Sample records for quality act ceqa

  1. Oak woodlands as wildlife habitat

    Treesearch

    W. Tietje; K. Purcell; S. Drill

    2005-01-01

    This chapter provides local planners and policymakers with information on the diversity and abundance of oak woodland wildlife, wildlife habitat needs, and how local planning activities can influence wildlife abundance and diversity. Federal and state laws, particularly the federal and California Endangered Species Act and the California Environmental Quality Act (CEQA...

  2. 77 FR 10472 - San Bernardino National Forest, Mountaintop Ranger District, California, Mitsubishi South Quarry...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-22

    ... Cushenbury Cement Plant. Concurrent reclamation would be conducted throughout the life of the quarry and, at... the lead state agency under the California Environmental Quality Act (CEQA), address specific... grades of limestone to meet the feed requirement for the cement plant would not be adequate for the life...

  3. 2006 Long Range Development Plan Final Environmental ImpactReport

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

    Philliber, Jeff

    2007-01-22

    This environmental impact report (EIR) has been prepared pursuant to the applicable provisions of the California Environmental Quality Act (CEQA) and its implementing guidelines (CEQA Guidelines), and the Amended University of California Procedures for Implementation of the California Environmental Quality Act (UC CEQA Procedures). The University of California (UC or the University) is the lead agency for this EIR, which examines the overall effects of implementation of the proposed 2006 Long Range Development Plan (LRDP; also referred to herein as the 'project' for purposes of CEQA) for Lawrence Berkeley National Laboratory (LBNL; also referred to as 'Berkeley Lab,' 'the Laboratory,'more » or 'the Lab' in this document). An LRDP is a land use plan that guides overall development of a site. The Lab serves as a special research campus operated by the University employees, but it is owned and financed by the federal government and as such it is distinct from the UC-owned Berkeley Campus. As a campus operated by the University of California, the Laboratory is required to prepare an EIR for an LRDP when one is prepared or updated pursuant to Public Resources Code Section 21080.09. The adoption of an LRDP does not constitute a commitment to, or final decision to implement, any specific project, construction schedule, or funding priority. Rather, the proposed 2006 LRDP describes an entire development program of approximately 980,000 gross square feet of new research and support space construction and 320,000 gross square feet of demolition of existing facilities, for a total of approximately 660,000 gross square feet of net new occupiable space for the site through 2025. Specific projects will undergo CEQA review at the time proposed to determine what, if any, additional review is necessary prior to approval. As described in Section 1.4.2, below, and in Chapter 3 of this EIR (the Project Description), the size of the project has been reduced since the Notice of Preparation for this EIR was issued. This reduction was in response to consultation with the City of Berkeley as well as other factors. CEQA requires that, before a decision can be made by a state or local government agency to approve a project that may have significant environmental effects, an EIR must be prepared that fully describes the environmental effects of the project. The EIR is a public informational document for use by University decision-makers and the public. It is intended to identify and evaluate potential environmental consequences of the proposed project, to identify mitigation measures that would lessen or avoid significant adverse impacts, and to examine feasible alternatives to the project. The information contained in the EIR is reviewed and considered by the lead agency prior to its action to approve, disapprove, or modify the proposed project.« less

  4. Telephone Flat Geothermal Development Project Environmental Impact Statement Environmental Impact Report. Final: Comments and Responses to Comments

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

    None

    This document is the Comments and Responses to Comments volume of the Final Environmental Impact Statement and Environmental Impact Report prepared for the proposed Telephone Flat Geothermal Development Project (Final EIS/EIR). This volume of the Final EIS/EIR provides copies of the written comments received on the Draft EIS/EIR and the leady agency responses to those comments in conformance with the requirements of the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA).

  5. 78 FR 40497 - Notice of Availability of the Final Environmental Impact Statement/Environmental Impact Report...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-05

    ...In accordance with the National Environmental Policy Act of 1969, as amended (NEPA); the Federal Land Policy and Management Act of 1976, as amended; and the California Environmental Quality Act of 1970 (CEQA), the Bureau of Land Management (BLM), the United States Forest Service (USFS), and the Great Basin Unified Air Pollution Control District (GBUAPCD), a California State agency, have prepared a Final Environmental Impact Statement (EIS)/Environmental Impact Report (EIR) for the proposed Casa Diablo IV Geothermal Development Project near the town of Mammoth Lakes in Mono County, California, and by this notice are announcing its availability.

  6. 30 CFR 905.773 - Requirements for permits and permit processing.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) National Historic Preservation Act, 16 U.S.C. 470 et seq CEQA. (7) Coastal Zone Management Act, 16 U.S.C. 1451, 1453-1464 California Coastal Act of 1976, Cal. Pub. Res. Code section 30000 et seq. (West 1986... section 46000 et seq. (West Supp. 1986). (12) Bald Eagle Protection Act, 16 U.S.C. 668-668(d) (c) Where...

  7. Telephone Flat Geothermal Development Project Environmental Impact Statement Environmental Impact Report. Final

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

    None

    This Final Environmental Impact Statement and Environmental Impact Report (Final EIS/EIR) has been prepared to meet the requirements of the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA). The Proposed Action includes the construction, operation, and decommissioning of a 48 megawatt (gross) geothermal power plant with ancillary facilities (10-12 production well pads and 3-5 injection well pads, production and injection pipelines), access roads, and a 230-kilovolt (kV) transmission line in the Modoc National Forest in Siskiyou County, California. Alternative locations for the power plant site within a reasonable distance of the middle of the wellfield weremore » determined to be technically feasible. Three power plant site alternatives are evaluated in the Final EIS/EIR.« less

  8. 75 FR 60804 - Nimbus Hatchery Fish Passage Project, Lower American River, California

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-01

    ... DEPARTMENT OF THE INTERIOR Bureau of Reclamation Nimbus Hatchery Fish Passage Project, Lower... Act (CEQA), the Bureau of Reclamation, the lead Federal agency, and the California Department of Fish... Draft EIS/EIR for the Nimbus Hatchery Fish Passage Project (Project). The purpose of the Project is to...

  9. Determining significance within CEQA: a new UC program to assist planners in conserving oak woodlands

    Treesearch

    Gregory A. Giusti; Douglas D. McCreary

    2008-01-01

    In 2004, the California State Legislature passed Senate Bill 1334 (Bill), titled Oak Woodlands Conservation: Environmental Quality. This Bill states, “A county…shall determine whether a project within its jurisdiction may result in a conversion of oak woodlands that will have a significant effect on the environment”. Once a determination has been...

  10. Proposed Land Conveyance for Construction of Three Facilities at March Air Force Base, California

    DTIC Science & Technology

    1988-09-01

    identified would result from future development on the 845-acre parcel after it has been conveyed. Therefore, detailed development review and...Impact Analysis Process (EIAP) of the Air Force. This detailed development review is within the purview of the state and local government with...establishes the process under which subsequent detailed environmental review would be conducted. CEQA and its implementing regulations are administered by

  11. 76 FR 45540 - Fastener Quality Act Insignia Recordal Process

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-29

    ... DEPARTMENT OF COMMERCE United States Patent and Trademark Office Fastener Quality Act Insignia... Fastener Quality Act of 1999 (FQA), 15 U.S.C. 5401 et seq., certain industrial fasteners must bear an... Quality Act (PTO-1611), which provides manufacturers with a convenient way to [[Page 45541

  12. 40 CFR 93.152 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... official charged with direct responsibility for management of an area designated as Class I under the Act... 301(d) of the Act and which implements the relevant requirements of the Act. Areawide air quality... which uses an air quality dispersion model to determine the effects of emissions on air quality. Cause...

  13. 42 CFR 480.107 - Limitations on redisclosure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs... the Act or for CMS to process sanctions under section 1156 of the Act; (d) If the health care services...

  14. 77 FR 4029 - Nationwide Categorical Waivers Under the American Recovery and Reinvestment Act of 2009 (Recovery...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-26

    ... available quantities and of a satisfactory quality), with respect to Recovery Act projects funded by EERE... and of a satisfactory quality (``nonavailability''). The authority of the Secretary of Energy to make... available quantities and of a satisfactory quality. The above items, when used on eligible EERE Recovery Act...

  15. 77 FR 34221 - Air Quality Designations for the 2008 Ozone National Ambient Air Quality Standards for Several...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-11

    ... Regulatory Review B. Paperwork Reduction Act C. Regulatory Flexibility Act D. Unfunded Mandates Reform Act E... preamble. APA Administrative Procedure Act CAA Clean Air Act CFR Code of Federal Regulations D.C. District... Authority Rule U.S. United States U.S.C. United States Code VCS Voluntary Consensus Standards VOC Volatile...

  16. Evaluation of Dredged Material Proposed for Disposal at Island, Nearshore, or Upland Confined Disposal Facilities - Testing Manual

    DTIC Science & Technology

    2003-01-01

    disposal in the ocean is regulated under the Marine Protection, Research and Sanctuaries Act (MPRSA), commonly referred to as the Ocean Dumping Act. The...Federal Water Pollution Control Act (33 U.S.C. 1344) or Section 103 of the Marine Protection, Research, and Sanctuaries Act of 1972 (33 U.S.C. 1413... abiotic resources such as water quality, groundwater quality, and air quality as well as the more commonly thought of biotic resources such as

  17. 40 CFR 1515.3 - CEQ organization.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 33 2011-07-01 2011-07-01 false CEQ organization. 1515.3 Section 1515.3 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES... Act and the Environmental Quality Improvement Act give the Council the authority to hire any officers...

  18. 40 CFR 1515.3 - CEQ organization.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false CEQ organization. 1515.3 Section 1515.3 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES... Act and the Environmental Quality Improvement Act give the Council the authority to hire any officers...

  19. 40 CFR 1515.3 - CEQ organization.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false CEQ organization. 1515.3 Section 1515.3 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES... Act and the Environmental Quality Improvement Act give the Council the authority to hire any officers...

  20. 40 CFR 1515.3 - CEQ organization.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 34 2012-07-01 2012-07-01 false CEQ organization. 1515.3 Section 1515.3 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES... Act and the Environmental Quality Improvement Act give the Council the authority to hire any officers...

  1. 77 FR 30900 - Approval and Promulgation of Implementation Plans; New Mexico; Albuquerque/Bernalillo County...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-24

    ... in implementing the New Mexico Air Quality Control Act, the joint Air Quality Control Board (AQCB... Department in implementing the New Mexico Air Quality Control Act, the joint Air Quality Control Board (AQCB... Promulgation of Implementation Plans; New Mexico; Albuquerque/Bernalillo County; Fees for Permits and...

  2. Phase I Recommendations by the Air Quality Management Work Group to the Clean Air Act Advisory Committee

    EPA Pesticide Factsheets

    Recommendations to the Clean Air Act Advisory Committee by Air Quality Management Work Group addressing the recommendations made by the National Research Council to improve the U.S. air quality management system.

  3. Got ACTs? Availability, price, market share and provider knowledge of anti-malarial medicines in public and private sector outlets in six malaria-endemic countries.

    PubMed

    O'Connell, Kathryn A; Gatakaa, Hellen; Poyer, Stephen; Njogu, Julius; Evance, Illah; Munroe, Erik; Solomon, Tsione; Goodman, Catherine; Hanson, Kara; Zinsou, Cyprien; Akulayi, Louis; Raharinjatovo, Jacky; Arogundade, Ekundayo; Buyungo, Peter; Mpasela, Felton; Adjibabi, Chérifatou Bello; Agbango, Jean Angbalu; Ramarosandratana, Benjamin Fanomezana; Coker, Babajide; Rubahika, Denis; Hamainza, Busiku; Chapman, Steven; Shewchuk, Tanya; Chavasse, Desmond

    2011-10-31

    Artemisinin-based combination therapy (ACT) is the first-line malaria treatment throughout most of the malaria-endemic world. Data on ACT availability, price and market share are needed to provide a firm evidence base from which to assess the current situation concerning quality-assured ACT supply. This paper presents supply side data from ACTwatch outlet surveys in Benin, the Democratic Republic of Congo (DRC), Madagascar, Nigeria, Uganda and Zambia. Between March 2009 and June 2010, nationally representative surveys of outlets providing anti-malarials to consumers were conducted. A census of all outlets with the potential to provide anti-malarials was conducted in clusters sampled randomly. 28,263 outlets were censused, 51,158 anti-malarials were audited, and 9,118 providers interviewed. The proportion of public health facilities with at least one first-line quality-assured ACT in stock ranged between 43% and 85%. Among private sector outlets stocking at least one anti-malarial, non-artemisinin therapies, such as chloroquine and sulphadoxine-pyrimethamine, were widely available (> 95% of outlets) as compared to first-line quality-assured ACT (< 25%). In the public/not-for-profit sector, first-line quality-assured ACT was available for free in all countries except Benin and the DRC (US$1.29 [Inter Quartile Range (IQR): $1.29-$1.29] and $0.52[IQR: $0.00-$1.29] per adult equivalent dose respectively). In the private sector, first-line quality-assured ACT was 5-24 times more expensive than non-artemisinin therapies. The exception was Madagascar where, due to national social marketing of subsidized ACT, the price of first-line quality-assured ACT ($0.14 [IQR: $0.10, $0.57]) was significantly lower than the most popular treatment (chloroquine, $0.36 [IQR: $0.36, $0.36]). Quality-assured ACT accounted for less than 25% of total anti-malarial volumes; private-sector quality-assured ACT volumes represented less than 6% of the total market share. Most anti-malarials were distributed through the private sector, but often comprised non-artemisinin therapies, and in the DRC and Nigeria, oral artemisinin monotherapies. Provider knowledge of the first-line treatment was significantly lower in the private sector than in the public/not-for-profit sector. These standardized, nationally representative results demonstrate the typically low availability, low market share and high prices of ACT, in the private sector where most anti-malarials are accessed, with some exceptions. The results confirm that there is substantial room to improve availability and affordability of ACT treatment in the surveyed countries. The data will also be useful for monitoring the impact of interventions such as the Affordable Medicines Facility for malaria.

