Science.gov

Sample records for public consultation synthesis

  1. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  2. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  3. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  4. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  5. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND ASSESSMENT PROGRAMS NATIONAL VOLUNTARY CONFORMITY ASSESSMENT SYSTEM EVALUATION (NVCASE) PROGRAM § 286.6 Public consultation. NIST...

  6. The Development of Behaviorally Based Public School Consultation Services

    ERIC Educational Resources Information Center

    Putnam, Robert F.; Handler, Marcie W.; Rey, Jannette; McCarty, Joseph

    2005-01-01

    This article describes the development of behavioral school care consultation services to public schools within a not-for-profit community behavioral health organization. An overview of the process of behavior consultation is presented. A description of the growth of behavioral school consultation services is outlined in regard to (a) the types of…

  7. Consulting the community: public expectations and attitudes about genetics research

    PubMed Central

    Etchegary, Holly; Green, Jane; Dicks, Elizabeth; Pullman, Daryl; Street, Catherine; Parfrey, Patrick

    2013-01-01

    Genomic discoveries and technologies promise numerous opportunities for improving health. Key to these potential health improvements, however, are health-care consumers' understanding and acceptance of these new developments. We identified community groups and invited them to a public information-consultation session in order to explore public awareness, perception and expectations about genetics and genomics research. One hundred and four members of seven community groups in Newfoundland, Canada took part in the community sessions. Content analysis of participant comments revealed they were largely hopeful about genetics research in its capacity to improve health; however, they did not accept such research uncritically. Complex issues arose during the community consultations, including the place of genetics in primary care, the value of genetics for personal health, and concerns about access to and uses of genetic information. Participants unequivocally endorsed the value of public engagement with these issues. The rapid pace of discoveries in genomics research offers exciting opportunities to improve population health. However, public support will be crucial to realize health improvements. Our findings suggest that regular, transparent dialog between researchers and the public could allow a greater understanding of the research process, as well as assist in the design of efficient and effective genetic health services, informed by the public that will use them. PMID:23591403

  8. 45 CFR 1302.3 - Consultation with public officials and consumers.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Consultation with public officials and consumers. 1302.3 Section 1302.3 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN... officials and consumers. Responsible HHS officials will consult with Governors, or their...

  9. 45 CFR 1302.3 - Consultation with public officials and consumers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Consultation with public officials and consumers. 1302.3 Section 1302.3 Public Welfare Regulations Relating to Public Welfare (Continued) OFFICE OF HUMAN... officials and consumers. Responsible HHS officials will consult with Governors, or their...

  10. Public Law 94-142: An Impetus for Consultation.

    ERIC Educational Resources Information Center

    Gibbins, Spencer

    1978-01-01

    Psychologists will become more involved in case conferencing, developing individualized educational plans, and case review as a result of PL 94-142, Education for All Handicapped Children Act of 1975. They will work on multidisciplinary teams. Four consultation models are described: mental health, organizational process, information giving, and…

  11. 75 FR 76997 - Public Consultation on Personnel Reliability and Culture of Responsibility Issues

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-10

    ... HUMAN SERVICES National Institutes of Health Public Consultation on Personnel Reliability and Culture of... Guidance for Enhancing Personnel Reliability and Strengthening the Culture of Responsibility at the Local... culture of responsibility at facilities that conduct research with dangerous pathogens. The...

  12. Linking expert evaluations with public consultation to design water policy at the watershed level.

    PubMed

    Garin, P; Rinaudo, J D; Ruhlmann, J

    2002-01-01

    In view of the increasing demand for public participation in public affairs, the European Water Framework Directive requires public consultation when drawing up watershed management plans. Implementation of this Directive requires the development of methods for linking the scientific and technical knowledge of experts with the viewpoints expressed by local actors. The objective of this paper is to propose a public consultation method that can be used as early as the preliminary assessment of river basin characteristics, defined by the Directive, and at the scale of sub-watersheds that make up the district. A case study of a watershed in southern France illustrates this method.

  13. 25 CFR 1000.211 - Will the bureau contact the Tribe/Consortium before initiating public consultation process for a...

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... initiating public consultation process for a non-BIA AFA under negotiation? 1000.211 Section 1000.211 Indians... public consultation process for a non-BIA AFA under negotiation? Yes, the bureau and the Tribe/Consortium will discuss the consultation process to be used in negotiating a non-BIA AFA. (a) When...

  14. 25 CFR 1000.211 - Will the bureau contact the Tribe/Consortium before initiating public consultation process for a...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... initiating public consultation process for a non-BIA AFA under negotiation? 1000.211 Section 1000.211 Indians... public consultation process for a non-BIA AFA under negotiation? Yes, the bureau and the Tribe/Consortium will discuss the consultation process to be used in negotiating a non-BIA AFA. (a) When...

  15. 25 CFR 1000.211 - Will the bureau contact the Tribe/Consortium before initiating public consultation process for a...

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... initiating public consultation process for a non-BIA AFA under negotiation? 1000.211 Section 1000.211 Indians... public consultation process for a non-BIA AFA under negotiation? Yes, the bureau and the Tribe/Consortium will discuss the consultation process to be used in negotiating a non-BIA AFA. (a) When...

  16. 25 CFR 1000.211 - Will the bureau contact the Tribe/Consortium before initiating public consultation process for a...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... initiating public consultation process for a non-BIA AFA under negotiation? 1000.211 Section 1000.211 Indians... public consultation process for a non-BIA AFA under negotiation? Yes, the bureau and the Tribe/Consortium will discuss the consultation process to be used in negotiating a non-BIA AFA. (a) When...

  17. 25 CFR 1000.211 - Will the bureau contact the Tribe/Consortium before initiating public consultation process for a...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... initiating public consultation process for a non-BIA AFA under negotiation? 1000.211 Section 1000.211 Indians... public consultation process for a non-BIA AFA under negotiation? Yes, the bureau and the Tribe/Consortium will discuss the consultation process to be used in negotiating a non-BIA AFA. (a) When...

  18. Practical and ethical considerations for using social media in community consultation and public disclosure activities.

    PubMed

    Galbraith, Kyle L

    2014-10-01

    Social media are becoming increasingly integrated into both the clinical and the research dimensions of emergency medicine. They can provide methods for sharing crucial information to targeted individuals or groups in a rapid fashion. As a result, investigators conducting emergency research under the exception from prospective informed consent requirements are beginning to turn to social media platforms as they engage in required community consultation and public disclosure activities before their research begins. At present, there are limited data regarding how effectively social media have been used for performing those consultation and disclosure activities. This article offers investigators four specific areas to consider before using social media in consultation and outreach efforts. First, understand the forms of outreach social media platforms can provide. Second, recognize how those outreach methods relate to the specific goals of community consultation and public disclosure. Third, consider whether or not the intended audiences of community consultation and public disclosure will be available via social media. Finally, think about how social media outreach efforts will be measured and assessed before consultation and disclosure activities are under way.

  19. 23 CFR 450.210 - Interested parties, public involvement, and consultation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Interested parties, public involvement, and consultation. 450.210 Section 450.210 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Statewide Transportation Planning and Programming §...

  20. 23 CFR 450.210 - Interested parties, public involvement, and consultation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 23 Highways 1 2012-04-01 2012-04-01 false Interested parties, public involvement, and consultation. 450.210 Section 450.210 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Statewide Transportation Planning and Programming §...

  1. 23 CFR 450.210 - Interested parties, public involvement, and consultation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Interested parties, public involvement, and consultation. 450.210 Section 450.210 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Statewide Transportation Planning and Programming §...

  2. 23 CFR 450.210 - Interested parties, public involvement, and consultation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Interested parties, public involvement, and consultation. 450.210 Section 450.210 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Statewide Transportation Planning and Programming §...

  3. 23 CFR 450.210 - Interested parties, public involvement, and consultation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 23 Highways 1 2011-04-01 2011-04-01 false Interested parties, public involvement, and consultation. 450.210 Section 450.210 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PLANNING AND RESEARCH PLANNING ASSISTANCE AND STANDARDS Statewide Transportation Planning and Programming §...

  4. 75 FR 78709 - Public Comment on the Draft Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-16

    ... HUMAN SERVICES Administration for Children and Families Public Comment on the Draft Tribal Consultation Policy AGENCY: Administration for Children and Families, HHS. ACTION: Notice. SUMMARY: On November 5... implications, including, as an initial step, through complete and consistent implementation of Executive...

  5. The French bioethics public consultation and the anonymity doctrine: empirical ethics and normative assumptions.

    PubMed

    Spranzi, Marta; Brunet, Laurence

    2015-03-01

    The French bioethics laws of 1994 contain the principles of the anonymity and non commodification of all donations of body parts and products including gametes in medically assisted reproduction. The two revisions of the law, in 2004 and 2011 have upheld the rule. In view of the latest revision process, the French government organized a large public consultation in 2009 ("Etats généraux de la bioéthique"). Within the event a "consensus conference" was held in Rennes about different aspects of assisted reproduction (access, anonymity, gratuity and surrogacy). In what follows we shall first describe the anonymity clause for gamete donations in the French law and the debates surrounding it. We shall then analyse the procedure used for the 2009 public consultation and the related consensus conference, as well as its upshot concerning the anonymity doctrine. In this respect we shall compare the citizens' own recommendations on the gamete anonymity issue and its translation in the consultation's final report drafted by a philosopher mandated by the organizing committee. Whereas the final report cited some fundamental ethical arguments as reason for upholding the provisions of the law-most notably the refusal of the 'all biological' approach to reproductive issues-citizens were more careful and tentative in their position although they also concluded that for pragmatic reasons the anonymity rule should continue to hold. We shall argue that the conservative upshot of the public consultation is due to some main underlying presuppositions concerning the citizens' role and expertise as well as to the specific design of the consensus conference. Our conclusion will be that public consultations and consensus conferences can only serve as an empirical support for devising suitable bioethics norms by using second-order normative assumptions.

  6. Implementing emergency research requiring exception from informed consent, community consultation, and public disclosure.

    PubMed

    Salzman, Joshua G; Frascone, Ralph J; Godding, Bobette K; Provo, Terry A; Gertner, Elie

    2007-10-01

    Conducting emergency research in the out-of-hospital and emergency department setting is a challenge because of the inability of patients to provide informed consent in many situations. Federal guidelines allowing research under an exception from informed consent for emergency research have been established (21 CRF 50.24). Community consultation and public disclosure, 2 required components of obtaining this exception, are seen by many as a barrier to resuscitation research. This article will provide a brief overview of the history of the exception from informed consent for emergency research and summarize our methods recently used to successfully complete community consultation and public disclosure for a trial evaluating 2 devices used during cardiopulmonary resuscitation in a large metropolitan area.

  7. 42 CFR 414.506 - Procedures for public consultation for payment for a new clinical diagnostic laboratory test.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Procedures for public consultation for payment for a new clinical diagnostic laboratory test. 414.506 Section 414.506 Public Health CENTERS FOR... establishing payment amounts for the list of codes made available to the public. (c) Not fewer than 30...

  8. Considerations for rice fortification in public health: conclusions of a technical consultation.

    PubMed

    De-Regil, Luz M; Peña-Rosas, Juan Pablo; Laillou, Arnaud; Moench-Pfanner, Regina

    2014-09-01

    Fortification of staple foods and commonly used condiments with vitamins and minerals has been considered one of the most cost-effective interventions to prevent and control micronutrient deficiencies. Because of its wide local consumption, acceptability, reach, and quantum of consumption, rice (Oryza sativa) far exceeds the requirements of a staple food vehicle that can be considered for fortification purposes at a population-level intervention. The World Health Organization (WHO) has the mandate to develop evidence-informed guidelines for the fortification of staple foods as a public health intervention, including rice fortification with micronutrients. The WHO, in collaboration with the Global Alliance for Improved Nutrition (GAIN), convened a consultation on "Technical Considerations for Rice Fortification in Public Health" in Geneva, Switzerland on October 9-10, 2012 to provide technical inputs to the guideline development process, particularly with reference to feasibility and implementability. The industrial and regulatory technical considerations in rice fortification, as well as the considerations for implementing it as a public health strategy and assuring equitable access and universal coverage, were reviewed in this consultation. This paper summarizes the discussions and priority research areas for the forthcoming years.

  9. Consultant outcomes publication and surgical training: Consensus recommendations by the association of surgeons in training.

    PubMed

    Mohan, Helen M; Gokani, Vimal J; Williams, Adam P; Harries, Rhiannon L

    2016-11-01

    Consultant Outcomes Publication (COP) has the longest history in cardiothoracic surgery, where it was introduced in 2005. Subsequently COP has been broadened to include all surgical specialties in NHS England in 2013-14. The Association of Surgeons in Training (ASiT) fully supports efforts to improve patient care and trust in the profession and is keen to overcome potential unintended adverse effects of COP. Identification of these adverse effects is the first step in this process: Firstly, there is a risk that COP may lead to reluctance by consultants to provide trainees with the necessary appropriate primary operator experience to become skilled consultant surgeons for the future. Secondly, COP may lead to inappropriately cautious case selection. This adjusted case mix affects both patients who are denied operations, and also limits the complexity of the case mix to which surgical trainees are exposed. Thirdly, COP undermines efforts to train surgical trainees in non-technical skills and human factors, simply obliterating the critical role of the multidisciplinary team and organisational processes in determining outcomes. This tunnel vision masks opportunities to improve patient care and outcomes at a unit level. It also misinforms the public as to the root causes of adverse events by failing to identify care process deficiencies. Finally, for safe surgical care, graduate retention and morale is important - COP may lead to high calibre trainees opting out of surgical careers, or opting to work abroad. The negative effects of COP on surgical training and trainees must be addressed as high quality surgical training and retention of high calibre graduates is essential for excellent patient care.

  10. Scientists and public involvement: a consultation on the relation between malaria, vector control and transgenic mosquitoes.

    PubMed

    Boëte, Christophe

    2011-12-01

    Among the hopes for vector-based malaria control, the use of transgenic mosquitoes able to kill malaria parasites is seen as a potential way to interrupt malaria transmission. While this potential solution is gaining some support, the ethical and social aspects related to this high-tech method remain largely unexplored and underestimated. Related to those latter points, the aim of the present survey is to determine how scientists working on malaria and its vector mosquitoes perceive public opinion and how they evaluate public consultations on their research. This study has been performed through a questionnaire addressing questions related to the type of research, the location, the nationality and the perception of the public involvement by scientists. The results suggest that even if malaria researchers agree to interact with a non-scientific audience, they (especially the ones from the global North) remain quite reluctant to have their research project submitted in a jargon-free version to the evaluation and the prior-agreement by a group of non-specialists. The study, by interrogating the links between the scientific community and the public from the perspective of the scientists, reveals the importance of fostering structures and processes that could lead to a better involvement of a non specialist public in the actual debates linking scientific, technological and public health issues in Africa.

  11. Public health microbiology in Germany: 20 years of national reference centers and consultant laboratories.

    PubMed

    Beermann, Sandra; Allerberger, Franz; Wirtz, Angela; Burger, Reinhard; Hamouda, Osamah

    2015-10-01

    In 1995, in agreement with the German Federal Ministry of Health, the Robert Koch Institute established a public health microbiology system consisting of national reference centers (NRCs) and consultant laboratories (CLs). The goal was to improve the efficiency of infection protection by advising the authorities on possible measures and to supplement infectious disease surveillance by monitoring selected pathogens that have high public health relevance. Currently, there are 19 NRCs and 40 CLs, each appointed for three years. In 2009, an additional system of national networks of NRCs and CLs was set up in order to enhance effectiveness and cooperation within the national reference laboratory system. The aim of these networks was to advance exchange in diagnostic methods and prevention concepts among reference laboratories and to develop geographic coverage of services. In the last two decades, the German public health laboratory reference system coped with all major infectious disease challenges. The European Union and the European Centre for Disease Prevention and Control (ECDC) are considering implementing a European public health microbiology reference laboratory system. The German reference laboratory system should be well prepared to participate actively in this upcoming endeavor.

  12. [Influenza telephone consultation target the general public--2003-2004, 2004-2005].

    PubMed

    Yamadera, Shizuko; Kobune, Fumio; Komatsu, Toshihiko; Suzuki, Kazuyoshi; Nakayama, Mikio; Hagiwara, Toshikatsu; Matsumoto, Miyako; Yamamoto, Kiichi; Renard, Junko; Oya, Akira

    2007-07-01

    The NPO Biomedical Science Association provided telephone consultation, including contacts by fax and email, targeting the general public within the framework of influenza control measures worked out by the Japanese Ministry of Health, Labor and Welfare (MHLW). We received 2,813 inquiries during the 2003-2004 flu season and 2,444 inquiries during the 2004-2005 season. By month, the highest number was in October-November, accounting for 42.6%. The preceding season showed a similar trend. By gender, 72.5% of those seeking advice were women. By area of residence, the highest number was living in metropolitan Tokyo, and the remainder lived in the prefectures of Kanagawa, Chiba, Saitama, Nagano, Shizuoka, and Ibaraki in this order. We received no inquiries from the prefectures of Shimane or Saga. By occupation, housewives accounted for 1,114 inquiries (45.6%), followed by private companies with 447 inquiries (18.3%) and health-care providers with 227 inquiries (9.3%), similar to the 2003-2004 flu season. By subject, 1,545 inquiries concerned vaccines (62.2%) mainly, the pros and cons of vaccination, adverse reactions, and the number of inoculations required. Inquiries about pregnancy, infants and young children, and breast-feeding accounted for 19.2%. Inquiries on vaccine shortages during the 2004-2005 flu season (7), SARS (22), and bird flu (22) decreased compared to the previous season, while the number of consultations on antiviral agents increased (209). In discussing how information on influenza should be communicated to the public, we propose that "Influenza Q & A" provided by the Infectious Diseases Surveillance Center of the NIID, MHLW, should include information on influenza specifically addressing pregnant woman and breast-feeding or child-rearing mothers.

  13. [An exploratory synthesis of knowledge brokering in public health].

    PubMed

    Ridde, Valéry; Dagenais, Christian; Boileau, Michèle

    2013-01-01

    There is a call for public health policies and interventions to be evidence-based. Also, using knowledge brokers to foster the use of research results is increasingly recommended. This article presents an exploratory synthesis of the current state of knowledge on this new strategy We conducted a scoping study by consulting the main databases. Nineteen articles were included in the analysis, which was designed with a grid developed iteratively. The synthesis shows that knowledge brokering initiatives include i) planning activities (stakeholder identification, creation of networks and partnerships, context analysis, problem identification, needs identification), ii) support to the brokers (training, technical support, development of a practice guide), and iii) the brokerage activities themselves (information management, liaison between knowledge producers and users, training of users). Only four articles presented empirical data on the effects of brokers' activities. Three were associated with increased knowledge in the target audience. No study showed any impact on clinical behaviours or on public policy content. This synthesis highlights the challenges involved in knowledge brokering activities, as well as the characteristics and skills a broker should possess. While knowledge brokering appears promising, efforts must now be made to evaluate it more systematically to demonstrate its effectiveness.

  14. The Art Consultant as Writer: A Retrospective of Ontario Publications, 1945-1995

    ERIC Educational Resources Information Center

    Clark, Roger Allen

    2008-01-01

    Consultant, supervisor, coordinator--though the official titles may have changed with locale and decade, the position of art consultant has remained an enduring fixture of the Ontario education system since World War II. In this paper, I will trace the evolution of Ontario art consultancies from 1945 to 1995. My focus will be a novel one: the…

  15. Licensing the future: report on BioMed Central's public consultation on open data in peer-reviewed journals.

    PubMed

    Hrynaszkiewicz, Iain; Busch, Stefan; Cockerill, Matthew J

    2013-08-21

    We report the outcomes of BioMed Central's public consultation on implementing open data-compliant licensing in peer-reviewed open access journals. Respondents (42) to the 2012 consultation were six to one in favor (29 in support; 5 against; 8 abstentions) of changing our authors' default open access copyright license agreement, to introduce the Creative Commons CC0 public domain waiver for data published in BioMed Central's journals. We summarize the different questions we received in response to the consultation and our responses to them - matters such as citation, plagiarism, patient privacy, and commercial use were raised. In light of the support for open data in our journals we outline our plans to implement, in September 2013, a combined Creative Commons Attribution license for published articles (papers) and Creative Commons CC0 waiver for published data.

  16. Technical considerations for maize flour and corn meal fortification in public health: consultation rationale and summary.

    PubMed

    Peña-Rosas, Juan Pablo; Garcia-Casal, Maria Nieves; Pachón, Helena; Mclean, Mireille Seneclauze; Arabi, Mandana

    2014-04-01

    Fortification is the purposeful addition of vitamins and minerals to foods during their industrial processing, as a way to improve the nutrition and health of populations who consume these foods. Twelve countries have mandatory maize (Zea mays subsp. Mays) flour or meal fortification. The World Health Organization (WHO) is updating evidence-informed guidelines for the fortification of staple foods in public health, including the fortification of maize flour and corn meal with iron and other micronutrients. Although there is limited experience with fortification of maize, mass fortification of maize flour with at least iron has been practiced for many years in several countries in the Americas and Africa: Brazil, Costa Rica, El Salvador, Kenya, Mexico, Nigeria, Rwanda, South Africa, Tanzania, Uganda, the United States, and Venezuela. The WHO, in collaboration with the Sackler Institute for Nutrition Science and the Flour Fortification Initiative (FFI), convened a consultation on technical considerations for fortification of maize flour and corn meal in public health in New York, New York on April 8-9, 2013 to provide input into the guideline-development process and to discuss technical considerations of the fortification processes for maize flour and corn meal.

  17. The Future Development of the European Union Education, Training and Youth Programmes After 2006: A Public Consultation Document.

    ERIC Educational Resources Information Center

    Commission of the European Communities, Brussels (Belgium). Directorate-General for Education and Culture.

    This document launches a wide public consultation with all those involved in and with an interest in the European Union's (EU's) education, training, and youth programs called Socrates, Tempus, Leonardo da Vinci, and Youth for Europe. It is the first step toward preparing the new generation of programs to start in 2007 and will inform the…

  18. [Evaluation of public knowledge about influenza based on influenza hotline consultations].

    PubMed

    Suzuki, Satowa; Sunagawa, Tomimasa; Ohyama, Takaaki; Tanaka-Taya, Keiko; Taniguchi, Kiyosu; Okabe, Nobuhiko

    2004-02-01

    In 1999, the Ministry of Health, Labour and Welfare issued guidelines on prevention and control of influenza. These included recommendations for public education about influenza and promotion of vaccination among persons at high risk for complications from influenza. In response, several public education programs were implemented, including an "influenza hotline" that was established within the Infectious Diseases Surveillance Center, National Institute of Infectious Diseases. To assess the informational needs of callers about influenza and evaluate the impact of different communication modalities, we analyzed data from telephone consultations made to the "influenza hotline" and from a survey that was conducted among a subset of callers. During the influenza seasons of 2000-2001 to 2002-2003, there was an average of 2,230 callers to the "influenza hotline" each season, range 1,809-2,696. The majority (42.4%) of callers were women aged 30-39 years, which might reflect young mothers. The most frequently asked questions were about influenza vaccination of infants and young children. which accounted for 20.6% (1,501/7,295) of all vaccine-related questions during the four seasons. Questions about the number of recommended influenza vaccine doses was the second most frequently asked topic and comprised 17.8% (1,300/7,295) of all vaccine-related questions. Over the period 2000-2001 to 2002-2003, questions about the recommended number of influenza vaccine doses decreased among elderly callers, but not for callers aged < 60 years. The number of calls about the location of influenza vaccine clinics, availability of influenza vaccine, and vaccination of elderly person declined from 1999-2000 to 2002-2003. Of callers that were surveyed (N = 3,316) about where they received information about influenza, the most frequently reported sources were newspapers (47.7%), and the internet (26.2%). Internet use by callers showed differences among age groups. Only 2.4% of callers aged

  19. From staff nurse to nurse consultant. Writing for publication part 7: structure and presentation.

    PubMed

    Fowler, John

    John Fowler, independent education consultant, continues his series for clinical nurses hoping to share their experiences with a wider audience, with advice on developing a potential article for a professional journal.

  20. From staff nurse to nurse consultant. Part 9: writing for publication using client case studies.

    PubMed

    Fowler, John

    John Fowler, independent education consultant, continues his series for clinical nurses hoping to share their experiences with a wider audience, with advice on developing a potential article for a professional journal.

  1. From staff nurse to nurse consultant: Writing for publication part 10: publishing a project report.

    PubMed

    Fowler, John

    John Fowler, independent education consultant, continues his series for clinical nurses hoping to share their experiences with a wider audience, with advice on developing a potential article for a professional journal.

  2. Results of a transparent expert consultation on patient and public involvement in palliative care research

    PubMed Central

    Daveson, Barbara A; de Wolf-Linder, Susanne; Witt, Jana; Newson, Kirstie; Morris, Carolyn; Higginson, Irene J; Evans, Catherine J

    2015-01-01

    Background: Support and evidence for patient, unpaid caregiver and public involvement in research (user involvement) are growing. Consensus on how best to involve users in palliative care research is lacking. Aim: To determine an optimal user-involvement model for palliative care research. Design: We hosted a consultation workshop using expert presentations, discussion and nominal group technique to generate recommendations and consensus on agreement of importance. A total of 35 users and 32 researchers were approached to attend the workshop, which included break-out groups and a ranking exercise. Descriptive statistical analysis to establish consensus and highlight divergence was applied. Qualitative analysis of discussions was completed to aid interpretation of findings. Setting/participants: Participants involved in palliative care research were invited to a global research institute, UK. Results: A total of 12 users and 5 researchers participated. Users wanted their involvement to be more visible, including during dissemination, with a greater emphasis on the difference their involvement makes. Researchers wanted to improve productivity, relevance and quality through involvement. Users and researchers agreed that an optimal model should consist of (a) early involvement to ensure meaningful involvement and impact and (b) diverse virtual and face-to-face involvement methods to ensure flexibility. Conclusion: For involvement in palliative care research to succeed, early and flexible involvement is required. Researchers should advertise opportunities for involvement and promote impact of involvement via dissemination plans. Users should prioritise adding value to research through enhancing productivity, quality and relevance. More research is needed not only to inform implementation and ensure effectiveness but also to investigate the cost-effectiveness of involvement in palliative care research. PMID:25931336

  3. Cross-Disciplinary Consultancy to Bridge Public Health Technical Needs and Analytic Developers: Asyndromic Surveillance Use Case

    PubMed Central

    Faigen, Zachary; Deyneka, Lana; Ising, Amy; Neill, Daniel; Conway, Mike; Fairchild, Geoffrey; Gunn, Julia; Swenson, David; Painter, Ian; Johnson, Lauren; Kiley, Chris; Streichert, Laura

    2015-01-01

    Introduction: We document a funded effort to bridge the gap between constrained scientific challenges of public health surveillance and methodologies from academia and industry. Component tasks are the collection of epidemiologists’ use case problems, multidisciplinary consultancies to refine them, and dissemination of problem requirements and shareable datasets. We describe an initial use case and consultancy as a concrete example and challenge to developers. Materials and Methods: Supported by the Defense Threat Reduction Agency Biosurveillance Ecosystem project, the International Society for Disease Surveillance formed an advisory group to select tractable use case problems and convene inter-disciplinary consultancies to translate analytic needs into well-defined problems and to promote development of applicable solution methods. The initial consultancy’s focus was a problem originated by the North Carolina Department of Health and its NC DETECT surveillance system: Derive a method for detection of patient record clusters worthy of follow-up based on free-text chief complaints and without syndromic classification. Results: Direct communication between public health problem owners and analytic developers was informative to both groups and constructive for the solution development process. The consultancy achieved refinement of the asyndromic detection challenge and of solution requirements. Participants summarized and evaluated solution approaches and discussed dissemination and collaboration strategies. Practice Implications: A solution meeting the specification of the use case described above could improve human monitoring efficiency with expedited warning of events requiring follow-up, including otherwise overlooked events with no syndromic indicators. This approach can remove obstacles to collaboration with efficient, minimal data-sharing and without costly overhead. PMID:26834939

  4. Current views and practice of faculty members and consultants regarding ‘Publications in India’: A cross-sectional study

    PubMed Central

    Kurdi, Madhuri S; Ramaswamy, Ashwini Halebid; Lokare, Laxmikant; Sutagatti, Jagadish G

    2015-01-01

    Background and Aims: There is an increasing enthusiasm and pressure to submit scientific articles to journals for publication due to official policies. This has led to increased stress on authors and editors and in issues like plagiarism. We planned a cross-sectional study with an aim to explore the current publication related views and practice of faculty members and consultants. Methods: We conducted a questionnaire based prospective survey with 22 questions divided into parts. Print and electronic versions were sent to around 18,270 members in total, a majority of whom were anaesthesiologists and 600 members responded to our questionnaire. A database was created and analysed using Microsoft Excel. Results: About 80% felt that online journals were better read than print journals. Eighty eight percent agreed that publications improve academic skills. The Medical Council of India requirements to publish in reputed journals were cited as the main reasons for plagiarism. The publication rule had become a burden for 46% respondents. Review articles were most likely to be read though clinical investigations were considered to be of maximum academic significance. Review/publishing time followed by author requirements and journal indexing were the points our respondents liked to see most when choosing a journal for article submission. Conclusion: Our survey results depict the current author related views and trends in publication practice which may guide in evidence-based policy making. PMID:26903673

  5. Library collection of the psychosocial publications in consultation-liaison psychiatry.

    PubMed

    McCartney, C F; Evans, D L; Richardson, W

    1985-01-01

    Psychiatric oncology is a relatively new area, and few comprehensive reviews of related subject matter are available. Thus, the psychiatrists at North Carolina Memorial Hospital who provide liaison to oncology saw the need for a collection of pertinent psychiatric oncology materials that could be studied by faculty, residents, and staff. Such materials would be valuable for patient consultation, lecture preparation, and research background. Their bibliography and library system are discussed here, with a description of the methods of its compilation. The unique features are referenced materials are filed in a centrally available location (departmental library), so that readers have immediate access to them, and bibliographic entries are stored in a small computer in the library, and can be retrieved by topic, title, author. The file currently holds over 340 articles, and is continuously updated. It has been extensively utilized by professionals in this tertiary care teaching hospital as well as in programs across the state.

