth interviews with Latinas recently diagnosed with breast cancer. Providers and Latina patients acknowledged multiple physical and emotional stressors associated with cancer treatment, viewed a positive aspect of the cancer experience to include connection with God and enhanced spirituality, saw family as a motivating factor for recovery, and expressed a need to draw on existing coping strategies. Findings show considerable overlap between providers and Latina cancer patients' perceptions of stressors during chemotherapy. However, a few notable differences in perceptions of stress management needs during this treatment period emerged. While Latina cancer patients mentioned similar social/structural stressors (e.g., economic problems, lack of information) they tended to emphasize more of the interpersonal stressors related to family communication and relationships (e.g., providing and caring for family, distance from family), and intrapersonal stressors such as fear, changes in physical appearance, and side effects of chemotherapy. Our study illustrates the importance of including multiple perspectives. The information gained by including both providers and patient perspectives yielded a more complete understanding of the stress management needs of Latinas undergoing chemotherapy. Findings suggest that stress management educational interventions should aim to develop self-care skills, be culturally relevant and language-specific, and build upon stress-reducing strategies Latinas may already employ.

  5. Deciding treatment for miscarriage--experiences of women and healthcare professionals.

    PubMed

    Olesen, Mette Linnet; Graungaard, Anette H; Husted, Gitte R

    2015-06-01

    Women experiencing miscarriage are offered a choice of different treatments to terminate their wanted pregnancy at a time when they are often shocked and distressed. Women's and healthcare professionals' experiences of the decision-making process are not well described. We aimed to gain insight into this process and the circumstances that may affect it. A qualitative study using a grounded theory approach. Data were obtained through semi-structured interviews with six women who had chosen and completed either surgical, medical or expectant treatment for miscarriage and five healthcare professionals involved in the decision-making at an emergency gynaecological department in Denmark. An inductive explorative method was chosen due to limited knowledge about the decision-making process, and a theoretical perspective was not applied until the final analysis. Despite information and pretreatment counselling, choice of treatment was often determined by unspoken emotional considerations, including fear of seeing the foetus or fear of anaesthesia. These considerations were not discussed during the decision-making process, which was a time when the women were under time pressure and experienced emotional distress. Healthcare professionals did not explore women's considerations for choosing a particular treatment and prioritised information differently. We found theory about coping and decision-making in stressful situations useful in increasing our understanding of the women's reactions. In relation to theory about informed consent, our findings suggest that women need more understanding of the treatments before making a decision. This study is limited due to a small sample size, but it generates important findings that need to be examined in a larger sample. Frequently, women did not use information provided about treatment pros and cons in their decision-making process. Because of unspoken thoughts, and women's needs being unexplored by healthcare professionals, information did not target women's needs and their reasoning remained unapparent. © 2014 Nordic College of Caring Science.

  6. [People's interest in health information].

    PubMed

    Horch, K; Wirz, J

    2005-11-01

    Well-informed citizens and patients regard health policy innovations as a key element when it comes to reforms in the health service--both in health economics and with regard to prevention issues. We evaluated the data provided by the 2003 Telephone Health Survey (GSTel03) to examine demographic and social distinctions in the use of different information sources. At the same time we examined whether there are any population-related differences in people's interest in health information depending on their levels of health awareness, attitudes to prevention and related modes of behaviour. The data generated by the survey show that there is considerable interest in health-related topics. Only 2% of the people questioned used no information sources for this purpose. In addition to more traditional media (books, newspapers, information from pharmacies), information provided by health insurance companies and via the Internet is becoming increasingly important. With the exception of the Internet, all other sources of information are used more frequently by women than by men, and demand for most of the information media increases with age. The frequency of information use and the number of different media used increase from the lower to the upper strata of society. As far as selected variables of health-related behaviour are concerned (smoking, sport, alcohol), the results show a link between a more positive attitude to health and a greater interest in information.

  7. Fuels planning: science synthesis and integration; environmental consequences fact sheet 04: wildlife responses to fuels treatments: key considerations

    Treesearch

    David Pilliod

    2004-01-01

    Managers face a difficult task in predicting the effects of fuels treatments on wildlife populations, mostly because information on how animals respond to fuels treatments is scarce or does not exist. This paper discusses key considerations-aspects of an animal's ecology and available information-that, despite the scarcity of information, may make predictions of...