  4. Got ACTs? Availability, price, market share and provider knowledge of anti-malarial medicines in public and private sector outlets in six malaria-endemic countries

    PubMed Central

    2011-01-01

    Background Artemisinin-based combination therapy (ACT) is the first-line malaria treatment throughout most of the malaria-endemic world. Data on ACT availability, price and market share are needed to provide a firm evidence base from which to assess the current situation concerning quality-assured ACT supply. This paper presents supply side data from ACTwatch outlet surveys in Benin, the Democratic Republic of Congo (DRC), Madagascar, Nigeria, Uganda and Zambia. Methods Between March 2009 and June 2010, nationally representative surveys of outlets providing anti-malarials to consumers were conducted. A census of all outlets with the potential to provide anti-malarials was conducted in clusters sampled randomly. Results 28,263 outlets were censused, 51,158 anti-malarials were audited, and 9,118 providers interviewed. The proportion of public health facilities with at least one first-line quality-assured ACT in stock ranged between 43% and 85%. Among private sector outlets stocking at least one anti-malarial, non-artemisinin therapies, such as chloroquine and sulphadoxine-pyrimethamine, were widely available (> 95% of outlets) as compared to first-line quality-assured ACT (< 25%). In the public/not-for-profit sector, first-line quality-assured ACT was available for free in all countries except Benin and the DRC (US$1.29 [Inter Quartile Range (IQR): $1.29-$1.29] and $0.52[IQR: $0.00-$1.29] per adult equivalent dose respectively). In the private sector, first-line quality-assured ACT was 5-24 times more expensive than non-artemisinin therapies. The exception was Madagascar where, due to national social marketing of subsidized ACT, the price of first-line quality-assured ACT ($0.14 [IQR: $0.10, $0.57]) was significantly lower than the most popular treatment (chloroquine, $0.36 [IQR: $0.36, $0.36]). Quality-assured ACT accounted for less than 25% of total anti-malarial volumes; private-sector quality-assured ACT volumes represented less than 6% of the total market share. Most anti-malarials were distributed through the private sector, but often comprised non-artemisinin therapies, and in the DRC and Nigeria, oral artemisinin monotherapies. Provider knowledge of the first-line treatment was significantly lower in the private sector than in the public/not-for-profit sector. Conclusions These standardized, nationally representative results demonstrate the typically low availability, low market share and high prices of ACT, in the private sector where most anti-malarials are accessed, with some exceptions. The results confirm that there is substantial room to improve availability and affordability of ACT treatment in the surveyed countries. The data will also be useful for monitoring the impact of interventions such as the Affordable Medicines Facility for malaria. PMID:22039838

  5. 75 FR 8045 - National Environmental Policy Act (NEPA) Draft Guidance, Establishing, Applying, and Revising...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-23

    ... COUNCIL ON ENVIRONMENTAL QUALITY National Environmental Policy Act (NEPA) Draft Guidance...: Council on Environmental Quality. ACTION: Notice of Availability, Draft Guidance, ``Establishing, Applying... February 18, 2010, the Council on Environmental Quality (CEQ) announced four steps to modernize...

  6. WATER QUALITY CRITERIA DOCUMENTS

    EPA Science Inventory

    Background

    Water quality standards and criteria are the foundation for a wide range of programs under the Clean Water Act. Specifically, under section 304(a)(1) of the Clean Water Act it requires EPA to develop criteria for water quality that accurately re...

  7. 40 CFR 130.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... sections 301(b) and 306 of the Act. (k) Water quality management (WQM) plan. A State or areawide waste... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.2 Definitions. (a) The Act. The Clean Water Act, as amended, 33 U.S.C. 1251 et...

  8. 75 FR 75469 - Priority Setting for the Children's Health Insurance Program Reauthorization Act (CHIPRA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-03

    ... Setting for the Children's Health Insurance Program Reauthorization Act (CHIPRA) Pediatric Quality... comments. SUMMARY: Section 401(a) of the Children's Health Insurance Program Reauthorization Act of 2009... healthcare quality measures: ``(A) The duration of children's health insurance coverage over a 12-month time...

  9. 40 CFR 1515.1 - FOIA procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Purpose § 1515.1 FOIA procedures. The Freedom of Information Act (5 U.S.C. 552), as amended, commonly known as... Section 552(b) of the Act. These procedures explain how the Council on Environmental Quality (CEQ)—one of...

  10. 40 CFR 1515.1 - FOIA procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Purpose § 1515.1 FOIA procedures. The Freedom of Information Act (5 U.S.C. 552), as amended, commonly known as... Section 552(b) of the Act. These procedures explain how the Council on Environmental Quality (CEQ)—one of...

  11. 40 CFR 1515.1 - FOIA procedures.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Purpose § 1515.1 FOIA procedures. The Freedom of Information Act (5 U.S.C. 552), as amended, commonly known as... Section 552(b) of the Act. These procedures explain how the Council on Environmental Quality (CEQ)—one of...

  12. 40 CFR 1515.1 - FOIA procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Purpose § 1515.1 FOIA procedures. The Freedom of Information Act (5 U.S.C. 552), as amended, commonly known as... Section 552(b) of the Act. These procedures explain how the Council on Environmental Quality (CEQ)—one of...

  13. 40 CFR 130.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... sections 301(b) and 306 of the Act. (k) Water quality management (WQM) plan. A State or areawide waste... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING AND MANAGEMENT § 130.2 Definitions. (a) The Act. The Clean Water Act, as amended, 33 U.S.C. 1251 et...

  14. 76 FR 16391 - Call for Innovative National Environmental Policy Act (NEPA) Pilot Project Proposals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... COUNCIL ON ENVIRONMENTAL QUALITY Call for Innovative National Environmental Policy Act (NEPA) Pilot Project Proposals AGENCY: Council On Environmental Quality. ACTION: Notice of Availability, Call... the Council on Environmental Quality (CEQ) invites the public and federal agencies to nominate...

  15. 40 CFR 130.5 - Continuing planning process.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.5 Continuing planning process. (a) General. Each State shall... the Act. Each State is responsible for managing its water quality program to implement the processes... quality standards in effect under authority of section 303 of the Act. (2) The process for incorporating...

  16. 76 FR 41243 - Agency Information Collection Activities: Proposed Collection; Comment Request; National Water...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-13

    ... Activities: Proposed Collection; Comment Request; National Water Quality Inventory Reports (Renewal) AGENCY... Clean Water Act (CWA) responsibilities. Title: National Water Quality Inventory Reports (Clean Water Act... information on the water quality standards attainment status of assessed waters, and, when waters are impaired...

  17. 40 CFR 130.5 - Continuing planning process.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.5 Continuing planning process. (a) General. Each State shall... the Act. Each State is responsible for managing its water quality program to implement the processes... quality standards in effect under authority of section 303 of the Act. (2) The process for incorporating...

  18. 40 CFR 130.5 - Continuing planning process.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.5 Continuing planning process. (a) General. Each State shall... the Act. Each State is responsible for managing its water quality program to implement the processes... quality standards in effect under authority of section 303 of the Act. (2) The process for incorporating...

  19. 75 FR 8046 - National Environmental Policy Act (NEPA) Draft Guidance, “NEPA Mitigation and Monitoring.”

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-23

    ... COUNCIL ON ENVIRONMENTAL QUALITY National Environmental Policy Act (NEPA) Draft Guidance, ``NEPA Mitigation and Monitoring.'' AGENCY: Council On Environmental Quality. ACTION: Notice of Availability, Draft... Quality (CEQ) announced four steps to modernize, reinvigorate, and ease the use and increase the...

  20. 25 CFR 273.38 - Equal quality and standard of education.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Equal quality and standard of education. 273.38 Section... EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Funding Provisions § 273.38 Equal quality and standard of education. Contracts with State education agencies or school districts...

  1. Results From the Audit of DOD’s American Recovery and Reinvestment Act of 2009 Initial Data Quality Review Implementation

    DTIC Science & Technology

    2009-11-03

    Results From the Audit of DoD’s American Recovery and Reinvestment Act of 2009 Initial Data Quality Review Implementation Memorandum No. D-2010-RAM...number. 1. REPORT DATE 03 NOV 2009 2. REPORT TYPE 3. DATES COVERED 00-00-2009 to 00-00-2009 4. TITLE AND SUBTITLE Results From the Audit of...SUBJECT: Results From the Audit of DOD’ s American Recovery and Reinvestment Act of2009 Initial Data Quality Review Implementation (Report No. D

  2. Treating Type 1 Diabetes Mellitus with a Rapid-Acting Analog Insulin Regimen vs. Regular Human Insulin in Germany: A Long-Term Cost-Effectiveness Evaluation.

    PubMed

    Valentine, William J; Van Brunt, Kate; Boye, Kristina S; Pollock, Richard F

    2018-06-01

    The aim of the present study was to evaluate the cost effectiveness of rapid-acting analog insulin relative to regular human insulin in adults with type 1 diabetes mellitus in Germany. The PRIME Diabetes Model, a patient-level, discrete event simulation model, was used to project long-term clinical and cost outcomes for patients with type 1 diabetes from the perspective of a German healthcare payer. Simulated patients had a mean age of 21.5 years, duration of diabetes of 8.6 years, and baseline glycosylated hemoglobin of 7.39%. Regular human insulin and rapid-acting analog insulin regimens reduced glycosylated hemoglobin by 0.312 and 0.402%, respectively. Compared with human insulin, hypoglycemia rate ratios with rapid-acting analog insulin were 0.51 (non-severe nocturnal) and 0.80 (severe). No differences in non-severe diurnal hypoglycemia were modeled. Discount rates of 3% were applied to future costs and clinical benefits accrued over the 50-year time horizon. In the base-case analysis, rapid-acting analog insulin was associated with an improvement in quality-adjusted life expectancy of 1.01 quality-adjusted life-years per patient (12.54 vs. 11.53 quality-adjusted life-years). Rapid-acting analog insulin was also associated with an increase in direct costs of €4490, resulting in an incremental cost-effectiveness ratio of €4427 per quality-adjusted life-year gained vs. human insulin. Sensitivity analyses showed that the base case was driven predominantly by differences in hypoglycemia; abolishing these differences reduced incremental quality-adjusted life expectancy to 0.07 quality-adjusted life-years, yielding an incremental cost-effectiveness ratio of €74,622 per quality-adjusted life-year gained. Rapid-acting analog insulin is associated with beneficial outcomes in patients with type 1 diabetes and is likely to be considered cost effective in the German setting vs. regular human insulin.

  3. Air Quality Criteria for Ozone and Related Photochemical ...

    EPA Pesticide Factsheets

    In February 2006, EPA released the final document, Air Quality Criteria for Ozone and Other Photochemical Oxidants. Tropospheric or surface-level ozone (O3) is one of six major air pollutants regulated by National Ambient Air Quality Standards (NAAQS) under the U.S. Clean Air Act. As mandated by the Clean Air Act, the U.S. Environmental Protection Agency (EPA) must periodically review the scientific bases (or criteria) for the various NAAQS by assessing newly available scientific information on a given criteria air pollutant. This document, Air Quality Criteria for Ozone and Other Photochemical Oxidants, is an updated revision of the 1996 Ozone Air Quality Criteria Document (O3 AQCD) that provided scientific bases for the current O3 NAAQS set in 1997. The Clean Air Act mandates periodic review of the National Ambient Air Quality Standards (NAAQS) for six common air pollutants, also referred to as criteria pollutants, including ozone.

  4. Air quality procedures for civilian airports and air force bases

    DOT National Transportation Integrated Search

    1997-04-01

    Air Quality assessments for proposed Federal actions are required for compliance with the National Environmental Policy Act, the Clean Air Act and other environment-related regulations and directives. This handbook is a comprehensive guide intended t...

  5. Parenting Intervention Combined With Acceptance and Commitment Therapy: A Trial With Families of Children With Cerebral Palsy

    PubMed Central

    Sanders, Matthew R.; McKinlay, Lynne; Boyd, Roslyn N.

    2016-01-01

    Objective To examine the effects of Stepping Stones Triple P (SSTP) and Acceptance and Commitment Therapy (ACT) on child functioning, quality of life, and parental adjustment. Method 67 parents (97.0% mothers) of children (64.2% male; mean age 5.3 ± 3.0 years) with cerebral palsy participated in a randomized controlled trial with three groups: wait-list control, SSTP, and SSTP + ACT. This article details the secondary outcomes. Results In comparison with wait-list, the SSTP + ACT group showed increased functional performance and quality of life as well as decreased parental psychological symptoms. No differences were found for parental confidence. No differences were found between SSTP and wait-list or between SSTP and SSTP + ACT. Conclusions ACT-integrated parenting intervention may be an effective way to target child functioning, quality of life, and parental adjustment. PMID:26702629

  6. Nursing homes and the affordable care act: a cease fire in the ongoing struggle over quality reform.

    PubMed

    Hawes, Catherine; Moudouni, Darcy M; Edwards, Rachel B; Phillips, Charles D

    2012-01-01

    Most provisions in the Affordable Care Act that affect nursing homes originated in two earlier attempts at reform, both of which failed multiple times in prior Congressional sessions: the Elder Justice Act and the Nursing Home Transparency and Improvement Act. Both of these earlier efforts focused on improving quality and reducing elder abuse in nursing homes by strengthening oversight and enforcement penalties, expanding staff training, and increasing the information on nursing home quality available to consumers and regulators. Each bill addressed problems that were serious, widespread, and had persisted for years, but each failed to pass on its own. The Affordable Care Act, with its own momentum, became the vehicle for their passage. However, the reasons the bills failed in these earlier efforts suggest implementation challenges now that they have ridden into law on the coattails of the more general effort to reform the health care sector.

  7. Managing Quality Assurance in Higher Education: The Case of the University of Energy and Natural Resources, Ghana

    ERIC Educational Resources Information Center

    Anane, George Kwadwo; Addaney, Michael

    2016-01-01

    The paper discusses quality assurance in the University of Energy and Natural Resources in Ghana. The University is a public funded institution established by an act of parliament; Act 830, 2011. As a newly established public funded University, quality assurance plays a central role in satisfying the requirements of stakeholders on the supply and…

  8. Benefits and Costs of Pulp and Paper Effluent Controls Under the Clean Water Act

    NASA Astrophysics Data System (ADS)

    Luken, Ralph A.; Johnson, F. Reed; Kibler, Virginia

    1992-03-01

    This study quantifies local improvements in environmental quality from controlling effluents in the pulp and paper industry. Although it is confined to a single industry, this study is the first effort to assess the actual net benefits of the Clean Water Act pollution control program. An assessment of water quality benefits requires linking regulatory policy, technical effects, and behavioral responses. Regulatory policies mandate specific controls that influence the quantity and nature of effluent discharges. We identify a subset of stream segments suitable for analysis, describe water quality simulations and control cost calculations under alternative regulatory scenarios, assign feasible water uses to each segment based on water quality, and determine probable upper bounds for the willingness of beneficiaries to pay. Because the act imposes uniform regulations that do not account for differences in compliance costs, existing stream quality, contributions of other effluent sources, and recreation potential, the relation between water quality benefits and costs varies widely across sites. This variation suggests that significant positive net benefits have probably been achieved in some cases, but we conclude that the costs of the Clean Water Act as a whole exceed likely benefits by a significant margin.