  6. Economic Valuation of Health Care Services in Public Health Systems: A Study about Willingness to Pay (WTP) for Nursing Consultations

    PubMed Central

    Martín-Fernández, Jesús; del Cura-González, Mª Isabel; Rodríguez-Martínez, Gemma; Ariza-Cardiel, Gloria; Zamora, Javier; Gómez-Gascón, Tomás; Polentinos-Castro, Elena; Pérez-Rivas, Francisco Javier; Domínguez-Bidagor, Julia; Beamud-Lagos, Milagros; Tello-Bernabé, Mª Eugenia; Conde-López, Juan Francisco; Aguado-Arroyo, Óscar; Bayona, Mª Teresa Sanz-; Gil-Lacruz, Ana Isabel

    2013-01-01

    Background Identifying the economic value assigned by users to a particular health service is of principal interest in planning the service. The aim of this study was to evaluate the perception of economic value of nursing consultation in primary care (PC) by its users. Methods and Results Economic study using contingent valuation methodology. A total of 662 users of nursing consultation from 23 health centers were included. Data on demographic and socioeconomic characteristics, health needs, pattern of usage, and satisfaction with provided service were compiled. The validity of the response was evaluated by an explanatory mixed-effects multilevel model in order to assess the factors associated with the response according to the welfare theory. Response reliability was also evaluated. Subjects included in the study indicated an average Willingness to Pay (WTP) of €14.4 (CI 95%: €13.2–15.5; median €10) and an average Willingness to Accept [Compensation] (WTA) of €20.9 (CI 95%: €19.6–22.2; median €20). Average area income, personal income, consultation duration, home visit, and education level correlated with greater WTP. Women and older subjects showed lower WTP. Fixed parameters explained 8.41% of the residual variability, and response clustering in different health centers explained 4–6% of the total variability. The influence of income on WTP was different in each center. The responses for WTP and WTA in a subgroup of subjects were consistent when reassessed after 2 weeks (intraclass correlation coefficients 0.952 and 0.893, respectively). Conclusions The economic value of nursing services provided within PC in a public health system is clearly perceived by its user. The perception of this value is influenced by socioeconomic and demographic characteristics of the subjects and their environment, and by the unique characteristics of the evaluated service. The method of contingent valuation is useful for making explicit this perception of value of

  7. Prevalence of systemic diseases among patients requesting dental consultation in the public and private systems

    PubMed Central

    Garea-Gorís, Rafael; Fernández-Varela, Marta; Tomás-Carmona, Inmaculada; Diniz-Freitas, Marcio; Limeres-Posse, Jacobo

    2012-01-01

    Objectives: To determine the prevalence and aetiology of systemic disease among patients requesting dental treatment in public and private practice. Study Design: A retrospective analysis was performed of the medical histories of 2000 patients requesting dental treatment during the year 2009. One thousand patients came from the Fontiñas Primary Care Oral and Dental Health Unit of the Galician Health Service (SERGAS), Spain, and the other thousand from a private clinic; both clinics were situated in Santiago de Compostela, La Coruña, Spain. The data collected were the following: demographic data (age and sex), presence or absence of systemic diseases and the nosologic categories, and drug history (type and number of drugs). Results: The prevalence of systemic disease was significantly higher among patients seen in the public system (35.2% in the public system versus 28.1% in the private system; p= 0.003). The differences between the two systems were more marked when considering patients aged under 65 years, particularly with respect to rheumatic and endocrine-metabolic (diabetes) disorders. The prevalence of patients receiving polypharmacy (>4 drugs/day) was significantly higher among patients seen in the public system (5.7% in the public system versus 2.7% in the private system; p= 0.009). Conclusions: There is a high prevalence of medical disorders and of patients receiving polypharmacy among individuals requesting dental care, particularly in the public health system. Dentists must have adequate training in medical disease and must be fully integrated into primary care health teams in order to prevent or adequately resolve complications. Key words: Dentistry, medical history, systemic disease, polypharmacy. PMID:22157672

  8. 75 FR 26973 - Notice of Public Comment on Tribal Consultation Sessions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-13

    ..., 2010. SUMMARY: Pursuant to the Improving Head Start for School Readiness Act of 2007, Public Law 110... American Indian and Alaska Native children and their families, taking into consideration funding... and families, taking into consideration funding allocations, distribution formulas, and other...

  9. Generating Scholarship from Public Service: Media Outreach, Nonprofit Foundation Service, and Legal Expert Consulting

    ERIC Educational Resources Information Center

    Smith, Daniel A.

    2011-01-01

    Most colleges and universities stipulate that public service is a requirement for tenure and promotion. Yet many political science faculty and their respective administrators pay only lip service to this "third leg" of a scholarly career, relying on teaching and research to shape most career decisions. This reality is particularly surprising in…

  10. Do public inquiries for noise control serve a useful purpose?--An acoustic consultant's view.

    PubMed

    Flindell, I H

    2003-01-01

    In the United Kingdom, before the introduction of the various town and country planning acts and associated regulations, landowners were free to use their land in any way they wished, subject only to limitations imposed by lease or covenant and the avoidance of nuisance or trespass against neighbours. Any disputes arising would be resolved by negotiation or via a court of law. Under current planning laws and regulations, local authorities are empowered to impose special conditions or even to refuse development to prevent excessive nuisance, but the resulting noise management solutions are not always optimum from either the noise maker's or the noise exposed's points of view. In addition, the planning system has almost no effect on existing noise. Public inquiries provide a useful mechanism for the investigation of appeals against local authority decisions, or where the government has decided that issues of strategic or national importance need to be fully explored in a public forum. In practice, and largely because of individual disagreement, public inquiries can result in excessive delays while all interested parties are allowed to have their say. There seems to be an increasing consensus that the general inadequacy of existing methods of assessing noise impact is at least partly to blame. The new European Environmental Noise Directive represents a step change towards the imposition of one-size-fits-all regulatory or administrative procedures which should eventually contribute towards the reduction of public inquiry delays, but on the other hand, any weakening of the general principle of basing decisions on 'informed flexibility' will probably have significant negative consequences over the longer term.

  11. Licensing the future: report on BioMed Central’s public consultation on open data in peer-reviewed journals

    PubMed Central

    2013-01-01

    We report the outcomes of BioMed Central’s public consultation on implementing open data-compliant licensing in peer-reviewed open access journals. Respondents (42) to the 2012 consultation were six to one in favor (29 in support; 5 against; 8 abstentions) of changing our authors’ default open access copyright license agreement, to introduce the Creative Commons CC0 public domain waiver for data published in BioMed Central’s journals. We summarize the different questions we received in response to the consultation and our responses to them – matters such as citation, plagiarism, patient privacy, and commercial use were raised. In light of the support for open data in our journals we outline our plans to implement, in September 2013, a combined Creative Commons Attribution license for published articles (papers) and Creative Commons CC0 waiver for published data. PMID:23962139

  12. What should be given a priority – costly medications for relatively few people or inexpensive ones for many? The Health Parliament public consultation initiative in Israel

    PubMed Central

    Guttman, Nurit; Shalev, Carmel; Kaplan, Giora; Abulafia, Ahuva; Bin‐Nun, Gabi; Goffer, Ronen; Ben‐Moshe, Roei; Tal, Orna; Shani, Mordechai; Lev, Boaz

    2008-01-01

    Abstract Background  In the past two decades, government and civic organizations have been implementing a wide range of deliberative public consultations on health care‐related policy. Drawing on these experiences, a public consultation initiative in Israel called the Health Parliament was established. Goals  To implement a public consultation initiative that will engage members of the public in the discussion of four healthcare policy questions associated with equity in health services and on priorities for determining which medications and treatments should be included in the basket of national health services. Method  One hundred thirty‐two participants from the general population recruited through a random sample were provided with background materials and met over several months in six regional sites. Dilemma activities were used and consultants were available for questions and clarifications. Participants presented their recommendations in a national assembly to the Minister of Health. Outcomes  Across the regional groups the recommendations were mostly compatible, in particular regarding considering the healthcare system’s monetary state, even at the expense of equity, but for each policy question minority views were also expressed. A strong emphasis in the recommendations was pragmatism. Conclusion  Participants felt the experience was worthwhile; though the actual impact of their recommendations on policy making was indirect, they were willing to participate in future consultations. However, despite enthusiasm the initiative was not continued. Issues raised are whether consultation initiatives must have a direct impact on healthcare policy decisions or can be mainly a venue to involve citizens in the deliberation of healthcare policy issues. PMID:18429997

  13. 25 CFR 1000.210 - When does a non-BIA bureau use a public consultation process related to the negotiation of an AFA?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... process related to the negotiation of an AFA? 1000.210 Section 1000.210 Indians OFFICE OF THE ASSISTANT... AFA? When required by law or when appropriate under bureau discretion, a bureau may use a public consultation process in negotiating an AFA....

  14. 25 CFR 1000.210 - When does a non-BIA bureau use a public consultation process related to the negotiation of an AFA?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... process related to the negotiation of an AFA? 1000.210 Section 1000.210 Indians OFFICE OF THE ASSISTANT... AFA? When required by law or when appropriate under bureau discretion, a bureau may use a public consultation process in negotiating an AFA....

  15. 25 CFR 1000.210 - When does a non-BIA bureau use a public consultation process related to the negotiation of an AFA?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... process related to the negotiation of an AFA? 1000.210 Section 1000.210 Indians OFFICE OF THE ASSISTANT... AFA? When required by law or when appropriate under bureau discretion, a bureau may use a public consultation process in negotiating an AFA....

  16. 25 CFR 1000.210 - When does a non-BIA bureau use a public consultation process related to the negotiation of an AFA?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... process related to the negotiation of an AFA? 1000.210 Section 1000.210 Indians OFFICE OF THE ASSISTANT... AFA? When required by law or when appropriate under bureau discretion, a bureau may use a public consultation process in negotiating an AFA....

  17. 25 CFR 1000.210 - When does a non-BIA bureau use a public consultation process related to the negotiation of an AFA?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... process related to the negotiation of an AFA? 1000.210 Section 1000.210 Indians OFFICE OF THE ASSISTANT... AFA? When required by law or when appropriate under bureau discretion, a bureau may use a public consultation process in negotiating an AFA....

  18. Critical consulting

    SciTech Connect

    Hocker, C.

    1993-02-01

    With increasing complexity in the power industry, consultants have become an indispensible element of any project development team. Top engineers and consultants today bring added value to their clients' projects.

  19. Consultants, Consultancy and Consultocracy in Education Policymaking in England

    ERIC Educational Resources Information Center

    Gunter, Helen M.; Hall, David; Mills, Colin

    2015-01-01

    The role and contribution of consultants and consultancy in public services has grown rapidly and the power of consultants suggests the emergence of a "consultocracy". We draw on research evidence from the social sciences and critical education policy (CEP) studies to present an examination of the state of the field. We deploy a…

  20. Public Health Data for Individual Patient Care: Mapping Poison Control Center Data to the C-CDA Consultation Note.

    PubMed

    Khalifa, Aly; Del Fiol, Guilherme; Cummins, Mollie R

    2016-01-01

    We are developing a new process of health information exchange supported collaboration that leverages the HL7 consolidated CDA standard through four document types (consultation note, history and physical, progress note and discharge summary). The focus of the present study is the C-CDA consultation note template that will be submitted from poison control centers (PCC)s to emergency departments (EDs) with treatment recommendations. Specifically, we aimed to (i) create computable mappings between a poison control center database and the C-CDA consultation note template; and (ii) assess the extent and nature of information types that successfully map to discrete data elements in a poison control center database. The resulting template and mappings can be used to implement standards-based health information exchange between PCCs and EDs in the U.S. This is a part of the first formal effort to leverage health information exchange standards to support PCC-ED collaboration.

  1. Public Health Data for Individual Patient Care: Mapping Poison Control Center Data to the C-CDA Consultation Note

    PubMed Central

    Khalifa, Aly; Del Fiol, Guilherme; Cummins, Mollie R.

    2016-01-01

    We are developing a new process of health information exchange supported collaboration that leverages the HL7 consolidated CDA standard through four document types (consultation note, history and physical, progress note and discharge summary). The focus of the present study is the C-CDA consultation note template that will be submitted from poison control centers (PCC)s to emergency departments (EDs) with treatment recommendations. Specifically, we aimed to (i) create computable mappings between a poison control center database and the C-CDA consultation note template; and (ii) assess the extent and nature of information types that successfully map to discrete data elements in a poison control center database. The resulting template and mappings can be used to implement standards-based health information exchange between PCCs and EDs in the U.S. This is a part of the first formal effort to leverage health information exchange standards to support PCC-ED collaboration. PMID:28269944

  2. Lactation Consultant

    MedlinePlus

    ... human lactation. Job description Lactation consultants educate women, families, health professionals, and the community about breast feeding and human lactation; facilitate the development of policies which protect, promote, and support breastfeeding; ...

  3. The Evidence Base for Mental Health Consultation in Early Childhood Settings: Research Synthesis Addressing Staff and Program Outcomes

    ERIC Educational Resources Information Center

    Brennan, Eileen M.; Bradley, Jennifer R.; Allen, Mary Dallas; Perry, Deborah F.

    2008-01-01

    Research Findings: One strategy to support early childhood providers' work with children exhibiting challenging behavior is offering mental health consultation services in order to build staff skills and confidence and reduce staff stress and turnover. Through systematic search procedures, 26 recent studies were identified that addressed the…

  4. 42 CFR 414.506 - Procedures for public consultation for payment for a new clinical diagnostic laboratory test.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...: (a) CMS makes available to the public (through CMS's Internet Web site) a list that includes codes... accompanying data) received at the public meeting, CMS develops and makes available to the public (through an Internet Web site and other appropriate mechanisms) a list of— (1) Proposed determinations with respect...

  5. [Teledermatological consultation].

    PubMed

    Knol, A; Damstra, R J; van den Akker, Th W; de Haan, J

    2004-02-14

    Teledermatological consultation can be effected in two ways. One is 'store-and-forward' which involves storing photographic digital images and sending them to a consultant dermatologist who then replies by e-mail, and the other is by videoconferencing using a real time interactive audiovisual link. In daily general practice the first method is the easiest to implement. In 76-90% of cases, a diagnosis or differential diagnosis made in this way corresponds with the diagnosis made at the more usual face-to-face examination. The advantage of teledermatological consultation is that diagnosis and therapy take place faster than after regular referral and it is better than no referral at all. The referring physician should deliver data on the patient's history and physical examination in a standardized format. The same is true for the encoded personal data, the working diagnosis, and referral request. One overview and 2 detailed photos from two angles are normally taken. The overview shows the extent and localization of the skin abnormality. The patient has to consent to a teledermatological consultation. The responsibility for the treatment lies with the doctor who sees the patient face-to-face. The data that is transmitted must be encrypted or coded in such a way that it cannot be traced back to one particular person.

  6. Identifying Trustworthy Experts: How Do Policymakers Find and Assess Public Health Researchers Worth Consulting or Collaborating With?

    PubMed Central

    Haynes, Abby S.; Derrick, Gemma E.; Redman, Sally; Hall, Wayne D.; Gillespie, James A.; Chapman, Simon; Sturk, Heidi

    2012-01-01

    This paper reports data from semi-structured interviews on how 26 Australian civil servants, ministers and ministerial advisors find and evaluate researchers with whom they wish to consult or collaborate. Policymakers valued researchers who had credibility across the three attributes seen as contributing to trustworthiness: competence (an exemplary academic reputation complemented by pragmatism, understanding of government processes, and effective collaboration and communication skills); integrity (independence, “authenticity”, and faithful reporting of research); and benevolence (commitment to the policy reform agenda). The emphases given to these assessment criteria appeared to be shaped in part by policymakers' roles and the type and phase of policy development in which they were engaged. Policymakers are encouraged to reassess their methods for engaging researchers and to maximise information flow and support in these relationships. Researchers who wish to influence policy are advised to develop relationships across the policy community, but also to engage in other complementary strategies for promoting research-informed policy, including the strategic use of mass media. PMID:22403693

  7. 42 CFR 414.506 - Procedures for public consultation for payment for a new clinical diagnostic laboratory test.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    .... For a new test, CMS determines the basis for and amount of payment after performance of the following: (a) CMS makes available to the public (through CMS's Internet Web site) a list that includes codes... Internet Web site and other appropriate mechanisms) a list of— (1) Proposed determinations with respect...

  8. Consultation: Enhancing Leisure Service Delivery to Handicapped Children and Youth.

    ERIC Educational Resources Information Center

    Goldstein, Judith E., Ed.

    The document provides guidelines for consultants in the area of consultation in delivery of leisure services for handicapped children and youth. Included are chapters with the following titles and authors: "The Consultant-Consultee Relationship" (G. O'Morrow), "A Special Education Viewpoint: Consultation in the Public Schools" (S. Brannan),…

  9. 42 CFR 493.1457 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing High Complexity Testing § 493.1457 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the...

  10. 42 CFR 493.1419 - Standard; Clinical consultant responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Clinical consultant responsibilities. 493... Testing Laboratories Performing Moderate Complexity Testing § 493.1419 Standard; Clinical consultant responsibilities. The clinical consultant provides consultation regarding the appropriateness of the...

  11. Consulting in Collection Development.

    ERIC Educational Resources Information Center

    Ash, Lee

    1980-01-01

    Considers the role of the consultant in the areas of library collection development and weeding, and offers suggestions on determining the need for a consultant, obtaining one, and what to do when the consultant arrives. (FM)

  12. Skills for Effective Consultation.

    ERIC Educational Resources Information Center

    Dustin, Dick; Ehly, Stewart

    1984-01-01

    Discusses counselor skills that promote effective consultation. Reviews research on effective school consultation and presents a five-stage model which involves phasing in, problem identification, implementation, evaluation, and termination. Provides recommendations for the process and products of consultation. (JAC)

  13. 3 CFR - Tribal Consultation

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... in regular and meaningful consultation and collaboration with tribal officials in the development of... is committed to regular and meaningful consultation and collaboration with tribal officials in...

  14. 45 CFR 400.57 - Planning and consultation process.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false Planning and consultation process. 400.57 Section... Refugee Cash Assistance § 400.57 Planning and consultation process. A State that wishes to establish a public/private RCA program must engage in a planning and consultation process with the local...

  15. Knowledge and risk perception of measles and factors associated with vaccination decisions in subjects consulting university affiliated public hospitals in Lyon, France, after measles infection.

    PubMed

    Toure, Abdoulaye; Saadatian-Elahi, Mitra; Floret, Daniel; Lina, Bruno; Casalegno, Jean-Sebastien; Vanhems, Philippe

    2014-01-01

    In 2011, a large number of European countries faced measles outbreaks, France accounting for more than half of the reported cases. The Rhône-Alpes region, located in south-east France, was one of the most affected provinces, with an incidence rate of 97.9 cases per 100 000 inhabitants. We conducted a retrospective survey of adults and parents of children consulting university affiliated public hospitals because of measles infections between January 1, 2010 and September 2012 in Lyon, France. Our main objectives were to evaluate (1) the level of study population knowledge of measles, (2) vaccination practices, and (3) changes in opinion with regard to measles vaccination after disease onset. Overall, 73.64% of patients were not vaccinated or partially vaccinated. The main reason for non-vaccination in children was inappropriate age while among non-vaccinated adults, 29.3% could not give any reason. In total, 29.1% of the responding parents and 24.2% of adult cases were opposed to vaccination "in principle." A large number of patients did not recognize measles as a serious illness and were unaware of its complications. Among parents of infected children, knowledge of transmission mode (odds ratio [OR] = 5.9; 95% confidence interval [95% CI]: 1.64-21.26), perceived severity of measles (OR = 1.5; 95% CI: 1.06-2.13), and absence of hepatitis B vaccination (OR = 0.17; 95% CI: 0.04-0.65) were independently associated with a more positive opinion about measles vaccination after disease onset. In adult patients, low education level (OR = 3.39; 95% CI: 1.03-11.11) and lack of knowledge of sequelae (OR = 10.19; 95% CI: 1.14-91.31) were linked with a more positive opinion. Individuals affected by vaccine-preventable diseases are interesting populations to study disease impact on vaccine perception.

  16. Child Care Reform Consultation Infopack = Consultation sur la reforme des services de garde d'enfants. Trousse d'information.

    ERIC Educational Resources Information Center

    Ontario Ministry of Community and Social Services, Toronto.

    This information packet presented here in both the English and French language versions, summarizes the results of a public consultation on the subject of child care reform in Ontario, Canada. The packet consists of: (1) a table that describes the six modes of consultation that were used in the consultation process (public meetings, round table…

  17. Educational Consulting: Justification to Partnership

    ERIC Educational Resources Information Center

    Sklarow, Mark H.

    2012-01-01

    This paper is a response to Steven R. Antonoff's article, "Educational Consulting: A Focus for the Profession." More than 20 years ago, when this article first appeared in "The Journal of College Admission," "for profit counselors" (as they were then called by NACAC) were not welcome partners. It was acceptable practice to publicly denigrate the…

  18. 10 CFR 110.91 - Commission consultations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Commission consultations. 110.91 Section 110.91 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) EXPORT AND IMPORT OF NUCLEAR EQUIPMENT AND MATERIAL Public Participation Procedures Concerning License Applications § 110.91 Commission consultations. The Commission...

  19. Getting under the skin of the primary care consultation using video stimulated recall: a systematic review

    PubMed Central

    2014-01-01

    Background Video stimulated recall (VSR) is a method of enhancing participants’ accounts of the consultation using a video recording of the event to encourage and prompt recall in a post consultation interview. VSR is used in education and education research, and to a lesser extent in medical and nursing research. Little is known about the sort of research questions that lend themselves best to the use of VSR or the impact of the specific VSR procedure on study quality. This systematic review describes studies in primary care that have used the method and aims to identify the strengths, weaknesses and role of VSR. Methods A systematic literature search has been conducted to identify primary care consultation research using VSR. Two authors undertook data extraction and quality appraisal of identified papers and a narrative synthesis has been conducted to draw together the findings. In addition, theory on classifying VSR procedures derived from other disciplines is used as a lens through which to assess the relevance of VSR technique. Results Twenty eight publications were identified that reported VSR in primary care doctor-patient consultation research. VSR was identified as a useful method to explore specific events within the consultation, mundane or routine occurrences, non-spoken events and appears to particularly add value to doctor’s post consultation accounts. However, studies frequently had insufficient description of methods to properly evaluate both the quality of the study, and the influence of VSR technique on findings. Conclusions VSR is particularly useful for study of specific consultation events when a ‘within case’ approach is used in analysis, comparing and contrasting findings from the consultation and post-consultation interview. Alignment of the choice of VSR procedure and sampling to the study research question was established as particularly important in the quality of studies. Future researchers may consider the role of process

  20. 24 CFR 91.110 - Consultation; states.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... of homelessness, the State must consult with: (1) Each Continuum of Care within the state; (2) Public... systems of care that may discharge persons into homelessness (such as health-care facilities,...

  1. 24 CFR 91.110 - Consultation; States.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... of homelessness, the State must consult with: (1) Each Continuum of Care within the state; (2) Public... systems of care that may discharge persons into homelessness (such as health-care facilities,...

  2. 24 CFR 91.110 - Consultation; States.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... of homelessness, the State must consult with: (1) Each Continuum of Care within the state; (2) Public... systems of care that may discharge persons into homelessness (such as health-care facilities,...

  3. Managing the Consultation.

    ERIC Educational Resources Information Center

    Enteman, Willard F.

    1991-01-01

    The college administration should use some simple procedures to manage a consultation actively, improving the likelihood of success. Issues to be addressed include focused administrative responsibility for the consultation, communication, information availability, campus constituency involvement, need identification, confidentiality, private and…

  4. Inpatient Consultative Dermatology.

    PubMed

    Biesbroeck, Lauren K; Shinohara, Michi M

    2015-11-01

    Dermatology consultation can improve diagnostic accuracy in the hospitalized patient with cutaneous disease. Dermatology consultation can streamline and improve treatment plans, and potentially lead to cost savings. Dermatology consultants can be a valuable resource for education for trainees, patients, and families. Inpatient consultative dermatology spans a breadth of conditions, including inflammatory dermatoses,infectious processes, adverse medication reactions, and neoplastic disorders, many of which can be diagnosed based on dermatologic examination alone, but when necessary, bedside skin biopsies can contribute important diagnostic information.

  5. Modeling the Teaching Consultant.

    ERIC Educational Resources Information Center

    Johnson, Brian L.; And Others

    1990-01-01

    Discusses the teaching consultant process in computer programing courses, describes a teaching consultant model from both the teachers' and students' perspectives, and shows how this model can be used to develop an intelligent teaching consultant (ITC). Differences between this collection of expert systems and conventional intelligent tutoring…

  6. Optimizing Consulting Delivery Systems.

    ERIC Educational Resources Information Center

    Spottswood, Curran

    1980-01-01

    Summarizes a study of several types of consulting groups in the Bell System and describes characteristics which are associated with high-impact consulting. A strategy which is designed for internal consulting organizations to maximize the likelihood of both initial success and long-term survival of the group is proposed. (Author/MER)

  7. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false Consultation to medical facilities. 431.105 Section... Administrative Requirements: Provider Relations § 431.105 Consultation to medical facilities. (a) Basis and... State agencies furnish consultative services to hospitals, nursing homes, home health agencies,...

  8. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Consultation to medical facilities. 431.105 Section... Administrative Requirements: Provider Relations § 431.105 Consultation to medical facilities. (a) Basis and... State agencies furnish consultative services to hospitals, nursing homes, home health agencies,...

  9. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false Consultation to medical facilities. 431.105 Section... Administrative Requirements: Provider Relations § 431.105 Consultation to medical facilities. (a) Basis and... State agencies furnish consultative services to hospitals, nursing homes, home health agencies,...

  10. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 4 2012-10-01 2012-10-01 false Consultation to medical facilities. 431.105 Section... Administrative Requirements: Provider Relations § 431.105 Consultation to medical facilities. (a) Basis and... State agencies furnish consultative services to hospitals, nursing homes, home health agencies,...

  11. [Clarification on publications concerning the synthesis of acetylsalicylic acid].

    PubMed

    Lafont, O

    1996-01-01

    Charles Frédéric Gerhardt (1816-1856) mentioned in his Traité de chimie Organique (1854) a publication, in French (realized in 1852 but published in 1853) entitled "Researches on anhydrous organic acids" in which, was reported the reaction of sodium salicylate with acetyl chloride. He thought that the reaction product was an acid anhydride, but obtained really crude acetylsalicylic acid. Later on, but also in 1853, a publication in german, by the same author related the same experiments. Surprisingly only the second publication has been mentioned in most of the historical studies on the subject. Acetyl salicylic acid was identified and synthesised in 1859 by von Gilm by another method and the product obtained by Gerhardt was identified to it in 1869.

  12. The art of consultation

    PubMed Central

    Bhangoo, Kulwant S.

    2014-01-01

    Sophisticated marketing and practice-enhancing strategies can help bring patients to a surgeon's practice. However, the ability to retain these patients and also convert the consultations into surgical procedures depends on the art of consultation. This very important aspect of clinical practice is seldom taught in the medical school. In this paper, the author discusses many aspects of the art of consultation, which he has learned in his practice over the years. PMID:25190910

  13. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  14. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  15. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  16. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  17. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Consultation. 10.5 Section 10.5 Public Lands: Interior Office of the Secretary of the Interior NATIVE AMERICAN GRAVES PROTECTION AND REPATRIATION REGULATIONS Human Remains, Funerary Objects, Sacred Objects, or Objects of Cultural Patrimony...

  18. The Search Consultant's Obligations.

    ERIC Educational Resources Information Center

    Underwood, Kenneth

    1994-01-01

    The superintendent search consultant is employed by the board of education and must always act in the board's best interest. Boards want consultants to be friendly and courteous, provide information, and foster an aura of good feeling with candidates and the board. Candidates should receive accurate information, selection criteria briefings,…

  19. Bring in the Consultants!

    ERIC Educational Resources Information Center

    Haviland, Joseph E.

    1995-01-01

    To improve its reading program, a Pennsylvania district involved its teachers in retaining consultants who would work collaboratively with them. This model has been used in each of four elementary schools for the past seven years. The district allocates $1,800 per school for consultants, instructional materials, and substitutes who release…

  20. Directory of Environmental Consultants.

    ERIC Educational Resources Information Center

    Cate, Bill, Ed.

    Over 400 inter-field professionals are named as environmental consultants in this 1972 annual directory. Primarily, they are faculty members at colleges and universities in Canada, Puerto Rico, and the United States who will provide free environmental consulting services to interested government, industry, and citizen organizations, but are not…

  1. Architectural-acoustics consulting

    NASA Astrophysics Data System (ADS)

    Hoover, Anthony K.

    2004-05-01

    Consulting involves both the science of acoustics and the art of communication, requiring an array of inherent and created skills. Perhaps because consulting on architectural acoustics is a relatively new field, there is a remarkable variety of career paths, all influenced by education, interest, and experience. Many consultants juggle dozens of chargeable projects at a time, not to mention proposals, seminars, teaching, articles, business concerns, and professional-society activities. This paper will discuss various aspects of career paths, projects, and clients as they relate to architectural-acoustics consulting. The intended emphasis will be considerations for those who may be interested in such a career, noting that consultants generally seem to thrive on the numerous challenges.

  2. From Cosmology to Consulting

    NASA Astrophysics Data System (ADS)

    Nelson, William

    2014-03-01

    I will discuss my transition from Quantum Gravity and Cosmology to the world of consulting and describe the differences and similarities between academia and industry. I will give some dos and don'ts for industry interviews and jobs searches.

  3. Work-In-Progress Peer Consult on EPA's Multimedia Exposure Analysis to Inform a Public Health-Based Value for Lead in Drinking Water

    EPA Science Inventory

    This document is a compilation of responses from four external peer reviewers on EPA's "Multimedia Exposure Analysis to Inform a Public Health-Based Value for Lead in Drinking Water." It was delivered by Versar, Inc. under contract number EP-C-12-045 Task Order 91.

  4. Behavior Psychology in the Schools: Innovations in Evaluation, Support, and Consultation.

    ERIC Educational Resources Information Center

    Luiselli, James K., Ed.; Diament, Charles, Ed.

    This volume of "Behavior Psychology in the Schools," discusses key topics in behavioral consultations in public school settings. Following an introduction, articles include: (1) "Focus, Scope, and Practice of Behavioral Consultation to Public Schools" (James K. Luiselli), which describes a four-stage process of consultation and…

  5. 42 CFR 493.1415 - Condition: Laboratories performing moderate complexity testing; clinical consultant.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... complexity testing; clinical consultant. 493.1415 Section 493.1415 Public Health CENTERS FOR MEDICARE... LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Moderate Complexity Testing § 493.1415 Condition: Laboratories performing moderate complexity testing; clinical consultant....

  6. 42 CFR 493.1409 - Condition: Laboratories performing moderate complexity testing; technical consultant.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... complexity testing; technical consultant. 493.1409 Section 493.1409 Public Health CENTERS FOR MEDICARE... LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Moderate Complexity Testing § 493.1409 Condition: Laboratories performing moderate complexity testing; technical consultant....

  7. 42 CFR 493.1409 - Condition: Laboratories performing moderate complexity testing; technical consultant.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... complexity testing; technical consultant. 493.1409 Section 493.1409 Public Health CENTERS FOR MEDICARE... LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Moderate Complexity Testing § 493.1409 Condition: Laboratories performing moderate complexity testing; technical consultant....

  8. 42 CFR 493.1415 - Condition: Laboratories performing moderate complexity testing; clinical consultant.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... complexity testing; clinical consultant. 493.1415 Section 493.1415 Public Health CENTERS FOR MEDICARE... LABORATORY REQUIREMENTS Personnel for Nonwaived Testing Laboratories Performing Moderate Complexity Testing § 493.1415 Condition: Laboratories performing moderate complexity testing; clinical consultant....

  9. 34 CFR 200.63 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... children from low-income families residing in participating public school attendance areas, including... to teachers and families of participating private school children. (c)(1) Consultation by the LEA... Programs Operated by Local Educational Agencies Participation of Eligible Children in Private Schools §...

  10. 77 FR 19020 - Tribal Consultation Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-29

    ... Act of 2007, Public Law 110-134, notice is hereby given of a one-day Tribal Consultation Session to be... into consideration funding allocations, distribution formulas, and other issues affecting the delivery... children and families, taking into consideration funding allocations, distribution formulas, and...

  11. 76 FR 12967 - Tribal Consultation Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-09

    ... School Readiness Act of 2007, Public Law 110-134, notice is hereby given of one-day Tribal Consultation... needs of American Indian and Alaska Native children and their families, taking into consideration... Native children and families, taking into consideration funding allocations, distribution formulas,...

  12. Applications of Performance Feedback: Consultation in the Home

    ERIC Educational Resources Information Center

    Connell, James E.