  8. Theoretical research program to study transition metal trimers and embedded clusters

    NASA Technical Reports Server (NTRS)

    Walch, S. P.

    1984-01-01

    Small transition metal clusters were studied at a high level of approximation, including all the valence electrons in the calculation and extensive electron correlation, in order to understand the electronic structure of these small metal clusters. By comparison of dimers, trimers, and possibly higher clusters, the information obtained was used to provide insights into the electronic structure of bulk transition metals. Small metal clusters are currently of considerable experimental interest and some information is becomming available both from matrix electron spin resonance studies and from gas phase spectroscopy. Collaboration between theorists and experimentalists is thus expected to be especially profitable at this time since there is some experimental information which can serve to guide the theoretical work.

  9. Hours per Patient Day: Not the Problem, Nor the Solution.

    PubMed

    Kirby, Karen K

    2015-01-01

    Hours per patient day (HPPD) is a metric that is easy to use in determining budgeted FTE and in comparing staffing across organizations. There are many considerations in determining the appropriate HPPD. The combination of automated patient acuity, staffing, and human resource systems provide a wealth of information for determining the budgeted HPPD and in making defensible requests for adjustments in HPPD. No matter how much data we have about staffing levels, nurse education and skill levels, the environment of care, or patient acuity, the real key is determining the outcomes we need to compare staffing against. We must quantify the savings associated with positive outcomes and get this information in the hands of the public so they can make informed decisions.

  10. An ontologically founded architecture for information systems in clinical and epidemiological research.

    PubMed

    Uciteli, Alexandr; Groß, Silvia; Kireyev, Sergej; Herre, Heinrich

    2011-08-09

    This paper presents an ontologically founded basic architecture for information systems, which are intended to capture, represent, and maintain metadata for various domains of clinical and epidemiological research. Clinical trials exhibit an important basis for clinical research, and the accurate specification of metadata and their documentation and application in clinical and epidemiological study projects represents a significant expense in the project preparation and has a relevant impact on the value and quality of these studies.An ontological foundation of an information system provides a semantic framework for the precise specification of those entities which are presented in this system. This semantic framework should be grounded, according to our approach, on a suitable top-level ontology. Such an ontological foundation leads to a deeper understanding of the entities of the domain under consideration, and provides a common unifying semantic basis, which supports the integration of data and the interoperability between different information systems.The intended information systems will be applied to the field of clinical and epidemiological research and will provide, depending on the application context, a variety of functionalities. In the present paper, we focus on a basic architecture which might be common to all such information systems. The research, set forth in this paper, is included in a broader framework of clinical research and continues the work of the IMISE on these topics.

  11. An Informative Interpretation of Decision Theory: The Information Theoretic Basis for Signal-to-Noise Ratio and Log Likelihood Ratio

    DOE PAGES

    Polcari, J.

    2013-08-16

    The signal processing concept of signal-to-noise ratio (SNR), in its role as a performance measure, is recast within the more general context of information theory, leading to a series of useful insights. Establishing generalized SNR (GSNR) as a rigorous information theoretic measure inherent in any set of observations significantly strengthens its quantitative performance pedigree while simultaneously providing a specific definition under general conditions. This directly leads to consideration of the log likelihood ratio (LLR): first, as the simplest possible information-preserving transformation (i.e., signal processing algorithm) and subsequently, as an absolute, comparable measure of information for any specific observation exemplar. Furthermore,more » the information accounting methodology that results permits practical use of both GSNR and LLR as diagnostic scalar performance measurements, directly comparable across alternative system/algorithm designs, applicable at any tap point within any processing string, in a form that is also comparable with the inherent performance bounds due to information conservation.« less

  12. Rapid-Response Impulsivity: Definitions, Measurement Issues, and Clinical Implications

    PubMed Central

    Hamilton, Kristen R.; Littlefield, Andrew K.; Anastasio, Noelle C.; Cunningham, Kathryn A.; Fink, Latham H.; Wing, Victoria C.; Mathias, Charles W.; Lane, Scott D.; Schutz, Christian; Swann, Alan C.; Lejuez, C.W.; Clark, Luke; Moeller, F. Gerard; Potenza, Marc N.