  9. 40 CFR 131.6 - Minimum requirements for water quality standards submission.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...)(2) and 303(c)(2) of the Act. (b) Methods used and analyses conducted to support water quality... scientific basis of the standards which do not include the uses specified in section 101(a)(2) of the Act as...

  10. 40 CFR 131.6 - Minimum requirements for water quality standards submission.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...)(2) and 303(c)(2) of the Act. (b) Methods used and analyses conducted to support water quality... scientific basis of the standards which do not include the uses specified in section 101(a)(2) of the Act as...

  11. 40 CFR 131.6 - Minimum requirements for water quality standards submission.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...)(2) and 303(c)(2) of the Act. (b) Methods used and analyses conducted to support water quality... scientific basis of the standards which do not include the uses specified in section 101(a)(2) of the Act as...

  12. Request for Correction 15003 - Information Quality Act request for Correction of the TSCA Work Plan

    EPA Pesticide Factsheets

    This RFC concerns the Information Quality Act request for correction of the TSCA Work Plan for Chemical Assessments: 20154 Update and the TSCA Work Plan Chemicals: Methods Document (February 2012) regarding assessment of phthalic anhydride

  13. Variables that Predict Serve Efficacy in Elite Men’s Volleyball with Different Quality of Opposition Sets

    PubMed Central

    Valhondo, Álvaro; Fernández-Echeverría, Carmen; González-Silva, Jara; Claver, Fernando; Moreno, M. Perla

    2018-01-01

    Abstract The objective of this study was to determine the variables that predicted serve efficacy in elite men’s volleyball, in sets with different quality of opposition. 3292 serve actions were analysed, of which 2254 were carried out in high quality of opposition sets and 1038 actions were in low quality of opposition sets, corresponding to a total of 24 matches played during the Men’s European Volleyball Championships held in 2011. The independent variables considered in this study were the serve zone, serve type, serving player, serve direction, reception zone, receiving player and reception type; the dependent variable was serve efficacy and the situational variable was quality of opposition sets. The variables that acted as predictors in both high and low quality of opposition sets were the serving player, reception zone and reception type. The serve type variable only acted as a predictor in high quality of opposition sets, while the serve zone variable only acted as a predictor in low quality of opposition sets. These results may provide important guidance in men’s volleyball training processes. PMID:29599869

  14. Setting the Course for Clean Water: A Citizen's Guide to the Section 208 Water Quality Management Program.

    ERIC Educational Resources Information Center

    Donley, Diane L.; Albright, Catherine

    This is a citizen's guide to the section 208 water quality management program. Section 208 refers to that section of the Federal Water Pollution Control Act of 1972 (the Clean Water Act) which calls for public participation in water quality management planning. Included in this guide are chapters on controlling pollution through the Clean Water…

  15. Comparisons of the effects of long-acting and short-acting GnRH agonists on embryo quality, endometrial thickness and pregnancy rate in human in vitro fertilization.

    PubMed

    Mao, Gen-Hong; Feng, Zonggang; He, Yan; Huang, Yu-Rong

    2014-02-24

    The aim was to compare the efficacy of long-acting and short-acting gonadotropin-releasing hormone (GnRH) agonists by long protocol on embryo quality, endometrial thickness and pregnancy rate in in vitro fertilization. In this retrospective study, long-term pituitary downregulation, achieved with long- and short-acting GnRH agonists (GnRHa), was performed for patients undergoing in vitro fertilization (n = 175). There were no significant differences between the long and short-acting GnRH group (63.16% vs. 66.26%, p > 0.05), and the secondary and primary infertility group (63.47% vs. 66.86%, p > 0.05) in embryo quality. Logistic regression analysis showed that type of infertility and endometrial thickness were significantly associated with pregnancy outcome. Patients in the long-acting GnRHa group had a thicker endometrium on the day of human chorionic gonadotrophin (hCG) administration (10.79 ±2.62 mm vs. 9.64 ±1.97 mm, p < 0.01), lower serum luteinizing hormone (LH) concentration (1.21 ±1.13 vs. 2.53 ±3.39) and a higher pregnancy rate (59.60% vs. 43.42%, p < 0.05) than those of patients in the short-acting GnRHa group. This work suggests that types of agonist protocol and infertility may not affect embryo quality. Type of infertility and endometrial thickness may be positive predictors for clinical pregnancy, but the key finding is that the long-acting GnRHa protocol may be an effective method of improving endometrial thickness, endometrial receptivity and pregnancy rate in in vitro fertilization.

  16. 7 CFR 33.1 - Act.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AUTHORITY OF THE EXPORT APPLE ACT Definitions § 33.1 Act. Act and Export Apple Act are synonymous and mean “An act to promote the foreign trade of the United States in apples to protect the reputation of American-grown apples in foreign markets, to prevent deception or misrepresentation as to the quality of...

  17. 7 CFR 33.1 - Act.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... AUTHORITY OF THE EXPORT APPLE ACT Definitions § 33.1 Act. Act and Export Apple Act are synonymous and mean “An act to promote the foreign trade of the United States in apples to protect the reputation of American-grown apples in foreign markets, to prevent deception or misrepresentation as to the quality of...

  18. 7 CFR 33.1 - Act.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... AUTHORITY OF THE EXPORT APPLE ACT Definitions § 33.1 Act. Act and Export Apple Act are synonymous and mean “An act to promote the foreign trade of the United States in apples to protect the reputation of American-grown apples in foreign markets, to prevent deception or misrepresentation as to the quality of...

  19. 7 CFR 33.1 - Act.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AUTHORITY OF THE EXPORT APPLE ACT Definitions § 33.1 Act. Act and Export Apple Act are synonymous and mean “An act to promote the foreign trade of the United States in apples to protect the reputation of American-grown apples in foreign markets, to prevent deception or misrepresentation as to the quality of...

  20. 7 CFR 33.1 - Act.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... AUTHORITY OF THE EXPORT APPLE ACT Definitions § 33.1 Act. Act and Export Apple Act are synonymous and mean “An act to promote the foreign trade of the United States in apples to protect the reputation of American-grown apples in foreign markets, to prevent deception or misrepresentation as to the quality of...

  1. Ambient Air Quality Data Inventory

    EPA Pesticide Factsheets

    The Office of Air and Radiation's (OAR) Ambient Air Quality Data (Current) contains ambient air pollution data collected by EPA, other federal agencies, as well as state, local, and tribal air pollution control agencies. Its component data sets have been collected over the years from approximately 10,000 monitoring sites, of which approximately 5,000 are currently active. OAR's Office of Air Quality Planning and Standards (OAQPS) and other internal and external users, rely on this data to assess air quality, assist in Attainment/Non-Attainment designations, evaluate State Implementation Plans for Non-Attainment Areas, perform modeling for permit review analysis, and other air quality management functions. Air quality information is also used to prepare reports for Congress as mandated by the Clean Air Act. This data covers air quality data collected after 1980, when the Clean Air Act requirements for monitoring were significantly modified. Air quality data from the Agency's early years (1970s) remains available (see OAR PRIMARY DATA ASSET: Ambient Air Quality Data -- Historical), but because of technical and definitional differences the two data assets are not directly comparable. The Clean Air Act of 1970 provided initial authority for monitoring air quality for Conventional Air Pollutants (CAPs) for which EPA has promulgated National Ambient Air Quality Standards (NAAQS). Requirements for monitoring visibility-related parameters were added in 1977. Requiremen

  2. Characterizing light attenuation within Northwest Florida Estuaries: Implications for RESTORE Act water quality monitoring

    EPA Science Inventory

    Water Quality (WQ) condition is based on ecosystem stressor indicators (e.g. water clarity) which are biogeochemically important and critical when considering the Deepwater Horizon oil spill restoration efforts under the 2012 RESTORE Act. Nearly all of the proposed RESTORE proj...

  3. 75 FR 77642 - Priority Setting for the Children's Health Insurance Program Reauthorization Act (CHIPRA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-13

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Priority Setting for the Children's Health Insurance Program Reauthorization Act (CHIPRA) Pediatric Quality Measures Program--Notice of Correction On pages 75469 and 75470, Volume 75, Number 232, Federal Register...

  4. 18 CFR 5.19 - Tendering notice and schedule.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... interstate resource agencies, state water quality and coastal zone management plan consistency certification... license developed pursuant to this part, the Commission will issue public notice of the tendering for... Endangered Species Act and water quality certification under section 401 of the Clean Water Act. (c) Method...

  5. Air Quality Criteria for Lead (Final Report, 2006)

    EPA Science Inventory

    National Ambient Air Quality Standards (NAAQS) are promulgated by the United States Environmental Protection Agency (EPA) to meet requirements set forth in Sections 108 and 109 of the U.S. Clean Air Act. Those two Clean Air Act sections require the EPA Administrator (1) to list w...

  6. Effects of poor asthma control, insomnia, anxiety and depression on quality of life in young asthmatics.

    PubMed

    Sundbom, Fredrik; Malinovschi, Andrei; Lindberg, Eva; Alving, Kjell; Janson, Christer

    2016-01-01

    Asthma-related quality of life has previously been shown to be associated with asthma control. The aims of the present study were to further analyze this correlation, identify other variables with impact on asthma-related quality of life and investigate the covariance among these variables. Information was retrieved from a cohort of 369 patients, aged 12-35, with physician-diagnosed asthma requiring anti-inflammatory treatment for at least 3 months per year. Questionnaire data [including the mini-Asthma Quality of Life Questionnaire (mAQLQ), asthma control test (ACT) and Hospital Anxiety and Depression Scale (HADS)], quality of sleep, lung function data and blood samples were analyzed. Linear regression models with the mAQLQ score as the dependent scalar variable were calculated. ACT was the single variable that had the highest explanatory value for the mAQLQ score (51.5%). High explanatory power was also observed for anxiety and depression (17.0%) and insomnia (14.1%). The population was divided into groups depending on the presence of anxiety and depression, uncontrolled asthma and insomnia. The group that reported none of these conditions had the highest mean mAQLQ score (6.3 units), whereas the group reporting all of these conditions had the lowest mAQLQ score (3.8 units). The ACT score was the single most important variable in predicting asthma-related quality of life. Combining the ACT score with the data on insomnia, anxiety and depression showed considerable additive effects of the conditions. Hence, we recommend the routine use of the ACT and careful attention to symptoms of insomnia, anxiety or depression in the clinical evaluation of asthma-related quality of life.

  7. Physician Quality Reporting System Program Updates and the Impact on Emergency Medicine Practice.

    PubMed

    Wiler, Jennifer L; Granovsky, Michael; Cantrill, Stephen V; Newell, Richard; Venkatesh, Arjun K; Schuur, Jeremiah D

    2016-03-01

    In 2007, the Centers for Medicaid and Medicare Services (CMS) created a novel payment program to create incentives for physician's to focus on quality of care measures and report quality performance for the first time. Initially termed "The Physician Voluntary Reporting Program," various Congressional actions, including the Tax Relief and Health Care Act of 2006 (TRHCA) and Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) further strengthened and ensconced this program, eventually leading to the quality program termed today as the Physician Quality Reporting System (PQRS). As a result of passage of the Affordable Care Act of 2010, the PQRS program has expanded to include both the "traditional PQRS" reporting program and the newer "Value Modifier" program (VM). For the first time, these programs were designed to include pay-for-performance incentives for all physicians providing care to Medicare beneficiaries and to measure the cost of care. The recent passage of the Medicare Access and Children's Health Insurance Program (CHIP) Reauthorization Act in March of 2015 includes changes to these payment programs that will have an even more profound impact on emergency care providers. We describe the implications of these important federal policy changes for emergency physicians.

  8. Air Quality Criteria for Particulate Matter and Sulfur Oxides (Final Report, 1982)

    EPA Science Inventory

    Particulate matter and sulfur oxides are two of six major air pollutants regulated by National Ambient Air Quality Standards (NAAQS) under the U.S. Clean Air Act. As mandated by the Clean Air Act, the U.S. Environmental Protection Agency (EPA) must periodically review the scienti...

  9. 77 FR 66470 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-05

    ... provided by grantees under the SCDTDP and monitor and drive improvement on quality measures; (2) collect... review by the Office of Management and Budget (OMB), in compliance with the Paperwork Reduction Act of... Act of 1995: Proposed Project: Sickle Cell Disease Treatment Demonstration Program-- Quality...

  10. 78 FR 32654 - Privacy Act of 1974; System of Records Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Privacy Act of... Health and Human Services (HHS). ACTION: Notice to establish a new system of records. SUMMARY: In... and Quality (AHRQ) within the Department of Health and Human Services is establishing a new system of...

  11. THE US EPA'S DERMAL EXPOSURE RESEARCH PROGRAM IN SUPPORT OF THE FOOD QUALITY PROTECTION ACT

    EPA Science Inventory

    The Food Quality Protection Act of 1996 (FQPA) requires that children's risks to pesticide exposures be considered during the tolerance-setting process. FQPA requires exposure assessments to be conducted for all pesticides sources, not just food sources. It also requires tha...

  12. Clean Water Act Section 404 and Agriculture

    EPA Pesticide Factsheets

    The U.S. Department of Agriculture (USDA) and EPA have longstanding programs to promote water quality and broader environmental goals identified in both the Agriculture Act of 2014 and the Clean Water Act.

  13. [Ambulant compression therapy for crural ulcers; an effective treatment when applied skilfully].

    PubMed

    de Boer, Edith M; Geerkens, Maud; Mooij, Michael C

    2015-01-01

    The incidence of crural ulcers is high. They reduce quality of life considerably and create a burden on the healthcare budget. The key treatment is ambulant compression therapy (ACT). We describe two patients with crural ulcers whose ambulant compression treatment was suboptimal and did not result in healing. When the bandages were applied correctly healing was achieved. If correctly applied ACT should provide sufficient pressure to eliminate oedema, whilst taking local circumstances such as bony structures and arterial qualities into consideration. To provide pressure-to-measure regular practical training, skills and regular quality checks are needed. Knowledge of the properties of bandages and the proper use of materials for padding under the bandage enables good personalised ACT. In trained hands adequate compression and making use of simple bandages and dressings provides good care for patients suffering from crural ulcers in contrast to inadequate ACT using the same materials.