    2010-01-01

    Many School Psychologist and Educational Consultants have used Bergan's Behavioral Consultation model (Bergan, 1977) in public school and residential settings with significant success (Witt, Noell, LaFleur & Mortenson, 1997). Performance feedback (Noell, Duhon, Gatti, & Connell, 2002) has been used to strengthen the behavioral consultation…

  13. 22 CFR 61.6 - Consultation with subject matter specialists.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Consultation with subject matter specialists. 61.6 Section 61.6 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES WORLD-WIDE FREE FLOW OF AUDIO-VISUAL MATERIALS § 61.6 Consultation with subject matter specialists. (a)...

  14. 22 CFR 61.6 - Consultation with subject matter specialists.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Consultation with subject matter specialists. 61.6 Section 61.6 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES WORLD-WIDE FREE FLOW OF AUDIO-VISUAL MATERIALS § 61.6 Consultation with subject matter specialists. (a)...

  15. Consultation in Bullying Prevention: An Elementary School Case Study

    ERIC Educational Resources Information Center

    Morrow, Michael T.; Hooker, Steven D.; Cate, Rebecca Lynne

    2015-01-01

    This manuscript outlines a consultation with a public elementary school that was aimed at assessing and strengthening the school's antibullying programs. We gathered consultation data through interviews and observations and also reviewed existing program evaluation data. We evaluated these data in light of current research on bullying prevention…

  16. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Consultation to medical facilities. 431.105 Section... Administrative Requirements: Provider Relations § 431.105 Consultation to medical facilities. (a) Basis and..., and laboratories in order to assist these facilities to— (1) Qualify for payments under the...

  17. Consultation/Liaison Psychology: A New Direction for Professional Practice.

    ERIC Educational Resources Information Center

    Enright, Michael F.

    In recent years, clinical and developmental psychologists have been practicing in health care settings, including public health programs and hospitals. Psychologists have struggled to develop an identity in the health care setting and a medical-psychological theory for practicing as a consultant with medical patients. Because consultation/liaison…

  18. 45 CFR 2101.12 - Georgetown Board of Architectural Consultants.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Georgetown Board of Architectural Consultants... FINE ARTS FUNCTIONS AND ORGANIZATION General Organization § 2101.12 Georgetown Board of Architectural... Architectural Consultants without expense to the United States. This committee advises the Commission...

  19. 22 CFR 61.6 - Consultation with subject matter specialists.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Consultation with subject matter specialists. 61.6 Section 61.6 Foreign Relations DEPARTMENT OF STATE PUBLIC DIPLOMACY AND EXCHANGES WORLD-WIDE FREE FLOW OF AUDIO-VISUAL MATERIALS § 61.6 Consultation with subject matter specialists. (a)...

  20. Consultancy pay for nurses.

    PubMed

    1998-01-01

    Nurses working for NHS Direct could be paid at medical consultant level based on equal pay for equal work initiatives, according to Rob Crouch, Deputy Director and Research Fellow (A&E), Centre for the Advancement of Clinical Practice, University of Surrey.

  1. Community Consultation Kit.

    ERIC Educational Resources Information Center

    Boulder Area Growth Study Commission, CO.

    This kit, designed for leaders and participants, provides a model for organizing and taking part in Community Consultation Groups. The kit was designed to be used in connection with community concerns about growth in Boulder, Colorado. These groups build upon a previous survey to assist the Commission in determining specific growth concerns in the…

  2. 77 FR 16120 - Tribal Consultations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-19

    ... President Obama's Memorandum on Tribal Consultation, `` he United States has a unique legal and political... conditions, as grants to States. VA will consult with Tribes on recommendations for increasing outreach...

  3. The Process of Psychological Consultation

    ERIC Educational Resources Information Center

    Nolan, Anna; Moreland, Neil

    2014-01-01

    Consultation is a key means of service delivery in many psychological services. However, the "process" of consultation is little explored in Educational Psychology literature, particularly in the United Kingdom (UK). This paper focuses on a small-scale qualitative research study of psychological consultation provided by educational…

  4. Management Consulting: Planning, Entry, Performance.

    ERIC Educational Resources Information Center

    Cosier, Richard A.; Dalton, Dan R.

    1993-01-01

    Contends that counseling has much in common with organizational consulting. Provides overview of consulting practices that counselors might find useful should they decide to investigate organizational consulting. Includes aspects of market research, gauging competition, and target markets. Considers promotion, networking, and elements of…

  5. NATO Politico-Military Consultation

    DTIC Science & Technology

    1984-01-01

    General Manlio Brosio has observed that for the larger allies, consultation is "a way to legitimize and rein- force their foreign policy initiatives...ested in the experiences of a skillful practitioner of consultation. 21. Manlio Brosio, "Consultation and the Atlantic Alliance," Survival 16 (May

  6. The Consultant from Oz Syndrome.

    ERIC Educational Resources Information Center

    Smith, Garnett J.

    1998-01-01

    School leaders should realize that consultants cannot substitute for developing collective actions within the organization. The "Consultant from Oz Syndrome" stems from placing undue confidence in external sources, confusing consultants with magicians, and denying their limitations. While journeying down the yellow brick road of…

  7. "Systematizing" ethics consultation services.

    PubMed

    Bruce, Courtenay R; Eves, Margot M; Allen, Nathan G; Smith, Martin L; Peña, Adam M; Cheney, John R; Majumder, Mary A

    2015-03-01

    While valuable work has been done addressing clinical ethics within established healthcare systems, we anticipate that the projected growth in acquisitions of community hospitals and facilities by large tertiary hospitals will impact the field of clinical ethics and the day-to-day responsibilities of clinical ethicists in ways that have yet to be explored. Toward the goal of providing clinical ethicists guidance on a range of issues that they may encounter in the systematization process, we discuss key considerations and potential challenges in implementing system-wide ethics consultation services. Specifically, we identify four models for organizing, developing, and enhancing ethics consultation activities within a system created through acquisitions: (1) train-the-trainer, (2) local capacity-building, (3) circuit-riding, and (4) consolidated accountability. We note each model's benefits and challenges. To our knowledge, this is the first paper to consider the broader landscape of issues affected by consolidation. We anticipate that clinical ethicists, volunteer consultants, and hospital administrators will benefit from our recommendations.

  8. A protocol for consultation of another physician in cases of euthanasia and assisted suicide

    PubMed Central

    van der

    2001-01-01

    Objective—Consultation of another physician is an important method of review of the practice of euthanasia. For the project "support and consultation in euthanasia in Amsterdam" which is aimed at professionalising consultation, a protocol for consultation was developed to support the general practitioners who were going to work as consultants and to ensure uniformity. Participants—Ten experts (including general practitioners who were experienced in euthanasia and consultation, a psychiatrist, a social geriatrician, a professor in health law and a public prosecutor) and the general practitioners who were going to use the protocol. Evidence—There is limited literature on consultation: discursive articles and empirical studies describing the practice of euthanasia. Consensus—An initial draft on the basis of the literature was commented on by the experts and general practitioners in two rounds. Finally, the protocol was amended after it had been used during the training of consultants. Conclusions—The protocol differentiates between steps that are necessary in a consultation and steps that are recommended. Guidelines about four important aspects of consultation were given: independence, expertise, tasks and judgment of the consultant. In 97% of 109 consultations in which the protocol was used the consultant considered the protocol to be useful to a greater or lesser extent. Although this protocol was developed locally, it also employs universal principles. Therefore it can be of use in the development of consultation elsewhere. Key Words: Euthanasia • assisted suicide • consultation • quality assurance • protocol PMID:11579191

  9. 42 CFR 493.1453 - Condition: Laboratories performing high complexity testing; clinical consultant.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... testing; clinical consultant. 493.1453 Section 493.1453 Public Health CENTERS FOR MEDICARE & MEDICAID... Condition: Laboratories performing high complexity testing; clinical consultant. The laboratory must have a clinical consultant who meets the requirements of § 493.1455 of this subpart and provides...

  10. 42 CFR 493.1415 - Condition: Laboratories performing moderate complexity testing; clinical consultant.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... complexity testing; clinical consultant. 493.1415 Section 493.1415 Public Health CENTERS FOR MEDICARE... § 493.1415 Condition: Laboratories performing moderate complexity testing; clinical consultant. The laboratory must have a clinical consultant who meets the qualification requirements of § 493.1417 of...

  11. Inter-country consultation.

    PubMed

    Reid, E

    1993-01-01

    In December 1991, the UN Development Program (UNDP) organized the African Informal Consultation on Behavior Change as it relates to the HIV pandemic. Community-based organization and government representatives attended from Australia, Ghana, India, Jamaica, Malawi, Malaysia, Norway, Senegal, Sweden, Tanzania, Thailand, Uganda, the United Kingdom, Zambia, and Zimbabwe. Participants strongly endorsed the possibility for individuals and communities to change their attitudes and behaviors in response to HIV and AIDS, and stressed the importance of evaluating and documenting these changes and sharing lessons learned. The group concluded that research in the field of HIV should be action-oriented and participatory; new research methods and ways of presenting data are called for. Participants in the 2nd consultation held in the Asia/Pacific region in November 1992 also stressed the importance of developing community-based monitoring, evaluation, and program development methodologies. The UNDP responded by launching a number of initiatives in Africa, Asia and Central America to explore ways in which communities may be helped to document ongoing changes, assess their impact and efficacy, and share them with others. New approaches to evaluation are also being explored based upon processes of assessment and redesign already occurring in the communities.

  12. The application of knowledge synthesis methods in agri-food public health: recent advancements, challenges and opportunities.

    PubMed

    Young, Ian; Waddell, Lisa; Sanchez, Javier; Wilhelm, Barbara; McEwen, Scott A; Rajić, Andrijana

    2014-03-01

    Knowledge synthesis refers to the integration of findings from individual research studies on a given topic or question into the global knowledge base. The application of knowledge synthesis methods, particularly systematic reviews and meta-analysis, has increased considerably in the agri-food public health sector over the past decade and this trend is expected to continue. The objectives of our review were: (1) to describe the most promising knowledge synthesis methods and their applicability in agri-food public health, and (2) to summarize the recent advancements, challenges, and opportunities in the use of systematic review and meta-analysis methods in this sector. We performed a structured review of knowledge synthesis literature from various disciplines to address the first objective, and used comprehensive insights and experiences in applying these methods in the agri-food public health sector to inform the second objective. We describe five knowledge synthesis methods that can be used to address various agri-food public health questions or topics under different conditions and contexts. Scoping reviews describe the main characteristics and knowledge gaps in a broad research field and can be used to evaluate opportunities for prioritizing focused questions for related systematic reviews. Structured rapid reviews are streamlined systematic reviews conducted within a short timeframe to inform urgent decision-making. Mixed-method and qualitative reviews synthesize diverse sources of contextual knowledge (e.g. socio-cognitive, economic, and feasibility considerations). Systematic reviews are a structured and transparent method used to summarize and synthesize literature on a clearly-defined question, and meta-analysis is the statistical combination of data from multiple individual studies. We briefly describe and discuss key advancements in the use of systematic reviews and meta-analysis, including: risk-of-bias assessments; an overall quality

  13. [Themes addressed in nursing consultation: integrative literature review].

    PubMed

    de Oliveira, Sherida Karanini Paz; Queiroz, Ana Paula Oliveira; Matos, Diliane Paiva de Melo; de Moura, Alline Falconieri; Lima, Francisca Elisângela Teixeira

    2012-01-01

    The study aimed to analyze the aspects of the nursing consultation (NC) in scientific publications. It was conducted an integrative literature review available in databases: LILACS, PUBMED, CINAHL and COCHRANE. 31 articles were selected that met the inclusion criteria. The themes most addressed on the NC were: factors affecting the NC, time and cost of consultations, assessment of nursing records, use of interview scripts, communication, systematization of nursing care, meaning and importance of the NC to promote health. It was concluded that various aspects of nursing consultation are being addressed in the articles analyzed. However, studies are needed to confirm its efficacy.

  14. Responsive Systems Consultation: A Model for Conjoint Consultation Preliminary Results.

    ERIC Educational Resources Information Center

    Prasad-Gaur, Archna; And Others

    Responsive Systems Consultation (RSC) is an approach for enhancing children's developmental outcomes and involves a psychological or educational consultant working jointly with a child's parents and teachers. The impact of the RSC on parent and teacher consultees' attitudes toward home-school collaboration and their evaluation of the consultation…

  15. Publications

    Cancer.gov

    Information about NCI publications including PDQ cancer information for patients and health professionals, patient-education publications, fact sheets, dictionaries, NCI blogs and newsletters and major reports.

  16. 42 CFR 493.1411 - Standard; Technical consultant qualifications.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 5 2011-10-01 2011-10-01 false Standard; Technical consultant qualifications. 493.1411 Section 493.1411 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... biology and additionally has documentation of 2 years of work experience performing tests of...

  17. 42 CFR 493.1411 - Standard; Technical consultant qualifications.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Standard; Technical consultant qualifications. 493.1411 Section 493.1411 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND... biology and additionally has documentation of 2 years of work experience performing tests of...

  18. 45 CFR 98.12 - Coordination and consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Coordination and consultation. 98.12 Section 98.12 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT... local government during the development of the Plan; and (c) Coordinate, to the maximum extent...

  19. 45 CFR 98.12 - Coordination and consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Coordination and consultation. 98.12 Section 98.12 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT... local government during the development of the Plan; and (c) Coordinate, to the maximum extent...

  20. 45 CFR 98.12 - Coordination and consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Coordination and consultation. 98.12 Section 98.12 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT... local government during the development of the Plan; and (c) Coordinate, to the maximum extent...

  1. 45 CFR 98.12 - Coordination and consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Coordination and consultation. 98.12 Section 98.12 Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT... local government during the development of the Plan; and (c) Coordinate, to the maximum extent...

  2. 45 CFR 98.12 - Coordination and consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Coordination and consultation. 98.12 Section 98.12 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT... local government during the development of the Plan; and (c) Coordinate, to the maximum extent...

  3. 45 CFR 400.57 - Planning and consultation process.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 400.57 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM Refugee Cash Assistance § 400.57 Planning and consultation process. A State that wishes to establish...

  4. 45 CFR 400.57 - Planning and consultation process.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 400.57 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM Refugee Cash Assistance § 400.57 Planning and consultation process. A State that wishes to establish...

  5. 45 CFR 400.57 - Planning and consultation process.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 400.57 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM Refugee Cash Assistance § 400.57 Planning and consultation process. A State that wishes to establish...

  6. 45 CFR 400.57 - Planning and consultation process.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 400.57 Public Welfare Regulations Relating to Public Welfare OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM Refugee Cash Assistance § 400.57 Planning and consultation process. A State that wishes to establish...

  7. Collaborative Relationships in Evaluation Consulting

    ERIC Educational Resources Information Center

    Maack, Stephen C.; Upton, Jan

    2006-01-01

    People are often driven to become "independent" as part of the desire to go out on their own. Independent evaluation consultants, however, frequently collaborate with others on evaluation projects. This chapter explores such collaborative relationships from both sides: those leading evaluations with subcontracted consultants and those who work as…

  8. 41 CFR 109-1.107-50 - Consultation regarding DOE-PMR.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Consultation regarding DOE-PMR. 109-1.107-50 Section 109-1.107-50 Public Contracts and Property Management Federal Property...-INTRODUCTION 1.1-Regulation System § 109-1.107-50 Consultation regarding DOE-PMR. The DOE-PMR shall be...

  9. 43 CFR 46.155 - Consultation, coordination, and cooperation with other agencies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Consultation, coordination, and cooperation with other agencies. 46.155 Section 46.155 Public Lands: Interior Office of the Secretary of the... Environmental Quality § 46.155 Consultation, coordination, and cooperation with other agencies. The...

  10. 43 CFR 46.155 - Consultation, coordination, and cooperation with other agencies.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Consultation, coordination, and cooperation with other agencies. 46.155 Section 46.155 Public Lands: Interior Office of the Secretary of the... Environmental Quality § 46.155 Consultation, coordination, and cooperation with other agencies. The...

  11. 43 CFR 46.155 - Consultation, coordination, and cooperation with other agencies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Consultation, coordination, and cooperation with other agencies. 46.155 Section 46.155 Public Lands: Interior Office of the Secretary of the... Environmental Quality § 46.155 Consultation, coordination, and cooperation with other agencies. The...

  12. 43 CFR 46.155 - Consultation, coordination, and cooperation with other agencies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Consultation, coordination, and cooperation with other agencies. 46.155 Section 46.155 Public Lands: Interior Office of the Secretary of the... Environmental Quality § 46.155 Consultation, coordination, and cooperation with other agencies. The...

  13. 43 CFR 46.155 - Consultation, coordination, and cooperation with other agencies.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Consultation, coordination, and cooperation with other agencies. 46.155 Section 46.155 Public Lands: Interior Office of the Secretary of the... Environmental Quality § 46.155 Consultation, coordination, and cooperation with other agencies. The...

  14. Summary of Consultations on Child Care Reform = Sommaire des consultations sur la reforme des services de garde d'enfants.

    ERIC Educational Resources Information Center

    Ontario Ministry of Community and Social Services, Toronto.

    This document contains the English and French language versions of a report summarizing the results of a public consultation process on the subject of child care reform in Ontario, Canada. The process began with province-wide distribution of a public document called "Setting the Stage" which outlined a child care reform agenda as a focus…

  15. US-USSR telemedicine consultation spacebridge to Armenia and Ufa

    NASA Technical Reports Server (NTRS)

    1991-01-01

    The Final Report on the U.S.-U.S.S.R. Telemedicine Consultation Spacebride to Armenia and Ufa is presented. The goal of this activity was to provide expert medical consultation to the Armenian medical personnel in the areas of plastic and reconstructive surgery, physical and psychological rehabilitation, public health, and epidemiology following the devastating earthquake in Dec. 1988. The U.S. and U.S.S.R. implementation teams developed new standards for medical information transmittal as well as protocols and schedules on how to conduct medical consultations. The consultations were provided to the Republic Diagnostic Center in Yerevan, U.S.S.R. by four U.S. medical centers: University of Utah/LDS Hospital, University of Texas, Maryland Institute for Emergency Medical Service Systems, and Uniformed Services University of the Health Sciences.

  16. When the CNS needs a consultant.

    PubMed

    Norwood, S L

    1998-03-01

    Although advanced practice nurses (APNs) are accustomed to providing consultation about patient care issues, they may be less comfortable seeking consultation and working with consultants. Being a savvy consumer of consultation services, however, is an essential skill for APNs and can help them avoid problems that may arise when practicing outside their realm of expertise. Consultants can also help APNs develop intra- and entrepreneurial practice opportunities. This article describes how to determine the necessity of a consultation, how to choose a consultant, and how to get the most out of a consulting relationship.

  17. Training programs in school consultation.

    PubMed

    Berkovitz, I H; Sinclair, E

    2001-01-01

    The need to train psychiatrists in school consultation is important to approach mental health and psychosocial concerns from the broad perspective of addressing barriers to learning and promoting healthy development. There is a major national impetus to improve academic achievement and literacy, which can be amplified by addressing the social, emotional, and mental health needs of children and youth. Training in school consultation allows the psychiatrist to better understand a critical institution in each child's life and also provides technical assistance and training to school personnel, which facilitates networking between programs and individuals involved in or interested in school mental health. Each of the described programs approaches consultation from a specific focus that varies in time commitment, placement options, and frequency and order of didactic presentations. There is no conclusive available evidence as to which program is most effective, since such evaluation depends on the overall goals of the consultation program itself.

  18. 75 FR 65014 - Science Advisory Board Staff Office Request for Nominations of Experts for the Consultation on...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-21

    ... requesting public nominations for technical experts to augment the SAB's Radiation Advisory Committee (RAC... Advisory Committee (RAC) will be augmented with additional experts to conduct this consultation....

  19. Consults for conflict: the history of ethics consultation

    PubMed Central

    2013-01-01

    The very existence of ethics consultation reflects both the increasing complexity of modern medicine's ethical questions and our discomfort with the prospect of answering them alone. Two developments in the past century were instrumental in driving the development of ethics consultation—organ replacement therapy and intensive care. With the proliferation of extreme life-prolonging measures came the thorny difficulties in the withdrawal of such services or rationing when resources were poor. Insofar as “someone must,” lamented Dr. Karen Teel (a pioneer of ethics consultation), the physician “is charged with the responsibility of making ethical judgments which we are sometimes ill-equipped to make.” More than anything, ethics consultation has come to best satisfy a central desire of American health care—sharing the responsibility for tough decisions. PMID:24082425

  20. Practice Parameter for Psychiatric Consultation to Schools

    ERIC Educational Resources Information Center

    Journal of the American Academy of Child and Adolescent Psychiatry, 2005

    2005-01-01

    This practice parameter reviews the topic of psychiatric consultation to schools. The review covers the history of school consultation and current consultative models; the process of developing a consultative relationship; school administrative procedures, personnel, and milieu; legal protections for students with mental disabilities; and issues…

  1. Trust and the Client-Consultant Relationship

    ERIC Educational Resources Information Center

    Solomonson, William L.

    2012-01-01

    This study seeks to improve the contributions of performance consultants, instructional design consultants, and training consultants by explaining the effect that several variables have on trust as a mediator to relationship commitment within the context of the client-consultant relationship. The participants were 228 college students from two…

  2. Nephropathology consultation via digitized images.

    PubMed

    Cronenberger, J H; Hsiao, H; Falk, R J; Jennette, J C

    1992-12-17

    Investigations into a digitized image communications system were prompted by a need to bring expert consultation to physicians in community practice. Pathologists desired the capability to concomitantly view, annotate, and discuss images with referring physicians at distant sites. Methods included evaluation of the human and procedural domain into which the system was to be integrated. The GDCN computer consultation system has the consultant nephropathologist first evaluate the processed biopsy slides, digitize representative images, transmit them with the diagnosis to referring nephrologist, and, finally, conduct an interactive consultation and review of the biopsy and case. Image resolution and compression variables must be set for each individual medical consulting application. For the GDCN, it was found that the 640 x 496 x unlimited color with compression ratios not exceeding 1:32 are acceptable. An obvious improvement of this computerized system over the noncomputerized review sessions is the ability to immediately share and discuss a new image that had not been previously sent. In the old noncomputerized consultation, only images that had been mailed could be discussed. The computerized sessions allow transmission (10 sec) of a new image that the consultation might demand. The computerized sessions also provide the ability to show the referring nephrologist an area of biopsy interest that the pathologist had not previously transmitted. Biopsy slides can be viewed during the consultation, an area digitized, and that image transmitted to the nephrologist during the consultation. Hardware and costs for the sending station were: [table: see text] This system far exceeds the requirements for this particular application; however, it is sufficient to support future, higher-technology computer applications. If necessary, this same system could be used with a less expensive computer, a less expensive camera, software compression, and a single monitor. These

  3. First IPPF youth consultation recommends change.

    PubMed

    1993-10-01

    A youth representative from each of the 6 IPPF regions met in London at the end of September 1993 to discuss youth programs in the IPPF and give their recommendations to the IPPF International Program Advisory Panel (IPAP) after 2 days of discussion. The IPPF and its management of youth services were criticized in this consultation convened to identify and discuss issues and problems confronting young people, and to recommend how these issues may be addressed by IPPF and its member family planning associations (FPA). No framework exists within the IPPF system to provide young people with the necessary autonomy or authority to create and run programs. The consultation felt that creating a youth panel to complement the other 3 IPPF international advisory panels would help redress this oversight; participants also talked about having permanent youth representatives within FPAs. Working groups defined issues which would define the basis for an IPPF Program on the Sexual and Reproductive Health of Young People, with the consultation generally declaring that the following rights of choice must be exercised in future youth programs: the right to choose whether or not to be sexually active; the right to contraceptive and abortion services; the right to free sexual expression; the right to information; and the right to exercise choices, regardless of economic or political power. The consultation further realized there would be opposition to programs and campaigns dealing with young people's sexuality and felt that public information campaigns, sensitive use of relevant data, and involving parents, religious institutions, and politicians who would tend to object to such programs would garner a less reactionary response. A need exists to network with other organizations and groups in future programs. It should also be understood that health professionals, women's groups, student unions, and politicians may contribute to youth programs, that services should be independent and

  4. 40 CFR 25.4 - Information, notification, and consultation responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... GENERAL PUBLIC PARTICIPATION IN PROGRAMS UNDER THE RESOURCE CONSERVATION AND RECOVERY ACT, THE SAFE DRINKING WATER ACT, AND THE CLEAN WATER ACT § 25.4 Information, notification, and consultation... Freedom of Information Act are set forth in part 2 of this chapter. Consistent with the objectives of §...

  5. 76 FR 18457 - Regulatory Review Schedule; Tribal Consultation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... which adequately protects the environment and the public health and safety.'' E. Buy Indian Act... National Indian Gaming Commission 25 CFR Chapter III Regulatory Review Schedule; Tribal Consultation AGENCY: National Indian Gaming Commission. ACTION: Notice of Regulatory Review Schedule. SUMMARY: On November...

  6. 10 CFR 903.14 - Consultation and comment period.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Consultation and comment period. 903.14 Section 903.14 Energy DEPARTMENT OF ENERGY POWER AND TRANSMISSION RATES Procedures for Public Participation in Power and Transmission Rate Adjustments and Extensions for the Alaska, Southeastern, Southwestern, and Western Area...

  7. Quality Assurance in Higher Education: Proposals for Consultation.

    ERIC Educational Resources Information Center

    Higher Education Funding Council for England, Bristol.

    This document sets out for consultation proposals for a revised method for quality assurance of teaching and learning in higher education. The proposals cover: (1) the objectives and principles of quality assurance; (2) an approach to quality assurance based on external audit principles; (3) the collection and publication of information; (4)…

  8. 10 CFR 903.14 - Consultation and comment period.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Consultation and comment period. 903.14 Section 903.14 Energy DEPARTMENT OF ENERGY POWER AND TRANSMISSION RATES Procedures for Public Participation in Power and Transmission Rate Adjustments and Extensions for the Alaska, Southeastern, Southwestern, and Western Area...

  9. 10 CFR 903.14 - Consultation and comment period.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Consultation and comment period. 903.14 Section 903.14 Energy DEPARTMENT OF ENERGY POWER AND TRANSMISSION RATES Procedures for Public Participation in Power and Transmission Rate Adjustments and Extensions for the Alaska, Southeastern, Southwestern, and Western Area...

  10. 10 CFR 903.14 - Consultation and comment period.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Consultation and comment period. 903.14 Section 903.14 Energy DEPARTMENT OF ENERGY POWER AND TRANSMISSION RATES Procedures for Public Participation in Power and Transmission Rate Adjustments and Extensions for the Alaska, Southeastern, Southwestern, and Western Area...

  11. 10 CFR 903.14 - Consultation and comment period.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Consultation and comment period. 903.14 Section 903.14 Energy DEPARTMENT OF ENERGY POWER AND TRANSMISSION RATES Procedures for Public Participation in Power and Transmission Rate Adjustments and Extensions for the Alaska, Southeastern, Southwestern, and Western Area...

  12. [Screening for melanoma, an advanced practice nurse consultation].

    PubMed

    Farrayre, Annie; Roland, Nathalie; Akotiale, Sophie; Avril, Marie-Françoise

    2014-12-01

    In the dermatology consultation, at Cochin hospital, Paris, a nurse cooperates with a dermatologist in order to insure the clinical follow-up for high-risk melanoma patients. To adopt this innovative public health approach, the nurse has received theoretical, clinical and educational knowledge.

  13. 42 CFR 483.360 - Consultation with treatment team physician.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 5 2010-10-01 2010-10-01 false Consultation with treatment team physician. 483.360... treatment team physician. If a physician or other licensed practitioner permitted by the state and the... the resident's treatment team physician, unless the ordering physician is in fact the...

  14. Psychological consultation with substance abusers.

    PubMed

    Rogalski, C J

    1987-05-01

    Previous work has documented that compliance rates of substance abusers undergoing inpatient detoxification could be influenced by professional psychological consultation. The administrative structure has been previously described as well as a clinical/humanistic component within the administrative structure. This report describes the individualized psychological consultation. This consultative intervention is in accord with the tripartite model of mental health which views the assessment of pathology from the perspectives of the mental health practitioner, the patient, and the culture; and the recent advances within self-psychology. A self-psychological model is suggested to understand the detoxifying substance abuser, from a stage of loss of cohesiveness to one of personality stabilization. The hospital environment and persons within the environment provide both a framework and self-object functions (mirroring, idealizing, and alter ego) during detoxification. Research recommendations are made to collect empirical data on the psychology of the detoxifying addict.

  15. Special Education Consultation: Interactive Video Simulation: Adults, Teachers & Consultants.

    ERIC Educational Resources Information Center

    Evans, Robert J.

    A microcomputer controlled interactive videotape program is described as one way to supply special education teachers with inservice and/or consultation services. The approach allows inservice teachers to strengthen classroom teaching skills outside of the classroom. Programing directions are offered written in the SuperPILOT Authoring Language on…

  16. The Role of Agricultural Consultants in New Zealand in Environmental Extension

    ERIC Educational Resources Information Center

    Botha, Neels; Coutts, Jeff; Roth, Hein

    2008-01-01

    The aim of this study was to understand the role that agricultural consultants in New Zealand were undertaking in the Research, Development and Extension (RD&E) system--and in particular in relation to environmental extension. New Zealand does not have a public extension service and hence there is a strong reliance on consultants and regional…

  17. Blowing Smoke and Billowing Logic: Consulting on Cigarette Excise Tax Increase Messages

    ERIC Educational Resources Information Center

    Hart, Joy L.; Esrock, Stuart L.; Leichty, Greg

    2008-01-01

    This article describes a consulting project with an advocacy organization to raise cigarette excise taxes in Kentucky and to improve public health in the state. We describe the theoretical underpinnings of the project, the client, and our consultation process, objectives, products, and results.

  18. Mental Health In-Service Training; Some Practical Guidelines for the Psychiatric Consultant.

    ERIC Educational Resources Information Center

    Parker, Beulah

    Based on the author's personal observations and opinions as a former public health psychiatric consultant, this book offers a theoretical orientation and practical guidelines for psychiatrists, analysts, clinical psychologists, psychiatric social workers, and others who hope to participate in community psychiatry as mental health consultants to…

  19. 41 CFR 105-8.148 - Consultation with the Architectural and Transportation Barriers Compliance Board.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Architectural and Transportation Barriers Compliance Board. 105-8.148 Section 105-8.148 Public Contracts and... GENERAL SERVICES ADMINISTRATION § 105-8.148 Consultation with the Architectural and Transportation Barriers Compliance Board. GSA shall consult with the Architectural and Transportation Barriers...

  20. Faculty Consulting: Responsibility or Promiscuity?

    ERIC Educational Resources Information Center

    Boyer, Carol M; Lewis, Darrell R.

    1984-01-01

    The potential benefits--to the individual, the institution, and society--and the potential costs of faculty consulting are examined. A review of the relevant literature and data precedes a presentation of new findings and a taxonomy for developing institutional guidelines. (Author/MLW)

  1. The Consultants' Corner: Vendor Viability.

    ERIC Educational Resources Information Center

    Drabenstott, Jon, Ed.

    1987-01-01

    Three library consultants--Rick Richmond, Wilson Stahl, and Jose-Marie Griffiths--discuss the implications of six issues for the success and stability of library automation vendors: (1) vendor business characteristics; (2) competitive advantage; (3) the library marketplace; (4) system selection; (5) corporate planning; and (6) library interests.…

  2. Consultative Instructor Supervision and Evaluation

    ERIC Educational Resources Information Center

    Lee, William W.