    2015-01-01

    Impulsivity is a multi-faceted construct that is a core feature of multiple psychiatric conditions and personality disorders. However, progress in understanding and treating impulsivity in the context of these conditions is limited by a lack of precision and consistency in its definition and assessment. Rapid-response-impulsivity (RRI) represents a tendency toward immediate action that occurs with diminished forethought and is out of context with the present demands of the environment. Experts from the International Society for Research on Impulsivity (InSRI) met to discuss and evaluate RRI-measures in terms of reliability, sensitivity, and validity with the goal of helping researchers and clinicians make informed decisions about the use and interpretation of findings from RRI-measures. Their recommendations are described in this manuscript. Commonly-used clinical and preclinical RRI-tasks are described, and considerations are provided to guide task selection. Tasks measuring two conceptually and neurobiologically distinct types of RRI, “refraining from action initiation” (RAI) and “stopping an ongoing action” (SOA) are described. RAI and SOA-tasks capture distinct aspects of RRI that may relate to distinct clinical outcomes. The InSRI group recommends that: 1) selection of RRI-measures should be informed by careful consideration of the strengths, limitations, and practical considerations of the available measures; 2) researchers use both RAI and SOA tasks in RRI studies to allow for direct comparison of RRI types and examination of their associations with clinically relevant measures; and, 3) similar considerations should be made for human and non-human studies in an effort to harmonize and integrate pre-clinical and clinical research. PMID:25867840

  13. The Number of Patients and Events Required to Limit the Risk of Overestimation of Intervention Effects in Meta-Analysis—A Simulation Study

    PubMed Central

    Thorlund, Kristian; Imberger, Georgina; Walsh, Michael; Chu, Rong; Gluud, Christian; Wetterslev, Jørn; Guyatt, Gordon; Devereaux, Philip J.; Thabane, Lehana

    2011-01-01

    Background Meta-analyses including a limited number of patients and events are prone to yield overestimated intervention effect estimates. While many assume bias is the cause of overestimation, theoretical considerations suggest that random error may be an equal or more frequent cause. The independent impact of random error on meta-analyzed intervention effects has not previously been explored. It has been suggested that surpassing the optimal information size (i.e., the required meta-analysis sample size) provides sufficient protection against overestimation due to random error, but this claim has not yet been validated. Methods We simulated a comprehensive array of meta-analysis scenarios where no intervention effect existed (i.e., relative risk reduction (RRR) = 0%) or where a small but possibly unimportant effect existed (RRR = 10%). We constructed different scenarios by varying the control group risk, the degree of heterogeneity, and the distribution of trial sample sizes. For each scenario, we calculated the probability of observing overestimates of RRR>20% and RRR>30% for each cumulative 500 patients and 50 events. We calculated the cumulative number of patients and events required to reduce the probability of overestimation of intervention effect to 10%, 5%, and 1%. We calculated the optimal information size for each of the simulated scenarios and explored whether meta-analyses that surpassed their optimal information size had sufficient protection against overestimation of intervention effects due to random error. Results The risk of overestimation of intervention effects was usually high when the number of patients and events was small and this risk decreased exponentially over time as the number of patients and events increased. The number of patients and events required to limit the risk of overestimation depended considerably on the underlying simulation settings. Surpassing the optimal information size generally provided sufficient protection against overestimation. Conclusions Random errors are a frequent cause of overestimation of intervention effects in meta-analyses. Surpassing the optimal information size will provide sufficient protection against overestimation. PMID:22028777

  14. Cooling interventions for athletes: An overview of effectiveness, physiological mechanisms, and practical considerations

    PubMed Central

    Bongers, Coen C. W. G.; Hopman, Maria T. E.; Eijsvogels, Thijs M. H.