  14. Child Care under the Family Support Act: Early Lessons from the States.

    ERIC Educational Resources Information Center

    Children's Defense Fund, Washington, DC.

    A Children's Defense Fund (CDF) survey indicates that many AFDC families are being forced to place their children in low-quality and potentially dangerous child care. Family Support Act (FSA) childcare typically lacks basic health and safety and precautions, fails to provide sufficient assistance to support quality childcare and preschool…

  15. 25 CFR 273.38 - Equal quality and standard of education.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false Equal quality and standard of education. 273.38 Section 273.38 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Funding Provisions § 273.38...

  16. 25 CFR 273.38 - Equal quality and standard of education.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 1 2012-04-01 2011-04-01 true Equal quality and standard of education. 273.38 Section 273.38 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Funding Provisions § 273.38...

  17. 25 CFR 273.38 - Equal quality and standard of education.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Equal quality and standard of education. 273.38 Section 273.38 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Funding Provisions § 273.38...

  18. 25 CFR 273.38 - Equal quality and standard of education.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false Equal quality and standard of education. 273.38 Section 273.38 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT PROGRAM EDUCATION CONTRACTS UNDER JOHNSON-O'MALLEY ACT Funding Provisions § 273.38...

  19. 15 CFR 280.2 - Definitions used in this subpart.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... PROGRAMS FASTENER QUALITY General § 280.2 Definitions used in this subpart. In addition to the definitions... the United States Patent and Trademark Office. Act. The Fastener Quality Act (15 U.S.C. 5401 et seq... ISO/IEC Guides or other documents, and redesignations of those Guides or documents. Under Secretary...

  20. 15 CFR 280.2 - Definitions used in this subpart.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... PROGRAMS FASTENER QUALITY General § 280.2 Definitions used in this subpart. In addition to the definitions... the United States Patent and Trademark Office. Act. The Fastener Quality Act (15 U.S.C. 5401 et seq... ISO/IEC Guides or other documents, and redesignations of those Guides or documents. Under Secretary...

  1. 78 FR 44932 - Notice of Intent To Prepare a Draft Environmental Impact Statement for the Pearl River Section...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-25

    ...: Notice of Intent. SUMMARY: Pursuant to Section 211 of the Water Resources Development Act of 1996, the... Water Resources Development Act of 1996, to investigate measures to alleviate flooding in the study area... commercial fisheries, wildlife resources, water quality, air quality, threatened or endangered species...

  2. 77 FR 74129 - Approval and Promulgation of Implementation Plans; Texas; Public Participation for Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-13

    ...EPA is proposing to approve revisions to the Texas State Implementation Plan (SIP) that establish the public participation requirements for air quality permits. EPA proposes to find that these revisions to the Texas SIP comply with the Federal Clean Air Act (the Act or CAA) and EPA regulations and are consistent with EPA policies. Texas submitted the public participation provisions in four separate revisions to the SIP on July 22, 1998; October 25, 1999; July 2, 2010; and March 11, 2011. EPA is proposing this action under section 110 and parts C and D of the Clean Air Act (the Act).

  3. The malaria testing and treatment market in Kinshasa, Democratic Republic of the Congo, 2013.

    PubMed

    Mpanya, Godéfroid; Tshefu, Antoinette; Likwela, Joris Losimba

    2017-02-28

    The Democratic Republic of Congo (DRC) is one of the two most leading contributors to the global burden of disease due to malaria. This paper describes the malaria testing and treatment market in the nation's capital province of Kinshasa, including availability of malaria testing and treatment and relative anti-malarial market share for the public and private sector. A malaria medicine outlet survey was conducted in Kinshasa province in 2013. Stratified multi-staged sampling was used to select areas for the survey. Within sampled areas, all outlets with the potential to sell or distribute anti-malarials in the public and private sector were screened for eligibility. Among outlets with anti-malarials or malaria rapid diagnostic tests (RDT) in stock, a full audit of all available products was conducted. Information collected included product information (e.g. active ingredients, brand name), amount reportedly distributed to patients in the past week, and retail price. In total, 3364 outlets were screened for inclusion across Kinshasa and 1118 outlets were eligible for the study. Among all screened outlets in the private sector only about one in ten (12.1%) were stocking quality-assured Artemisinin-based Combination Therapy (ACT) medicines. Among all screened public sector facilities, 24.5% had both confirmatory testing and quality-assured ACT available, and 20.2% had sulfadoxine-pyrimethamine (SP) available for intermittent preventive therapy during pregnancy (IPTp). The private sector distributed the majority of anti-malarials in Kinshasa (96.7%), typically through drug stores (89.1% of the total anti-malarial market). Non-artemisinin therapies were the most commonly distributed anti-malarial (50.1% of the total market), followed by non quality-assured ACT medicines (38.5%). The median price of an adult quality-assured ACT was $6.59, and more expensive than non quality-assured ACT ($3.71) and SP ($0.44). Confirmatory testing was largely not available in the private sector (1.1%). While the vast majority of anti-malarial medicines distributed to patients in Kinshasa province are sold within the private sector, availability of malaria testing and appropriate treatment for malaria is alarmingly low. There is a critical need to improve access to confirmatory testing and quality-assured ACT in the private sector. Widespread availability and distribution of non quality-assured ACT and non-artemisinin therapies must be addressed to ensure effective malaria case management.

  4. Water Quality Assessment and Management

    EPA Pesticide Factsheets

    Overview of Clean Water Act (CWA) restoration framework including; water quality standards, monitoring/assessment, reporting water quality status, TMDL development, TMDL implementation (point & nonpoint source control)

  5. Parenting Intervention Combined With Acceptance and Commitment Therapy: A Trial With Families of Children With Cerebral Palsy.

    PubMed

    Whittingham, Koa; Sanders, Matthew R; McKinlay, Lynne; Boyd, Roslyn N

    2016-06-01

    To examine the effects of Stepping Stones Triple P (SSTP) and Acceptance and Commitment Therapy (ACT) on child functioning, quality of life, and parental adjustment. 67 parents (97.0% mothers) of children (64.2% male; mean age 5.3 ± 3.0 years) with cerebral palsy participated in a randomized controlled trial with three groups: wait-list control, SSTP, and SSTP + ACT. This article details the secondary outcomes. In comparison with wait-list, the SSTP + ACT group showed increased functional performance and quality of life as well as decreased parental psychological symptoms. No differences were found for parental confidence. No differences were found between SSTP and wait-list or between SSTP and SSTP + ACT. ACT-integrated parenting intervention may be an effective way to target child functioning, quality of life, and parental adjustment. © The Author 2015. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. 40 CFR 1518.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY OFFICE OF ENVIRONMENTAL QUALITY MANAGEMENT FUND... Management Fund (“Fund”): The Management Fund for the Office of Environmental Quality. (d) Interagency... of Environmental Quality. The Environmental Quality Improvement Act specifies that the Chairman of...

  7. Physician Quality Reporting System Program Updates and the Impact on Emergency Medicine Practice

    PubMed Central

    Wiler, Jennifer L.; Granovsky, Michael; Cantrill, Stephen V.; Newell, Richard; Venkatesh, Arjun K.; Schuur, Jeremiah D.

    2016-01-01

    In 2007, the Centers for Medicaid and Medicare Services (CMS) created a novel payment program to create incentives for physician’s to focus on quality of care measures and report quality performance for the first time. Initially termed “The Physician Voluntary Reporting Program,” various Congressional actions, including the Tax Relief and Health Care Act of 2006 (TRHCA) and Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) further strengthened and ensconced this program, eventually leading to the quality program termed today as the Physician Quality Reporting System (PQRS). As a result of passage of the Affordable Care Act of 2010, the PQRS program has expanded to include both the “traditional PQRS” reporting program and the newer “Value Modifier” program (VM). For the first time, these programs were designed to include pay-for-performance incentives for all physicians providing care to Medicare beneficiaries and to measure the cost of care. The recent passage of the Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act in March of 2015 includes changes to these payment programs that will have an even more profound impact on emergency care providers. We describe the implications of these important federal policy changes for emergency physicians. PMID:26973757

  8. 40 CFR 131.8 - Requirements for Indian Tribes to administer a water quality standards program.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the Tribe has previously qualified for eligibility or “treatment as a state” under a Clean Water Act or Safe Drinking Water Act program, the Tribe need only provide the required information which has... for Indian Tribes to administer a water quality standards program. (a) The Regional Administrator, as...

  9. 40 CFR 131.8 - Requirements for Indian Tribes to administer a water quality standards program.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the Tribe has previously qualified for eligibility or “treatment as a state” under a Clean Water Act or Safe Drinking Water Act program, the Tribe need only provide the required information which has... for Indian Tribes to administer a water quality standards program. (a) The Regional Administrator, as...

  10. 40 CFR 131.8 - Requirements for Indian Tribes to administer a water quality standards program.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the Tribe has previously qualified for eligibility or “treatment as a state” under a Clean Water Act or Safe Drinking Water Act program, the Tribe need only provide the required information which has... for Indian Tribes to administer a water quality standards program. (a) The Regional Administrator, as...

  11. 75 FR 37794 - Science Advisory Board Staff Office; Notification of a Public Teleconference of the Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-30

    ... the Second Section 812 Prospective Benefit-Cost Study of the Clean Air Act. DATES: The AQMS will... particulate matter (PM 2.5 ) emissions and air quality changes for the Second Section 812 Benefit-Cost... Clean Air Act Amendments (CAAA), EPA conducts periodic studies to assess benefits and costs of programs...

  12. 77 FR 15087 - Intent To Prepare a Draft Environmental Impact Statement (DEIS) for the Installation of a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... to Section 404 of the Clean Water Act and Section 10 of the Rivers and Harbor Act, from the Village.../Projects/index.html , under the Village of Bald Head Island Terminal Groin Project. SUPPLEMENTARY... DEIS with the North Carolina Division of Water Quality (NCDWQ) to assess the potential water quality...

  13. Preparing and Credentialing the Nation's Teachers: The Secretary's Ninth Report on Teacher Quality, 2013

    ERIC Educational Resources Information Center

    Office of Postsecondary Education, US Department of Education, 2013

    2013-01-01

    This ninth report on teacher quality presents information states reported to the U.S. Department of Education (Department) in October 2011. Title II of the "Higher Education Act of 1965" (HEA), as amended in 2008 by the "Higher Education Opportunity Act" (HEOA), requires states to report annually on key elements of their…

  14. Nursing Home Staffing and Quality under the Nursing Home Reform Act

    ERIC Educational Resources Information Center

    Zhang, Xinzhi; Grabowski, David C.

    2004-01-01

    Purpose: We examine whether the Nursing Home Reform Act (NHRA) improved nursing home staffing and quality. Design and Methods: Data from 5,092 nursing homes were linked across the 1987 Medicare/Medicaid Automated Certification System and the 1993 Online Survey, Certification and Reporting system. A dummy-year model was used to examine the effects…

  15. Learner's Guide: Water Quality Monitoring. An Instructional Guide for the Two-Year Water Quality Monitoring Curriculum.

    ERIC Educational Resources Information Center

    Glazer, Richard B.; And Others

    This learner's guide is designed to meet the training needs for technicians involved in monitoring activities related to the Federal Water Pollution Act and the Safe Drinking Water Act. In addition it will assist technicians in learning how to perform process control laboratory procedures for drinking water and wastewater treatment plant…

  16. Raising Standards in American Schools? Problems with Improving Teacher Quality

    ERIC Educational Resources Information Center

    Smith, Emma

    2008-01-01

    The quality of the teacher workforce is a subject of perennial concern in many developed countries. In the United States, through the "No Child Left Behind" (NCLB) Act, the federal government has a mandate for reform of teacher education that is unprecedented in its scale. Essentially the Act demands that every teacher of core academic…

  17. School Lunch Quality Following Healthy, Hunger-Free Kids Act Implementation

    ERIC Educational Resources Information Center

    Smith, Katherine; Bergman, Ethan A.; Englund, Tim; Ogan, Dana; Barbee, Mary

    2016-01-01

    Purpose/Objectives: This study investigates the effect of meal component changes by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) on school lunch quality and consumption in elementary school students, grade 2-5 before and after the HHFKA guidelines were implemented in July 2012 using the Healthy Eating Index. Methods: In Spring 2012, before…

  18. EVALUATION OF A PROTOCOL FOR DRINKING WATER TREATMENT DATA REQUIRED BY THE FOOD QUALITY PROTECTION ACT

    EPA Science Inventory

    Under the Food Quality Protection Act (FQPA), the USEPA Office of Pesticide Programs (OPP) considers drinking water as a route for pesticide exposure in its human health risk assessments, and may require data on the fate of a pesticide in drinking water be supplied to OPP by the ...

  19. Turning stumbling blocks into stepping stones in the analysis of cumulative impacts

    Treesearch

    Leslie M. Reid

    2004-01-01

    Federal and state legislation, such as the National Environmental Policy Act and the California Environmental Quality Act, require that responsible agency staff consider the cumulative impacts of proposed activities before permits are issued for certain kinds of public or private projects. The Council on Environmental Quality (CEQ 1997) defined a cumulative impact as...

  20. 78 FR 14321 - Notice of Submission of Proposed Information Collection to OMB: Public Housing Reform; Change in...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-05

    ... housing and Section 8 assisted housing programs made by the Quality Housing and Work Responsibility (QHWRA... occupancy requirements for the public housing and Section 8 assisted housing programs made by the Quality Housing and Work Responsibility (QHWRA) Act 1998 (Title V of the FY 1999 HUD appropriations Act, Pub. L...

  1. The influence of vocal training and acting experience on measures of voice quality and emotional genuineness

    PubMed Central

    Livingstone, Steven R.; Choi, Deanna H.; Russo, Frank A.