    2010-01-01

    Organizations vary greatly in how they monitor training instructors. The methods used in monitoring vary greatly. This article presents a systematic process for improving instructor skills that result in better teaching and better learning, which results in better-prepared employees for the workforce. The consultative supervision and evaluation…

  3. Pharmacy Program Review. Consultant's Report.

    ERIC Educational Resources Information Center

    Gibson, Robert D.; And Others

    Site visits were made by a team of consultants to Florida A&M University (FAMU) and the University of Florida (UF), the two institutions providing pharmacy education in Florida, to review programs and assess issues relating to entry-level degrees, manpower needs, and delivery systems. After a brief history of academic programs in pharmacy, the…

  4. Consultancy on Strategic Information Planning.

    ERIC Educational Resources Information Center

    Pejova, Zdravka, Ed.; Horton, Forest W., Ed.

    At the workshop, better management through strategic planning of information and consultancy was discussed as one way in which developing and Eastern European countries could tackle the complex information problems they are facing during the transition to a market economy. The sixteen papers in this volume are grouped into three basic categories:…

  5. Narrative and Structure in Consultation

    ERIC Educational Resources Information Center

    Hadley, David

    2012-01-01

    This article explores the process of consultation to professional networks, teams, groups and individuals concerned with the mental health of children and young people in the care system, and those adopted. Frequently there are significant elements of early trauma suffered by the young people and disruption in the professional organisation. The…

  6. Virtual online consultations: advantages and limitations (VOCAL) study

    PubMed Central

    Greenhalgh, Trisha; Vijayaraghavan, Shanti; Wherton, Joe; Shaw, Sara; Byrne, Emma; Campbell-Richards, Desirée; Bhattacharya, Satya; Hanson, Philippa; Ramoutar, Seendy; Gutteridge, Charles; Hodkinson, Isabel; Collard, Anna; Morris, Joanne

    2016-01-01

    Introduction Remote video consultations between clinician and patient are technically possible and increasingly acceptable. They are being introduced in some settings alongside (and occasionally replacing) face-to-face or telephone consultations. Methods To explore the advantages and limitations of video consultations, we will conduct in-depth qualitative studies of real consultations (microlevel) embedded in an organisational case study (mesolevel), taking account of national context (macrolevel). The study is based in 2 contrasting clinical settings (diabetes and cancer) in a National Health Service (NHS) acute trust in London, UK. Main data sources are: microlevel—audio, video and screen capture to produce rich multimodal data on 45 remote consultations; mesolevel—interviews, ethnographic observations and analysis of documents within the trust; macrolevel—key informant interviews of national-level stakeholders and document analysis. Data will be analysed and synthesised using a sociotechnical framework developed from structuration theory. Ethics approval City Road and Hampstead NHS Research Ethics Committee, 9 December 2014, reference 14/LO/1883. Planned outputs We plan outputs for 5 main audiences: (1) academics: research publications and conference presentations; (2) service providers: standard operating procedures, provisional operational guidance and key safety issues; (3) professional bodies and defence societies: summary of relevant findings to inform guidance to members; (4) policymakers: summary of key findings; (5) patients and carers: ‘what to expect in your virtual consultation’. Discussion The research literature on video consultations is sparse. Such consultations offer potential advantages to patients (who are spared the cost and inconvenience of travel) and the healthcare system (eg, they may be more cost-effective), but fears have been expressed that they may be clinically risky and/or less acceptable to patients or staff, and they

  7. Talking about human papillomavirus and cancer: protocol for a patient-centred study to develop scripted consultations

    PubMed Central

    Hendry, Maggie; Pasterfield, Di; Adams, Richard; Evans, Mererid; Fiander, Alison; Robling, Michael; Campbell, Christine; Makin, Matthew; Gollins, Simon; Hiscock, Julia; Nafees, Sadia; Bekkers, Marie-Jet; Rose, Jan; Williams, Olwen; Stanley, Margaret; Wilkinson, Clare

    2016-01-01

    Introduction Persistent infection with sexually transmitted, high-risk human papillomavirus (HPV) types is the cause of all cervical cancers and some anogenital and oropharyngeal cancers. HPV is an extremely common asymptomatic infection but little known and poorly understood by the public. Patients with HPV-related cancers have new and challenging information needs due to the complex natural history of HPV and the stigma of sexual transmission. They may ask questions that are outside the remit of the traditional cancer consultation, and there is a lack of guidance on how to counsel them. This study aims to fulfil that need by developing and testing cancer site-specific scripted consultations. Methods and analysis A synthesis of findings generated from previous work, a systematic review of information-based interventions for patients with HPV-related cancers, and interviews with cancer clinicians will provide the evidence base underpinning provisional messages. These will be explored in three phases of face-to-face interviews with 75–90 purposively selected patients recruited in cancer clinics to: (1) select and prioritise the most salient messages, (2) phrase the messages appropriately in plain English and, (3) test their acceptability and usefulness. Phases 1 and 2 will draw on card-sorting methods used in website design. In phase three, we will create cancer site-specific versions of the script and test them using cognitive interviewing techniques. Ethics and dissemination The study has received ethical approval. Findings will be published in a peer-reviewed journal. The final product will be cancer-specific scripted consultations, most likely in the form of a two-sided information sheet with the most important messages to be conveyed in a consultation on one side, and frequently asked questions for later reading on the reverse. However, they will also be appropriate and readily adaptable to web-based uses. PMID:27113240

  8. Consultation Barriers between Teachers and External Consultants: A Grounded Theory of Change Resistance in School Consultation

    ERIC Educational Resources Information Center

    Thornberg, Robert

    2014-01-01

    The aim of this study, conducted in Sweden, was to investigate the cultural barriers between school personnel (teachers and principals) and nonschool personnel (a resource team), who were external to the school system, regarding consultation about challenging or difficult-to-teach students. Focus groups with teachers, principals, and the resource…

  9. 13 Animal Emergencies That Should Receive Immediate Veterinary Consultation and/or Care

    MedlinePlus

    ... Public Health 13 Animal Emergencies that Require Immediate Veterinary Consultation and/or Care Severe bleeding or bleeding ... Map | Privacy | Terms of Use Copyright © 2017 American Veterinary Medical Association

  10. CRP for Pesticides - Child Resistant Packaging Consultants

    EPA Pesticide Factsheets

    This list includes consultants who have indicated an expertise in the area of child-resistant packaging. This list is not intended to indicate EPA approval, certification, or endorsement of these consultants, nor is it necessarily comprehensive.

  11. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula...

  12. Biostatistical consultation for dental research.

    PubMed

    Clive, Jonathan

    2002-01-01

    Dental science researchers do not really need a detailed, ready-at-hand knowledge of statistics to design and perform high quality scientific research. Although the acquisition and utilization of such knowledge by dental researchers is not discouraged, it is proposed that it is more important for dental researchers to be committed to developing and maintaining a long term, ongoing, interactive consulting relationship with a biostatistician. The nature of this relationship will depend in large part on the complexity of the dental research being conducted. While the statistical consultant will assist in interpreting analytic results for the dental researcher, the latter will need to provide extensive input in assisting in the estimation of sample size and power, and for expressing scientific hypotheses in statistical terms so that the appropriate data analytic methodology can be specified.

  13. [Teenagers' drawings in transcultural consultations].

    PubMed

    Simon, Amalini; Titia Rizzi, Alice

    The place of teenagers' drawings has been studied as part of a transcultural consultation, based on the creativity of the children of migrants. When speaking is difficult, drawings enable teenagers to show another dimension of their internal world. Aravin, a young Tamil boy, who lacked the necessary words, was able to express all the complexity of his thoughts through his drawings, finally being able to formulate in the group the difficult situations which he was drawing.

  14. Ultrasound for the Pulmonary Consultant

    PubMed Central

    Chichra, Astha; Makaryus, Mina; Chaudhri, Parag; Narasimhan, Mangala

    2016-01-01

    Bedside ultrasonographic assessment of the lung and pleura provides rapid, noninvasive, and essential information in diagnosis and management of various pulmonary conditions. Ultrasonography helps in diagnosing common conditions, including consolidation, interstitial syndrome, pleural effusions and masses, pneumothorax, and diaphragmatic dysfunction. It provides procedural guidance for various pulmonary procedures, including thoracentesis, chest tube insertion, transthoracic aspiration, and biopsies. This article describes major applications of ultrasonography for the pulmonary consultant along with illustrative figures and videos. PMID:27398039

  15. [Cognitive methods during medical consultation].

    PubMed

    Lähteenmäki, Antti

    2012-01-01

    An essential method of cognitive psychotherapy is a precise, situation-focused interview, during which interpretations, emotions and behavior are taken into account. This work mode is also suited for medical consultation. In cognitive psychology, schemes and modes are identified that may be helpful for analyzing the patient-doctor relationship. Empathy may improve patient outcome. Properly applied cognitive methods facilitate the evolution of empathy.

  16. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 1 2011-07-01 2011-07-01 false Consultation costs. 75.191 Section 75.191 Education... Development of Curricula Or Instructional Materials § 75.191 Consultation costs. An applicant may budget reasonable consultation fees or planning costs in connection with the development of curricula...

  17. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  18. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  19. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  20. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  1. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Consultation. 401.21 Section 401.21 Foreign Relations INTERNATIONAL JOINT COMMISSION, UNITED STATES AND CANADA RULES OF PROCEDURE Applications § 401.21 Consultation. The Commission may meet or consult with the applicant, the Governments and other persons or...

  2. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or...

  3. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or...

  4. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or...

  5. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or...

  6. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.11 Early consultation. (a) Purpose. Early consultation is designed to reduce the likelihood of conflicts between listed species or...

  7. The Consultation Role of a Nurse Educator.

    ERIC Educational Resources Information Center

    Forsyth, Diane McNally; Rhudy, Lori; Johnson, LeAnn M.

    2002-01-01

    In educational consultation, responsibility for identifying and refining problems and modifying solutions remains with the consultee. Five steps of consultation are gaining entry, identifying the problem, engaging in action planning, evaluating, and disengaging. Consultant and consultee are in a nonhierarchical relationship. (SK)

  8. Observed Consultation: Confidence and Accuracy of Assessors

    ERIC Educational Resources Information Center

    Tweed, Mike; Ingham, Christopher

    2010-01-01

    Judgments made by the assessors observing consultations are widely used in the assessment of medical students. The aim of this research was to study judgment accuracy and confidence and the relationship between these. Assessors watched recordings of consultations, scoring the students on: a checklist of items; attributes of consultation; a…

  9. Entry-Level Activities in System Consultation

    ERIC Educational Resources Information Center

    Hylander, Ingrid

    2014-01-01

    System-level consultation or organizational development in schools is an area in great need of theoretical models and definitions. The three articles in this special issue provide a unique learning opportunity not only for consultation across borders but also for consultation within the same nation. In my commentary, I limit my remarks to a few…

  10. Full-Range Public Health Leadership, Part 2: Qualitative Analysis and Synthesis

    PubMed Central

    Carlton, Erik L.; Holsinger, James W.; Riddell, Martha C.; Bush, Heather

    2015-01-01

    Public health leadership is an important topic in the era of U.S. health reform, population health innovation, and health system transformation. This study utilized the full-range leadership model in order to examine the public health leadership. We sought to understand local public health leadership from the perspective of local health department leaders and those who work with and for them. Public health leadership was explored through interviews and focus groups with directors (n = 4) and staff (n = 33) from local health departments. Qualitative analytic methods included reflexive journals, code-recode procedures, and member checking, with analysis facilitated by Atlas.ti v.6.0. Qualitative results supported and expanded upon previously reported quantitative findings. Leading by example and providing individual consideration to followers were found to be more important than other leader factors, such as intellectual stimulation, inspirational motivation, or idealized attributes of leaders. Having a clear and competent vision of public health, being able to work collaboratively with other community agencies, and addressing the current challenges to public health with creativity and innovation were also important findings. Idealized leadership behaviors and individual consideration should be the focus of student and professional development. Models that incorporate contextual considerations, such as the situational leadership model, could be utilized to ensure that optimal individual consideration is given to followers. PMID:26217654

  11. 29 CFR 1908.5 - Requests and scheduling for onsite consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... publications, descriptive materials, and other appropriate items on consultative services; (viii) Free public service announcements on radio and television. (3) Scope of service. In its publicity for the program, in... service and the scope of the service which will be provided. The Assistant Secretary will also engage...

  12. 29 CFR 1908.5 - Requests and scheduling for onsite consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... publications, descriptive materials, and other appropriate items on consultative services; (viii) Free public service announcements on radio and television. (3) Scope of service. In its publicity for the program, in... service and the scope of the service which will be provided. The Assistant Secretary will also engage...

  13. Consultation with another physician on euthanasia and assisted suicide in the Netherlands.

    PubMed

    Onwuteaka-Philipse, B D; van der Wal, G; Kostense, P J; van der Maas, P J

    2000-08-01

    Consultation with another physician is considered to be an important safeguard of the practice of euthanasia and physician-assisted suicide. The objective is to describe the frequency and characteristics of consultation in cases of euthanasia or physician-assisted suicide (EAS) in the Netherlands. Data from two cross-sectional descriptive nationwide surveys, carried out in 1995, were used. Questionnaires were mailed to physicians attending 6060 deaths, identified from death certificates, and a stratified sample of 405 physicians were interviewed. In 1990, a cross-sectional descriptive postal survey of a random sample of 1042 general practitioners took place. Consultation took place in 63% of cases of EAS in the Netherlands, in 99% of the cases reported to the public prosecutor and in approximately 37% of unreported cases. In almost half of the unreported cases the decision had been discussed less formally with at least one colleague. In 1990, 7% of general practitioners met all 8 criteria for good consultation; this increased to 64% in 1995. Of the respondents, 26% had at some time advised against performing euthanasia or assisted suicide when acting as a consultant. This study shows that approximately two thirds of all cases of EAS are safeguarded by consultation. Although in the majority of these cases the consultation is of good quality, there is certainly still room for improvement. The quality of consultation could be improved, for instance, by appointing independent and specifically trained consultants.

  14. Use of Pharmacist Consultations for Nonprescription Laxatives in Japan: An Online Survey.

    PubMed

    Shibata, Keita; Matsumoto, Arisa; Nakagawa, Ayumi; Akagawa, Keiko; Nakamura, Akihiro; Yamamoto, Toshinori; Kurata, Naomi

    2016-01-01

    Community pharmacies in Japan have long been advocated as effective sources of nonprescription medicines and health-related advice. Consumers sometimes self-treat symptoms of minor illnesses without consulting a pharmacist because the benefits of such consultations are not adequately recognized. The aim of this study was to investigate the use and impact of pharmacist consultations before purchase of nonprescription laxatives. An online survey was conducted July 14-22, 2012 with 500 respondents (250 men, 250 women), ranging 20-60 years old. All participants had purchased nonprescription laxatives for constipation within the past year. Stratified analysis was used to compare responses in groups that had and had not consulted a pharmacist before purchase. Consulting a pharmacist appears to improve consumers' awareness and makes them more likely to use appropriate medication. Those who consulted a pharmacist were better able to identify side effects and take appropriate action than the group that did not consult the pharmacist. Those who consulted a pharmacist were also significantly more likely to say that they would consult a pharmacist in the future. These results indicate that it is important for consumers to be able to consult with pharmacists, to improve consumers' awareness of side effects and to self-medicate appropriately, and hence improve their quality of life. Pharmacists in community pharmacy could be more active in health promotion campaigns, such as drug safety, campaigns, to raise their public profile. Increased public awareness of what pharmacists in community pharmacy do will make it easier for patients to consult with them.

  15. Psychiatric consultation in problem employee situations.

    PubMed

    Schouten, Ronald

    2012-12-01

    This article focuses on psychiatric consultation in "problem employee situations," a broad term that refers to any situation in which there is conflict between an employee and the employer or coworkers. It summarizes key principles and observations that are common to psychiatric consultations in the workplace and then offers case examples that are representative of such consultations and highlights those principles. Although the focus is on psychiatric consultation to employers, an employee may seek consultation himself or herself, especially when prospects for adversarial proceedings arise. The principles described here apply in both sets of circumstances.

  16. Public perceptions of non-pharmaceutical interventions for reducing transmission of respiratory infection: systematic review and synthesis of qualitative studies

    PubMed Central

    2014-01-01

    Background Non-pharmaceutical public health interventions may provide simple, low-cost, effective ways of minimising the transmission and impact of acute respiratory infections in pandemic and non-pandemic contexts. Understanding what influences the uptake of non-pharmaceutical interventions such as hand and respiratory hygiene, mask wearing and social distancing could help to inform the development of effective public health advice messages. The aim of this synthesis was to explore public perceptions of non-pharmaceutical interventions that aim to reduce the transmission of acute respiratory infections. Methods Five online databases (MEDLINE, PsycINFO, CINAHL, EMBASE and Web of Science) were systematically searched. Reference lists of articles were also examined. We selected papers that used a qualitative research design to explore perceptions and beliefs about non-pharmaceutical interventions to reduce transmission of acute respiratory infections. We excluded papers that only explored how health professionals or children viewed non-pharmaceutical respiratory infection control. Three authors performed data extraction and assessment of study quality. Thematic analysis and components of meta-ethnography were adopted to synthesise findings. Results Seventeen articles from 16 studies in 9 countries were identified and reviewed. Seven key themes were identified: perceived benefits of non-pharmaceutical interventions, perceived disadvantages of non-pharmaceutical interventions, personal and cultural beliefs about infection transmission, diagnostic uncertainty in emerging respiratory infections, perceived vulnerability to infection, anxiety about emerging respiratory infections and communications about emerging respiratory infections. The synthesis showed that some aspects of non-pharmaceutical respiratory infection control (particularly hand and respiratory hygiene) were viewed as familiar and socially responsible actions to take. There was ambivalence about adopting

  17. Prospective study of telephone calls to a hotline for infectious disease consultation: analysis of 7,863 solicited consultations over a 1-year period.

    PubMed

    Gennai, S; François, P; Sellier, E; Vittoz, J-P; Hincky-Vitrat, V; Pavese, P

    2011-04-01

    To respond to the increasing requests of non-infectious disease physicians for access to infectious diseases expertise, a hotline was created in the infectious diseases consultation (IDC) unit of the Grenoble university-affiliated hospital (GUH). This study describes the patterns of solicited consultations provided by the hotline during a 1-year period. We conducted a prospective study of consecutive solicited IDCs requested by physicians in 2008. A total of 7,863 consultations were requested by physicians over 1 year; 4,407 (56.0%) by ambulatory physicians, 2,933 (37.3%) by GUH physicians, and 523 (6.7%) by physicians in public or private hospitals. The majority of consultations were requested via cell phone (58.7%). The main reasons for requesting a consultation were related to antimicrobial treatment for hospital-based physicians and prophylaxis for ambulatory physicians (p < 0.001). Recommendations to perform diagnostic or monitoring tests were less frequent in ambulatory medicine (16%) than in the GUH (59%) or other hospitals (63%, p < 0.001). The route of consultation for patients with nosocomial infections was more likely to be formal (p < 0.001). The activity of the IDC hotline attests to an important need for such expertise consultation, both in hospitals and in ambulatory medicine.

  18. [Consultations in oncological supportive care mono-, multi-, ou interdisciplinary: What should we favour?].

    PubMed

    Garnier, Stéphanie Ranque; Pelletti, Caroline; Quenard, Christelle; Vallet, Fabienne; Lemoine, Patrick; Guastella, Virginie; Rhondali, Wadih

    2015-09-01

    According to the point 7.6 and 7.7 of the Cancer Plan 2014, all cancer patients should have access to supportive care. Indeed, the supportive care consultation in oncology is an important tool for the symptom management of cancer patients at all times of treatment. This consultation can be mono-disciplinary or multi-disciplinary (with different professions: physician, nurse, psychologist, social service assistant…) with or without integration (multidisciplinary or interdisciplinary). There are few studies focusing on the types of consultations (mono- or multidisciplinary) to promote based on their expected outcomes. After describing the different types of consultations (initial, follow-up, unscheduled, discharge) and having highlighted the main issues of these consultations, we will present the possible configurations. Our discussion will concern then the advantages and disadvantages of monodisciplinarity and different types of multidisciplinary highlighting the possible improvements. At the end of this work, after a brief synthesis of the different outcomes associated with each type of consultation, we would like to discuss the type of consultation to choose according to the outcomes.

  19. [Systemic consultation--about possibilities and limitations].

    PubMed

    Rostworowska, Maria; Opoczyńska, Małgorzata; de Barbaro, Bogdan

    2002-01-01

    The paper presents the role of systemic consultation in the diagnostic and therapeutic process of the people hospitalised for the first time because of a psychotic episode. The following questions are going to be put: What is the role of systemic family consultation in the diagnostic and therapeutic process on the inpatient ward? What are the differences between systemic consultation and others forms of family interventions f.e. family interviews, psycho--education, systemic therapy? What are possibilities and limitations of consultation? What does it invite to? These are only some of those questions, which are typical for daily clinical practice, in which the family consultation takes an important part. In this paper according to our clinical experience, we would like to share some of our thoughts on the questions put. In spite of difficulties the family consultation confronts us with, we are deeply convinced that it has an important part in therapeutic and diagnostic process.

  20. Consultation to residential psychosocial rehabilitation agencies.

    PubMed

    Kupers, T A

    1996-08-01

    As non-profit psychosocial rehabilitation agencies take over providing many of the services once provided by governmental facilities in some locales, consultation to the staff of these agencies can be very productive. Using a revised community consultation model, the author lists some of the issues that are regularly raised by staff, and discusses the functions that this kind of consultation can fulfill in this important sector of community mental health services.

  1. The Structure of Clinical Consultation: A Case of Non-Native Speakers of English as Participants

    PubMed Central

    Bagheri, H.; Ibrahim, N. A.; Habil, H.

    2015-01-01

    Background: In many parts of the world, patients may find it difficult to visit doctors who share the same language and culture due to the intermingling of people and international recruitment of doctors among many other reasons. In these multilingual multicultural settings (MMSs), doctor-patient interactions face new communication challenges. This study aims to identify the structure of clinical consultation and its phases in an MMS where both doctors and patients are non-native speakers (NNSs) of English. Method: This study takes on a discourse analytic approach to examine the structure of clinical consultation as an activity type. 25 clinical consultation sessions between non-native speakers of English in a public healthcare centre in Malaysia were audio-recorded. Findings and Discussion: The results show that there are some deviations from the mainstream structure of clinical consultations although, in general, the pattern is compatible with previous studies. Deviations are particularly marked in the opening and closing phases of consultation. Conclusion: In almost all interactions, there is a straightforward manner of beginning medical consultations. The absence of greetings may have naturally reduced the length of talk. Hence, by directly entering medical talks, the doctors voice their concern on the curing aspects of the consultation rather than its caring facets. The preference of curing priority to caring is more goal-oriented and in alignment with the consultation as an activity type. PMID:25560336

  2. How to write a psychiatric consultation.

    PubMed

    Garrick, T R; Stotland, N L

    1982-07-01

    The written psychiatric consultation is the distillation, the official permanent record, and the one universal element of the consultation process. Both the document and process present a good and growing opportunity for service and teaching. The authors offer a conceptual and practical scheme to help potential consultants make decisions about the content, style, and wording of their written communications. Each of the components of the consultation document, including headings, openings, history, examination, and formulations, is considered in terms of its effects on the liaison with the consultee and the care of the patient.

  3. The Psychologist's Role in P.L. 94-142: Consultation Strategies With Peer Groups of Handicapped Children.

    ERIC Educational Resources Information Center

    Schroeder, Carolyn S.

    The role of the psychologist in the implementation of the six key principles of Public Law 94-142, The Education for All Handicapped Children's Act is one of an advocate and consultant relationship to the school. A strategy for consulting with non-handicapped peers of handicapped children at the junior high school level was investigated with a…

  4. E-Consult Implementation: Lessons Learned Using Consolidated Framework for Implementation Research

    PubMed Central

    Haverhals, Leah M.; Sayre, George; Helfrich, Christian D.; Battaglia, Catherine; Aron, David; Stevenson, Lauren D.; Kirsh, Susan; Ho, P. Michael; Lowery, Julie

    2016-01-01

    Objectives In 2011, the Veterans Health Administration (VHA) implemented electronic consults (e-consults) as an alternative to in-person specialty visits to improve access and reduce travel for veterans. We conducted an evaluation to understand variation in the use of the new e-consult mechanism and the causes of variable implementation, guided by the Consolidated Framework for Implementation Research (CFIR). Study Design Qualitative case studies of 3 high- and 5 low-implementation e-consult pilot sites. Participants included e-consult site leaders, primary care providers, specialists, and support staff identified using a modified snowball sample. Methods We used a 3-step approach, with a structured survey of e-consult site leaders to identify key constructs, based on the CFIR. We then conducted open-ended interviews, focused on key constructs, with all participants. Finally, we produced structured, site-level ratings of CFIR constructs and compared them between high- and low-implementation sites. Results Site leaders identified 14 initial constructs. We conducted 37 interviews, from which 4 CFIR constructs distinguished high implementation e-consult sites: compatibility, networks and communications, training, and access to knowledge and information. For example, illustrating compatibility, a specialist at a high-implementation site reported that the site changed the order of consult options so that all specialties listed e-consults first to maintain consistency. High-implementation sites also exhibited greater agreement on constructs. Conclusions By using the CFIR to analyze results, we facilitate future synthesis with other findings, and we better identify common patterns of implementation determinants common across settings. PMID:26760426

  5. Competency-Based Behavior Consultation Training: An Evaluation of Consultant Outcomes, Treatment Effects, and Consumer Satisfaction

    ERIC Educational Resources Information Center

    Lepage, Kathy; Kratochwill, Thomas R.; Elliott, Stephen N.

    2004-01-01

    Assessments of consultants, clients, and consumer satisfaction were used to examine the effects of a competency-based consultation training program conducted over 4 years. Using a multiple-baseline framework to assess training effects on consultants and single-case study designs to evaluate changes in client behavior, a number of significant…

  6. Finalizing the Consultant Effectiveness Scale: An Analysis and Validation of the Characteristics of Effective Consultants.

    ERIC Educational Resources Information Center

    Knoff, Howard M.; Hines, Constance V.; Kromrey, Jeffrey D.

    1995-01-01

    Proposes that as consultation becomes a larger part of the school psychologist's role and function, the need to empirically identify characteristics of effective consultants is increasingly important. Describes the Consultant Effectiveness Scale (CES) and reexamines it with a national sample of school psychologists. Evaluates discriminate validity…

  7. The Consulting Role in a Response-to-Intervention Context: An Exploratory Study of Instructional Consultation

    ERIC Educational Resources Information Center

    Newman, Daniel S.; Salmon, Diane; Cavanaugh, Kate; Schneider, Mary Frances

    2014-01-01

    Response to intervention (RtI) is an influential system of service delivery in contemporary schools, but the specific role of school consultation in RtI implementation is not clearly defined. Instructional consultation provides a potential meeting point between consultation and RtI practices. Through a mixed-methods approach, this study explored…

  8. Developing Knowledge and Value in Management Consulting. Research in Management Consulting.

    ERIC Educational Resources Information Center

    Buono, Anthony F., Ed.

    This document contains 11 papers that explore knowledge and value development in the field of management consulting, with particular emphasis on trends and techniques in the practice of management consulting and the current theory and dynamics of management consulting. The following papers are included: "Introduction" (Anthony F. Buono);…

  9. Asbestos in public and commercial buildings: A literature review and synthesis of current knowledge

    SciTech Connect

    Not Available

    1991-09-25

    The Health Effects Institute-Asbestos Research assembled an expert Panel to review the literature on asbestos in public and commercial buildings, and make recommendations for future research. The Panel concluded that: (1) Asbestos-containing building material (ACBM) in good repair is unlikely to expose general building occupants to fiber concentrations above those found outside such buildings. The added life-time risk of cancer for such occupants in well-maintained buildings appears to be lower than the risks from other pollutants such as radon and environmental tobacco smoke. (2) Janitorial, custodial, maintenance, and renovation workers may disturb or damage ACBM and episodically produce relatively high fiber concentrations; therefore the added life-time cancer risk in such workers may be appreciably higher than the risk to general building occupants. (3) Asbestos removal workers are at the highest risk of potential exposure. Good work practice and respiratory protection are essential to avoid dangerous exposure of such workers. (4) Determining exposure risks and forms of prevention or remediation warranted in a building are site-specific tasks. Uncontrolled disturbance of ACBM should be avoided. In well-maintained buildings, improper removal or improper abatement action can cause persistent increases of fiber levels.

  10. Case Complexity and Quality Attestation for Clinical Ethics Consultants.

    PubMed

    Spielman, Bethany; Craig, Jana; Gorka, Christine; Miller, Keith

    2015-01-01

    A proposal by the American Society for Bioethics and Humanities (ASBH) to identify individuals who are qualified to perform ethics consultations neglects case complexity in candidates' portfolios. To protect patients and healthcare organizations, and to be fair to candidates, a minimum case complexity level must be clearly and publicly articulated. This proof-of-concept study supports the feasibility of assessing case complexity. Using text analytics, we developed a complexity scoring system, and retrospectively analyzed more than 500 ethics summaries of consults performed at an academic medical center during 2013. We demonstrate its use with seven case summaries that range in complexity from uncomplicated to very complicated. We encourage the ASBH to require a minimum level of case complexity, and recommend that attestation portfolios include several cases of moderate complexity and at least one very complex case.

  11. Intensive Consulting: Watching Your Vegetables Grow.

    ERIC Educational Resources Information Center

    Pfeiffer, William S.

    1985-01-01

    Describes five consulting activities developed over several years association with a business firm in order to show that intensive work for one company can be an interesting option for consultants who want to address a firm's many communication problems and who want to see long-term results. (FL)

  12. Faculty Consulting and Supplemental Income. ERIC Digest.

    ERIC Educational Resources Information Center

    Boyer, Carol M.; Lewis, Darrell R.

    Although consulting has long been recognized as a legitimate faculty role in most colleges, concern has arisen about the appropriateness of "double dipping," and particularly whether consulting and other supplemental income activities result in shirking other university responsibilities. The debate centers on six basic issues: who…

  13. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Consultation. 35.3 Section 35.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By...

  14. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Consultation. 35.3 Section 35.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By...

  15. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Consultation. 35.3 Section 35.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By...

  16. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Consultation. 35.3 Section 35.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By...

  17. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Consultation. 35.3 Section 35.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS FIRE-RESISTANT HYDRAULIC FLUIDS General Provisions § 35.3 Consultation. By...

  18. Tribal Consultation Booklet: January 1991-March 1994.

    ERIC Educational Resources Information Center

    Bureau of Indian Affairs (Dept. of Interior), Washington, DC. Office of Indian Education Programs.

    "Tribal Consultation Booklets" are the records and background materials of the meetings between Bureau of Indian Affairs (BIA) staff and tribal representatives, parents, school boards, and other interested parties in ten states, concerning potential changes or issues relating to Indian Education Programs. Such consultation meetings are…

  19. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... COMMISSION REVIEW AND APPROVAL OF PROJECTS Application Procedure § 806.11 Preliminary consultations. (a) Any... Commission staff for an informal discussion of preliminary plans for the proposed project. To facilitate preliminary consultations, it is suggested that the project sponsor provide a general description of...

  20. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... COMMISSION REVIEW AND APPROVAL OF PROJECTS Application Procedure § 806.11 Preliminary consultations. (a) Any... Commission staff for an informal discussion of preliminary plans for the proposed project. To facilitate preliminary consultations, it is suggested that the project sponsor provide a general description of...

  1. Consulting Careers: A Profile of Three Occupations

    ERIC Educational Resources Information Center

    Mullins, John

    2011-01-01

    Choosing an industry in which to work is often as important as choosing an occupation. And over the next several years, the best advice for some workers may be to choose an industry that sells advice: consulting. The management, scientific, and technical consulting services industry comprises businesses that offer specialized advice to other…

  2. The Consulting Challenge: A Case Competition

    ERIC Educational Resources Information Center

    Sachau, Daniel A.; Naas, Patricia A.