    2017-01-01

    ABSTRACT Exercise-induced increases in core body temperature could negative impact performance and may lead to development of heat-related illnesses. The use of cooling techniques prior (pre-cooling), during (per-cooling) or directly after (post-cooling) exercise may limit the increase in core body temperature and therefore improve exercise performance. The aim of the present review is to provide a comprehensive overview of current scientific knowledge in the field of pre-cooling, per-cooling and post-cooling. Based on existing studies, we will discuss 1) the effectiveness of cooling interventions, 2) the underlying physiological mechanisms and 3) practical considerations regarding the use of different cooling techniques. Furthermore, we tried to identify the optimal cooling technique and compared whether cooling-induced performance benefits are different between cool, moderate and hot ambient conditions. This article provides researchers, physicians, athletes and coaches with important information regarding the implementation of cooling techniques to maintain exercise performance and to successfully compete in thermally stressful conditions. PMID:28349095

  15. Combined use of transcranial magnetic stimulation and metal electrode implants: a theoretical assessment of safety considerations

    NASA Astrophysics Data System (ADS)

    Golestanirad, Laleh; Rouhani, Hossein; Elahi, Behzad; Shahim, Kamal; Chen, Robert; Mosig, Juan R.; Pollo, Claudio; Graham, Simon J.

    2012-12-01

    This paper provides a theoretical assessment of the safety considerations encountered in the simultaneous use of transcranial magnetic stimulation (TMS) and neurological interventions involving implanted metallic electrodes, such as electrocorticography. Metal implants are subject to magnetic forces due to fast alternating magnetic fields produced by the TMS coil. The question of whether the mechanical movement of the implants leads to irreversible damage of brain tissue is addressed by an electromagnetic simulation which quantifies the magnitude of imposed magnetic forces. The assessment is followed by a careful mechanical analysis determining the maximum tolerable force which does not cause irreversible tissue damage. Results of this investigation provide useful information on the range of TMS stimulator output powers which can be safely used in patients having metallic implants. It is shown that conventional TMS applications can be considered safe when applied on patients with typical electrode implants as the induced stress in the brain tissue remains well below the limit of tissue damage.

  16. Considerations of sex and gender differences in preclinical and clinical trials.

    PubMed

    Raz, Limor; Miller, Virginia M

    2012-01-01

    Women continue to be underrepresented in clinical trials, particularly in Phases I and II of experimental drug studies in spite of legislative guidelines in the USA, Canada, the European Union, Australia, and Japan requiring the inclusion of women in clinical trials. As such, women remain a vulnerable population subject to the adverse effects of pharmacological therapies. Thus, women experience higher rates of adverse drug reactions than do men and for women of reproductive age or who may be pregnant, therapeutic options may be limited. This chapter provides a brief history of inclusion of sex and gender as variables in clinical trials, summarizes governmental legislation for consideration of sex and gender in clinical trials and provides specific examples of drugs which have been withdrawn from the market because of side effects in women. Additional information related to sex and gender in preclinical testing, trial design, challenges to recruitment of women for clinical trials and statistical methods for analysis of data also is considered.

  17. Measurement of Circulating Cytokines and Immune-Activation Markers by Multiplex Technology in the Clinical Setting: What Are We Really Measuring?

    PubMed

    Aziz, Najib

    2015-01-01

    Measurement of circulating cytokine levels can provide important information in the study of the pathogenesis of disease. John L. Fahey was a pioneer in the measurement of circulating cytokines and immune-activation markers and a leader in the quality assessment/control of assays for measurement of circulating cytokines. Insights into the measurement of circulating cytokines, including consideration of multiplex assays, are presented here.

  18. Test Operations Procedure (TOP) 01-1-020 Tropical Regions Environmental Considerations

    DTIC Science & Technology

    2013-02-08

    and Soldier systems tests. 1.3 Purpose. This is an overview TOP and is organized to provide background information on the humid tropical region...processes that foul materiel and interfere with equipment and systems under test. Military testing at present and in the future requires much greater...accordance with the Holdridge Life Zone Classification System18. This system is based on the theory that vegetation structure (type) is directly

  19. Reauthorizing the Higher Education Act: Opportunities to Improve Student Success. Additional Submitted Testimony from Lashawn Richburg-Hayes, MDRC, to the Senate Committee on Health, Education, Labor, and Pensions