    2014-01-01

    Vocal training through singing and acting lessons is known to modify acoustic parameters of the voice. While the effects of singing training have been well documented, the role of acting experience on the singing voice remains unclear. In two experiments, we used linear mixed models to examine the relationships between the relative amounts of acting and singing experience on the acoustics and perception of the male singing voice. In Experiment 1, 12 male vocalists were recorded while singing with five different emotions, each with two intensities. Acoustic measures of pitch accuracy, jitter, and harmonics-to-noise ratio (HNR) were examined. Decreased pitch accuracy and increased jitter, indicative of a lower “voice quality,” were associated with more years of acting experience, while increased pitch accuracy was associated with more years of singing lessons. We hypothesized that the acoustic deviations exhibited by more experienced actors was an intentional technique to increase the genuineness or truthfulness of their emotional expressions. In Experiment 2, listeners rated vocalists’ emotional genuineness. Vocalists with more years of acting experience were rated as more genuine than vocalists with less acting experience. No relationship was reported for singing training. Increased genuineness was associated with decreased pitch accuracy, increased jitter, and a higher HNR. These effects may represent a shifting of priorities by male vocalists with acting experience to emphasize emotional genuineness over pitch accuracy or voice quality in their singing performances. PMID:24639659

  2. Clean Air Act Text

    EPA Pesticide Factsheets

    The Clean Air Act is the law that defines EPA's responsibilities for protecting and improving the nation's air quality and the stratospheric ozone layer. The last major change in the law, the Clean Air Act Amendments of 1990, enacted in 1990 by Congress.

  3. Higher Education Opportunity Act (Public Law 110-315)

    ERIC Educational Resources Information Center

    US Congress, 2008

    2008-01-01

    This purpose of this Act is to amend and extend the Higher Education Act of 1965, and for other purposes. This Act includes the following titles: (1) General Provisions; (2) Teacher Quality Enhancement; (3) Institutional Aid; (4) Student Assistance (Grants to Students in Attendance at Institutions of Higher Education, Federal Family Education Loan…

  4. 40 CFR 35.101 - Environmental programs covered by the subpart.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (section 205(g) of the Clean Water Act). (19) Water quality management planning (section 205(j)(2) of the... Drinking Water Act). (6) Hazardous waste management (section 3011(a) of the Solid Waste Disposal Act). (7... Insecticide, Fungicide, and Rodenticide Act). (10) Nonpoint source management (sections 205(j)(5) and 319(h...

  5. 40 CFR 131.3 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... General Provisions § 131.3 Definitions. (a) The Act means the Clean Water Act (Pub. L. 92-500, as amended... under section 307(a) of the Act. (e) Existing uses are those uses actually attained in the water body on... effluent limitations required by sections 301(b) and 306 of the Act. (i) Water quality standards are...

  6. 40 CFR 131.3 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... General Provisions § 131.3 Definitions. (a) The Act means the Clean Water Act (Pub. L. 92-500, as amended... under section 307(a) of the Act. (e) Existing uses are those uses actually attained in the water body on... effluent limitations required by sections 301(b) and 306 of the Act. (i) Water quality standards are...

  7. 40 CFR 131.3 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... General Provisions § 131.3 Definitions. (a) The Act means the Clean Water Act (Pub. L. 92-500, as amended... under section 307(a) of the Act. (e) Existing uses are those uses actually attained in the water body on... effluent limitations required by sections 301(b) and 306 of the Act. (i) Water quality standards are...

  8. 40 CFR 35.501 - Environmental programs covered by the subpart.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    .... Pollution prevention grants for Tribes (section 6605). (7) Safe Drinking Water Act. (i) Public water system... Program Act of 1992, 42 U.S.C. 4368b. (3) Clean Air Act. Air pollution control (section 105). (4) Clean Water Act. (i) Water pollution control (section 106 and 518). (ii) Water quality cooperative agreements...

  9. 40 CFR 131.3 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... General Provisions § 131.3 Definitions. (a) The Act means the Clean Water Act (Pub. L. 92-500, as amended... under section 307(a) of the Act. (e) Existing uses are those uses actually attained in the water body on... effluent limitations required by sections 301(b) and 306 of the Act. (i) Water quality standards are...

  10. 40 CFR 1515.5 - Making a Freedom of Information Act request.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Making a Freedom of Information Act request. 1515.5 Section 1515.5 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Procedures for Requesting Records § 1515.5 Making a Freedom of Information Act...

  11. 40 CFR 1515.5 - Making a Freedom of Information Act request.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Making a Freedom of Information Act request. 1515.5 Section 1515.5 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Procedures for Requesting Records § 1515.5 Making a Freedom of Information Act...

  12. 40 CFR 1515.5 - Making a Freedom of Information Act request.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 34 2012-07-01 2012-07-01 false Making a Freedom of Information Act request. 1515.5 Section 1515.5 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Procedures for Requesting Records § 1515.5 Making a Freedom of Information Act...

  13. Artemisinin-based combination therapy for treating uncomplicated Plasmodium vivax malaria.

    PubMed

    Gogtay, Nithya; Kannan, Sridharan; Thatte, Urmila M; Olliaro, Piero L; Sinclair, David

    2013-10-25

    Plasmodium vivax is an important cause of malaria in many parts of Asia and South America, and parasite resistance to the standard treatment (chloroquine) is now high in some parts of Oceania. This review aims to assess the current treatment options in the light of increasing chloroquine resistance. To compare artemisinin-based combination therapies (ACTs) with alternative antimalarial regimens for treating acute uncomplicated P. vivax malaria. We searched the Cochrane Infectious Disease Group Specialized Register; the Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; EMBASE; LILACS; and the metaRegister of Controlled Trials (mRCT) up to 28 March 2013 using "vivax" and "arte* OR dihydroarte*" as search terms. Randomized controlled trials comparing ACTs versus standard therapy, or comparing alternative ACTs, in adults and children with uncomplicated P. vivax malaria. Two authors independently assessed trials for eligibility and risk of bias, and extracted data. We used recurrent parasitaemia prior to day 28 as a proxy for effective treatment of the blood stage parasite, and compared drug treatments using risk ratios (RR) and 95% confidence intervals (CIs). We used trials following patients for longer than 28 days to assess the duration of the post-treatment prophylactic effect of ACTs. We assessed the quality of the evidence using the GRADE approach. We included 14 trials, that enrolled 2592 participants, and were all conducted in Asia and Oceania between 2002 and 2011. ACTs versus chloroquine: ACTs clear parasites from the peripheral blood quicker than chloroquine monotherapy (parasitaemia after 24 hours of treatment: RR 0.42, 95% CI 0.36 to 0.50, four trials, 1652 participants, high quality evidence).In settings where chloroquine remains effective, ACTs are as effective as chloroquine at preventing recurrent parasitaemias before day 28 (RR 0.58, 95% CI 0.18 to 1.90, five trials, 1622 participants, high quality evidence). In four of these trials, recurrent parasitaemias before day 28 were very low following treatment with both chloroquine and ACTs. The fifth trial, from Thailand in 2011, found increased recurrent parasitaemias following treatment with chloroquine (9%), while they remained low following ACT (2%) (RR 0.25, 95% CI 0.09 to 0.66, one trial, 437 participants).ACT combinations with long half-lives probably also provide a longer prophylactic effect after treatment, with significantly fewer recurrent parasitaemias between day 28 and day 42 or day 63 (RR 0.57, 95% CI 0.40 to 0.82, three trials, 1066 participants, moderate quality evidence). One trial, from Cambodia, Thailand, India and Indonesia, gave additional primaquine to both treatment groups to reduce the risk of spontaneous relapses. Recurrent parasitaemias after day 28 were lower than seen in the trials that did not give primaquine, but the ACT still appeared to have an advantage (RR 0.27, 95% CI 0.08 to 0.94, one trial, 376 participants, low quality evidence). ACTs versus alternative ACTs: In high transmission settings, dihydroartemisinin-piperaquine is probably superior to artemether-lumefantrine, artesunate plus sulphadoxine-pyrimethamine and artesunate plus amodiaquine at preventing recurrent parasitaemias before day 28 (RR 0.20, 95% CI 0.08 to 0.49, three trials, 334 participants, moderate quality evidence).Dihydroartemisinin-piperaquine may also have an improved post-treatment prophylactic effect lasting for up to six weeks, and this effect may be present even when primaquine is also given to achieve radical cure (RR 0.21, 95% CI 0.10 to 0.46, two trials, 179 participants, low quality evidence).The data available from low transmission settings is too limited to reliably assess the relative effectiveness of ACTs. ACTs appear at least equivalent to chloroquine at effectively treating the blood stage of P. vivax infection. Even in areas where chloroquine remains effective, this finding may allow for simplified protocols for treating all forms of malaria with ACTs. In areas where chloroquine no longer cures the infection, ACTs offer an effective alternative.Dihydroartemisinin-piperaquine is the most studied ACT. It may provide a longer period of post-treatment prophylaxis than artemether-lumefantrine or artesunate plus amodiaquine. This effect may be clinically important in high transmission settings whether primaquine is also given or not.

  14. Quality indicators for initial licensure and discipline in nursing laws in South Korea and North Carolina.

    PubMed

    Kim, K K; Kjervik, D K; Foster, B

    2014-03-01

    The Korean regulatory framework of nursing licensure reflects that of the USA, but its content differs in some of the powers related to quality assurance. This article compares regulatory quality indicators and describes core standards in nursing regulations that are related to both initial licensure and discipline for three groups: the National Council of State Boards of Nursing, the North Carolina and the South of Korea. A descriptive, comparative law design is used to examine the differences and similarities in the quality indicators and core standards found in three documents: the National Council of State Boards of Nursing Model Act, the North Carolina Nursing Practice Act and the Korean Medical Service Act for registered nurses. The findings indicate that ten quality indicators and two standards appear in study objects. Although most of the quality indicators are common to all documents, some differences are found in terms of the scope of criminal background checks and the range of grounds for disciplinary action. These findings cannot be generalized in the USA because although the North Carolina nursing act was selected as an example of US nursing laws, nursing laws differ somewhat across states. This comparative study shows a clear opportunity to develop indicators that acknowledge the important areas of competence and good moral character and how they can improve patient safety in Korea. This study provides recommendations for Korean nursing legislative redesign and pointers for other jurisdictions to consider. © 2013 International Council of Nurses.

  15. The Quality Teacher and Education Act in San Francisco: Lessons Learned. Policy Brief 09-2

    ERIC Educational Resources Information Center

    Hough, Heather J.

    2009-01-01

    This policy brief reviews the recent experience of the San Francisco Unified School District (SFUSD) with the development and approval of Proposition A. Proposition A (also known as the Quality Teacher and Education Act, or QTEA) included a parcel tax mainly dedicated to increasing teachers' salaries, along with a variety of measures introducing…

  16. 75 FR 9410 - Science Advisory Board Staff Office Notification of a Public Teleconference of the Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... advisory report on EPA's air quality modeling work for the Second Section 812 Prospective Benefit-Cost... Section 812 Benefit-Cost Analysis of the Clean Air Act. The Council was established in 1991 pursuant to... assess benefits and costs of the EPA's regulatory actions under the Clean Air Act. The Council has...

  17. 77 FR 4813 - Proposed Reissuance of the NPDES General Permits for Oil and Gas Exploration Facilities on the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-31

    ... the conditions of the Beaufort general permit are stringent enough to comply with State water quality... conditions than what is proposed in the Beaufort general permit to ensure compliance with State water quality... Clean Water Act (CWA or ``the Act''), 33 U.S.C. 1342. State Certification of Beaufort General Permit...

  18. Action for Environmental Quality. Standards and Enforcement for Air and Water Pollution Control.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC.

    The U.S. Environmental Protection Agency (EPA) is responsible for setting and enforcing environmental quality standards for the nation. With the Clean Air Act of 1970 (P.L. 91-604) and the Water Pollution Control Act of 1972 (P.L. 92-500), the first truly nationwide control programs were established. This booklet is designed to inform the public…

  19. Preparing and Credentialing the Nation's Teachers: The Secretary's 10th Report on Teacher Quality

    ERIC Educational Resources Information Center

    Office of Postsecondary Education, US Department of Education, 2016

    2016-01-01

    This 10th report on teacher quality presents information states reported to the U.S. Department of Education (Department) in October 2012, October 2013, and October 2014. "Title II" of the "Higher Education Act of 1965" ("HEA"), as amended in 2008 by the Higher Education Opportunity Act (HEOA), requires states to…

  20. The Development of a Teacher Salary Parcel Tax: The Quality Teacher and Education Act in San Francisco

    ERIC Educational Resources Information Center

    Hough, Heather J.; Loeb, Susanna

    2009-01-01

    This case study will serve primarily as an historical account detailing the development of Quality Teacher and Education Act (QTEA). QTEA and the most salient details that led to its eventual passage, serving as an information source for San Francisco Unified School District (SFUSD) and other districts when they take on potentially controversial…

  1. What's in Your Water? An Educator's Guide to Water Quality.

    ERIC Educational Resources Information Center

    Constabile, Kerry, Comp.; Craig, Heidi, Comp.; O'Laughlin, Laura, Comp.; Reiss, Anne Bei, Comp.; Spencer, Liz, Comp.

    This guide provides basic information on the Clean Water Act, watersheds, and testing for water quality, and presents four science lesson plans on water quality. Activities include: (1) "Introduction to Water Quality"; (2) "Chemical Water Quality Testing"; (3) "Biological Water Quality Testing"; and (4) "What Can We Do?" (YDS)

  2. The drug regulatory and review process in Guyana.

    PubMed

    Woo-Ming, R B

    1993-01-01

    After the old "Sale of Food and Drugs" Ordinance, Cap. 144 was repealed, the new Food and Drugs Act was enacted in 1971. This new Act has considerable flexibility and gives the Minister extensive authority to make Regulations (for carrying out the purposes and provisions of the Act). The Act controls the manufacture, importation, sale, advertising, labeling, packaging, and distribution of drug samples, and the testing of drugs. The Act also controls raw materials and finished products of drugs at the point of entry into the country, with a single agency coordinating both the inspection and analytical services. Developing countries could ensure the procurement of safe, good quality, and effective drugs and devices with the enactment of a similar Food and Drugs Act only. Rapid assessment of Drug Safety, Quality and Efficacy is done through Guyana's participation in the WHO Certification Scheme on the Quality of Pharmaceutical Products moving in International Commerce. This certification scheme is highly commendable especially to third-world countries. The Food and Drug Regulations (1977) have several unique features for drug, cosmetic and device control and they allow for a system of centralized control with limited staff to enforce the legislation. In summary, enforcement of legislative control of imported pharmaceuticals and product evaluation can be considered strong points in the drug regulatory and review process in Guyana. A cautious attitude is observed so as to ensure efficacy, safety, and quality of drugs entering the market. This Drug Regulatory and Review Process is recommended for implementation by third-world countries with outdated drug legislation.(ABSTRACT TRUNCATED AT 250 WORDS)

  3. Mental health professional experiences of the flexible assertive community treatment model: a grounded theory study.

    PubMed

    Lexén, Annika; Svensson, Bengt

    2016-08-01

    Despite the lack of evidence for effectiveness of the Flexible Assertive Community Treatment (Flexible ACT), the model is considered feasible and is well received by mental health professionals. No current studies have adequately examined mental health professional experiences of working with Flexible ACT. The aim of this study was to explore mental health professional experiences of working with the Flexible ACT model compared with standard care. The study was guided by grounded theory and based on the interviews with 19 theoretically chosen mental health professionals in Swedish urban areas primarily working with consumers with psychosis, who had worked with the Flexible ACT model for at least 6 months. The analysis resulted in the core category: "Flexible ACT and the shared caseload create a common action space" and three main categories: (1) "Flexible ACT fills the need for a systematic approach to crisis intervention"; (2) "Flexible ACT has advantages in the psychosocial working environment"; and (3) "Flexible ACT increases the quality of care". Mental health professionals may benefit from working with the Flexible ACT model through decreased job-strain and stress, increased feeling of being in control over their work situation, and experiences of providing higher quality of care.