    2010-01-01

    The Consulting Challenge is a yearly case competition in which teams of graduate students respond to a request for proposals (RFP) for consulting services. The case and RFP are based on a problem that a host organization has experienced. Over 3 days, students meet with representatives of the host organization, analyze data, prepare a proposal for…

  3. Consulting Foresters' View of Professional Forestry Education

    ERIC Educational Resources Information Center

    Straka, Thomas J.; Childers, Christopher J.

    2006-01-01

    Consulting forestry is an attractive professional specialization and expanding employment opportunities have made it a popular option for forestry students. Association of Consulting Foresters members were asked to rank the importance of the traditional forestry and other courses in the standard accredited forestry curriculum, where additional…

  4. Linking Knowledge and Action: PRI's Community Consultant.

    ERIC Educational Resources Information Center

    Spencer, Gregory P.

    Within the Partnership for Rural Improvement (PRI), community consultants operate within three complex sets of relationships: client groups, the organizational structure of PRI, and the local operational base. Community consultants are responsible for developing and facilitating rural development and for providing assistance in community and…

  5. Utilization of Consultants in Inservice Training.

    ERIC Educational Resources Information Center

    Theimer, William C., Jr.

    The misuse of outside consultants by most school districts has led to a disenchantment with inservice training in general. By using careful planning and evaluation techniques, the problems which have been caused by the inappropriate use of consultants and the unreal expectations of local school district personnel can be avoided. The process model…

  6. Consultant/Linker Knowledge and Skills Inventory.

    ERIC Educational Resources Information Center

    Smink, Jay

    The Consultant/Linker Knowledge and Skills Inventory is used to assess both existing and needed levels of knowledge and skills for consulting with school staff. The inventory is self-administered, and requires 20 to 30 minutes to complete. For each item, knowledge and skill are rated low, medium, or high; and need for improvement is rated none,…

  7. Using Technology in Consultation: Enhancing Relationships

    ERIC Educational Resources Information Center

    Pease, Terrie; Copa, Annette; Proulx, Gregory A.; Boss, Jennifer

    2004-01-01

    Jennifer Boss, Senior Program Associate at ZERO TO THREE, spoke with three infant mental health consultants who worked with three different Early Head Start programs as part of the Pathways to Prevention (PTP) initiative. The interviews particularly focused on how to infuse technology into consultation arrangements that center around building and…

  8. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the...

  9. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such...

  10. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such...

  11. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the...

  12. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the...

  13. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such...

  14. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such...

  15. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the...

  16. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.13 Informal consultation. (a..., that the action is not likely to adversely affect listed species or critical habitat, the...

  17. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS SUBCHAPTER A INTERAGENCY COOPERATION-ENDANGERED SPECIES ACT OF 1973, AS AMENDED Consultation Procedures § 402.14 Formal consultation. (a... time to determine whether any action may affect listed species or critical habitat. If such...

  18. Review of Research: Report on Consultation.

    ERIC Educational Resources Information Center

    Higher Education Funding Council for England, Bristol.

    This document reports the results of the consultation (questionnaire responses from higher education institutions) on a review of research policy and funding by the Higher Education Funding Council for England (HEFCE) published in September 2000 and outlines the HEFCE response to the review and the consultation. Responses were received from 164…

  19. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  20. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  1. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  2. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  3. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Consultation. 960.3-3 Section 960.3-3 Energy DEPARTMENT OF ENERGY GENERAL GUIDELINES FOR THE PRELIMINARY SCREENING OF POTENTIAL SITES FOR A NUCLEAR WASTE REPOSITORY Implementation Guidelines § 960.3-3 Consultation. The DOE shall provide to designated officials of the...

  4. Lessons Learned from a Consultation Process Overseas

    ERIC Educational Resources Information Center

    Merino-Soto, César

    2014-01-01

    In this commentary I discuss three international school consultation experiences, highlighting aspects that serve as lessons for professional development and the implementation of effective and helpful strategies that meet the needs of children and youth in school systems. Relationships developed and maintained between the consulting teams and the…

  5. Counselors as Consultants during a National Crisis.

    ERIC Educational Resources Information Center

    Kaplan, Leslie S.; And Others

    1993-01-01

    Describes how counselors served as consultants to school division that had large student population of military dependents during Persian Gulf War. Examines impact of Persian Gulf War on the school division and its students and presents model for counselors who serve as consultants during crisis. Discusses counselors working as team with teachers,…

  6. Consulting by Business College Academics: Lessons for Business Communication Courses

    ERIC Educational Resources Information Center

    Dave, Anish

    2009-01-01

    Business communication (BC) is a crucial aspect of management consulting. BC scholars have widely studied the relationship between BC and management consulting, including consulting by BC academics. A limited review of the studies of management consulting, including consulting done by business college academics, hereafter referred to simply as…

  7. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 31 2014-07-01 2014-07-01 false Consultation with EPA. 725.17 Section... Applicability § 725.17 Consultation with EPA. Persons may consult with EPA, either in writing or by telephone..., ATTN: Biotechnology Notice Consultation. Persons wishing to consult with EPA by telephone should...

  8. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Consultation with EPA. 725.17 Section... Applicability § 725.17 Consultation with EPA. Persons may consult with EPA, either in writing or by telephone..., ATTN: Biotechnology Notice Consultation. Persons wishing to consult with EPA by telephone should...

  9. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 31 2011-07-01 2011-07-01 false Consultation with EPA. 725.17 Section... Applicability § 725.17 Consultation with EPA. Persons may consult with EPA, either in writing or by telephone..., ATTN: Biotechnology Notice Consultation. Persons wishing to consult with EPA by telephone should...

  10. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 32 2013-07-01 2013-07-01 false Consultation with EPA. 725.17 Section... Applicability § 725.17 Consultation with EPA. Persons may consult with EPA, either in writing or by telephone..., ATTN: Biotechnology Notice Consultation. Persons wishing to consult with EPA by telephone should...

  11. Wait and consult times for primary healthcare services in central Mozambique: a time-motion study

    PubMed Central

    Wagenaar, Bradley H.; Gimbel, Sarah; Hoek, Roxanne; Pfeiffer, James; Michel, Cathy; Cuembelo, Fatima; Quembo, Titos; Afonso, Pires; Gloyd, Stephen; Lambdin, Barrot H.; Micek, Mark A.; Porthé, Victoria; Sherr, Kenneth

    2016-01-01

    Background We describe wait and consult times across public-sector clinics and identify health facility determinants of wait and consult times. Design We observed 8,102 patient arrivals and departures from clinical service areas across 12 public-sector clinics in Sofala and Manica Provinces between January and April 2011. Negative binomial generalized estimating equations were used to model associated health facility factors. Results Mean wait times (in minutes) were: 26.1 for reception; 43.5 for outpatient consults; 58.8 for antenatal visits; 16.2 for well-child visits; 8.0 for pharmacy; and 15.6 for laboratory. Mean consultation times (in minutes) were: 5.3 for outpatient consults; 9.4 for antenatal visits; and 2.3 for well-child visits. Over 70% (884/1,248) of patients arrived at the clinic to begin queuing for general reception prior to 10:30 am. Facilities with more institutional births had significantly longer wait times for general reception, antenatal visits, and well-child visits. Clinics in rural areas had especially shorter wait times for well-child visits. Outpatient consultations were significantly longer at the smallest health facilities, followed by rural hospitals, tertiary/quaternary facilities, compared with Type 1 rural health centers. Discussion The average outpatient consult in Central Mozambique lasts 5 min, following over 40 min of waiting, not including time to register at most clinics. Wait times for first antenatal visits are even longer at almost 1 h. Urgent investments in public-sector human resources for health alongside innovative operational research are needed to increase consult times, decrease wait times, and improve health system responsiveness. PMID:27580822

  12. CONSULTATION ON UPDATED METHODOLOGY FOR ...

    EPA Pesticide Factsheets

    The National Academy of Sciences (NAS) expects to publish the Biological Effects of Ionizing Radiation (BEIR) committee's report (BEIR VII) on risks from ionizing radiation exposures in calendar year 2005. The committee is expected to have analyzed the most recent epidemiology from the important exposed cohorts and to have factored in any changes resulting from the updated analysis of dosimetry for the Japanese atomic bomb survivors. To the extent practical, the Committee will also consider any relevant radiobiological data, including those from the Department of Energy's low dose effects research program. Based on their evaluation of relevant information, the Committee is then expected to propose a set of models for estimating risks from low-dose ionizing radiation. ORIA will review the BEIR VII report and consider revisions to the Agency's methodology for estimating cancer risks from exposure to ionizing radiation in light of this report and other relevant information. This will be the subject of the Consultation. This project supports a major risk management initiative to improve the basis on which radiation risk decisions are made. This project, funded by several Federal Agencies, reflects an attempt to characterize risks where there are substantial uncertainties. The outcome will improve our ability to assess risks well into the future and will strengthen EPAs overall capability for assessing and managing radiation risks. the BEIR VII report is funde

  13. An automated consultant for MACSYMA

    NASA Technical Reports Server (NTRS)

    Genesereth, M. R.

    1977-01-01

    A consultant is necessary whenever on is faced with a problem solving situation in a domain one does not fully understand. The lack of knowledge may be incidental, as it is when the domain or device is fairly simple but time constraints make it impossible for the user to learn all that is necessary. Computer systems like MACSYMA in which the level of commands is so close to the level of the task environment that the user is apt to confuse a simply defined procedure (like COEFF) with its mathematical counterpart (here coefficient) that it at best approximates. A computer program is described which has the capability of conversing with its user in English about a difficulty he has encountered, and providing information tailored to his need. The MACSYMA Advisor is a program distinct from MACSYMA with its own separate data base and expertise. For convenience the program can be called directly from MACSYMA and can access the user's data structures contained therein. The Advisor described here deals only with the "straightline" or nested use of MACSYMA commands and not loops or user-defined functions. The implementation of the Advisor relies heavily on an explict, internal "model" of the user's state of knowledge, his goals, and his "plan" for achieving them.

  14. 78 FR 48342 - Consultation Agreements: Proposed Changes to Consultation Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-08

    .... Frank Meilinger, Director, OSHA Office of Communications, Room N-3647, U.S. Department of Labor, 200... Act, and to create safer and healthier workplaces. Trained safety and health professionals, provided either by state agencies or public universities, work with employers to identify workplace...

  15. Consultations with attorneys as a funding source for drug information centers.

    PubMed

    Conner, C S; Sawyer, D R; Sbarbaro, J A; Smolinske, S C

    1982-08-01

    The provision of legal consultations to attorneys as a method of generating income for a drug information center is described. The center established a formal, fee-based consultation service for lawyers after receiving several calls a month on a regular basis. During a six-month trial period, approximately 60% of the calls from lawyers were simple requests for information, such as the identification of a drug, drug dosage, or product availability. The remainder of the calls required formal written consultations, which had to be individualized to meet the attorneys' needs. The average length of these consultations was 2-3 pages including patient data, the request, response, conclusions, and 10-15 citations from the medical/pharmaceutical literature. No fees were charged for the requests that could be handled on the phone. For the preparation of a written consultation with references, the lawyers were billed +100/hr. Conferences with attorneys before preparing a request were also billed at +100/hr. If a deposition was required after the consultation services in the state's law journals and various legal publications. The majority of the attorneys who used the service indicated that they would probably use it again. The center found the provision of legal consultations to attorneys to be an effective mechanism for generating additional revenue.

  16. Postpartum consultation: Occurrence, requirements and expectations

    PubMed Central

    Carlgren, Ingrid; Berg, Marie

    2008-01-01

    Background As a matter of routine, midwives in Sweden have spoken with women about their experiences of labour in a so-called 'postpartum consultation'. However, the possibility of offering women this kind of consultation today is reduced due to shortage of both time and resources. The aim of this study was to explore the occurrence, women's requirements of, and experiences of a postpartum consultation, and to identify expectations from women who wanted but did not have a consultation with the midwife assisting during labour. Methods All Swedish speaking women who gave birth to a live born child at a University Hospital in western Sweden were consecutively included for a phone interview over a three-week period. An additional phone interview was conducted with the women who did not have a postpartum consultation, but who wanted to talk with the midwife assisting during labour. Data from the interviews were analysed using qualitative content analysis. Results Of the 150 interviewed women, 56% (n = 84) had a postpartum consultation of which 61.9% (n = 52) had this with the midwife assisting during labour. Twenty of the 28 women who did not have a consultation with anyone still desired to talk with the midwife assisting during labour. Of these, 19 were interviewed. The content the women wanted to talk about was summarized in four categories: to understand the course of events during labour; to put into words, feelings about undignified management; to describe own behaviour and feelings, and to describe own fear. Conclusion The survey shows that the frequency of postpartum consultation is decreasing, that the majority of women who give birth today still require it, but only about half of them receive it. It is crucial to develop a plan for these consultations that meets both the women's needs and the organization within current maternity care. PMID:18651967

  17. Overcoming Barriers to Palliative Care Consultation.

    PubMed

    Perrin, Kathleen Ouimet; Kazanowski, Mary

    2015-10-01

    Palliative care consultations for patients with life-threatening illnesses provide benefits for the patients and their families as well as for the health care team. Patients have better quality of life and live longer but cost the health care system less. Still, many patients are not offered the opportunity to receive a palliative care consultation. Barriers to palliative care consultation for patients in critical care units include misunderstandings about palliative care and not having agreed upon criteria for referral. Critical care nurses can assist in overcoming these barriers.

  18. Electronic Medical Consultation: A New Zealand Perspective

    PubMed Central

    Brebner, Campbell; Jones, Raymond; Marshall, Wendy; Parry, Graham

    2001-01-01

    Electronic medical consultation is available worldwide through access to the World Wide Web (WWW). This article outlines a research study on the adoption of electronic medical consultation as a means of health delivery. It focuses on the delivery of healthcare specifically for New Zealanders, by New Zealanders. It is acknowledged that the WWW is a global marketplace and that it is therefore difficult to identify New Zealanders' use of such a global market; nevertheless, we attempt to provide a New Zealand perspective on electronic medical consultation. PMID:11720955

  19. [Structured electronic consultation letter for shoulder disorders].

    PubMed

    Paloneva, Juha; Oikari, Marjo; Ylinen, Jari; Ingalsuo, Minna; Ilkka, Kunnamo; Ilkka, Kiviranta

    2012-01-01

    Referral to a specialist has a significant influence on management of the patient and costs associated with the treatments. However, development and research of the process by which patients are referred has been almost neglected. Expectations considering the purpose, contents, and timing of the referral of the consulting physician and the consultant do not always meet. A structured, electronic consultation letter was developed to respond this need. Functionality and interactivity are the key elements of the referral, including (1) an electronic referral letter to a specialist, (2) interactive education in clinical examination and management of shoulder disorders, and (3) an instrument of clinical examination and documentation of shoulder disorders.

  20. A descriptive study of healthcare ethics consultants in Canada: results of a national survey.

    PubMed

    Coughlin, M D; Watts, J

    1993-05-01

    As part of a project to examine health care ethics consultation in Canada, we surveyed individuals who were considered by themselves or others to play a significant role in health care ethics consultation. Since one goal of the project was to examine the education and abilities necessary for consultants, we sought to determine the qualifications and skills currently possessed by persons considered to be ethics consultants. For the purposes of the questionnaire, 'health care ethics consultation' was defined broadly to include consultation on ethical issues in clinical care or in clinical research, ethics consultation to Clinical Ethics Committees, Research Ethics Committees, and policy formulation committees in health care institutions; 'clinical ethics work' was defined more broadly still to include, in addition to the above, ethics education, administration, research and writing on bioethics other than the above, and public speaking. Three hundred and fifty questionnaires were sent to individuals and institutions across Canada that were thought to have some involvement in health care ethics consultation. Two hundred and fifty-three questionnaires were returned for a response rate of 72%. This report presents initial findings of the study and attempts to provide a comprehensive overview of the current state of ethics consultation within Canada. The survey examines demographics, educational background, time spent on ethics, institutional affiliations, approaches to the role of consultation, research related issues, and attitudes toward certification. Of the 253 questionnaires returned, 162 were completed by individuals who indicated that they provided some kind of ethics consultation. Of these, 43 indicated that they spent 30% or more of their time in clinical ethics work. These individuals are quite heterogeneous in background, training and activities, and while the great majority of them are based in an academic setting (university or teaching hospital), many act

  1. A review of Medicare expenditure in Australia for psychiatric consultations delivered in person and via videoconference.

    PubMed

    Smith, Anthony C; Armfield, Nigel R; Croll, Jasmine; Gray, Leonard C

    2012-04-01

    We examined the activity (services recorded) and cost (benefits paid) of reimbursement associated with telepsychiatry services in the Australian public health-care sector. We reviewed the activity and costs administered through the government's Medicare Benefits Schedule (MBS) from July 2002 to June 2011. During this nine-year-period, almost 14 million psychiatric consultations were funded through Medicare at a cost of $1.6 billion. Of these, 8003 were telepsychiatry consultations which cost $934,000, i.e. the video consultations subgroup represented 0.06% of all psychiatric consultations provided and 0.06% of the total cost to the government for these services. Despite telepsychiatry being a widely reported and successful example of telehealth internationally, the uptake of telepsychiatry in Australia has been slow.

  2. "Care and feeding": the Asian environmental tobacco smoke consultants programme

    PubMed Central

    Assunta, M; Fields, N; Knight, J; Chapman, S

    2004-01-01

    Study objective: To review the tobacco industry's Asian environmental tobacco smoke (ETS) consultants programme, focusing on three key nations: China, Hong Kong, and Malaysia. Methods: Systematic keyword and opportunistic website searches of formerly private internal industry documents. Main results: The release of the 1986 US Surgeon General's report on second hand smoke provoked tobacco companies to prepare for a major threat to their industry. Asian programme activities included conducting national/international symposiums, consultant "road shows" and extensive lobbying and media activities. The industry exploited confounding factors said to be unique to Asian societies such as diet, culture and urban pollution to downplay the health risks of ETS. The industry consultants were said to be "...prepared to do the kinds of things they were recruited to do". Conclusions: The programme was successful in blurring the science on ETS and keeping the controversy alive both nationally and internationally. For the duration of the project, it also successfully dissuaded national policy makers from instituting comprehensive bans on smoking in public places. PMID:15564219

  3. 77 FR 23283 - Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

    ... things, internal communications on the development of proposed legislation, enforcement policy, and other...- Determination B. Open Communications and Respect for Cultural Values and Traditions C. Ensuring Consultation Is... subcontractors through linkages, referrals, training, regular communication, and sharing of information...

  4. 31 CFR 561.803 - Consultations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Consultations. In implementing sections 104 and 104A of the Comprehensive Iran Sanctions, Accountability, and Divestment Act of 2010 (Pub. L. 111-195) (22 U.S.C. 8501-8551), as amended by the Iran Threat Reduction...

  5. 31 CFR 561.803 - Consultations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Consultations. In implementing sections 104 and 104A of the Comprehensive Iran Sanctions, Accountability, and Divestment Act of 2010 (Pub. L. 111-195) (22 U.S.C. 8501-8551), as amended by the Iran Threat Reduction...

  6. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... MINING PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.3 Consultation. By appointment... qualified MSHA personnel proposed methane-monitoring systems to be submitted in accordance with...

  7. 29 CFR 1691.12 - Interagency consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... enforcement procedures on that basis, an agency shall, to the extent practical, consult with the Chairman of... unlawful employment practices, the Department of Justice and/or EEOC shall, to the extent practical,...

  8. 34 CFR 75.190 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Curricula Or Instructional Materials § 75.190 Consultation. Each applicant that intends to develop curricula or instructional materials under a grant is encouraged to assure that the curricula or materials...

  9. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... MINING PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.3 Consultation. By appointment... qualified MSHA personnel proposed methane-monitoring systems to be submitted in accordance with...

  10. From staff nurse to nurse consultant.

    PubMed

    Fowler, John

    John Fowler Independent education consultant, continues his series for clinical nurses hoping to share their experiences with a wider audience, with advice on developing a potential article for a professional journal.

  11. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 5 2014-01-01 2014-01-01 false Consultation. 372.7 Section 372.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE... Endangered Species Act....

  12. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Consultation. 372.7 Section 372.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE... Endangered Species Act....

  13. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 5 2011-01-01 2011-01-01 false Consultation. 372.7 Section 372.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE... Endangered Species Act....

  14. Technical Consulting: The African-American Perspective

    ERIC Educational Resources Information Center

    Whitfield, Tracy N.

    2010-01-01

    The qualitative research study explored the organizational characteristics necessary in addressing the low concentration of African American technical consultants employed in the information technology industry. Using research participants' professional experience, participants responded to a developed questionnaire. African American technical…

  15. US--Japan energy policy consultations

    SciTech Connect

    Not Available

    1989-01-01

    These papers, from the US--Japan Energy Policy Consultations Meeting in Hawaii, deal with topics relating to: energy outlook; electric utilities; nuclear energy; coal and petroleum based energies; and new energy source development. (JF)

  16. Global Grid Telemedicine System: Expert Consult Manager

    DTIC Science & Technology

    2000-10-01

    system, and the Consult Broker has to use its knowledge of dental procedures to identify patients most 9 similar to the new consultation (case-based...contains a specific set of functionality that helps enable the GGTS to manage the communications network. 19 Forward Health Care Patient Movement...Form 513). The fields of the dentistry system contain patient demographic data, patient location, referring physician data and location, 37

  17. Update for the practicing pathologist: The International Consultation On Urologic Disease-European association of urology consultation on bladder cancer.

    PubMed

    Amin, Mahul B; Smith, Steven C; Reuter, Victor E; Epstein, Jonathan I; Grignon, David J; Hansel, Donna E; Lin, Oscar; McKenney, Jesse K; Montironi, Rodolfo; Paner, Gladell P; Al-Ahmadie, Hikmat A; Algaba, Ferran; Ali, Syed; Alvarado-Cabrero, Isabel; Bubendorf, Lukas; Cheng, Liang; Cheville, John C; Kristiansen, Glen; Cote, Richard J; Delahunt, Brett; Eble, John N; Genega, Elizabeth M; Gulmann, Christian; Hartmann, Arndt; Langner, Cord; Lopez-Beltran, Antonio; Magi-Galluzzi, Cristina; Merce, Jorda; Netto, George J; Oliva, Esther; Rao, Priya; Ro, Jae Y; Srigley, John R; Tickoo, Satish K; Tsuzuki, Toyonori; Umar, Saleem A; Van der Kwast, Theo; Young, Robert H; Soloway, Mark S

    2015-05-01

    The International Consultations on Urological Diseases are international consensus meetings, supported by the World Health Organization and the Union Internationale Contre le Cancer, which have occurred since 1981. Each consultation has the goal of convening experts to review data and provide evidence-based recommendations to improve practice. In 2012, the selected subject was bladder cancer, a disease which remains a major public health problem with little improvement in many years. The proceedings of the 2nd International Consultation on Bladder Cancer, which included a 'Pathology of Bladder Cancer Work Group,' have recently been published; herein, we provide a summary of developments and consensus relevant to the practicing pathologist. Although the published proceedings have tackled a comprehensive set of issues regarding the pathology of bladder cancer, this update summarizes the recommendations regarding selected issues for the practicing pathologist. These include guidelines for classification and grading of urothelial neoplasia, with particular emphasis on the approach to inverted lesions, the handling of incipient papillary lesions frequently seen during surveillance of bladder cancer patients, descriptions of newer variants, and terminology for urine cytology reporting.

  18. Update for the practicing pathologist: The International Consultation On Urologic Disease-European association of urology consultation on bladder cancer

    PubMed Central

    Amin, Mahul B; Smith, Steven C; Reuter, Victor E; Epstein, Jonathan I; Grignon, David J; Hansel, Donna E; Lin, Oscar; McKenney, Jesse K; Montironi, Rodolfo; Paner, Gladell P; Al-Ahmadie, Hikmat A; Algaba, Ferran; Ali, Syed; Alvarado-Cabrero, Isabel; Bubendorf, Lukas; Cheng, Liang; Cheville, John C; Kristiansen, Glen; Cote, Richard J; Delahunt, Brett; Eble, John N; Genega, Elizabeth M; Gulmann, Christian; Hartmann, Arndt; Langner, Cord; Lopez-Beltran, Antonio; Magi-Galluzzi, Cristina; Merce, Jorda; Netto, George J; Oliva, Esther; Rao, Priya; Ro, Jae Y; Srigley, John R; Tickoo, Satish K; Tsuzuki, Toyonori; Umar, Saleem A; Van der Kwast, Theo; Young, Robert H; Soloway, Mark S

    2016-01-01

    The International Consultations on Urological Diseases are international consensus meetings, supported by the World Health Organization and the Union Internationale Contre le Cancer, which have occurred since 1981. Each consultation has the goal of convening experts to review data and provide evidence-based recommendations to improve practice. In 2012, the selected subject was bladder cancer, a disease which remains a major public health problem with little improvement in many years. The proceedings of the 2nd International Consultation on Bladder Cancer, which included a ‘Pathology of Bladder Cancer Work Group,’ have recently been published; herein, we provide a summary of developments and consensus relevant to the practicing pathologist. Although the published proceedings have tackled a comprehensive set of issues regarding the pathology of bladder cancer, this update summarizes the recommendations regarding selected issues for the practicing pathologist. These include guidelines for classification and grading of urothelial neoplasia, with particular emphasis on the approach to inverted lesions, the handling of incipient papillary lesions frequently seen during surveillance of bladder cancer patients, descriptions of newer variants, and terminology for urine cytology reporting. PMID:25412849

  19. Verbal prescribing in general practice consultations.

    PubMed

    Gibson, Mark; Neil Jenkings, K; Wilson, Rob; Purves, Ian

    2006-09-01

    This paper looks at aspects of doctor-patient communication and focuses on how prescribing decisions fit into the consultation within the context of the use (and non-use) of a technological clinical decision support system (CDSS) in the UK. Analysis of 6 simulated consultations filmed as part of the evaluation of a CDSS system indicated that the general practitioners (GPs) used their computers for a short time during consultations. The data showed that doctors' utterances, occurring at an early stage of the consultations, signalled the prescribing decision and eventual outcome of the consultation. The concept of 'verbal prescriptions' is used to describe these utterances of the GPs, and facilitates an understanding of how prescribing decisions are routinely achieved. Prescribing decisions can occur in the relatively early stages of the consultation, and both prior to and independently of the CDSS. Consequently, we suggest that the pattern of GP decision-making needs to be taken into account in CDSS design. However, this is not just an issue for CDSS design and implementation, as the verbal prescription phenomenon may impact upon patient involvement in decision-making, and even the appropriate use of evidence based medicine.

  20. 43 CFR 10005.7 - Agency consultation and public involvement.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... process. Interested parties will be given the opportunity to become involved at several stages in the plan development, process. The major opportunities are as follows: (a) Planning rule development. The initial... comment to the Commission prior to adoption. (b) Project recommendations. The next opportunity is in...

  1. Addressing poverty as risk for disease: recommendations from CDC's consultation on microenterprise as HIV prevention.

    PubMed

    Stratford, Dale; Mizuno, Yuko; Williams, Kim; Courtenay-Quirk, Cari; O'leary, Ann

    2008-01-01

    In March 2006, the Centers for Disease Control and Prevention (CDC) convened a consultation meeting to explore microenterprise as a potential human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) prevention intervention. The impulse to link microenterprise with HIV/AIDS prevention was driven by the fact that poverty is a significant factor contributing to the risk for infection. Because increasingly high rates of HIV infection are occurring among women, particularly among poor African American women in the southern United States, we focused the consultation on microenterprise as an intervention among that population. In the international arena, income generated by microenterprise has contributed to improving family and community health outcomes. This article summarizes the contributions made to the consultation by participants from the diverse fields of microenterprise, microfinance, women's studies, and public health. The article ends with recommendations for HIV/AIDS prevention and, by implication, addressing other public health challenges, through the development of multifaceted intervention approaches.

  2. The scope for the involvement of patients in their consultations with health professionals: rights, responsibilities and preferences of patients.

    PubMed

    Buetow, S

    1998-08-01

    The degree and nature of patient involvement in consultations with health professionals influences problem and needs recognition and management, and public accountability. This paper suggests a framework for understanding the scope for patient involvement in such consultations. Patients are defined as co-producers of formal health services, whose potential for involvement in consultations depends on their personal rights, responsibilities and preferences. Patients' rights in consultations are poorly defined and, in the National Health Service (NHS), not legally enforceable. The responsibilities of patients are also undefined. I suggest that these are not to deny, of their own volition, the rights of others, which in consultations necessitate mutuality of involvement through information-exchange and shared decision-making. Preferences should be met insofar as they do not militate against responsibilities and rights.

  3. Developing Levels of Consultation in an Inner London Borough

    ERIC Educational Resources Information Center

    Dowd, Rose; Thorne, Hilary

    2007-01-01

    Many educational psychology services across the country have changed or are in the process of changing to a consultation approach to service delivery. This paper outlines the experiences of an inner city service in the development of consultation particularly in the area of group consultation. Group consultation involves a pair of educational…

  4. School Consultation Research: Methodological Critique and Future Research Directions.

    ERIC Educational Resources Information Center

    Gresham, Frank M.; Kendell, Ginger K.

    1987-01-01

    This article reviews the current status of school consultation research and critiques the research methodologies used in consultation research. Major theoretical models in which consultation research has been conducted are briefly described. Consultation research is reviewed in three primary areas of investigation: (1) outcome research; (2)…

  5. Integrative Learning at Work: Theory into Practice at Andersen Consulting.

    ERIC Educational Resources Information Center

    Montgomery, Joel R.

    Andersen Consulting is a global training firm with more than 20,000 consultants serving clients from 151 officers in 46 countries. In 1995, Andersen Consulting introduced a career development model (CDM) as a new organizing structure for its consultants in North and South America. The CDM, which translates the findings of research on integrative…

  6. Educational Consultation: A Summary of Four Alberta Studies.

    ERIC Educational Resources Information Center

    Holdaway, Edward A.; Millikan, Ross H.

    1980-01-01

    Evaluates the effectiveness of the consultative process, as determined by four reviewed studies. Discusses consultative needs and practices of teachers in schools of different grade levels, and stresses the importance of peer consultation. Suggests recommendations for improving the practice of educational consultation. (JD)

  7. Participants' Evaluation of Consultation: Implications for Training in School Psychology

    ERIC Educational Resources Information Center

    Klose, Laurie McGarry; Plotts, Cynthia; Lasser, Jon

    2012-01-01

    Evaluation of graduate students' consultation skills is essential to competent practice in school settings. Congruence of evaluation of the consultation experience has been shown as an important factor in the development of competent consultants in other, related disciplines. The current study analysed student consultant and teacher consultee…

  8. Synthesis in Science.

    ERIC Educational Resources Information Center

    Horsella, Maria

    This paper discusses various techniques that scientists and other professionals can use to keep current in their field despite the large amount of available information, such as consulting abstracts, indexes, reviews, and catalogues. It also examines specific language patterns that are used in the sciences to produce synthesis and abridgement,…

  9. Therapists’ Perspectives on the Effective Elements of Consultation Following Training

    PubMed Central

    Beidas, Rinad S.; Edmunds, Julie M.; Cannuscio, Carolyn C.; Gallagher, Mark; Downey, Margaret Mary; Kendall, Philip C.