    ERIC Educational Resources Information Center

    Richburg-Hayes, Lashawn

    2015-01-01

    MDRC is pleased to have this opportunity to provide additional information for the consideration of Chairman Alexander, Ranking Member Murray, and members of the Committee on ways research can be used to improve the academic success of low-income college students. The goal of this additional testimony is to reiterate the second recommendation in…

  20. Legal considerations for document delivery services.

    PubMed

    Bunting, A

    1994-04-01

    Health sciences libraries that provide fee-based information services must consider and develop policies and procedures for complying with legal requirements. This paper reviews the provisions of copyright law that pertain to document delivery, including two court decisions concerning copyright. Also discussed are recent actions by publishers to reinforce their view of libraries' responsibilities for royalty fees for articles copied and their use of licenses to impose additional restrictions on the use of and reproduction of materials.

  1. Glaucoma Suspect: Diagnosis and Management.

    PubMed

    Chang, Robert T; Singh, Kuldev

    2016-01-01

    Glaucoma suspect is a diagnosis reserved for individuals who do not definitively have glaucoma at the present time but have characteristics suggesting that they are at high risk of developing the disease in the future based on a variety of factors. This review provides a practical approach to individuals classified as glaucoma suspects caused by one or more of the following risk factors or indicators of disease: ocular hypertension, optic nerve features suggestive of glaucoma, visual field abnormalities, and other characteristics placing them at greater risk than the average population. In addition to diagnostic considerations, this overview provides information on therapeutic approaches to the glaucoma suspect.

  2. Chapter 7: Renewable Energy Options and Considerations for Net Zero Installations

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

    Booth, Samuel

    This chapter focuses on renewable energy options for military installations. It discusses typical renewable technologies, project development, and gives examples. Renewable energy can be combined with conventional energy sources to provide part or all of the energy demand at an installation. The appropriate technology mix for an installation will depend on site-specific factors such as renewable resources, energy costs, local energy policies and incentives, available land, mission compatibility, and other factors. The objective of this chapter is to provide basic background information and resources on renewable energy options for NATO leaders and energy personnel.

  3. Taking Legal Histories in Psychiatric Assessments.

    PubMed

    Morris, Nathaniel P

    2018-05-25

    People with mental illness are often disproportionately affected by the U.S. justice system, yet psychiatrists and other mental health professionals may avoid or feel uncomfortable talking with patients about legal history. This column examines why legal history is relevant to psychiatric assessments and provides guidance for talking with patients about these issues. Key aspects of taking a legal history are reviewed, including suggested questions, the role of collateral information, and considerations for medicolegal documentation. Developing skills in taking patients' legal histories may equip clinicians to better understand their patients' stories and to provide more effective psychiatric care.

  4. [Regulatory aspects and medicolegal considerations regarding clinical drug trials].

    PubMed

    Cammarano, Andrea; De Dominicis, Enrico; Marella, Gian Luca; Maurici, Massimo; Arcudi, Giovanni

    2016-01-01

    This article aims to explore the regulatory and medicolegal aspects of experimental drug trials. Firstly, the authors provide definitions of drug according to WHO, the European Community and our official Pharmacopoeia, and that of experimental studies. They then explain the distinction between pure or basic research and drug trials and explain the various phases of the latter. Besides providing definitions, and exploring doctrinal, theoretical but also practical aspects of drug trials, the authors also discuss and analyze legislative aspects, with particular reference to the Italian legislative framework, and medicolegal issues, including informed consent, effects on humans, and professional responsibility.

  5. Self-determination theory: a framework for clubhouse psychosocial rehabilitation research.

    PubMed

    Raeburn, Toby; Schmied, Virginia; Hungerford, Catherine; Cleary, Michelle

    2015-02-01

    The Clubhouse model is a widely used approach to psychosocial rehabilitation that has been a pioneer in supporting recovery-oriented programmes. Little consideration has been given however, to the theories that guide research of the recovery practices used by Clubhouses. In this paper, we provide a description of self-determination theory, including its philosophical background followed by explanation of its relevance to health care and Clubhouse contexts. We argue that self-determination theory provides a robust social constructionist theoretical framework that is well-suited to informing research related to psychosocial rehabilitation, recovery-oriented practices and the Clubhouse model.