  4. Standard Review Plan for Environmental Restoration Program Quality Management Plans. Revision 2

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

    Not Available

    1993-12-01

    The Department of Energy, Richland Operations Office (RL) Manual Environmental Restoration Program Quality System Requirements (QSR) for the Hanford Site, defines all quality requirements governing Hanford Environmental Restoration (ER) Program activities. The QSR requires that ER Program participants develop Quality Management Plans (QMPs) that describe how the QSR requirements will be implemented for their assigned scopes of work. This standard review plan (SRP) describes the ER program participant responsibilities for submittal of QMPs to the RL Environmental Restoration Division for review and the RL methodology for performing the reviews of participant QMPS. The SRP serves the following functions: acts asmore » a guide in the development or revision of QMPs to assure that the content is complete and adequate; acts as a checklist to be used by the RL staff in their review of participant QMPs; acts as an index or matrix between the requirements of the QSR and implementing methodologies described in the QMPs; decreases the time and subjectivity of document reviews; and provides a formal, documented method for describing exceptions, modifications, or waivers to established ER Program quality requirements.« less

  5. 42 CFR 480.101 - Scope and definitions.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs... Quality Control Quality Improvement Organization (QIO) (or the review component of a QIO subcontractor) in... sought under Title XVIII of the Act. Aggregate statistical data means any utilization, admission...

  6. 7 CFR 62.400 - OMB control number assigned pursuant to the Paperwork Reduction Act.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) LIVESTOCK, MEAT, AND OTHER AGRICULTURAL COMMODITIES (QUALITY SYSTEMS VERIFICATION...

  7. 77 FR 25872 - Oklahoma Regulatory Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-02

    ... air or water quality standards issued under the authority of the Clean Water Act (33 U.S.C. 1251 et seq.) or the Clean Air Act (42 U.S.C. 7401 et seq.). None of the revisions that Oklahoma proposed to... regulatory program under the Surface Mining Control and Reclamation Act of 1977 (SMCRA or the Act). Oklahoma...

  8. The Great Balancing Act: Financial Equity and Local Control. Can Vermont's Act 60 Do It?

    ERIC Educational Resources Information Center

    Jimerson, Lorna

    Vermont's Equal Educational Opportunity Act of 1997 (Act 60) has attracted attention because of its funding and quality components, and the highly publicized responses to its implementation. A key feature is its "recapture" provision in which property-wealthy towns contribute to a state educational fund that helps support education in…

  9. 78 FR 18280 - Approval and Promulgation of Air Quality Implementation Plans; Nevada; Regional Haze Federal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ... emission limits applicable to Units 1, 2, and 3 at RGGS by 18 months from January 1, 2015, to June 30, 2016.... Paperwork Reduction Act C. Regulatory Flexibility Act D. Unfunded Mandates Reform Act E. Executive Order..., or Use I. National Technology Transfer and Advancement Act J. Executive Order 12898: Federal Actions...

  10. A Longitudinal Study of Selected Impacts of the School District Finance and Quality Performance Accreditation (SDFQPA) Act on Representative Kansas School Districts, 2002-2011

    ERIC Educational Resources Information Center

    Jordan, Brian C.

    2012-01-01

    Information gained from the present study should provide important policy insights into whether adjustments to the School District Finance and Quality Performance Accreditation (SDFQPA) Act funding formula have supported the original goal behind SDFQPA, which was to provide more equal funding to public elementary and secondary pupils in Kansas.…

  11. A Longitudinal Study of Selected Impacts of the School District Finance and Quality Performance Accreditation (SSDFQPA) Act on Representative Kansas School Districts, 2002-2011

    ERIC Educational Resources Information Center

    Jordan, Brian C.

    2012-01-01

    Information gained from the present study should provide important policy insights into whether adjustments to the School District Finance and Quality Performance Accreditation (SDFQPA) Act funding formula have supported the original goal behind SDFQPA, which was to provide more equal funding to public elementary and secondary pupils in Kansas.…

  12. BASIS FOR PRIMARY AIR QUALITY CRITERIA AND STANDARDS

    EPA Science Inventory

    The Environmental Criteria and Assessment Office and the Office of Air Quality Planning and Standards are charged with responsibility for reviewing and assessing air quality criteria and air quality standards, respectively. Since adoption of the 1977 Clean Air Act Amendments, the...

  13. 42 CFR 480.114 - Limitation on data collection.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Qio Access to Information § 480.114 Limitation on data collection. A QIO or any agent, organization, or institution acting...

  14. 42 CFR 480.114 - Limitation on data collection.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Qio Access to Information § 480.114 Limitation on data collection. A QIO or any agent, organization, or institution acting...

  15. 42 CFR 480.108 - Penalties for unauthorized disclosure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations... information not authorized under Title XI Part B of the Act or the regulations of this part will, upon...

  16. 42 CFR 480.114 - Limitation on data collection.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Qio Access to Information § 480.114 Limitation on data collection. A QIO or any agent, organization, or institution acting...

  17. INTEGRATING PROBABILISTIC AND FIXED-SITE MONITORING FOR ROBUST WATER QUALITY ASSESSMENTS

    EPA Science Inventory

    Determining the extent of water-quality degradation, controlling nonpoint sources, and defining allowable amounts of contaminants are important water-quality issues defined in the Clean Water Act that require new monitoring data. Probabilistic, randomized stream water-quality mon...

  18. 40th Anniversary of the Clean Air Act

    EPA Pesticide Factsheets

    On September 14, 2010, EPA celebrated the 40th anniversary of the Clean Air Act with a conference to examine the successes and challenges of the Clean Air Act over the past four decades and explore the future of air quality, energy, and climate change.

  19. Special Report on Review of "The Department of Energy's Quality Assurance Process for Prime Recipients' Reporting for the American Recovery and Reinvestment Act"

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

    None

    2009-10-01

    The American Recovery and Reinvestment Act of 2009 (Recovery Act) was established to jumpstart the U.S. economy, create or save millions of jobs, spur technological advances in health and science, and invest in the Nation's energy future. The Department of Energy (Department) will receive an unprecedented $37 billion in Recovery Act funding to support a variety of science, energy, and environmental initiatives. The majority of the funding received by the Department will be allocated to various recipients through grants, cooperative agreements, contracts, and other financial instruments. To ensure transparency and accountability, the Office of Management and Budget (OMB) requires thatmore » recipients report on their receipt and use of Recovery Act funds on a quarterly basis to FederalReporting.gov. OMB also specifies that Federal agencies should develop and implement formal procedures to help ensure the quality of recipient reported information. Data that must be reported by recipients includes total funding received; funds expended or obligated; projects or activities for which funds were obligated or expended; and the number of jobs created and/or retained. OMB requires that Federal agencies perform limited data quality reviews of recipient data to identify material omissions and/or significant reporting errors and notify the recipients of the need to make appropriate and timely changes to erroneous reports. As part of a larger audit of recipient Recovery Act reporting and performance measurement and in support of a Government-wide review sponsored by the Recovery Accountability and Transparency Board, we completed an interim review to determine whether the Department had established a process to ensure the quality and accuracy of recipient reports. Our review revealed that the Department had developed a quality assurance process to facilitate the quarterly reviews of recipient data. The process included procedures to compare existing information from the Department's financial information systems with that reported to FederalReporting.gov by recipients. In addition, plans were in place to notify recipients of anomalies and/or errors exposed by the quality assurance process. While the Department has made a good deal of progress in this area, we did, however, identify several issues which could, if not addressed, impact the effectiveness of the quality assurance process.« less

  20. 40 CFR 52.738 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... quality. 52.738 Section 52.738 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  1. 40 CFR 52.632 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... quality. 52.632 Section 52.632 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  2. 40 CFR 52.793 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... quality. 52.793 Section 52.793 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  3. 40 CFR 52.632 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... quality. 52.632 Section 52.632 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  4. 40 CFR 52.632 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... quality. 52.632 Section 52.632 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  5. 40 CFR 52.432 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... quality. 52.432 Section 52.432 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulation for preventing significant deterioration of air quality. The provisions of...

  6. 40 CFR 52.738 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... quality. 52.738 Section 52.738 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  7. 40 CFR 52.632 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... quality. 52.632 Section 52.632 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  8. 40 CFR 52.432 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... quality. 52.432 Section 52.432 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulation for preventing significant deterioration of air quality. The provisions of...

  9. 40 CFR 52.738 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... quality. 52.738 Section 52.738 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  10. 40 CFR 52.738 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... quality. 52.738 Section 52.738 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  11. 40 CFR 52.793 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... quality. 52.793 Section 52.793 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  12. 40 CFR 52.793 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... quality. 52.793 Section 52.793 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  13. 40 CFR 52.793 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... quality. 52.793 Section 52.793 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  14. 40 CFR 52.632 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.632 Section 52.632 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  15. 40 CFR 52.793 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.793 Section 52.793 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  16. 40 CFR 52.432 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.432 Section 52.432 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulation for preventing significant deterioration of air quality. The provisions of...

  17. 40 CFR 52.96 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.96 Section 52.96 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The State of Alaska Department of Environmental Conservation Air Quality... deterioration of air quality. (b) The requirements of sections 160 through 165 of the Clean Air Act are not met...

  18. 40 CFR 52.738 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.738 Section 52.738 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met... air quality. (b) Regulations for preventing significant deterioration of air quality. The provisions...

  19. HANDBOOK: QUALITY ASSURANCE/QUALITY CONTROL (QA/QC) PROCEDURES FOR HAZARDOUS WASTE INCINERATION

    EPA Science Inventory

    Resource Conservation and Recovery Act regulations for hazardous waste incineration require trial burns by permit applicants. uality Assurance Project Plan (QAPjP) must accompany a trial burn plan with appropriate quality assurance/quality control procedures. uidance on the prepa...

  20. 77 FR 25751 - Amended Notice of Lodging of Consent Decree Pursuant to the Clean Water Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-01

    ... DEPARTMENT OF JUSTICE Amended Notice of Lodging of Consent Decree Pursuant to the Clean Water Act... claims against the City of Memphis under Section 301, 309, and 402 of the Clean Water Act, 33 U.S.C. 1311... of the Tennessee Water Quality Control Act (``TWQCA''). The April 24, 2012 Notice did not contain the...

  1. 75 FR 21280 - National Advisory Committee on Institutional Quality and Integrity (NACIQI) Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-23

    ...)(2) of the Federal Advisory Committee Act, section 114(d)(1)(B) of the Higher Education Opportunity Act, and section 114(d)(1)(B) and (D) of the Higher Education Act, as amended. In all instances... the Higher Education Act of 1965, as amended, and 34 CFR parts 602 and 603. In addition, comments for...

  2. Delivery of oral health care through the Ryan White CARE Act to people infected with HIV.

    PubMed

    Schneider, D A; Hardwick, K S; Marconi, K M; Niemcryk, S J; Bowen, G S

    1993-01-01

    The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 was passed by Congress "to improve the quality and availability of care for individuals and families with HIV disease." The act targets those individuals infected with HIV who lack financial resources to pay for care. While provision of oral health care is not mandated by the legislation, many oral health services are supported through five different programs receiving CARE Act funding. Legislative mandates, program guidance materials, grant applications, and other related materials were reviewed to analyze oral health care services supported or proposed through the CARE Act. In fiscal year 1991, an estimated $5.8 million of the total CARE Act funds ($229.6 million) were used for oral health care, and there is evidence that oral health concerns will receive increasing attention by grantees in future years. Opportunities exist for local oral health professionals to become involved in CARE Act programs and in the priority development process. It is possible that CARE Act grantees will serve as catalysts for the development of partnerships between private practitioners and public sector programs--relationships that could lead to improved access and quality of care for people with HIV infection.

  3. 78 FR 27233 - Clean Water Act: Availability of List Decisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9811-4] Clean Water Act: Availability of List Decisions... announces the availability of EPA's action identifying water quality limited segments and associated pollutants in Louisiana to be listed pursuant to Clean Water Act Section 303(d), and request for public...

  4. 78 FR 20912 - Clean Water Act: Availability of List Decisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-08

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9798-8] Clean Water Act: Availability of List Decisions.... SUMMARY: The Clean Water Act requires that States periodically submit, and EPA approve or disapprove... are not stringent enough to attain or maintain State water quality standards and for which total...

  5. DEVELOPING RELATIVE POTENCY FACTORS FOR PESTICIDE MIXTURES: BIOSTATISTICAL ANALYSES OF JOINT DOSE-RESPONSE

    EPA Science Inventory

    The 1996 Food Quality Protection Act (FQPA) and the 1996 Safe Drinking Water Act Amendments (SDWAA) reaffirm previous Acts that mandate the EPA to evaluate risks posed by environmental chemical mixtures. The current report develops biological concepts and statistical procedures f...

  6. REFERENCE MATERIALS FOR WATER AND WASTEWATER ANALYSES IN USEPA (U.S. ENVIRONMENTAL PROTECTION AGENCY)

    EPA Science Inventory

    The Environmental Monitoring and Support Laboratory at Cincinnati provides quality assurance support for EPA's water-related programs in response to the Clean Water Act, the Safe Drinking Water Act, the Marine Protection, Research and Sanctuaries Act, the Resources Conservation a...