    2013-01-01

    Consultation is an effective implementation strategy to improve uptake of evidence-based practices for youth. However, little is known about what makes consultation effective. The present study used qualitative methods to explore therapists’ perspectives about consultation. We interviewed 50 therapists who had been trained 2 years prior in cognitive-behavioral therapy for child anxiety. Three themes emerged regarding effective elements of consultation: (1) connectedness with other therapists and the consultant, (2) authentic interactions around actual cases, and (3) the responsiveness of the consultant to the needs of individual therapists. Recommendations for the design of future consultation endeavors are offered. PMID:23435832

  10. The Relationship between Gender of Consultant and Social Power Perceptions within School Consultation. Research Brief

    ERIC Educational Resources Information Center

    Erchul, William P.; Raven, Bertram H.; Wilson, Kristen E.

    2004-01-01

    This study's focus was on school psychologists' perceived effectiveness of 11 social power bases (Raven, 1993) that may be drawn upon when consulting with initially resistant teachers. Specifically, the relationship between consultant gender and perceptions of power base effectiveness was examined. The Interpersonal Power Inventory-Form CT…

  11. Assessment of Consultation and Intervention Implementation: A Review of Conjoint Behavioral Consultation Studies

    ERIC Educational Resources Information Center

    Collier-Meek, Melissa A.; Sanetti, Lisa M. H.

    2014-01-01

    Reviews of treatment outcome literature indicate treatment integrity is not regularly assessed. In consultation, two levels of treatment integrity (i.e., consultant procedural integrity [CPI] and intervention treatment integrity [ITI]) provide relevant implementation data. Specifically, assessment of CPI and ITI are necessary to conclude (a)…

  12. Experimental Evaluation of Instructional Consultation Teams on Teacher Beliefs and Practices

    ERIC Educational Resources Information Center

    Vu, Phuong; Shanahan, Katherine Bruckman; Rosenfield, Sylvia; Gravois, Todd; Koehler, Jessica; Kaiser, Lauren; Berger, Jill; Vaganek, Megan; Gottfredson, Gary D.; Nelson, Deborah

    2013-01-01

    Instructional Consultation Teams (IC Teams) are an early intervention service intended to support teachers in working with struggling students. This is a large-scale experimental trial investigating the effects of IC Teams on teacher efficacy, instructional practices, collaboration, and job satisfaction. Public elementary schools (N = 34) were…

  13. The Relations between Autonomy and Control in the Management of External Consultants and Organizational Learning.

    ERIC Educational Resources Information Center

    Halvari, Hallgeir; Johansen, Are; Sorhaug, Tore

    1998-01-01

    Sources of organizational learning were studied for 131 employees, 109 of whom were managers, who participated in projects with external consultants in a large public-transport company in Norway. A multiple regression analysis explained 69% of organizational learning as a function of attitude toward learning. Differences between managers and other…

  14. 36 CFR 271.8 - Consultation with Association of State Foresters and the Advertising Council.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of State Foresters and the Advertising Council. 271.8 Section 271.8 Parks, Forests, and Public... Association of State Foresters and the Advertising Council. These regulations in this part have been issued after consultation with the Association of State Foresters and the Advertising Council....

  15. The Application of Family Systems Theory to Organizational Consultation: A Content Analysis.

    ERIC Educational Resources Information Center

    Matheny, Aaron Clayton; Zimmerman, Toni Schindler

    2001-01-01

    A content analysis was performed on 43 articles published between 1970 and 1998 discerned as relating family systems theory (FST) frameworks and constructs to organizational consultation. Frameworks and constructs were investigated in relation to four independent variables: type of organization; decade of article publication; gender; and…

  16. ACCC's Response to Industry Canada's Consultation on Improving Canada's Digital Advantage

    ERIC Educational Resources Information Center

    Association of Canadian Community Colleges, 2010

    2010-01-01

    As the national and international voice representing over 150 publicly-funded colleges, institutes, polytechnics, cegeps, university colleges and universities with a college mandate, the Association of Canadian Community Colleges (ACCC) welcomes the opportunity to provide input to Industry Canada's consultation on a Digital Economy Strategy for…

  17. 42 CFR 4.6 - Reference, bibliographic, reproduction, and consultation services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Reference, bibliographic, reproduction, and... SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.6 Reference, bibliographic, reproduction, and... request, reference, bibliographic, reproduction, and consultation services. Priority will be given...

  18. 42 CFR 4.6 - Reference, bibliographic, reproduction, and consultation services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Reference, bibliographic, reproduction, and... SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.6 Reference, bibliographic, reproduction, and... request, reference, bibliographic, reproduction, and consultation services. Priority will be given...

  19. 42 CFR 4.6 - Reference, bibliographic, reproduction, and consultation services.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Reference, bibliographic, reproduction, and... SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.6 Reference, bibliographic, reproduction, and... request, reference, bibliographic, reproduction, and consultation services. Priority will be given...

  20. 42 CFR 4.6 - Reference, bibliographic, reproduction, and consultation services.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Reference, bibliographic, reproduction, and... SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.6 Reference, bibliographic, reproduction, and... request, reference, bibliographic, reproduction, and consultation services. Priority will be given...

  1. 42 CFR 4.6 - Reference, bibliographic, reproduction, and consultation services.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Reference, bibliographic, reproduction, and... SERVICES GENERAL PROVISIONS NATIONAL LIBRARY OF MEDICINE § 4.6 Reference, bibliographic, reproduction, and... request, reference, bibliographic, reproduction, and consultation services. Priority will be given...

  2. Consulting as a Strategy for Knowledge Transfer

    PubMed Central

    Jacobson, Nora; Butterill, Dale; Goering, Paula

    2005-01-01

    Academic researchers who work on health policy and health services are expected to transfer knowledge to decision makers. Decision makers often do not, however, regard academics’ traditional ways of doing research and disseminating their findings as relevant or useful. This article argues that consulting can be a strategy for transferring knowledge between researchers and decision makers and is effective at promoting the “enlightenment” and “interactive” models of knowledge use. Based on three case studies, it develops a model of knowledge transfer–focused consulting that consists of six stages and four types of work. Finally, the article explores how knowledge is generated in consulting and identifies several classes of factors facilitating its use by decision makers. PMID:15960773

  3. [Participated observation of nursing child health consultation].

    PubMed

    Loureiro, Fernanda Manuela; da Silva, José António Neto Ferreira; Quitério, Margarida Maria de Sousa Lourenço; Charepe, Zaida Borges

    2012-12-01

    Situation diagnosis using exploratory and descriptive scientific methodology (participant observation with descriptive statistical treatment) in order to identify nursing' practices in the area of health promotion during a nursing child health consultation. The 31 consultations observed (n = 31) showed that the majority of observations occurred in children younger than 2 years being the most discussed topic feed with predominant use of expository methodology. There was also little use of informational support and when used relate to the themes of security and nutrition. Most providers raised questions and there was limited registration of the interaction between provider and child with an expenditure averaging of 23 minutes per consultation. Given the results and reflecting about them stands out as intervention the construction of a health promotion manual with the integration of theory and evidence of good practice in this area.

  4. Consulting as a strategy for knowledge transfer.

    PubMed

    Jacobson, Nora; Butterill, Dale; Goering, Paula

    2005-01-01

    Academic researchers who work on health policy and health services are expected to transfer knowledge to decision makers. Decision makers often do not, however, regard academics' traditional ways of doing research and disseminating their findings as relevant or useful. This article argues that consulting can be a strategy for transferring knowledge between researchers and decision makers and is effective at promoting the "enlightenment" and "interactive" models of knowledge use. Based on three case studies, it develops a model of knowledge transfer-focused consulting that consists of six stages and four types of work. Finally, the article explores how knowledge is generated in consulting and identifies several classes of factors facilitating its use by decision makers.

  5. Otolaryngology consultations by real-time telemedicine.

    PubMed Central

    Ullah, R.; Gilliland, D.; Adams, D.

    2002-01-01

    We aimed to assess the value of real-time telemedicine using low cost videoconferencing equipment for otorhinolaryngology consultations. A general practitioner, using low cost videoconferencing equipment, presented patients to an otorhinolaryngologist. After history taking and clinical examination, investigations were requested if required and a diagnosis and management plan formulated. The patients were then seen, by the same otorhinolaryngologist, for a conventional face-to-face consultation. Differences in the history, clinical examination and investigation requests were reported. The accuracy of diagnosis and correlation of management plans between the two consultations were analysed. Forty-three patients were admitted to the study but one, a young child, refused examination either by tele-link or the conventional approach and had to be excluded. There were thus 42 patients with 55 diagnoses included in the trial, 26 (62%) females and 16 (38%) males. Age range was 5 months to 70 years. There was no difficulty with any of the patients in obtaining an accurate history and ordering investigations, if required, via the telelink. Clinical examination during the tele-link consultation was inadequate for eight out of the first 20 patients, resulting in a wrong diagnosis in three patients and a missed diagnosis in five patients. All of the next 22 patients had a correct diagnosis and management plan. Comparison of data from the two types of consultation showed that a correct diagnosis and management plan was made in 34 patients. Low cost real-time telemedicine is a useful technique, providing reliable otorhinolaryngology consultations in a general practice setting. However initial difficulties due to inexperience in using the equipment need to be overcome. PMID:12137160

  6. Childhood adversity and frequent medical consultations.

    PubMed

    Fiddler, Maggie; Jackson, Judy; Kapur, Navneet; Wells, Adrian; Creed, Francis

    2004-01-01

    We assessed possible psychological mediators of the relationship between childhood adversity and frequent medical consultations among new outpatients at neurology, cardiology, and gastroenterology clinics. We assessed whether these differed in patients with and without organic disease that explained their symptoms. At first clinic visit we recorded Hospital Anxiety and Depression scale (HADS--anxiety and depression subscale scores), Illness Perception Questionnaire (IPQ--four subscales: consequences, cure, identity, timeline), Health Anxiety Questionnaire (total score), and Symptom Amplification Scale (total score). Subjects were divided into two groups according to whether they had experienced any type of childhood adversity using the Childhood Experience of Care and Abuse Schedule. Outcome was the (log) number of medical consultations for 12 months before and 6 months after the index clinic visits. Multiple regression analysis was used to determine mediators; this was performed separately for patients with symptoms explained and not explained by organic disease. One-hundred and twenty-nine patients (61% response) were interviewed. Fifty-two (40.3%) had experienced childhood adversity; they made a median of 16 doctor visits compared with 10 for those without adversity (adjusted P=.026). IPQ identity score (number of symptoms attributed to the illness) and HAD depression scores were significantly associated with both childhood adversity and number of medical consultations and these variables acted as mediators between childhood adversity and frequency of consultation in the multiple regression analyses. This association was limited to patients with medically unexplained symptoms and was mediated by IPQ Identity Score (number of symptoms attributed to the patient's illness) and HAD depression score. Sexual abuse and overt neglect were the adversities most closely associated with frequent consultations. In patients with medically unexplained symptoms the association

  7. Telehematopathology in a clinical consultative practice.

    PubMed

    Fisher, S I; Nandedkar, M A; Williams, B H; Abbondanzo, S L

    2001-12-01

    We studied a series of 60 telepathology cases sent in consultation to the Department of Hematopathology from January 1, 1995, through July 31, 2000. Cases from the United States and the world representing academic, private, military, and federal sectors were reviewed. Ninety percent of patients were adults (54 of 60), and male patients outnumbered female patients 2 to 1. Ages were from 1 to 79 years (mean, 42 years). Forty-three cases were lymph nodes (72%), 14 were bone marrow or peripheral blood (23%), and 3 were from other sites (5%). Twenty-seven of the consultant diagnoses were benign (27 of 60). Twenty-nine were malignant (non-Hodgkin lymphoma, Hodgkin disease, and "other malignancy" groups), and 4 were nondiagnostic. Glass slide/paraffin tissue blocks were available in only 35 (58%) of 60 cases. The concordance rate for diagnostic telehematopathology cases with subsequent glass slide/paraffin block follow-up was 91% (29 of 32 cases). The discordance rate was 9% (3 of 32). This finding shows a high degree of diagnostic accuracy for consultative telehematopathology. Of 118 images analyzed, 58 were considered very good/good (49%), 32 were poor/very poor (27%), and 28 were fair (24%). Poor images had suboptimal resolution, color, or technical quality of transmission, and most poor images were low-power images. Additional case problems included insufficient immunoperoxidase stain availability, selection, and labeling; transmitted field selection; specimen preparation and staining; presence or absence of accompanying clinical data; and availability of ancillary studies such as flow cytometric, cytogenetic, and molecular data. From this analysis, the following recommendations are offered. To optimize telehematopathology consultation, include any additional information that have a significant influence on the final consultant diagnosis. Include any pertinent clinical information, laboratory data, special stains, immunoperoxidase stains, and molecular data. Select

  8. The Statistical Consulting Center for Astronomy (SCCA)

    NASA Technical Reports Server (NTRS)

    Akritas, Michael

    2001-01-01

    The process by which raw astronomical data acquisition is transformed into scientifically meaningful results and interpretation typically involves many statistical steps. Traditional astronomy limits itself to a narrow range of old and familiar statistical methods: means and standard deviations; least-squares methods like chi(sup 2) minimization; and simple nonparametric procedures such as the Kolmogorov-Smirnov tests. These tools are often inadequate for the complex problems and datasets under investigations, and recent years have witnessed an increased usage of maximum-likelihood, survival analysis, multivariate analysis, wavelet and advanced time-series methods. The Statistical Consulting Center for Astronomy (SCCA) assisted astronomers with the use of sophisticated tools, and to match these tools with specific problems. The SCCA operated with two professors of statistics and a professor of astronomy working together. Questions were received by e-mail, and were discussed in detail with the questioner. Summaries of those questions and answers leading to new approaches were posted on the Web (www.state.psu.edu/ mga/SCCA). In addition to serving individual astronomers, the SCCA established a Web site for general use that provides hypertext links to selected on-line public-domain statistical software and services. The StatCodes site (www.astro.psu.edu/statcodes) provides over 200 links in the areas of: Bayesian statistics; censored and truncated data; correlation and regression, density estimation and smoothing, general statistics packages and information; image analysis; interactive Web tools; multivariate analysis; multivariate clustering and classification; nonparametric analysis; software written by astronomers; spatial statistics; statistical distributions; time series analysis; and visualization tools. StatCodes has received a remarkable high and constant hit rate of 250 hits/week (over 10,000/year) since its inception in mid-1997. It is of interest to

  9. Three models of child abuse consultations: A qualitative study of inpatient child abuse consultation notes.

    PubMed

    Keenan, Heather T; Campbell, Kristine A

    2015-05-01

    Child abuse pediatricians have multiple roles in caring for abused children, including prevention, diagnosis, treatment, and, when needed, expert legal opinion. The child physical abuse consultation differs from the traditional medical consultation in that it has medical, investigative and legal audiences, all of whom have different information needs. How child abuse pediatricians approach their cases and how they document their initial inpatient consultations that will be used by such a diverse audience is currently unexplored. We used content analysis to examine 37 child physical abuse consultation notes from a national sample of child abuse pediatricians in order to understand physicians' approaches to these consultations. Three commonly used models of child physical abuse consultation were identified in the data that we named the base model, the investigative model, and the family-dynamic model. While model types overlap, each is distinguished by key features including the approach used to gather information, the information recorded, and the language used in documentation. The base model most closely mirrors the traditional medical approach; the investigative model concentrates on triangulation of sources of information; and, the family-dynamic model concentrates on physician perceptions of family relationships. The three models of consultations for child physical abuse mirror the areas of child abuse pediatrics: diagnostic, forensic and therapeutic. These models are considered in relationship to best practice from other medical specialties with forensic components.

  10. 21 CFR 211.34 - Consultants.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Consultants. 211.34 Section 211.34 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Organization and Personnel §...

  11. Teacher Utilization of Instructional Consultation Teams

    ERIC Educational Resources Information Center

    Berger, Jill; Yiu, Ho Lam; Nelson, Deborah; Vaganek, Megan; Rosenfield, Sylvia; Gravois, Todd; Gottfredson, Gary; Vu, Phuong; Shanahan, Kate; Hong, Vanessa

    2014-01-01

    Data regarding intervention utilization among the target population are critical to interpret evidence from efficacy trials for school-based interventions. When use of the intervention is voluntary, intervention diffusion becomes a particularly critical variable. We examined the use of Instructional Consultation Teams (IC Teams), a voluntary…

  12. The Psychologist Consultant in Educational Design.

    ERIC Educational Resources Information Center

    McKee, John M.; Moon, Jeanne P.

    The technology of educational design includes skills in solving performance problems, establishing training objectives, appropriate teaching strategies, course content, best teaching sequence(s), appropriate presentation mode, and type of feedback to give and when. A consulting psychologist can, through application of behavioral science, assist in…

  13. 20 CFR 410.472 - Consultative examinations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Consultative examinations. 410.472 Section 410.472 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Total Disability or Death Due to Pneumoconiosis §...

  14. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General...

  15. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General...

  16. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General...

  17. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General...

  18. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Consultation. 33.3 Section 33.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS DUST COLLECTORS FOR USE IN CONNECTION WITH ROCK DRILLING IN COAL MINES General...

  19. Consultation in the Inner-City School

    ERIC Educational Resources Information Center

    Moss, Alice Foster

    1976-01-01

    The urban ghetto experience can play havoc with the educational process unless teachers understand the effect this experience has on their students. The author presents a framework by which the social work consultant can help teachers recognize their students' problems and create an environment that supports learning and growth. (Author)

  20. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Consultation. 206.348 Section 206.348 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Coastal Barrier Resources Act §...

  1. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 44 Emergency Management and Assistance 1 2014-10-01 2014-10-01 false Consultation. 206.348 Section 206.348 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Coastal Barrier Resources Act §...

  2. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 44 Emergency Management and Assistance 1 2011-10-01 2011-10-01 false Consultation. 206.348 Section 206.348 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Coastal Barrier Resources Act §...

  3. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Consultation. 206.348 Section 206.348 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Coastal Barrier Resources Act §...

  4. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 44 Emergency Management and Assistance 1 2012-10-01 2011-10-01 true Consultation. 206.348 Section 206.348 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND SECURITY DISASTER ASSISTANCE FEDERAL DISASTER ASSISTANCE Coastal Barrier Resources Act §...

  5. 76 FR 18583 - Draft Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... coordinating drug control policies, ONDCP is also a central organizing body, managing the anti-drug efforts and... drug control policies, ONDCP is also a central organizing body, managing the anti-drug efforts and... PRESIDENT Office of National Drug Control Policy Draft Tribal Consultation Policy AGENCY: Executive...

  6. The Role of the Organisational Development Consultant

    ERIC Educational Resources Information Center

    Simmons, Mike

    1972-01-01

    The consultant's concern is to increase an organization's capacity to initiate and manage change through an integrated approach to the company's social, economic, technical, and organizational systems, and to improve the performance and value of its human resources, using measurable criteria whenever possible. (Author/JB)

  7. Writing Comprehensive Behavioral Consultation Reports: Critical Elements

    ERIC Educational Resources Information Center

    Brinkman, Tara M.; Segool, Natasha K.; Pham, Andy V.; Carlson, John S.

    2007-01-01

    The accountability movement in psychology has resulted in practitioners increasingly using evidence-based interventions and treatment modalities to treat client problems. Behavioral consultation is one framework that practitioners can utilize in providing empirically supported services. In order to demonstrate the use of effective, evidence-based…

  8. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... any proposed structures, anticipated water needs, and the environmental impacts. (b) Preliminary... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Preliminary consultations. 806.11 Section 806.11 Conservation of Power and Water Resources SUSQUEHANNA RIVER...

  9. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... any proposed structures, anticipated water needs, and the environmental impacts. (b) Preliminary... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Preliminary consultations. 806.11 Section 806.11 Conservation of Power and Water Resources SUSQUEHANNA RIVER...

  10. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... any proposed structures, anticipated water needs, and the environmental impacts. (b) Preliminary... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Preliminary consultations. 806.11 Section 806.11 Conservation of Power and Water Resources SUSQUEHANNA RIVER...

  11. National Consultation on National Directory for Catechesis.

    ERIC Educational Resources Information Center

    Mulhall, Daniel S.; Shaughnessy, Maureen

    2002-01-01

    Describes the revision of the National Catechetical Directory (NCD), an ongoing project of the U.S. Conference of Catholic Bishops Committee on Education, in conjunction with a bishops' editorial oversight board (EOB). States that writing is underway and will be completed following consultations with Catholic communities and organizations. (NB)

  12. Science Consultants, Fictional Films, and Scientific Practice.

    ERIC Educational Resources Information Center

    Kirby, David A.

    2003-01-01

    Proposes films to be successful communicative devices within the scientific community by showing that other scientists respond to depictions in films and how they respond. Demonstrates that science consultants use fictional films as promotional devices for their research fields. (Author/NB)

  13. The art of the successful consultation.

    PubMed

    Haggerty, Lou

    2010-11-01

    The current trends in the patients options for making decisions to have cosmetic surgeries have made the provider-closing process more intense and complicated. These trends include, but are not limited to, increased price shopping, more comparison shopping, increased use of the internet versus word of mouth and more knowledge available in conventional media. This discussion focuses on the process that takes place in the practice after the first ringing of the phone and after having successfully gotten the word out. After the deployment of positive and result-oriented advertisements, staff consultation closure skills determine your economic success. Included are discussions of major challenges in executing successful consultations related to getting the entire practice, including the doctor, to accept and employ a wellexecuted consultation. Four essentials of the successful and artful consultation are discussed: the phone inquiry, the follow-up after the phone call, the in-person contact, and the follow-up after the in-person contact, with the ultimate goal of a continual flow of paying patients.

  14. School Neuropsychology Consultation in Neurodevelopmental Disorders

    ERIC Educational Resources Information Center

    Decker, Scott L.

    2008-01-01

    The role of school psychologists with training in neuropsychology is examined within the context of multitiered models of service delivery and educational reform policies. An expanded role is suggested that builds on expertise in the assessment of neurodevelopmental disorders and extends to broader tiers through consultation practice. Changes in…

  15. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false Tribal consultation. 5.7 Section 5.7 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT INTEGRATED LICENSE APPLICATION PROCESS §...

  16. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Tribal consultation. 5.7 Section 5.7 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT INTEGRATED LICENSE APPLICATION PROCESS §...

  17. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Tribal consultation. 5.7 Section 5.7 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY REGULATIONS UNDER THE FEDERAL POWER ACT INTEGRATED LICENSE APPLICATION PROCESS §...

  18. 77 FR 71833 - Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

    .... The Department already addresses the impact of its proposed regulations on Indian tribes consistent... members prior to the consultation. Another commenter suggested revising, from ``no unique impacts on... minor or tangential impact on a particular Indian tribe would impose an unrealistic burden on...

  19. Behavioral Consultant Application. PRISM Project Technical Report.

    ERIC Educational Resources Information Center

    Smith, Jesse

    This brief paper describes the Peer Coaching Rural In-Service Model (PRISM) Behavioral Consultant (PBC) program, an online tool for teachers that provides advice on handling simple classroom behavior problems. PBC's advice is based on a series of rules and expressions used by the computer program to make inferences and eliminate inappropriate…

  20. Behavior Analytic Consultation for Academic Referral Concerns

    ERIC Educational Resources Information Center

    Dufrene, Brad A.; Zoder-Martell, Kimberly A.; Dieringe, Shannon Titus; Labrot, Zachary

    2016-01-01

    Applied behavior analysis provides a technology of human behavior that demonstrates great potential for improving socially important outcomes for individuals. School-based consultation may provide a vehicle for delivering applied behavior analysis services in schools to address academic referral concerns. In this article, we propose that…

  1. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2010-07-01 2010-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  2. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2012-07-01 2012-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  3. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2011-07-01 2011-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  4. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2013-07-01 2013-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  5. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... on occupational safety and health issues by telephone and correspondence, and at locations other than... 29 Labor 5 2014-07-01 2014-07-01 false Offsite consultation. 1908.4 Section 1908.4 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF...

  6. Psychiatric consultation of patients with hyperemesis gravidarum.

    PubMed

    Kim, Deborah R; Connolly, K R; Cristancho, Pilar; Zappone, Mark; Weinrieb, Robert M

    2009-04-01

    The request for a psychiatric examination of patients with hyperemesis gravidarum (HG) is a unique challenge for the psychiatric consultant. Unfortunately, there are little data in the psychosomatic medicine literature to guide diagnostic evaluations and treatment of patients with HG. In this article, we summarize the existing literature and propose a practical approach to such patients based on the literature and our clinical experience.

  7. Service Learning In Physics: The Consultant Model

    NASA Astrophysics Data System (ADS)

    Guerra, David

    2005-04-01

    Each year thousands of students across the country and across the academic disciplines participate in service learning. Unfortunately, with no clear model for integrating community service into the physics curriculum, there are very few physics students engaged in service learning. To overcome this shortfall, a consultant based service-learning program has been developed and successfully implemented at Saint Anselm College (SAC). As consultants, students in upper level physics courses apply their problem solving skills in the service of others. Most recently, SAC students provided technical and managerial support to a group from Girl's Inc., a national empowerment program for girls in high-risk, underserved areas, who were participating in the national FIRST Lego League Robotics competition. In their role as consultants the SAC students provided technical information through brainstorming sessions and helped the girls stay on task with project management techniques, like milestone charting. This consultant model of service-learning, provides technical support to groups that may not have a great deal of resources and gives physics students a way to improve their interpersonal skills, test their technical expertise, and better define the marketable skill set they are developing through the physics curriculum.

  8. 30 CFR 18.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Consultation. 18.3 Section 18.3 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR TESTING, EVALUATION, AND APPROVAL OF MINING PRODUCTS ELECTRIC MOTOR-DRIVEN MINE EQUIPMENT AND ACCESSORIES General Provisions §...

  9. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 5 2012-01-01 2012-01-01 false Consultation. 372.7 Section 372.7 Agriculture Regulations of the Department of Agriculture (Continued) ANIMAL AND PLANT HEALTH INSPECTION SERVICE... Endangered Species Act. [60 FR 6002, Feb. 1, 1995; 60 FR 13212, Mar. 10, 1995]...

  10. A Database Model for Medical Consultation.

    ERIC Educational Resources Information Center

    Anvari, Morteza

    1991-01-01

    Describes a relational data model that can be used for knowledge representation and manipulation in rule-based medical consultation systems. Fuzzy queries or attribute values and fuzzy set theory are discussed, functional dependencies are described, and an example is presented of a system for diagnosing causes of eye inflammation. (15 references)…

  11. 15 CFR 923.57 - Continuing consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... program must establish a procedure whereby local governments with zoning authority are notified of State management program decisions which would conflict with any local zoning ordinance decision. (1) “Management... consultation mechanisms. A State management program decision is in conflict with a local zoning ordinance...

  12. FICS: An Expanded View of Counselor Consultation

    ERIC Educational Resources Information Center

    Shelton, Judith E.; Dobson, Russell L.

    1973-01-01

    The Family Involvement Communication System (FICS) model provides a human relations umbrella'' approach for parent and teacher input and participation in a school's elementary guidance program. FICS is designed as an ongoing consultative services program in which the counselor functions as the initial trainer of paraprofessionals and as…

  13. Graduate Students Serve Extension as Evaluation Consultants

    ERIC Educational Resources Information Center

    McClure, Megan; Fuhrman, Nicholas E.

    2011-01-01

    In an effort to provide graduate students at a distance with field-based learning experiences and evaluation resources to statewide Extension programs, 24 Master's students participating in a distance-delivered program evaluation course served as evaluation consultants for Extension programs. State evaluation specialists unable to conduct…

  14. 20 CFR 410.472 - Consultative examinations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Consultative examinations. 410.472 Section 410.472 Employees' Benefits SOCIAL SECURITY ADMINISTRATION FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Total Disability or Death Due to Pneumoconiosis §...

  15. Consulting Secondary School Pupils about Their Learning

    ERIC Educational Resources Information Center

    Thompson, Paul

    2009-01-01

    This paper reports on the findings of a research project which explored the value for secondary school teachers of consulting with pupils about the curriculum. Twenty volunteer teachers across a range of subject areas in an 11-18 and three 11-16 secondary schools in a city in the East Midlands of England were given an open-ended remit to…

  16. Negotiating the Dance: Consulting with Adoptive Systems.

    ERIC Educational Resources Information Center

    Becker, Kent W.; Carson, David K.; Seto, Atsuko; Becker, Carol A.

    2002-01-01

    For marriage and family therapists and educators who train future marriage and family therapists, families formed by means of adoption offer an abundance of learning opportunities in both the areas of assessment and intervention. The following consultation case represents a composite family designed to highlight the unique features of adoptive…

  17. Educational Consulting: A Focus for the Profession

    ERIC Educational Resources Information Center

    Antonoff, Steven R.

    2012-01-01

    The role of the educational consultant in the college admission scene warrants discussion and analysis. Although several recent national and local ACAC meetings have included discussions of the role's parameters, the writing in professional journals is quite limited. Boothroyd, Chapman, and Kaufman (1987) presented the results of a survey about…

  18. Working Together: The Art of Consulting & Communicating.

    ERIC Educational Resources Information Center

    DeBoer, Anita

    Productive learning occurs when educators work together to create new visions, analyze important issues, and evaluate outcomes. This book explores how educators can effectively engage in peer problem solving, focusing on three aspects of the process: (1) models for consulting with colleagues in problem solving; (2) communication skills necessary…

  19. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  20. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  1. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  2. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  3. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Financial consultation. 32... CONTRACTING REQUIREMENTS CONTRACT FINANCING Non-Commercial Item Purchase Financing 32.108 Financial... personnel competent to evaluate credit and financial problems. In resolving any questions concerning (a)...

  4. The Role of Consultants in Institutional Research

    ERIC Educational Resources Information Center

    Milam, John

    2008-01-01

    Institutional research (IR) is a multifaceted function, occurring at many levels and in many types of settings, addressing numerous audiences, and embracing an almost infinite array of topics. The IR community is well served by understanding the role that consultants play in the panoply of postsecondary education. With the growing complexity and…

  5. Challenges of the Administrative Consultation Wiki Research Project as a Learning and Competences Development Method for MPA Students

    ERIC Educational Resources Information Center

    Kovac, Polonca; Stare, Janez

    2015-01-01

    Administrative Consultation Wiki (ACW) is a project run under the auspices of the Faculty of Administration and the Ministry of Public Administration in Slovenia since 2009. A crucial component thereof is the involvement of students of Master of Public Administration (MPA) degree programs to offer them an opportunity to develop competences in…

  6. The role, costs and value for money of external consultancies in the health sector: A study of New Zealand's District Health Boards.

    PubMed

    Penno, Erin; Gauld, Robin

    2017-04-01

    Public spending on external consultancies, particularly within the health sector, is highly controversial in many countries. Yet, despite the apparently large sums of money involved, there is little international analysis surrounding the scope of activities of consultants, meaning there is little understanding of how much is spent, for what purpose and with what result. This paper examines spending on external consultancies in each of New Zealand's 20 District Health Boards (DHB). Using evidence obtained from DHBs, it provides an insight into the cost and activities of consultants within the New Zealand health sector, the policies behind their engagement and the processes in place to ensure value for money. It finds that DHB spending on external consultants is substantial, at $NZ10-60 million annually. However, few DHBs had policies governing when consultants should be engaged and many were unable to easily identify the extent or purpose of consultancies within their organisation, making it difficult to derive an accurate picture of consultant activity throughout the DHB sector. Policies surrounding value for money were uncommon and, where present, were rarely applied. Given the large sums being spent by New Zealand's DHBs, and assuming expenditure is similar in other health systems, our findings point to the need for greater accountability for expenditure and better evidence of value for money of consultancies within publicly funded health systems.

  7. [Paediatric emergency: creation of an independent nurse practitioner consultation].