  6. Highly efficient, very low-thrust transfer to geosynchronous orbit - Exact and approximate solutions

    NASA Astrophysics Data System (ADS)

    Redding, D. C.

    1984-04-01

    An overview is provided of the preflight, postflight, and accuracy analysis of the Titan IIIC launch vehicle that injects payloads into geosynchronous orbits. The postflight trajectory reconstruction plays an important role in determining payload injection accuracy. Furthermore, the postflight analysis provides useful information about the characteristics of measuring instruments subjected to a flight environment. Suitable approaches for meeting mission specifications, trajectory requirements, and instrument constraints are considered, taking into account the importance of preflight trajectory analysis activities. Gimbal flip avoidance algorithms in the flight software, and considerable beta gimbal analysis ensures a singularity-free trajectory.

  7. An economic analysis of five selected LANDSAT assisted information systems in Oregon

    NASA Technical Reports Server (NTRS)

    Solomon, S.; Maher, K. M.

    1979-01-01

    A comparative cost analysis was performed on five LANDSAT-based information systems. In all cases, the LANDSAT system was found to have cost advantages over its alternative. The information sets generated by LANDSAT and the alternative method are not identical but are comparable in terms of satisfying the needs of the sponsor. The information obtained from the LANDSAT system in some cases is said to lack precision and detail. On the other hand, it was found to be superior in terms of providing information on areas that are inaccessible and unobtainable through conventional means. There is therefore a trade-off between precision and detail, and considerations of costs. The projects examined were concerned with locating irrigation circles in Morrow County; monitoring tansy ragwort infestation; inventoring old growth Douglas fir near Spotted Owl habitats; inventoring vegetation and resources in all state-owned lands; and determining and use for Columbia River water policies.

  8. Extent, accuracy, and credibility of breastfeeding information on the Internet.

    PubMed

    Shaikh, Ulfat; Scott, Barbara J

    2005-05-01

    Our objective was to test and describe a model for evaluating Websites related to breastfeeding. Forty Websites most likely to be accessed by the public were evaluated for extent, accuracy, credibility, presentation, ease of use, and adherence to ethical and medical Internet publishing standards. Extent and accuracy of Website content were determined by a checklist of critical information. The majority of Websites reviewed provided accurate information and complied with the International Code of Marketing of Breast-milk Substitutes. Approximately half the Websites complied with standards of medical Internet publishing. While much information on breastfeeding on the Internet is accurate, there is wide variability in the extent of information, usability of Websites, and compliance with standards of medical Internet publishing. Results of this study may be helpful to health care professionals as a model for evaluating breastfeeding-related Websites and to highlight considerations when recommending or designing Websites.

  9. Disclosure and rationality: comparative risk information and decision-making about prevention.

    PubMed

    Schwartz, Peter H

    2009-01-01

    With the growing focus on prevention in medicine, studies of how to describe risk have become increasing important. Recently, some researchers have argued against giving patients "comparative risk information," such as data about whether their baseline risk of developing a particular disease is above or below average. The concern is that giving patients this information will interfere with their consideration of more relevant data, such as the specific chance of getting the disease (the "personal risk"), the risk reduction the treatment provides, and any possible side effects. I explore this view and the theories of rationality that ground it, and I argue instead that comparative risk information can play a positive role in decision-making. The criticism of disclosing this sort of information to patients, I conclude, rests on a mistakenly narrow account of the goals of prevention and the nature of rational choice in medicine.

  10. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What other records management... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property...

  11. Practical Considerations Informing Teachers' Technology Integration Decisions: The Case of Tablet PCs

    ERIC Educational Resources Information Center

    Pareja Roblin, Natalie; Tondeur, Jo; Voogt, Joke; Bruggeman, Bram; Mathieu, Griet; van Braak, Johan

    2018-01-01

    The unique characteristics of tablet PCs promise important benefits for education. Yet, little is known about the rationale underlying teachers' decisions concerning their educational uses within the constraints of daily classroom practice. The current multiple case study investigated the practical considerations informing nine secondary school…

  12. 36 CFR § 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... exchange of electronic documents between offices using different software or operating systems. ... of electronic information systems? § 1236.12 Section § 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems...