  7. Pesticides used in forest nursery management in the United States and the impact of the Food Quality Protection Act and other regulatory actions

    Treesearch

    Jesus A. Cota

    2002-01-01

    The Food Quality Protection Act (FQPA) of 1996 has placed new standards on the registration and regulation of pesticides intended to protect children. The most significant changed mandated by FQPA relate to the registration process termed the "Risk Cup." This approach to risk analysis has resulted in greater restrictions on the application of pesticides used...

  8. Overview of Automotive Core Tools: Applications and Benefits

    NASA Astrophysics Data System (ADS)

    Doshi, Jigar A.; Desai, Darshak

    2017-08-01

    Continuous improvement of product and process quality is always challenging and creative task in today's era of globalization. Various quality tools are available and used for the same. Some of them are successful and few of them are not. Considering the complexity in the continuous quality improvement (CQI) process various new techniques are being introduced by the industries, as well as proposed by researchers and academia. Lean Manufacturing, Six Sigma, Lean Six Sigma is some of the techniques. In recent years, there are new tools being opted by the industry, especially automotive, called as Automotive Core Tools (ACT). The intention of this paper is to review the applications and benefits along with existing research on Automotive Core Tools with special emphasis on continuous quality improvement. The methodology uses an extensive review of literature through reputed publications—journals, conference proceedings, research thesis, etc. This paper provides an overview of ACT, its enablers, and exertions, how it evolved into sophisticated methodologies and benefits used in organisations. It should be of value to practitioners of Automotive Core Tools and to academics who are interested in how CQI can be achieved using ACT. It needs to be stressed here that this paper is not intended to scorn Automotive Core Tools, rather, its purpose is limited only to provide a balance on the prevailing positive views toward ACT.

  9. CORAL REEF BIOLOGICAL CRITERIA: USING THE CLEAN ...

    EPA Pesticide Factsheets

    Coral reefs are declining at unprecedented rates worldwide due to multiple interactive stressors including climate change and land-based sources of pollution. The Clean Water Act (CWA) can be a powerful legal instrument for protecting water resources, including the biological inhabitants of coral reefs. The objective of the CWA is to restore and maintain the chemical, physical and biological integrity of water resources. Coral reef protection and restoration under the Clean Water Act begins with water quality standards - provisions of state or Federal law that consist of a designated use(s) for the waters of the United States and water quality criteria sufficient to protect the uses. Aquatic life use is the designated use that is measured by biological criteria (biocriteria). Biocriteria are expectations set by a jurisdiction for the quality and quantity of living aquatic resources in a defined waterbody. Biocriteria are an important addition to existing management tools for coral reef ecosystems. The Technical Support Document “Coral Reef Biological Criteria: Using the Clean Water Act to Protect a National Treasure” will provide a framework to aid States and Territories in their development, adoption, and implementation of coral reef biocriteria in their respective water quality standards. The Technical Support Document “Coral Reef Biological Criteria: Using the Clean Water Act to Protect a National Treasure” will provide a framework for coral re

  10. 77 FR 15368 - Clean Water Act; Availability of List Decisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-15

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9646-9] Clean Water Act; Availability of List Decisions...) proposed decision identifying water quality limited segments and associated pollutants in Oregon to be listed pursuant to section 303(d)(2) of the Clean Water Act (CWA). EPA is proposing to add 1004 water...

  11. 77 FR 54909 - Clean Water Act: Availability of List Decisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9724-6] Clean Water Act: Availability of List Decisions... notice announces EPA's decision to identify certain water quality limited waters and the associated pollutant to be listed pursuant to the Clean Water Act Section 303(d)(2) on New York's list of impaired...

  12. 76 FR 20664 - Clean Water Act Section 303(d): Availability of List Decisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9294-5] Clean Water Act Section 303(d): Availability of List... notice announces the availability of EPA's action identifying water quality limited segments and associated pollutants in Louisiana to be listed pursuant to Clean Water Act Section 303(d), and request for...

  13. 40 CFR 131.4 - State authority.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    .... Consistent with section 101(g) and 518(a) of the Clean Water Act, water quality standards shall not be... issue certifications pursuant to the requirements of Clean Water Act section 401. Revisions adopted by... purposes of certifications conducted under Clean Water Act section 401. [56 FR 64893, Dec. 12, 1991, as...

  14. 40 CFR 131.4 - State authority.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    .... Consistent with section 101(g) and 518(a) of the Clean Water Act, water quality standards shall not be... issue certifications pursuant to the requirements of Clean Water Act section 401. Revisions adopted by... purposes of certifications conducted under Clean Water Act section 401. [56 FR 64893, Dec. 12, 1991, as...

  15. 40 CFR 131.4 - State authority.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    .... Consistent with section 101(g) and 518(a) of the Clean Water Act, water quality standards shall not be... issue certifications pursuant to the requirements of Clean Water Act section 401. Revisions adopted by... purposes of certifications conducted under Clean Water Act section 401. [56 FR 64893, Dec. 12, 1991, as...

  16. 40 CFR 131.5 - EPA authority.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) Whether the State has adopted water uses which are consistent with the requirements of the Clean Water Act... Act. (c) Section 401 of the Clean Water Act authorizes EPA to issue certifications pursuant to the... determines that the State's or Tribe's water quality standards are consistent with the factors listed in...

  17. 40 CFR 131.5 - EPA authority.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) Whether the State has adopted water uses which are consistent with the requirements of the Clean Water Act... Act. (c) Section 401 of the Clean Water Act authorizes EPA to issue certifications pursuant to the... determines that the State's or Tribe's water quality standards are consistent with the factors listed in...

  18. 40 CFR 131.4 - State authority.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    .... Consistent with section 101(g) and 518(a) of the Clean Water Act, water quality standards shall not be... issue certifications pursuant to the requirements of Clean Water Act section 401. Revisions adopted by... purposes of certifications conducted under Clean Water Act section 401. [56 FR 64893, Dec. 12, 1991, as...

  19. 40 CFR 131.5 - EPA authority.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Whether the State has adopted water uses which are consistent with the requirements of the Clean Water Act... Act. (c) Section 401 of the Clean Water Act authorizes EPA to issue certifications pursuant to the... determines that the State's or Tribe's water quality standards are consistent with the factors listed in...

  20. 40 CFR 131.5 - EPA authority.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) Whether the State has adopted water uses which are consistent with the requirements of the Clean Water Act... Act. (c) Section 401 of the Clean Water Act authorizes EPA to issue certifications pursuant to the... determines that the State's or Tribe's water quality standards are consistent with the factors listed in...

  1. 75 FR 16171 - Privacy Act of 1974; Notice of Modification of Existing Computer Matching Program Between the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-31

    ... program for the purpose of income verifications and computer matching. DATES: Effective Date: The... additional verification to identify inappropriate (excess or insufficient) rental assistance, and perhaps... Act, the Native American Housing Assistance and Self-Determination Act of 1996, and the Quality...

  2. 78 FR 79465 - International Drug Scheduling; Convention on Psychotropic Substances; Single Convention on...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-30

    ... Essential Medicines and Health Products (EMP): http://www.who.int/medicines/areas/quality_safety/ECDD/en... medicine: --Please mention other, if any, medical use not included in the approved indications (off label...: (Controlled substances act/ Medicines law/Poisons acts/Consumer protection acts/Generic legislation/Analogue...

  3. 76 FR 20354 - Notice of Intent To Award Supplemental Affordable Care Act Funding

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... Intent To Award Supplemental Affordable Care Act Funding Notice of Intent to award supplemental Affordable Care Act funding to support enhancement of an existing laboratory fellowship training program through funding opportunity CDC-RFA-HM10-1001, ``APHL--CDC Partnership for Quality Laboratory Practice...

  4. 40 CFR 1515.4 - CEQ FOIA Officials.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 1515.4 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Organization of Ceq § 1515.4 CEQ FOIA Officials. (a) The Chair shall appoint a Chief Freedom of Information Act... of Information Act and for receiving, routing and overseeing the processing of all Freedom of...

  5. 40 CFR 1515.4 - CEQ FOIA Officials.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 1515.4 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Organization of Ceq § 1515.4 CEQ FOIA Officials. (a) The Chair shall appoint a Chief Freedom of Information Act... of Information Act and for receiving, routing and overseeing the processing of all Freedom of...

  6. 40 CFR 1515.4 - CEQ FOIA Officials.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 1515.4 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Organization of Ceq § 1515.4 CEQ FOIA Officials. (a) The Chair shall appoint a Chief Freedom of Information Act... of Information Act and for receiving, routing and overseeing the processing of all Freedom of...

  7. 40 CFR 1515.4 - CEQ FOIA Officials.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 1515.4 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Organization of Ceq § 1515.4 CEQ FOIA Officials. (a) The Chair shall appoint a Chief Freedom of Information Act... of Information Act and for receiving, routing and overseeing the processing of all Freedom of...

  8. 75 FR 52735 - Clean Water Act Section 303(d): Availability of List Decisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-27

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9189-7] Clean Water Act Section 303(d): Availability of List...: This notice announces the availability of EPA's decision identifying 12 water quality limited waterbodies and associated pollutants in South Dakota to be listed pursuant to the Clean Water Act Section 303...

  9. Developmental exposure to perchlorate alters synaptic transmission in hippocampus of the adult rat.

    EPA Science Inventory

    The Food Quality Protection Act and Safe Drinking Water Act mandate the EPA to identify potential health risks associated with chemicals that act on the endocrine system. Perchlorate, a contaminant found in food and water supplies throughout the USA, blocks iodine uptake into the...

  10. A geospatial approach to identify water quality issues for National Wildlife Refuges in Oregon and Washington

    USGS Publications Warehouse

    Hinck, Jo Ellen; Chojnacki, Kimberly; Finger, Susan E.; Linder, Greg; Kilbride, Kevin

    2011-01-01

    Many National Wildlife Refuges (Refuges) have impaired water quality resulting from historic and current land uses, upstream sources, and aerial pollutant deposition. Competing duties limit the time available for Refuge staff to identify and evaluate potential water quality issues. As a result, water quality–related issues may not be resolved until a problem has already arisen. This study developed a geospatial approach for identifying and prioritizing water quality issues affecting natural resources (including migratory birds and federally listed species) within Refuge boundaries. We assessed the location and status of streams pursuant to the Clean Water Act in relation to individual Refuges in Oregon and Washington, United States. Although twelve Refuges in Oregon (60%) and eight Refuges in Washington (40%) were assessed under the Clean Water Act, only 12% and 3% of total Refuge stream lengths were assessed, respectively. Very few assessed Refuge streams were not designated as impaired (0% in Oregon, 1% in Washington). Despite the low proportions of stream lengths assessed, most Refuges in Oregon (70%) and Washington (65%) are located in watersheds with approved total maximum daily loads. We developed summaries of current water quality issues for individual Refuges and identified large gaps for Refuge-specific water quality data and habitat utilization by sensitive species. We conclude that monitoring is warranted on many Refuges to better characterize water quality under the Clean Water Act.

  11. 77 FR 47581 - Revisions to the California State Implementation Plan, Mojave Desert, Northern Sierra, Sacramento...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ...EPA is proposing to approve revisions to the Mojave Desert Air Quality Management District (MDAQMD), Northern Sierra Air Quality Management District (NSAQMD), Sacramento Metropolitan Air Quality Management District (SMAQMD) and San Diego County Air Pollution Control District (SDCAPCD) portions of the California State Implementation Plan (SIP). These revisions concern volatile organic compound (VOC) emissions from automotive parts and component, automobile refinishing, metal parts and products, and miscellaneous coating and refinishing operations. We are proposing to approve local rules to regulate these emission sources under the Clean Air Act as amended in 1990 (CAA or the Act).

  12. Patient Safety and Quality Improvement Act of 2005.

    PubMed

    Fassett, William E

    2006-05-01

    To review Public Law (PL) 109-41-the Patient Safety and Quality Improvement Act of 2005 (PSQIA)-and summarize key medication error research that contributed to congressional recognition of the need for this legislation. Relevant publications related to medication error research, patient safety programs, and the legislative history of and commentary on PL 109-41, published in English, were identified by MEDLINE, PREMEDLINE, Thomas (Library of Congress), and Internet search engine-assisted searches using the terms healthcare quality, medication error, patient safety, PL 109-41, and quality improvement. Additional citations were identified from references cited in related publications. All relevant publications were reviewed. Summarization of the PSQIA was carried out by legal textual analysis. PL 109-41 provides privilege and confidentiality for patient safety work product (PSWP) developed for reporting to patient safety organizations (PSOs). It does not establish federal mandatory reporting of significant errors; rather, it relies on existing state reporting systems. The Act does not preempt stronger state protections for PSWP. The Agency for Healthcare Research and Quality is directed to certify PSOs and promote the establishment of a national network of patient safety databases. Whistleblower protection and penalties for unauthorized disclosure of PSWP are among its enforcement mechanisms. The Act protects clinicians who report minor errors to PSOs and protects the information from disclosure, but providers must increasingly embrace a culture of interdisciplinary concern for patient safety if this protection is to have real impact on patient care.

  13. 40 CFR 1515.2 - About the Council on Environmental Quality (CEQ).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Quality (CEQ). 1515.2 Section 1515.2 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Organization of Ceq § 1515.2 About the Council on Environmental Quality (CEQ). The Council on Environmental Quality (“CEQ” or “the Council”) was created by the National Environmental Policy...

  14. 40 CFR 1515.2 - About the Council on Environmental Quality (CEQ).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Quality (CEQ). 1515.2 Section 1515.2 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Organization of Ceq § 1515.2 About the Council on Environmental Quality (CEQ). The Council on Environmental Quality (“CEQ” or “the Council”) was created by the National Environmental Policy...

  15. 40 CFR 1515.2 - About the Council on Environmental Quality (CEQ).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Quality (CEQ). 1515.2 Section 1515.2 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Organization of Ceq § 1515.2 About the Council on Environmental Quality (CEQ). The Council on Environmental Quality (“CEQ” or “the Council”) was created by the National Environmental Policy...

  16. 40 CFR 1515.2 - About the Council on Environmental Quality (CEQ).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Quality (CEQ). 1515.2 Section 1515.2 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Organization of Ceq § 1515.2 About the Council on Environmental Quality (CEQ). The Council on Environmental Quality (“CEQ” or “the Council”) was created by the National Environmental Policy...