    PubMed

    Rey-Bellet Gasser, C; Gehri, M; Yersin, C

    2015-01-14

    Consultations in the Paediatric Emergency Department (PED) continue to climb regularly. Emergency Nurse Practitioner consultations have long been created in the English speaking countries. Since January 2013, an indepen- dent nurse consultation, under delegated medical responsibility, exists in the multidisciplinary PED of the Children's Hospital of Lausanne. The mean consultation time is the same as the medical consultation and the overall waiting time hasn't decreased yet. But a well definite working frame, a systematic approach, as well as the continual medical supervision possibility, make it a safe, efficient and appreciated consultation, by both patients and professionals.

  8. [Extended nursing consultation: education possibilities for the practice of integrality in health].

    PubMed

    Machado, Maria Luiza Paz; de Oliveira, Dora Lúcia Leidens Corrêa; Manica, Silvia Troyahn

    2013-12-01

    The objective was to analyze an intervention in the traditional way of teaching nursing consultation and its potential for nurses' education aiming for the practice of integrality in health. This is a participative research carried out from August to November 2011 with eight students attending the School of Nursing in a public university from the south of Brazil. The study context comprised outpatient consultations and daily life experiences of the patients. Data were collected through focus group and submitted to thematic analysis, in which two categories emerged: "The interactivity between the traditional and the extended scenario:possibilities for the integrality in education" and "The extended nursing consultation, knowledge from experience". The analysis evidenced that the experience produced knowledge coherent with the integrality in education. We conclude that the diversification of learning scenarios may configure a pedagogical strategy with potential to foster changes in the existing health care and education model.

  9. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LEASING IN SPECIAL TAR SAND AREAS Leasing in Special Tar Sand Areas § 3141.4-1 Consultation with the Governor. The Secretary shall consult...

  10. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LEASING IN SPECIAL TAR SAND AREAS Leasing in Special Tar Sand Areas § 3141.4-1 Consultation with the Governor. The Secretary shall consult...

  11. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LEASING IN SPECIAL TAR SAND AREAS Leasing in Special Tar Sand Areas § 3141.4-1 Consultation with the Governor. The Secretary shall consult...

  12. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... MANAGEMENT, DEPARTMENT OF THE INTERIOR MINERALS MANAGEMENT (3000) LEASING IN SPECIAL TAR SAND AREAS Leasing in Special Tar Sand Areas § 3141.4-1 Consultation with the Governor. The Secretary shall consult...

  13. An Alternative Teacher Consultation Model: A Case Study.

    ERIC Educational Resources Information Center

    Langhorne, John E., Jr.; And Others

    1979-01-01

    This case history describes intervention techniques used with a nine-year-old male with behavior problems. The procedures used were classroom observation and teacher consultation; drug (Ritalin) withdrawal; direct consultant intervention; and class change and follow-up. (MH)

  14. 75 FR 72838 - Notice of Tribal Consultations; Schedule Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Indian Gaming Commission Notice of Tribal Consultations; Schedule Update AGENCY: National Indian Gaming Commission, Department of Interior. ACTION: Notice of tribal consultations; schedule...

  15. International Nursing Consultation: A Perspective on Ethical Issues.

    ERIC Educational Resources Information Center

    Andrews, Margaret M.; Fargotstein, Barbara P.

    1986-01-01

    The ethical issues faced by international nurse consultants are examined, and the ways in which ethical theories can be useful to nurses dealing with ethical conflicts while serving as consultants of other countries are explored. (Author/MLW)

  16. Consultation and Decision Processes in a Research and Development Laboratory

    ERIC Educational Resources Information Center

    Smith, Clagett G.

    1970-01-01

    Study of relationship between consultation and decision processes in an industrial research laboratory showed the efficacy of multidirectional consultation coupled with a pattern of shared, decentralized decision making. (Author/KJ)

  17. Defining the Role of the Professional Security Consultant.

    ERIC Educational Resources Information Center

    Webster, Jim

    2002-01-01

    Discusses the skill set that should be available in security consultants to higher education, including the ability to work with mechanical, architectural, electrical, landscaping, and telecommunications systems. Addresses the need to bring consultants into the building design phase. (EV)

  18. 30 CFR 256.19 - Periodic consultation with interested parties.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... consultation with State and local governments, existing and potential oil and gas lessees and permittees, and... involved in fish and shellfish recovery, and recreational activities. This consultation shall take...

  19. Toward an Understanding of Public Relations Roles: An Empirical Test of Five Role Models' Impact on Clients.

    ERIC Educational Resources Information Center

    Broom, Glen M.; Smith, George D.

    Five public relations consultant role models were examined in a study of the way these roles affect client evaluations of task accomplishment, problem-solving efficacy, and consultant expertise. The role models examined were: the expert prescriber (the consultant operates as an authority on both the public relations problem and its solution), the…

  20. Introducing Farouk's Process Consultation Group Approach in Irish Primary Schools

    ERIC Educational Resources Information Center

    Hayes, Marie; Stringer, Phil

    2016-01-01

    Research has shown that teacher consultation groups increase teachers' behaviour management skills through discussion and collaborative problem-solving. Unlike the United Kingdom, at the time of this research consultation groups were not widely used in Irish schools. This research introduced Farouk's process consultation approach in three Irish…

  1. Collaborative Consultation: International Applications of a Multicultural Feminist Approach

    ERIC Educational Resources Information Center

    Horne, Sharon G.; Mathews, Susan S.

    2004-01-01

    This article describes a multicultural feminist collaborative consultation international approach in postcommunist societies in transition. The authors address how Western and Eastern divergent values can impact the consultation process. Development of collaborative consultation and the contributions of multicultural and feminist theories are…

  2. Consultancy as Temporary Leadership: Negotiating Power in Everyday Practice

    ERIC Educational Resources Information Center

    Mowles, Chris

    2009-01-01

    Orthodox theories of consultancy address power relations between the consultant and their contractors. However, they can suggest that either the consultant should manipulate those they work with "for the good", or they should give up their power "for the good". This article offers an ethical critique of these points of view and argues for an…

  3. Practically Speaking: A Sourcebook for Instructional Consultants in Higher Education.

    ERIC Educational Resources Information Center

    Brinko, Kathleen T., Ed.; Menges, Robert J., Ed.

    The selections in this sourcebook offer a blend of research-based principles and practical advice to the instructional consultant. The first section, Skills and Techniques of Instructional Consultation, contains: (1) The Interactions of Teaching Improvement (Kathleen T. Brink); (2) Instructional Consulting: A Guide for Developing Professional…

  4. The Teacher Consultant Role: Impact on the Profession.

    ERIC Educational Resources Information Center

    Godley, Larry B.; And Others

    This study examined perceptions held by teacher consultants, or mentors, of their role in a state-mandated Entry Year Assistance program in Oklahoma. Twenty-six teacher consultants participated in the study, responding to open-ended questions in interviews which sought their views on their roles as consultants to beginning teachers and their…

  5. Consulting with Media for Health Education: Some New Directions.

    ERIC Educational Resources Information Center

    De Foe, James R.; Breed, Warren

    A case study examined the cooperative consultation between a writer for the television serial "All My Children" and a health educator. The consultation spanned six years. The story of the alcoholic "Arlene" began to air on the serial in January 1991. Scenes involving Arlene were recorded. Consultation between the health…

  6. Negotiating Post-Consultation "Homework" Tasks between Counselors and Clients

    ERIC Educational Resources Information Center

    Strong, Tom; Massfeller, Helen F.

    2010-01-01

    Counselors frequently conclude consultations with clients with suggestions or prescriptions for clients to follow up on, post-consultation. In this paper, we conceptualize the discussion regarding such post-consultation tasks as negotiations between counselor and client, focusing in particular on what observably occurs and is "talked into being"…

  7. Developing a Consulting Practice. Survival Skills for Scholars. Volume 3.

    ERIC Educational Resources Information Center

    Metzger, Robert O.

    This book discusses the content consultation process as undertaken by scholars (professors or advanced graduate students) in all fields to be performed as a regular activity and run as a business. Chapter 1 offers an overview and description of consultation practice. Chapter 2 discusses indirect marketing of consultation services for scholars.…

  8. Competencies for Systems-Level Consultants within Diverse Schools

    ERIC Educational Resources Information Center

    Ingraham, Colette

    2015-01-01

    The authors in this special issue on systems-level consultation provide an excellent range of models for how school psychologists can work as system-level consultants within the various communities they serve. This article (a) provides commentary on the four articles in this special issue focused on systems-level consultation to serve diverse…

  9. Technology-Enhanced Consultation in Counselling: A Comparative Study

    ERIC Educational Resources Information Center

    Astramovich, Randall L.; Jones, W. Paul; Coker, J. Kelly

    2004-01-01

    Two quasi-experimental studies comparing technology-enhanced counselling consultation were conducted with a sample of 147 students enrolled in an undergraduate counselling and consultation course for elementary and secondary teachers. Study 1 (N = 76) compared the effectiveness of counselling consultation using telephone, text chat, or text chat…

  10. Perioperative Diabetic Consultation: A Plea for Improved Training

    ERIC Educational Resources Information Center

    Rudd, Peter; And Others

    1978-01-01

    To determine the clinical and educational impact of an academic general internal medicine consultation service, the perioperative management of diabetes mellitus was examined. The findings indicate that consultative skills must be taught more effectively if medical consultations are to have maximal impact. (Author/LBH)

  11. Quantum Leap--A Teacher and a Consultant Exchange Jobs.

    ERIC Educational Resources Information Center

    Lier, Jacquie; Bufe, Bruce

    1993-01-01

    To gain appreciation for each others' perspectives, a Mississippi language arts consultant and a third-grade teacher from Iowa traded jobs for a year. As a consultant, the teacher found that classroom teachers were more interested in whole-language instruction practicalities than in theory. As a teacher, the consultant learned that classroom…

  12. Bridging Theory and Practice: A Conceptual Framework for Consulting Organisations

    ERIC Educational Resources Information Center

    Mohammed, Meca B.; Welch, Jennie; Hazle Bussey, Leslie

    2015-01-01

    A growing number of organisations are emerging as partners to districts pursuing systemic improvement. Given the critical role a consulting organisation could play in supporting system reform efforts, how does a district leader looking to establish a consulting partnership determine what characteristics in a consulting organisation may be more…

  13. Crisis Communication Consultation of the Federal Reserve Bank System

    ERIC Educational Resources Information Center

    Chandler, Robert C.; Wallace, J. D.

    2008-01-01

    This article, designed for both consulting practitioners and academics, reveals what it is like to do a high-level and high-profile client consultancy. This consultancy was highly informed by and assumes a working knowledge of instructional communication theory, research, and methods as well as drawing upon contemporary communication scholarship…

  14. 12 CFR 1320.11 - Consultation with financial market utility.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 12 Banks and Banking 9 2012-01-01 2012-01-01 false Consultation with financial market utility... FINANCIAL MARKET UTILITIES Consultations, Determinations and Hearings § 1320.11 Consultation with financial market utility. Before providing a financial market utility notice of a proposed determination...

  15. 12 CFR 1320.11 - Consultation with financial market utility.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 12 Banks and Banking 9 2013-01-01 2013-01-01 false Consultation with financial market utility... FINANCIAL MARKET UTILITIES Consultations, Determinations and Hearings § 1320.11 Consultation with financial market utility. Before providing a financial market utility notice of a proposed determination...

  16. Multicultural Counseling Competence Training: Adding Value with Multicultural Consultation

    ERIC Educational Resources Information Center

    Jones, Janine M.; Kawena Begay, Kristin; Nakagawa, Yoko; Cevasco, Molly; Sit, Janelle

    2016-01-01

    This study addresses the culturally responsive training process and highlights the integration of multicultural competence building in counseling consultation. Consultation was structured as client-centered case consultation. Before and after the intervention, clinician competence was assessed with the California Brief Multicultural Counseling…

  17. Teaching Evaluation: A Student-Run Consulting Firm

    ERIC Educational Resources Information Center

    Cundiff, Nicole; Nadler, Joel; Scribner, Shauna

    2011-01-01

    Applied Research Consultants (ARC) is a graduate student run consulting firm that provides experience to students in evaluation and consultation. An overview of this program has been compiled in order to serve as a model of a graduate training practicum that could be applied to similar programs or aid in the development of such programs. Key…

  18. CERCLA's innocent landowner defense -- Consultants beware

    SciTech Connect

    Nijman, J.T. )

    1994-05-01

    Consultant liability is an area of the innocent landowner defense under CERCLA that is not often discussed. The only reasonable way to protect consultants hired by innocent purchasers'' is for Congress or state legislatures to establish standardized, regulated audit guidelines. However, even standardized guidelines do not protect consultants completely, because standards cannot specify all activity necessary to perform a particular task. Each project has unique circumstances, and standards arguably can become per se determinants of liability. CERCLA provides three defenses to its basic strict, joint and several liability provisions -- an act of God, an act of war, and an act or omission of a third party not in a contractual relationship with the current owner. Congress amended the third-party not in a contractual relationship with the current owner. Congress amended the third-party defense in SARA by redefining contractual relationship'' to exclude from liability owners who acquired the real property following disposal or placement of hazardous material, and established satisfactorily that the owner at the time of purchase neither knew nor had reason to know hazardous substances were disposed on the property -- the innocent landowner defense.

  19. Multilocation teleradiology system for emergency triage consultation

    NASA Astrophysics Data System (ADS)

    Herron, John M.; Yonas, Howard

    1996-05-01

    A remote consultation system is available at the University of Pittsburgh Medical Center (UPMC) which links four outlying hospitals in Western Pennsylvania and Eastern Ohio. This system has the potential to improve short and long term clinical outcomes and to reduce overall medical care cost by establishing improved emergency triage capability. An EMED, Inc. teleradiology system permits rapid, high-quality transfer of digitized film and CT images from the remote sites to the tertiary care center (UPMC). The images are sent over dial-on- demand ISDN and SW56 lines from the remote hospitals to a central server where they are transmitted to a dual 2K monitor workstation in the Emergency Department, thirteen Eastman Kodak PDS workstations within UPMC, and to three physician homes. Transmission to a workstation at each of the physician homes over ISDN lines enables `after hours' consultation. The radiographic images along with voice and fax communications provide a technique where physicians in outlying hospitals will be able to consult with specialists at any time. A study is in progress to evaluate the effectiveness of this system in terms of perception of utility and its potential to improve emergency triage capability, as well as selection of the appropriate transportation mode (helicopter versus ambulance).

  20. The impact of policy, environmental, and educational interventions: a synthesis of the evidence from two public health success stories.

    PubMed

    Gielen, Andrea C; Green, Lawrence W

    2015-04-01

    Motor vehicle safety and tobacco control are among the greatest public health achievements of the 20th century, according to the Centers for Disease Control and Prevention. As the number of miles traveled in the United States multiplied 10 times from the 1920s to the 1990s, the annual motor vehicle crash death rate per vehicle mile traveled decreased by 90%. Similarly, tobacco-related deaths from heart disease, stroke, and cancer were rapidly mounting over the first two thirds of the 20th century. Then, in the last third of the century, tobacco consumption decreased by more than 50%, and rates of heart disease and stroke deaths, and later cancer deaths, declined similarly. This analysis addresses the central question of what lessons can be learned from these success stories that will help public health professionals successfully tackle new and emerging health behavior problems of today and tomorrow? Surveillance, research, multilevel interventions, environmental modifications, and strong policies were key to reducing motor vehicle- and tobacco-related health problems. Generating public support and advocacy, and changing social norms also played critical roles in promoting the safer and smoke-free behaviors. Lessons learned include the need for evidence-based practices and interventions that are ecologically comprehensive with an emphasis on changing environmental determinants and capitalizing on the concept of reciprocal determinism. The analysis concludes with a description of how the PRECEDE-PROCEED planning framework can be used to apply the lessons from motor vehicle safety and tobacco control to other public health threats.

  1. The Impact of Policy, Environmental, and Educational Interventions: A Synthesis of the Evidence from Two Public Health Success Stories

    ERIC Educational Resources Information Center

    Gielen, Andrea C.; Green, Lawrence W.

    2015-01-01

    Motor vehicle safety and tobacco control are among the greatest public health achievements of the 20th century, according to the Centers for Disease Control and Prevention. As the number of miles traveled in the United States multiplied 10 times from the 1920s to the 1990s, the annual motor vehicle crash death rate per vehicle mile traveled…

  2. Consultation needs in perinatal HIV care: experience of the National Perinatal HIV Consultation Service.

    PubMed

    Fogler, Jessica A; Weber, Shannon; Goldschmidt, Ronald H; Mahoney, Megan R; Cohan, Deborah

    2007-09-01

    This study evaluates the consultation needs of clinicians who provide perinatal human immunodeficiency virus (HIV) care in the United States. The Perinatal Hotline (1-888-448-8765) is a telephone consultation service for providers who treat HIV-infected pregnant women and their infants. Hotline calls were analyzed for demographics about callers and their patients and information about consultation topics. There were 430 calls to the hotline from January 1, 2005, through June 30, 2006. Most calls (59.5%) were related to pregnant patients; 5.1% of the calls pertained to women currently in labor. The most common topic was HIV care in pregnancy (49.1%), particularly antiretroviral drug use (42.1%). HIV testing was discussed in 21.9%, and intrapartum treatment was discussed in 24.0%. Callers most often requested help choosing antiretroviral drug regimens; many of the discussions were about drug toxicities and viral resistance. Although the hotline received few calls about women in labor, the need for these consultations is expected to increase with the expanding use of rapid HIV testing. Access to 24-hour consultation can help ensure that state-of-the-art care is provided.

  3. [Tips for hosting a medical student in a PC consultation].

    PubMed

    Félix, Sylvie; Bonvin, Raphaël; Bischoff, Thomas

    2010-05-19

    Hosting a medical student in one's primary care consultation challenges the practitioner to be a clinical teacher as well as providing high-quality patient care. A few tips can make this double task easier. Before the consultation it is possible to define the student's learning objectives and to plan the consultation. During the consultation itself some teaching models exist (One minute preceptor, SNAPP) that facilitate the teaching by maximising the teaching moments for each student-patient encounter. And finally after the consultation a time of reflection where both student and clinical teacher can think about what went well and what could be done better.

  4. The role of general surgery consultations in patient management

    PubMed Central

    Kahramanca, Şahin; Kaya, Oskay; Azılı, Cem; Güzel, Hakan; Özgehan, Gülay; İrem, Burak

    2013-01-01

    Objective: Consultation results of patients who were thought to require a surgical intervention and were evaluated in the General Surgery Department for diagnostic support and treatment, upon detection of pathology in clinical and/or laboratory tests. Material and Methods: In a six-months period, 221 patients were retrospectively analyzed. There were 121 male (54.75%) and 100 female (45.25%) patients and the mean age was 46 years (15–102). The departments which requested consultation, the reason for consultation, test and physical examination findings before consultation, required additional tests after consultation and results of consultations were recorded as well as performed interventions. Results: The majority of consultations were from the emergency department (91.9%) and the most frequent reason was abdominal pain (29.9%). No tests were performed before consultation in 21% of cases. Physical examination was completely fulfilled in 100% of judicial cases, but this ratio was 35% in perianal diseases and 30% in patients with bowel obstruction. Additional tests were required in 54.3% of the patients after consults. Out of the whole group with surgical consultation, 21% were operated under general anesthesia, 9% under local anesthesia, while an elective operation was suggested in 3%. Conclusion: Currently, it is mandatory that patient management is carried out with a multidisciplinary approach; however, we believe that consultations should be asked in a more selective manner. PMID:25931837

  5. Topic analysis: an objective measure of the consultation and its application to computer assisted consultations.

    PubMed

    Pringle, M; Robins, S; Brown, G

    1985-06-15

    A simple method has been developed to classify the verbal interaction during medical consultations in terms of the relative proportions of medical and social content and the initiator of conversational topics discussed. The method has been applied to video tape recordings of three doctors' consultations with and without a computer present to classify and compare the items discussed. Actual computer use has been shown to have a medical effect on the consultations (p less than 0.05) and to increase the proportion of topics initiated by the doctor (p less than 0.001). Although this was largely accounted for by the massive increase in doctor initiated medical items resulting directly from computer use, there was evidence that, for two of the doctors, these topics were replacing some of the normal social and patient initiated medical exchanges.

  6. 76 FR 36579 - Onsite Consultation Agreements; Extension of the Office of Management and Budget's (OMB) Approval...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

    ... contained in the Consultation Agreement regulations (hereinafter, the Onsite Consultation Program regulations) (29 CFR part 1908). The Onsite Consultation Program regulations specify services to be provided, and practices and procedures to be followed, by the State Onsite Consultation Programs....

  7. General practitioners’ experiences with out-of-hours cardiorespiratory consultations: a qualitative study

    PubMed Central

    Schols, Angel M R; van Boekholt, Tessa A; Oversier, Lex M R; Dinant, Geert-Jan; Cals, Jochen W L

    2016-01-01

    Objectives To explore general practitioners’ (GPs’) experiences with and views on the diagnosis and management of patients with cardiorespiratory symptoms during GP out-of-hours care. We also aimed to identify ways of (diagnostic) support during these consultations. Design Qualitative study; face-to-face semistructured interviews. Setting GP out-of-hours care in the Netherlands. Participants 15 GPs in the province of Limburg, the Netherlands. Results Overall, GPs find cardiorespiratory consultations challenging and difficult. Tension and uncertainty as well as defensive behaviour were the key themes that characterised GPs’ experiences. We identified several subthemes underlying the key themes: setting, potentially severe consequences, absence of a pre-existing relationship and little knowledge of the patient's background, difficulties differentiating between possible causes of symptoms, changed public opinion and patient population, and previous experiences. GPs approach cardiorespiratory consultations differently and their threshold for referring patients and performing diagnostic tests is lower. We identified differing views on the use of additional diagnostic tests at GP out-of-hours services. Conclusions This study sheds further light on how GPs experience cardiorespiratory consultations during out-of-hours care and how this leads to a high number of cardiorespiratory referrals. GPs relate cardiorespiratory consultation during out-of-hours care with tension and uncertainty leading to defensive behaviour, which can be translated into a different approach towards cardiorespiratory consultations and a lower threshold for referring patients and performing diagnostic tests. Opinions on the possible added value of additional diagnostics in reducing the number of referrals should be further investigated, as we identified differing views on the use of additional diagnostic tests at GP out-of-hours services. PMID:27519924

  8. Knowledge structures in UC, the UNIX consultant

    SciTech Connect

    Chin, D.N.

    1983-01-01

    The knowledge structures implemented in UC, the UNIX consultant are sufficient for UC to reply to a large range of user queries in the domain of the UNIX operating system. The author describes how these knowledge structures are used in the natural language tasks of parsing, inference, planning, goal detection, and generation, and how they are organized to enable efficient access even with the large database of an expert system. The structuring of knowledge to provide direct answers to common queries and the high usability and efficiency of knowledge structures allow UC to hold an interactive conversation with a user. 12 references.

  9. Pharmaceutical Consultation in UAE Community Pharmacies.

    PubMed

    Hamoudi, N M; Shirwaikar, A A; Ali, H S; Al Ayoubi, E I

    2011-07-01

    In recent years, the focus of pharmacists as traditional drug dispensers has shifted to more active and participative role in risk assessment, risk management, and other medication related consultation activities. Pharmacy profession is evolving steadily in the United Arab Emirates (UAE). Pharmacists in UAE are so much occupied in their administrative and managerial duties that dispensing is mostly attended to by pharmacy technicians. Pharmacist-led patient counseling is limited to the dosage and frequency of medications and rarely adverse reactions and drug interactions with other medications. Therefore we decided to perform quantitative questionnaires study to explore the role of pharmacist in patient counseling in UAE, the evaluation of pharmacist's opinion on patient counseling and the potential determinants of personal consultation. Results show the frequency and nature of inquiries received by pharmacist. Five to twenty inquires per month are received from patient, most of them related to drug prescription and dose recommendation. Thirty nine percent of pharmacists received inquiries from doctors, most of them related to the dose and mode of action. Ninty two percent of the pharmacists agreed that patient counseling is their professional responsibility. About 82% of pharmacists agreed that counseling will increase their sales and enhance the reputation of their pharmacies. Seventy percent of pharmacists mentioned that they need to undergo training for effective counseling while 46% of pharmacists felt that more staff in the pharmacies would have a positive influence on patient compliance to medication therapies and patient safety. The potential determinants of personal consultation show that 52% of participants trusted pharmacist and 55% considered the pharmacist as a friend. Forty eight percent of participants visited the pharmacy for medical recommendation while 30% for drug compounding, 72% agreed that pharmacist conducts full instruction while 31% agreed

  10. Radiology Consultation in the Era of Precision Oncology: A Review of Consultation Models and Services in the Tertiary Setting

    PubMed Central

    Krajewski, Katherine M.; Giardino, Angela A.; Braschi-Amirfarzan, Marta; Ramaiya, Nikhil H.

    2017-01-01

    The purpose of the article is to describe the various radiology consultation models in the Era of Precision Medicine. Since the inception of our specialty, radiologists have served as consultants to physicians of various disciplines. A variety of radiology consultation services have been described in the literature, including clinical decision support, patient-centric, subspecialty interpretation, and/or some combination of these. In oncology care in particular, case complexity often merits open dialogue with clinical providers. To explore the utility and impact of radiology consultation services in the academic setting, this article will further describe existing consultation models and the circumstances that precipitated their development. The hybrid model successful at our tertiary cancer center is discussed. In addition, the contributions of a consultant radiologist in breast cancer care are reviewed as the archetype of radiology consultation services provided to oncology practitioners. PMID:28096715

  11. The "Consulting-Your-Consultants Interview": A Final Narrative Conversation with Graduating Family Therapy Masters' Students.

    ERIC Educational Resources Information Center

    Keiley, Margaret K.; Piercy, Fred P.

    1999-01-01

    Discusses a Master's program exit interview that used questions from narrative therapy to celebrate the transition of Masters students into the world of marital and family therapy professionals. This process helps to underling students' agency and competence, and elevates them to the level of consultant during the interview. (Author/MKA)

  12. Interpersonal Consulting Skills for Instructional Technology Consultants: A Multiple Case Study

    ERIC Educational Resources Information Center

    van Leusen, Peter; Ottenbreit-Lefwich, Anne T.; Brush, Thomas

    2016-01-01

    Building a trust-based relationship with faculty is one of the most important attributes of effective Instructional Technology Consultants (ITC) in order to integrate emerging technologies into higher education. Utilizing a multiple case study research design, four experienced ITCs at a large urban research university located in the Midwest showed…

  13. Core competencies for health care ethics consultants: in search of professional status in a post-modern world.

    PubMed

    Engelhardt, H Tristram

    2011-09-01

    The American Society for Bioethics and the Humanities (ASBH) issued its Core Competencies for Health Care Ethics Consultation just as it is becoming ever clearer that secular ethics is intractably plural and without foundations in any reality that is not a social-historical construction (ASBH Core Competencies for Health Care Ethics Consultation, 2nd edn. American Society for Bioethics and Humanities, Glenview, IL, 2011). Core Competencies fails to recognize that the ethics of health care ethics consultants is not ethics in the usual sense of a morally canonical ethics. Its ethics is the ethics established at law and in enforceable health care public policy in a particular jurisdiction. Its normativity is a legal normativity, so that the wrongness of violating this ethics is simply the legal penalties involved and the likelihood of their being imposed. That the ethics of ethics consultation is that ethics legally established accounts for the circumstance that the major role of hospital ethics consultants is as quasi-lawyers giving legal advice, aiding in risk management, and engaging in mediation. It also indicates why this collage of roles has succeeded so well. This article shows how moral philosophy as it was reborn in the 13th century West led to the ethics of modernity and then finally to the ethics of hospital ethics consultation. It provides a brief history of the emergence of an ethics that is after morality. Against this background, the significance of Core Competencies must be critically reconsidered.

  14. The Synthesis of Lepidoptera Pheromones

    NASA Astrophysics Data System (ADS)

    Matveeva, Elena D.; Kurts, A. L.; Bundel', Yurii G.

    1986-07-01

    The review surveys the data in numerous publications of the synthesis of the pheromones of scale-winged insects (Lepidoptera). Attention is concentrated on problems of the sterospecific synthesis of pheromones. The bibliography includes 217 references.

  15. Delayed consultation among pulmonary tuberculosis patients: a cross sectional study of 10 DOTS districts of Ethiopia

    PubMed Central

    Mesfin, Mengiste M; Newell, James N; Walley, John D; Gessessew, Amanuel; Madeley, Richard J

    2009-01-01

    Background Delays seeking care increase transmission of pulmonary tuberculosis and hence the burden of tuberculosis, which remains high in developing countries. This study investigates patterns of health seeking behavior and determines risk factors for delayed patient consultation at public health facilities in 10 districts of Ethiopia. Methods New pulmonary TB patients ≥ 15 years old were recruited at 18 diagnostic centres. Patients were asked about their health care seeking behaviour and the time from onset of symptoms to first consultation at a public health facility. First consultation at a public health facility 30 days or longer after onset of symptoms was regarded as prolonged patient delay. Results Interviews were held with 924 pulmonary patients. Of these, 537 (58%) were smear positive and 387 (42%) were smear negative; 413 (45%) were female; 451 (49%) were rural residents; and the median age was 34 years. Prior to their first consultation at a public health facility, patients received treatment from a variety of informal sources: the Orthodox Church, where they were treated with holy water (24%); private practitioners (13%); rural drug vendors (7%); and traditional healers (3%). The overall median patient delay was 30 days (mean = 60 days). Fifty three percent [95% Confidence Intervals (CI) (50%, 56%)] of patients had delayed their first consultation for ≥ 30 days. Patient delay for women was 54%; 95% CI (54%, 58%) and men 51%; 95% CI (47%, 55%). The delay was higher for patients who used informal treatment (median 31 days) than those who did not (15 days). Prolonged patient delay (≥ 30 days) was significantly associated with both patient-related and treatment-related factors. Significant patient-related factors were smear positive pulmonary disease [Adjusted Odds Ratio (AOR) 1.4; 95% CI (1.1 to 1.9)], rural residence [AOR 1.4; 95% CI (1.1 to 1.9)], illiteracy [AOR 1.7; 95% CI (1.2 to 2.4)], and lack of awareness/misperceptions of causes of

  16. The "Journal of Educational and Psychological Consultation": A Quarter Century of Contribution, a Future of Challenge and Optimism

    ERIC Educational Resources Information Center

    Truscott, Stephen D.; Lopez, Emilia; Fish, Marian C.; Margolis, Howard

    2015-01-01

    The "Journal of Educational and Psychological Consultation" ("JEPC") is beginning its second quarter century of publication. Given the challenges education faced in 1990, when the journal began publishing, and the evolving challenges of 2015, it became important to answer two questions: (1) Has "JEPC" successfully…

  17. Consultation of the U.S. Commission on Civil Rights. (Washington, DC, June 6-7, 1984). Volume 1.

    ERIC Educational Resources Information Center

    Commission on Civil Rights, Washington, DC.

    A result of the United States Commission on Civil Rights consultation on the concept of equal pay for work of comparable value, this publication presents all papers submitted by participants. The papers are: "The Earnings Gap in Historical Perspective" (Claudia Goldin); "Occupational Segregation and the Earnings Gap" (Andrea H.…

  18. Online consulting. The experience of a commercial service.

    PubMed

    Leslie, S

    2001-01-01

    Doctor Global Ltd began online consulting in April 1999. It was one of the first online medical consulting services in the world. Doctor Global does not derive a significant portion of its income from providing or supervising online consultations via its Website, although experience with enabling them has been important for the development of its core product, a consumer-oriented Web-based electronic medical record.