  13. Alternative Fuels Data Center: Electricity

    Science.gov Websites

    efficiency. Using electricity to power vehicles can have significant energy security and emissions benefits . Icon of an information sign. Basics Find information about using electricity as a vehicle fuel Considerations Explore the benefits and considerations of using electricity as a vehicle fuel. Icon of a fueling

  14. 42 CFR 61.14 - Separate consideration of information concerning moral character or loyalty.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Separate consideration of information concerning moral character or loyalty. 61.14 Section 61.14 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING FELLOWSHIPS Regular Fellowships § 61.14...

  15. 42 CFR 61.14 - Separate consideration of information concerning moral character or loyalty.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Separate consideration of information concerning moral character or loyalty. 61.14 Section 61.14 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING FELLOWSHIPS Regular Fellowships § 61.14...

  16. 42 CFR 61.14 - Separate consideration of information concerning moral character or loyalty.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Separate consideration of information concerning moral character or loyalty. 61.14 Section 61.14 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING FELLOWSHIPS Regular Fellowships § 61.14...

  17. 42 CFR 61.14 - Separate consideration of information concerning moral character or loyalty.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Separate consideration of information concerning moral character or loyalty. 61.14 Section 61.14 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING FELLOWSHIPS Regular Fellowships § 61.14...

  18. 42 CFR 61.14 - Separate consideration of information concerning moral character or loyalty.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Separate consideration of information concerning moral character or loyalty. 61.14 Section 61.14 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES FELLOWSHIPS, INTERNSHIPS, TRAINING FELLOWSHIPS Regular Fellowships § 61.14...

  19. Gathering Information on Costs of Service: Some Basic Considerations for Implementation of PURPA,

    DTIC Science & Technology

    1979-10-01

    UNCLASSFIED RAND/P-6b22 ML."’ II I I I ll6lllllUi GATHERING INFORMATION ON COSTS OF .SERVICE: SOME BASIC CONSIDERATIONS FOR IMPLEMENTATION OF PURPA ...CONSIDERATIONS FOR IMPLEMENTATION OF PURPA Jan Paul Acton, Frank Camm, Derek McKay P-6422 October 1979 4v, P ,. . • L .... .S -iii- PREFACE In the period following...the passage of the Public Utility Regulatory Policies Act of 1978( PURPA ) the Federal Energy Regulatory Commission was responsible for the generation

  20. Future Directions in Vulnerability to Depression among Youth: Integrating Risk Factors and Processes across Multiple Levels of Analysis

    PubMed Central

    Hankin, Benjamin L.

    2014-01-01

    Depression is a developmental phenomenon. Considerable progress has been made in describing the syndrome, establishing its prevalence and features, providing clues as to its etiology, and developing evidence-based treatment and prevention options. Despite considerable headway in distinct lines of vulnerability research, there is an explanatory gap in the field ability to more comprehensively explain and predict who is likely to become depressed, when, and why. Still, despite clear success in predicting moderate variance for future depression, especially with empirically rigorous methods and designs, the heterogeneous and multi-determined nature of depression suggests that additional etiologies need to be included to advance knowledge on developmental pathways to depression. This paper advocates for a multiple levels of analysis approach to investigating vulnerability to depression across the lifespan and providing a more comprehensive understanding of its etiology. One example of a multiple levels of analysis model of vulnerabilities to depression is provided that integrates the most accessible, observable factors (e.g., cognitive and temperament risks), intermediate processes and endophenotypes (e.g., information processing biases, biological stress physiology, and neural activation and connectivity), and genetic influences (e.g., candidate genes and epigenetics). Evidence for each of these factors as well as their cross-level integration is provided. Methodological and conceptual considerations important for conducting integrative, multiple levels of depression vulnerability research are discussed. Finally, translational implications for how a multiple levels of analysis perspective may confer additional leverage to reduce the global burden of depression and improve care are considered. PMID:22900513

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