  19. Cutaneous malignancies identified on an inpatient Dermatology consult service.

    PubMed

    Tsai, S; Scott, J F; Keller, J J; Gerstenblith, M R

    2017-02-23

    The role of inpatient Dermatology consultation and biopsy in evaluating suspicious cutaneous lesions is unknown.(1-3) Previous studies analyzed the diagnostic accuracy and utility of consultations for common rashes and infectious diseases, without considering suspicious lesions.(4-6) We sought to describe the frequency, clinicopathologic characteristics, and outcomes of suspicious lesions biopsied on an inpatient Dermatology consult service This article is protected by copyright. All rights reserved.

  20. A reflective account of a consultation in abortion care.

    PubMed

    Astbury-Ward, Edna

    This article presents a reflective account of a consultation in a pre-assessment clinic for women requesting abortion. The reflection is based on Johns' model. Reflection enabled the author to address important issues that the consultation raised. These included the realisation that nurses do not always have to understand why patients make the choices they do, and the importance of allocating sufficient time for sensitive consultations.

  1. Cross-Disciplinary Consultancy to Enhance Predictions of Asthma Exacerbation Risk in Boston.

    PubMed

    Reid, Margaret; Gunn, Julia; Shah, Snehal; Donovan, Michael; Eggo, Rosalind; Babin, Steven; Stajner, Ivanka; Rogers, Eric; Ensor, Katherine B; Raun, Loren; Levy, Jonathan I; Painter, Ian; Phipatanakul, Wanda; Yip, Fuyuen; Nath, Anjali; Streichert, Laura C; Tong, Catherine; Burkom, Howard

    2016-01-01

    This paper continues an initiative conducted by the International Society for Disease Surveillance with funding from the Defense Threat Reduction Agency to connect near-term analytical needs of public health practice with technical expertise from the global research community. The goal is to enhance investigation capabilities of day-to-day population health monitors. A prior paper described the formation of consultancies for requirements analysis and dialogue regarding costs and benefits of sustainable analytic tools. Each funded consultancy targets a use case of near-term concern to practitioners. The consultancy featured here focused on improving predictions of asthma exacerbation risk in demographic and geographic subdivisions of the city of Boston, Massachusetts, USA based on the combination of known risk factors for which evidence is routinely available. A cross-disciplinary group of 28 stakeholders attended the consultancy on March 30-31, 2016 at the Boston Public Health Commission. Known asthma exacerbation risk factors are upper respiratory virus transmission, particularly in school-age children, harsh or extreme weather conditions, and poor air quality. Meteorological subject matter experts described availability and usage of data sources representing these risk factors. Modelers presented multiple analytic approaches including mechanistic models, machine learning approaches, simulation techniques, and hybrids. Health department staff and local partners discussed surveillance operations, constraints, and operational system requirements. Attendees valued the direct exchange of information among public health practitioners, system designers, and modelers. Discussion finalized design of an 8-year de-identified dataset of Boston ED patient records for modeling partners who sign a standard data use agreement.

  2. Cross-Disciplinary Consultancy to Enhance Predictions of Asthma Exacerbation Risk in Boston

    PubMed Central

    Reid, Margaret; Gunn, Julia; Shah, Snehal; Donovan, Michael; Eggo, Rosalind; Babin, Steven; Stajner, Ivanka; Rogers, Eric; Ensor, Katherine B.; Raun, Loren; Levy, Jonathan I.; Painter, Ian; Phipatanakul, Wanda; Yip, Fuyuen; Nath, Anjali; Streichert, Laura C.; Tong, Catherine

    2016-01-01

    This paper continues an initiative conducted by the International Society for Disease Surveillance with funding from the Defense Threat Reduction Agency to connect near-term analytical needs of public health practice with technical expertise from the global research community. The goal is to enhance investigation capabilities of day-to-day population health monitors. A prior paper described the formation of consultancies for requirements analysis and dialogue regarding costs and benefits of sustainable analytic tools. Each funded consultancy targets a use case of near-term concern to practitioners. The consultancy featured here focused on improving predictions of asthma exacerbation risk in demographic and geographic subdivisions of the city of Boston, Massachusetts, USA based on the combination of known risk factors for which evidence is routinely available. A cross-disciplinary group of 28 stakeholders attended the consultancy on March 30-31, 2016 at the Boston Public Health Commission. Known asthma exacerbation risk factors are upper respiratory virus transmission, particularly in school-age children, harsh or extreme weather conditions, and poor air quality. Meteorological subject matter experts described availability and usage of data sources representing these risk factors. Modelers presented multiple analytic approaches including mechanistic models, machine learning approaches, simulation techniques, and hybrids. Health department staff and local partners discussed surveillance operations, constraints, and operational system requirements. Attendees valued the direct exchange of information among public health practitioners, system designers, and modelers. Discussion finalized design of an 8-year de-identified dataset of Boston ED patient records for modeling partners who sign a standard data use agreement. PMID:28210420

  3. Psychiatric consultation-liaison nursing: revisiting the role.

    PubMed

    Norwood, S L

    1998-07-01

    With their special training and assessment skills, psychiatric consultation-liaison nurses have a long history of making important contributions to patient care and staff development. This article reviews how psychiatric consultation-liaison nurses have traditionally approached and implemented the nursing consultation process. Issues facing psychiatric consultation-liaison nurses are discussed. Opportunities such as focusing on subspecialization; expanding practice settings; dealing with organization-based, rather than patient-based mental health issues; and entering intra- and entrepreneurial practice are also explored.

  4. Ethics consultation and empathy : finding the balance in clinical settings.

    PubMed

    Bruns, Florian; Frewer, Andreas

    2011-12-01

    There is no doubt that emotions have an important effect on practices of moral reasoning such as clinical ethics consultation. Empathy is not only a basic human emotion but also an important and learnable skill for health care professionals. A basic amount of empathy is essential both in patient care and in clinical ethics consultation. This article debates the "adequate dose" of empathy in ethics consultations in clinical settings and tries to identify possible situations within the process of consultation in which this crucial feeling is at risk.

  5. Enhancing communication in oncology outpatient consultations: critical reflections from doctors

    PubMed Central

    Murphy, Roger; Cox, Karen; Steward, William

    2011-01-01

    Objectives The experiences of patients diagnosed with advanced incurable cancer and the doctors who conducted their medical consultations were studied in order to improve the understanding of what happens in consultations, when bad news is disclosed. The major objective of the study was to critically reflect upon doctor-patient communication, in such situations, with a view to considering future strategies for doctors’ continuing professional development. Methods Sixteen patients and sixteen Oncologists, from a cancer centre in the UK were recruited into this ethnographic study. One hundred and fifteen episodes of data were collected from audio recorded consultations; interviews with doctors and patients and their relatives and observations of consultations. These data were analysed using a constant comparison method. Results Interactions between doctors and patients are complex and consultations can be challenging for both of them. Some doctors spoke openly about their need for additional support to enhance their communication related competencies within Oncology consultations. These doctors wanted to observe their peers conducting consultations. They also wanted to receive feedback about their own clinical practices. These doctors stated that they wanted an open culture whereby they could talk freely about difficult and emotionally challenging consultations without fear of being considered incompetent by their Consultants, who act in a clinical supervisory role. Conclusions To help practitioners consolidate their practice in such settings it is necessary to develop better collaborations among practitioners within clinical practice. Providing individual supervisory sessions or group workshops can facilitate reflective learning and provide an open and supportive learning culture.

  6. Why are junior doctors reluctant to consult attending physicians?

    PubMed

    Swank, Otto H

    2010-03-01

    A physician performs two tasks: making diagnoses and determining treatments. To reduce medical error, junior doctors are supposed to consult their supervisors when they face uncommon circumstances. However, recent research shows that junior doctors are reluctant to do so. This paper presents a model that explains (i) which junior doctors shy away from consulting; (ii) when junior doctors are reluctant; (iii) the importance of protocols in the medical sector; and (iv) when consulting is a sign of strength or a sign of weakness. Furthermore, I show that encouraging junior doctors to consult by investigating mishaps leads to another distortion: they will give too much weight to own assessments.

  7. Audit of consultant agreements at Los Alamos National Laboratory

    SciTech Connect

    1996-02-23

    The Department of Energy`s (Department) Albuquerque Operations Office (Albuquerque) and Los Alamos National Laboratory (Los Alamos) are responsible for acquiring consulting services in a manner most advantageous to the Government by ensuring adequate competition. Although the Department prefers competitively awarding subcontracts, including consultant agreements, to ensure the lowest possible cost, it allows sole sourcing a subcontract if the sole source is fully justified. The objective of the audit was to determine whether Los Alamos` consultant agreements contained adequate sole source justifications. The audit showed that Los Alamos may not have acquired some of its consultant agreements at the lowest possible cost because it did not prepare adequate sole source justifications for 17 sole source consultant agreements valued at $842,900. This condition existed because: (1) requesters did not follow policies and procedures when preparing sole source justifications, (2) Los Alamos did not have an internal mechanism to reject consultant agreements that were not adequately justified, and (3) the Department did not review consultant agreements to evaluate the adequacy of sole source justifications. Without adequate justifications, the Department cannot be assured that consultant services were obtained at the lowest possible cost. We therefore recommended that the Manager, Albuquerque Operations Office require Los Alamos to ensure proper sole source justifications and enhance internal controls over consultant agreements. Management agreed to implement the recommendations.

  8. Surgical consultation and intervention during pediatric hematopoietic stem cell transplantation.

    PubMed

    Madenci, Arin L; Lehmann, Leslie E; Weldon, Christopher B

    2014-12-01

    Children undergoing HSCT are at risk for complications due to immune system impairment, toxicity from prior therapies and conditioning regimens, and long-term use of indwelling catheters. These problems may require assessment by the surgical team. We sought to characterize the role of surgical consultation during primary hospital stay for HSCT. We retrospectively reviewed the records of consecutive patients undergoing HSCT between September 2010 and September 2012. One hundred and seventy-three patients underwent 189 HSCTs. General surgery consultations occurred during 33% (n = 62) of primary hospitalizations for HSCT, with a total of 85 consults. Sixty-three (73%) consults resulted in an intervention in the operating room or at the bedside. The majority of consults were for CVL issues (59%, n = 50), followed by abdominal complaints (16%, n = 14). Patients requiring surgical consultation had significantly higher in-hospital mortality (16% vs. 2%, p < 0.01) and 100-day TRM (10% vs. 2%, p < 0.01), compared with those not requiring consultation. Patients undergoing HSCT often require surgical consultation, most commonly for line-related issues. Surgical consultation heralded an increased risk of in-hospital and 100-day TRM. Issues among this high-risk cohort of children who have undergone HSCT must be familiar to the general surgeon and oncologist alike.

  9. Expert-System Consultant To Operating Personnel

    NASA Technical Reports Server (NTRS)

    Heard, Astrid E.; Pinkowski, Patrick P.; Adler, Richard M.; Hosken, R. Bruce

    1992-01-01

    Artificial intelligence aids engineers and technicians in controlling and monitoring complicated systems. Operations Analyst for Distributed Systems (OPERA) software is developmental suite of expert-system computer programs helping engineers and technicians operating from number of computer workstations to control and monitor spacecraft during prelaunch and launch phases of operation. OPERA designed to serve as consultant to operating engineers and technicians. It preprocesses incoming data, using expertise collected from conglomerate of specialists in design and operation of various parts of system. Driven by menus and mouse-activated commands. Modified versions of OPERA used in chemical-processing plants, factories, banks, and other enterprises in which there are distributed-computer systems including computers that monitor or control other computers.

  10. Communicating Uncertain News in Cancer Consultations.

    PubMed

    Alby, Francesca; Zucchermaglio, Cristina; Fatigante, Marilena

    2016-07-14

    In cancer communication, most of the literature is in the realm of delivering bad news while much less attention has been given to the communication of uncertain news around the diagnosis and the possible outcomes of the illness. Drawing on video-recorded cancer consultations collected in two Italian hospitals, this article analyzes three communication practices used by oncologists to interactionally manage the uncertainty during the visit: alternating between uncertain bad news and certain good news, anticipating scenarios, and guessing test results. Both diagnostic and personal uncertainties are not hidden to the patient, yet they are reduced through these practices. Such communication practices are present in 32 % of the visits in the data set, indicating that the interactional management of uncertainty is a relevant phenomenon in oncological encounters. Further studies are needed to improve both its understanding and its teaching.

  11. Animal Welfare: Data from an Online Consultation

    PubMed Central

    Baldinelli, Chiara; Iulietto, Maria F.; Goga, Beniamino T. Cenci

    2015-01-01

    This paper analyses data obtained from an online survey related to animal welfare and religious slaughter topics. The questionnaire was conducted with the purpose of examining the purchase behaviour of a group of consumers (with different religious orientation) and their views on animal protection and ritual slaughter. The main results of the consultation were two. The first evidenced the respondents’ great interest about the question on animal welfare, which is in accordance with the growing interest of European citizens concerning this issue. The second was the demand for a more transparent labelling of animal products, which would also reflect animal welfare and the slaughter method used. These results are in contrast with marketing analysis, which finds that consumers want to only receive positive information. Paradoxically, the more information is transmitted to reassure consumers, the higher is the risk to alarm them. PMID:27800424

  12. Structural analysis consultation using artificial intelligence

    NASA Technical Reports Server (NTRS)

    Melosh, R. J.; Marcal, P. V.; Berke, L.

    1978-01-01

    The primary goal of consultation is definition of the best strategy to deal with a structural engineering analysis objective. The knowledge base to meet the need is designed to identify the type of numerical analysis, the needed modeling detail, and specific analysis data required. Decisions are constructed on the basis of the data in the knowledge base - material behavior, relations between geometry and structural behavior, measures of the importance of time and temperature changes - and user supplied specifics characteristics of the spectrum of analysis types, the relation between accuracy and model detail on the structure, its mechanical loadings, and its temperature states. Existing software demonstrated the feasibility of the approach, encompassing the 36 analysis classes spanning nonlinear, temperature affected, incremental analyses which track the behavior of structural systems.

  13. WHO Expert Consultation on Rabies. Second report.

    PubMed

    2013-01-01

    Although there is debate about the estimated health burden of rabies, the estimates of direct mortality and the DALYs due to rabies are among the highest of the neglected tropical diseases. Poor surveillance, underreporting in many developing countries, frequent misdiagnosis of rabies, and an absence of coordination among all the sectors involved are likely to lead to underestimation of the scale of the disease It is clear, however, that rabies disproportionately affects poor rural communities, and particularly children. Most of the expenditure for postexposure prophylaxis is borne by those who can least afford it. As a result of growing dog and human populations, the burden of human deaths from rabies and the economic costs will continue to escalate in the absence of concerted efforts and investment for control. Since the first WHO Expert Consultation on Rabies in 2004, WHO and its network of collaborating centres on rabies, specialized national institutions, members of the WHO Expert Advisory Panel on Rabies and partners such as the Gates Foundation, the Global Alliance for Rabies Control and the Partnership for Rabies Prevention, have been advocating the feasibility of rabies elimination regionally and globally and promoting research into sustainable cost-effective strategies. Those joint efforts have begun to break the cycle of rabies neglect, and rabies is becoming recognized as a priority for investment. This Consultation concluded that human dog-transmitted rabies is readily amenable to control, regional elimination in the medium- term and even global elimination in the long-term. A resolution on major neglected tropical diseases, including rabies, prepared for submission to the World Health Assembly in May 2013 aims at securing Member States' commitment to the control, elimination or eradication of these diseases. Endorsement of the resolution would open the door for exciting advances in rabies prevention and control.

  14. Frequent consulting and multiple morbidity: a qualitative comparison of ‘high’ and ‘low’ consulters of GPs

    PubMed Central

    Wyke, Sally; Hunt, Kate

    2008-01-01

    Background. Frequent consulting is associated with multiple and complex social and health conditions. It is not known how the impact of multiple conditions, the ability to self-manage and patient perception of the GP consultation combines to influence consulting frequency. Objective. To investigate reasons for frequent consultation among people with multiple morbidity but contrasting consulting rates. Methods. Qualitative study with in-depth interviews in the west of Scotland. Participants were 23 men and women aged about 50 years with four or more chronic illnesses; 11 reported consulting seven or more times in the last year [the frequent consulters (FCs)] and 12, three or fewer times [the less frequent consulters (LFCs)]. The main outcome measures were the participants’ accounts of their symptoms, self-management strategies and reasons for consulting a GP. Results. All participants used multiple self-management strategies. FCs described: more disruptive symptoms, which were resistant to self-management strategies; less access to fewer treatments and resources and more medical monitoring, for unstable conditions and drug regimens. The LFCs reported: less severe and more containable symptoms; accessing more efficacious self-management strategies and infrequent GP monitoring for stable conditions and routine drug regimens. All participants conveyed consulting as a ‘last resort’. However, the GP was seen as ‘ally’, for the FCs, and as ‘innocent bystander’, for the LFCs. Conclusions. This qualitative investigation into the combined significance of multiple morbidities and self-management on the GP consultation suggests that current models of self-management might have limited potential to reduce utilization rates among this vulnerable group. Severity of symptoms, stability of condition and complexity of drug regimens combine to influence the availability of effective resources and influence frequency of GP consultations. PMID:18448858

  15. Clinical consultation, a personal perspective: components of a successful integrative medicine clinical consultation.

    PubMed

    Frenkel, Moshe

    2008-01-01

    Integrative medicine is becoming an increasingly popular and visible component in oncology care. Thus, the question arises: How can clinicians facilitate, encourage, and integrate the use of complementary and integrative medicines (CIMs) in patients with cancer? The integrative medicine consultation is not easy and involves much more than simply providing reliable information about the proper use of CIM therapies to alleviate symptoms. Some key factors are necessary to allow for a successful consultation for patients and their families and caregivers: physicians must have extensive knowledge of CIM and of cancer care; they must use a sensitive approach in communication with the patient that relies on effective communication skills and experience in listening; and they must have the ability to convey empathy and compassion.

  16. 24 CFR 200.192 - Removal of 203(k) consultant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Removal of 203(k) consultant. 200.192 Section 200.192 Housing and Urban Development Regulations Relating to Housing and Urban... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.192 Removal of...

  17. Special Education Teachers as Consultants: Perspectives of Finnish Teachers

    ERIC Educational Resources Information Center

    Sundqvist, Christel; Ström, Kristina

    2015-01-01

    In this article, a qualitative study about teachers' thoughts on consultation between special teachers and class teachers is reported. The aim of the study was to deepen the knowledge about how consultation in special educational contexts can be understood and developed based on the descriptions of special teachers and class teachers on this…

  18. A Family Counseling and Consultation Model for School Counselors.

    ERIC Educational Resources Information Center

    Nicoll, William G.

    1992-01-01

    Presents school counselors with a brief intervention model for conducting family (and classroom) assessment and consultation that can be used within the framework of a parent-teacher conference setting. The family counseling-consultation model described provides school counselors with practical, step-by-step format for assessment and intervention…

  19. A Grounded Theory Study of Supervision of Preservice Consultation Training

    ERIC Educational Resources Information Center

    Newman, Daniel S.

    2012-01-01

    The purpose of this study was to explore a university-based supervision process for consultants-in-training (CITs) engaged in a preservice level consultation course with applied practicum experience. The study was approached from a constructivist worldview using a grounded theory methodology. Data consisted of supervision session transcripts,…

  20. Got Guilt? Consultant Guilt in the Writing Center Community

    ERIC Educational Resources Information Center

    Nicklay, Jennifer

    2012-01-01

    During class discussions, the author's fellow consultants would often lament consultations that could have gone better if they had only known the "rules" of how to handle the situation. They perceived that there were acceptable and unacceptable ways to approach certain situations, rather than a range of flexible choices. The author began to…

  1. Playing with Mirrors: Narrative Inquiry and Congregational Consultation

    ERIC Educational Resources Information Center

    Yust, Karen Marie

    2009-01-01

    This article proposes that narrative inquiry methods fruitfully shape the role and strategies of persons who consult with religious communities. It suggests that the composition of field texts and transition from research notes to narratives enables consultants to mirror the stories of congregations so congregants can recognize, claim, and…

  2. A Fish out of Water? Management Consultants in Academia

    ERIC Educational Resources Information Center

    Serrano-Velarde, Kathia

    2010-01-01

    What happens when management consultants enter the academic arena and offer their services to universities? In the following article, we examine this question by drawing on findings from a qualitative study based on a series of 30 interviews with senior management consultants and academic managers in Germany. The aim of this explorative study is,…

  3. Using Letters to Support Consultative Work in Schools

    ERIC Educational Resources Information Center

    Bozic, Nick

    2004-01-01

    This paper reports how consultative work with teachers can be supported by the use of letters. Letters were written by an educational psychologist (EP) after a consultation meeting with a teacher. Features of therapeutic letter writing and solution-focused brief therapy were used to increase the collaborative intent of the letters. Follow-up…

  4. Improving Teaching through a Peer Support "Teacher Consultation Process."

    ERIC Educational Resources Information Center

    Kerwin, Mike; Rhoads, Judith

    The Teaching Consultation Program (TCP) is one of the most popular faculty development programs offered in the University of Kentucky Community Colleges (UKCC's), having trained over 500 faculty since its implementation in 1977. The TCP is a confidential, peer consulting program available to faculty who wish to analyze their teaching behaviors and…

  5. 21 CFR 860.125 - Consultation with panels.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) MEDICAL DEVICES MEDICAL DEVICE CLASSIFICATION PROCEDURES Reclassification § 860.125 Consultation with... a petition is submitted under § 860.134 for a post-enactment, not substantially equivalent device (“new device”), in consulting with the panel the Commissioner will obtain a recommendation that...

  6. 21 CFR 860.125 - Consultation with panels.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Consultation with panels. 860.125 Section 860.125 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES MEDICAL DEVICE CLASSIFICATION PROCEDURES Reclassification § 860.125 Consultation...

  7. Assessing Social Settings to Design a Preventive Consultation.

    ERIC Educational Resources Information Center

    Kelly, James G.

    Preventive consultation, rather than focusing on individuals or specific problems, focuses on the environmental factors within a social setting that contribute to the incidence and prevalence of a specific problem. The ecological paradigm is a useful assessment for directing the design of a preventive consultation. The design focuses on the life…

  8. A Model for Psychiatric Consultation in Systemic Therapy.

    ERIC Educational Resources Information Center

    Griffith, James L.; And Others

    1991-01-01

    Discusses metaphors used to describe problems when family therapy and psychopharmacology are employed together. Identifies coupling metaphors that support both therapies as valid treatments and exclusionary metaphors that invalidate one approach. Presents consultation model for psychiatrists consulting to family therapists wherein the psychiatrist…

  9. 76 FR 81527 - Notice of Tribal Consultations; Schedule Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-28

    ... From the Federal Register Online via the Government Publishing Office NATIONAL INDIAN GAMING COMMISSION Notice of Tribal Consultations; Schedule Update AGENCY: National Indian Gaming Commission. ACTION: Notice of tribal consultations; schedule update. Authority: E.O. 13175. SUMMARY: On November 18,...

  10. Using Online Psychological Consultation in Early Childhood Student Teacher Preparation

    ERIC Educational Resources Information Center

    Epstein, Ann; Dygdon, Judith A.

    2006-01-01

    This paper describes the incorporation of online psychological consultation regarding child behavior in an early childhood teacher education program. The authors discuss psychological consultation in terms of current theory and philosophy in early childhood teacher education in general, and in terms of the professional objectives of this specific…

  11. Training for Triggers: Helping Writing Center Consultants Navigate Emotional Sessions

    ERIC Educational Resources Information Center

    Perry, Alison

    2016-01-01

    Labor performed by writing center consultants in sessions is inherently emotional. While writing center professionals can never alleviate fully the emotional demands placed on consultants during sessions, we can work to educate our staff about empathetic engagement with clients, and we can create structures and practices conducive to a supportive…

  12. The Effects of Monthly Psychiatric Consultation in a Nursing Home.

    ERIC Educational Resources Information Center

    Tourigny-Rivard, Marie-France; Drury, Marilyn

    1987-01-01

    Studied the effects of monthly psychiatric consultation in a nursing home. Suggested that consultation was primarily useful to staff providing direct care to referred residents. Cited benefits to residents as increased staff awareness and acceptance of emotional problems and increased frequency of therapeutic programs offered at the nursing home.…

  13. An Interdisciplinary Mental Health Consultation Team in a Nursing Home.

    ERIC Educational Resources Information Center

    Joseph, Carol; And Others

    1995-01-01

    Describes the Mental Health Consultation Team at the Portland Veterans Affairs Medical Center nursing home. The team is an interdisciplinary group of mental health professionals and primary care providers. Cooperation among these professionals has decreased the demands for formal psychiatry and psychology consultations while increasing mental…

  14. Serving the Community through Discipline-Specific Consulting

    ERIC Educational Resources Information Center

    Gunaratna, Nilupa S.; Olbricht, Gayla R.; Lipka, Alexander E.; Watkins, Amy E.; Yoshida, Patricia Y.

    2006-01-01

    Discipline-specific consulting has a critical place in any university as a form of community outreach. For example, when government and nonprofit organizations need objective information for decision making, a university-driven consulting program providing free services can fulfill their needs. We show how this can be accomplished by describing a…

  15. Independent Consulting Topical Interest Group: 2004 Industry Survey

    ERIC Educational Resources Information Center

    Jarosewich, Tania; Essenmacher, Victoria L.; Lynch, Christina Olenik; Williams, Jennifer E.; Doino-Ingersoll, Jo Ann

    2006-01-01

    The American Evaluation Association's (AEA) Independent Consulting Topical Interest Group (IC TIG) has a membership of over eight hundred individuals who generally work as sole proprietors, in partnerships, or in small consulting firms. Well over a decade ago, the IC TIG conducted a survey of its membership (Bonnet, 1992). To gather current data…

  16. Communication Training and Consulting in Business, Industry, and Government.

    ERIC Educational Resources Information Center

    Buchholz, William J., Ed.

    Intended as a reference for training and consulting in the field of business communication, this book presents research, implements theory, and explores communication practices vital to all organizations. The titles of the essays and their authors are as follows: (1) "Communication Consulting--The State of the Art" (William J. Buchholz); (2) "The…

  17. Using Learning Principles as a Theoretical Framework for Instructional Consultations

    ERIC Educational Resources Information Center

    DiPietro, Michele; Norman, Marie

    2014-01-01

    Learning theory provides a powerful framework for analyzing instructional consultations and increasing their effectiveness. In this paper, the authors review the main tenets of learning theory, apply them to consultation scenarios, and present a complex case study to show how they can guide analysis and problem solving around challenging…

  18. Addressing Pediatric Health Concerns through School-Based Consultation

    ERIC Educational Resources Information Center

    Truscott, Stephen D.; Albritton, Kizzy

    2011-01-01

    In schools, the term "consultation" has multiple meanings. Often it is used to describe a quick, informal process of advice giving between teachers and/or school specialists. As a formal discipline, School-Based Consultation (SBC) is an indirect service delivery model that involves two or more parties working together to benefit students. Most…

  19. Committees and Controversy: Consultants in the Construction of Education Policy

    ERIC Educational Resources Information Center

    Gabriel, Rachael; Paulus, Trena

    2015-01-01

    The increasingly common practice of engaging consulting firms to assist states with educational policy agendas requires an analysis of the role these consultants play in what is positioned as a democratic decision-making process. In this study, we examine the discourse of a state-level advisory committee formed to develop a new teacher evaluation…

  20. Structural Damage Prediction and Analysis for Hypervelocity Impact: Consulting

    NASA Technical Reports Server (NTRS)

    1995-01-01

    A portion of the contract NAS8-38856, 'Structural Damage Prediction and Analysis for Hypervelocity Impacts,' from NASA Marshall Space Flight Center (MSFC), included consulting which was to be documented in the final report. This attachment to the final report contains memos produced as part of that consulting.

  1. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  2. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 2 2013-01-01 2013-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  3. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 2 2012-01-01 2012-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  4. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 2 2011-01-01 2011-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  5. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 2 2014-01-01 2014-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  6. A Systems-Crisis Model of Mental Health Consultation.

    ERIC Educational Resources Information Center

    Halpern, Howard A.; Bellamy, Cheryl A.

    While much of the development of consultation programs in mental health centers has been independent of the traditional treatment program, this document describes a consultation program which is closely integrated with an agency's treatment program. The emphasis is on system change and the development of prevention programming. The system-crisis…

  7. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  8. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  9. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  10. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  11. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  12. 30 CFR 556.19 - Periodic consultation with interested parties.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 2 2012-07-01 2012-07-01 false Periodic consultation with interested parties. 556.19 Section 556.19 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, DEPARTMENT OF THE INTERIOR... consultation with State and local governments, existing and potential oil and gas lessees and permittees,...

  13. International Consultation and Training on Group Work in South Asia

    ERIC Educational Resources Information Center

    Ibrahim, Farah A.

    2015-01-01

    This article presents a consultation and training for faculty and graduate students in South Asia under the auspices of the United Nations' Transfer of Knowledge Through Expatriate Nationals (TOKTEN) Program. It describes the development of a consultation relationship and training on group work. Needs assessments focusing on both cultural…

  14. 20 CFR 616.2 - Consultation with the State agencies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Consultation with the State agencies. 616.2 Section 616.2 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR INTERSTATE... section 3304(a)(9)(B), this arrangement has been developed in consultation with the State...

  15. 29 CFR 401.13 - Labor relations consultant.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Labor relations consultant. 401.13 Section 401.13 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS MEANING OF TERMS USED IN THIS SUBCHAPTER § 401.13 Labor relations consultant. Labor...

  16. 48 CFR 3437.270 - Consulting services reporting clause.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Consulting services reporting clause. 3437.270 Section 3437.270 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Consulting Services...

  17. 48 CFR 3437.271 - Services of consultants clause.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Services of consultants clause. 3437.271 Section 3437.271 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Consulting Services...

  18. Federal Consulting: Strategies and Tools for the Career Development Professional.

    ERIC Educational Resources Information Center

    Kahnweiler, Jennifer B.; Pressman, Sue

    The Federal Government is America's largest employer and is expanding consulting opportunities for career development professionals. Increased Federal mandates for outsourcing have opened wide doors for the entrepreneurial-spirited career counselors and created new challenges for traditional methods of offering career services. As consultants who…

  19. The Feasibility and Acceptability of Google Glass for Teletoxicology Consults.

    PubMed

    Chai, Peter R; Babu, Kavita M; Boyer, Edward W

    2015-09-01

    Teletoxicology offers the potential for toxicologists to assist in providing medical care at remote locations, via remote, interactive augmented audiovisual technology. This study examined the feasibility of using Google Glass, a head-mounted device that incorporates a webcam, viewing prism, and wireless connectivity, to assess the poisoned patient by a medical toxicology consult staff. Emergency medicine residents (resident toxicology consultants) rotating on the toxicology service wore Glass during bedside evaluation of poisoned patients; Glass transmitted real-time video of patients' physical examination findings to toxicology fellows and attendings (supervisory consultants), who reviewed these findings. We evaluated the usability (e.g., quality of connectivity and video feeds) of Glass by supervisory consultants, as well as attitudes towards use of Glass. Resident toxicology consultants and supervisory consultants completed 18 consults through Glass. Toxicologists viewing the video stream found the quality of audio and visual transmission usable in 89 % of cases. Toxicologists reported their management of the patient changed after viewing the patient through Glass in 56 % of cases. Based on findings obtained through Glass, toxicologists recommended specific antidotes in six cases. Head-mounted devices like Google Glass may be effective tools for real-time teletoxicology consultation.

  20. 20 CFR 416.919 - The consultative examination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false The consultative examination. 416.919 Section..., BLIND, AND DISABLED Determining Disability and Blindness Standards to Be Used in Determining When A Consultative Examination Will Be Obtained in Connection with Disability Determinations § 416.919...