  17. 75 FR 65594 - Approval and Promulgation of Air Quality Implementation Plans; Ohio; Ohio Ambient Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-26

    ... Promulgation of Air Quality Implementation Plans; Ohio; Ohio Ambient Air Quality Standards AGENCY... the Ohio Administrative Code (OAC) relating to the consolidation of Ohio's Ambient Air Quality Standards (AAQS) into Ohio's State Implementation Plan (SIP) under the Clean Air Act. On April 8, 2009, and...

  18. 77 FR 12524 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Lead Ambient Air Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... Promulgation of Air Quality Implementation Plans; Indiana; Lead Ambient Air Quality Standards AGENCY... Indiana State Implementation Plan (SIP) for lead (Pb) under the Clean Air Act (CAA). This submittal incorporates the National Ambient Air Quality Standards (NAAQS) for Pb promulgated by EPA in 2008. DATES...

  19. Staff Turnover in Assertive Community Treatment (Act) Teams: The Role of Team Climate.

    PubMed

    Zhu, Xi; Wholey, Douglas R; Cain, Cindy; Natafgi, Nabil

    2017-03-01

    Staff turnover in Assertive Community Treatment (ACT) teams can result in interrupted services and diminished support for clients. This paper examines the effect of team climate, defined as team members' shared perceptions of their work environment, on turnover and individual outcomes that mediate the climate-turnover relationship. We focus on two climate dimensions: safety and quality climate and constructive conflict climate. Using survey data collected from 26 ACT teams, our analyses highlight the importance of safety and quality climate in reducing turnover, and job satisfaction as the main mediator linking team climate to turnover. The findings offer practical implications for team management.

  20. 77 FR 33769 - Notice of Lodging of Second Amendment to First Amended Consent Decree Under the Clean Water Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-07

    ... the Clean Water Act Notice is hereby given that on May 31, 2012, a proposed Second Amendment to First...'') sought penalties and injunctive relief under the Clean Water Act (``CWA'') against the City of Atlanta... seq., and the Georgia Water Quality Control Act, O.C.G.A. Sec. 12-5-21 et seq. (``GWQCA''). On...

  1. 76 FR 38384 - Agency Information Collection Activities; Proposed Collection; Comment Request; Water Quality...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-30

    ... Activities; Proposed Collection; Comment Request; Water Quality Standards (Renewal) AGENCY: Environmental... States and certain authorized Indian Tribes that adopt water quality standards under the Clean Water Act; and water dischargers subject to certain requirements related to water quality standards in the Great...

  2. 40 CFR 52.2303 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... quality. 52.2303 Section 52.2303 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. (a) The plan submitted by Texas is approved as meeting the requirements of part C, Clean Air Act for preventing significant deterioration of air quality. The plan...

  3. 32 CFR 989.30 - Air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Air quality. 989.30 Section 989.30 National... ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.30 Air quality. Section 176(c) of the Clean Air Act..., Air Quality Compliance. 10 10 See footnote 1 to § 989.1. ...

  4. 32 CFR 989.30 - Air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Air quality. 989.30 Section 989.30 National... ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.30 Air quality. Section 176(c) of the Clean Air Act..., Air Quality Compliance. 10 10 See footnote 1 to § 989.1. ...

  5. 32 CFR 989.30 - Air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Air quality. 989.30 Section 989.30 National... ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.30 Air quality. Section 176(c) of the Clean Air Act..., Air Quality Compliance. 10 10 See footnote 1 to § 989.1. ...

  6. 32 CFR 989.30 - Air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Air quality. 989.30 Section 989.30 National... ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.30 Air quality. Section 176(c) of the Clean Air Act..., Air Quality Compliance. 10 10 See footnote 1 to § 989.1. ...

  7. 40 CFR 52.2303 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... quality. 52.2303 Section 52.2303 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. (a) The plan submitted by Texas is approved as meeting the requirements of part C, Clean Air Act for preventing significant deterioration of air quality. The plan...

  8. 40 CFR 52.2303 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... quality. 52.2303 Section 52.2303 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. (a) The plan submitted by Texas is approved as meeting the requirements of part C, Clean Air Act for preventing significant deterioration of air quality. The plan...

  9. 40 CFR 52.2303 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.2303 Section 52.2303 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. (a) The plan submitted by Texas is approved as meeting the requirements of part C, Clean Air Act for preventing significant deterioration of air quality. The plan...

  10. 32 CFR 989.30 - Air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Air quality. 989.30 Section 989.30 National... ENVIRONMENTAL IMPACT ANALYSIS PROCESS (EIAP) § 989.30 Air quality. Section 176(c) of the Clean Air Act..., Air Quality Compliance. 10 10 See footnote 1 to § 989.1. ...

  11. National environmental policy act disclosure of air quality impacts for prescribed fire projects in national forests in the Pacific Southwest Region

    Treesearch

    Suraj Ahuja; Laurie Perrot

    2008-01-01

    A key purpose of the National Environmental Policy Act (NEPA) is to “promote effortswhich will prevent or eliminate damage to the environment and biosphere and stimulate thehealth and welfare of man” (NEPA, Sec 2). The Council on Environmental Quality states “theNEPA process is intended to help public officials make decisions that...

  12. Medicaid/CHIP Program; Medicaid Program and Children's Health Insurance Program (CHIP); Changes to the Medicaid Eligibility Quality Control and Payment Error Rate Measurement Programs in Response to the Affordable Care Act. Final rule.

    PubMed

    2017-07-05

    This final rule updates the Medicaid Eligibility Quality Control (MEQC) and Payment Error Rate Measurement (PERM) programs based on the changes to Medicaid and the Children's Health Insurance Program (CHIP) eligibility under the Patient Protection and Affordable Care Act. This rule also implements various other improvements to the PERM program.

  13. 40 CFR 130.1 - Applicability.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., interstate, areawide and regional and local CWA water quality planning and management activities undertaken... Quality Management (WQM) plans developed under sections 208 and 303 of the Act. (b) Planning and... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY PLANNING...

  14. 42 CFR 478.12 - Statutory basis.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS RECONSIDERATIONS AND APPEALS Utilization and Quality Control Quality... of the Act, a QIO may make an initial determination that services furnished or proposed to be...

  15. Cancer Pain Management Education Rectifies Patients' Misconceptions of Cancer Pain, Reduces Pain, and Improves Quality of Life.

    PubMed

    Koh, Su-Jin; Keam, Bhumsuk; Hyun, Min Kyung; Ju Seo, Jeong; Uk Park, Keon; Oh, Sung Yong; Ahn, Jinseok; Lee, Ja Youn; Kim, JinShil

    2018-03-26

    More than half of the patients have reported improper management of breakthrough cancer pain. Empirical evidence is lacking concerning the effectiveness of cancer pain education on breakthrough pain control. This study aimed to examine the effects of individual pain education on pain control, use of short-acting analgesics for breakthrough pain, quality of life outcomes, and rectification of patients' misconceptions regarding cancer pain. A quasi-experimental design was used. In total, 176 (102 inpatients and 74 outpatients) and 163 (93 inpatients and 70 outpatients) cancer patients completed questionnaires on pain intensity, quality of life, use of short-acting medication for breakthrough pain, and misconceptions about cancer pain and opioid use before and immediately and/or seven days after individual pain education. The mean age of the participants was 60.9 years (±11.2), and 56.3% were male. The most common cancers were lung cancer (17.0%), colon cancer (15.9%), and breast cancer (12.5%). The subjects' reasons for attrition were conditional deterioration, death, or voluntary withdrawal (N = 13, 7.4%). Following the education, there was a significant reduction in overall pain intensity over 24 hours (P < 0.001). The outpatients showed more use of short-acting analgesics for breakthrough pain. Sleep quality change was most significantly associated with intervention; other quality of life aspects (e.g., general feelings and life enjoyment) also improved. Pain education also significantly reduced misconceptions regarding cancer pain management. The present educational intervention was effective in encouraging short-acting analgesic use for breakthrough pain, improving quality of life outcomes, and rectifying patients' misconceptions about analgesic use.

  16. 40 CFR 52.144 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... quality. 52.144 Section 52.144 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Act are not met... lands does not include approvable procedures for preventing the significant deterioration of air quality...

  17. 40 CFR 52.683 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... quality. 52.683 Section 52.683 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The State of Idaho Rules for Control of Air Pollution in Idaho, specifically... the Clean Air Act for preventing significant deterioration of air quality. (b) The requirements of...

  18. 40 CFR 52.683 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... quality. 52.683 Section 52.683 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The State of Idaho Rules for Control of Air Pollution in Idaho, specifically... the Clean Air Act for preventing significant deterioration of air quality. (b) The requirements of...

  19. 40 CFR 52.833 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... quality. 52.833 Section 52.833 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are met... for preventing significant deterioration of air quality. The provisions of § 52.21 except paragraph (a...

  20. 40 CFR 52.833 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... quality. 52.833 Section 52.833 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are met... for preventing significant deterioration of air quality. The provisions of § 52.21 except paragraph (a...

  1. 40 CFR 52.683 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... quality. 52.683 Section 52.683 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The State of Idaho Rules for Control of Air Pollution in Idaho, specifically... Air Act for preventing significant deterioration of air quality. (b) The requirements of sections 160...

  2. 40 CFR 52.833 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... quality. 52.833 Section 52.833 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are met... for preventing significant deterioration of air quality. The provisions of § 52.21 except paragraph (a...

  3. 40 CFR 52.144 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... quality. 52.144 Section 52.144 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Act are not met... lands does not include approvable procedures for preventing the significant deterioration of air quality...

  4. 40 CFR 52.144 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... quality. 52.144 Section 52.144 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Act are not met... lands does not include approvable procedures for preventing the significant deterioration of air quality...

  5. 40 CFR 52.833 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... quality. 52.833 Section 52.833 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are met... for preventing significant deterioration of air quality. The provisions of § 52.21 except paragraph (a...

  6. 40 CFR 52.144 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... quality. 52.144 Section 52.144 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Act are not met... lands does not include approvable procedures for preventing the significant deterioration of air quality...

  7. 45 CFR 155.1400 - Quality rating system.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the quality rating information assigned to each QHP on its Web site, in accordance with § 155.205(b)(1... 45 Public Welfare 1 2014-10-01 2014-10-01 false Quality rating system. 155.1400 Section 155.1400... EXCHANGE ESTABLISHMENT STANDARDS AND OTHER RELATED STANDARDS UNDER THE AFFORDABLE CARE ACT Quality...

  8. 40 CFR 52.144 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.144 Section 52.144 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Act are not met... lands does not include approvable procedures for preventing the significant deterioration of air quality...

  9. 40 CFR 52.343 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.343 Section 52.343 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met for the following categories of sources for preventing the significant deterioration of air quality...

  10. 40 CFR 52.683 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.683 Section 52.683 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The State of Idaho Rules for Control of Air Pollution in Idaho, specifically... the Clean Air Act for preventing significant deterioration of air quality. (b) The requirements of...

  11. 78 FR 23524 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Particulate Matter...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-19

    ... Promulgation of Air Quality Implementation Plans; Indiana; Particulate Matter Ambient Air Quality Standards... revise the Indiana State Implementation Plan (SIP) for particulate matter under the Clean Air Act. This submission contains the 24-hour fine particle National Ambient Air Quality Standards (NAAQS) promulgated by...

  12. 40 CFR 52.833 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... quality. 52.833 Section 52.833 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are met... for preventing significant deterioration of air quality. The provisions of § 52.21 except paragraph (a...

  13. National Environmental Policy Act compliance guide. Volume II (reference book)

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

    NONE

    1994-09-01

    This document (Volume II of the National Environmental Policy Act Compliance Guide) contains current copies of regulations and guidance from the Council on Environmental Quality, the Department of Energy, the Department of State, and the Environmental Protection Agency, related to compliance with the National Environmental Policy Act of 1969 (NEPA).

  14. 77 FR 58111 - Notice of Submission for OMB Review; Office of Postsecondary Education; Higher Education Act (HEA...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ...; Higher Education Act (HEA) Title II Report Cards on State Teacher Credentialing and Preparation SUMMARY: The Higher Education Opportunity Act of 2008 (HEOA) calls for annual reports from states and institutions of higher education (IHEs) on the quality of teacher preparation and state teacher certification...

  15. A methodology to estimate vehicle miles traveled (VMT) fractions as an input to the mobile emission model.

    DOT National Transportation Integrated Search

    2006-01-01

    Air quality has been an issue of growing importance to the transportation sector since the enactment of the Clean Air Act Amendments of 1990 and the Transportation Equity Act for the 21st Century in 1998. According to these acts, states and local gov...

  16. 77 FR 2265 - Request for Extension and Revision of a Currently Approved Information Collection

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-17

    ... States Grain Standards Act and the Agricultural Marketing Act of 1946. This voluntary survey gives... the Agricultural Marketing Act (AMA) (7 U.S.C. 1621-1627) to facilitate the marketing of grain... agricultural commodity markets an opportunity to provide feedback on the quality of services they receive and...

  17. 77 FR 27770 - Clean Water Act Section 303(d): Availability of List Decisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9670-5] Clean Water Act Section 303(d): Availability of List...: This notice announces EPA's decision identifying certain water quality limited waterbodies, and the associated pollutant, in Utah to be listed pursuant to the Clean Water Act Section 303(d)(2), and requests...

  18. iACT - An interactive mHealth monitoring system to enhance psychotherapy for adolescents with sickle cell disease

    PubMed Central

    Cheng, Chihwen; Brown, R. Clark; Cohen, Lindsey L.; Venugopalan, Janani; Stokes, Todd H.

    2016-01-01

    Sickle cell disease (SCD) is the most common inherited disease, and SCD symptoms impact functioning and well-being. For example, adolescents with SCD have a higher tendency of psychological problems than the general population. Acceptance and Commitment Therapy (ACT), a cognitive-behavioral therapy, is an effective intervention to promote quality of life and functioning in adolescents with chronic illness. However, traditional visit-based therapy sessions are restrained by challenges, such as limited follow-up, insufficient data collection, low treatment adherence, and delayed intervention. In this paper, we present Instant Acceptance and Commitment Therapy (iACT), a system designed to enhance the quality of pediatric ACT. iACT utilizes text messaging technology, which is the most popular cell phone activity among adolescents, to conduct real-time psychotherapy interventions. The system is built on cloud computing technologies, which provides a convenient and cost-effective monitoring environment. To evaluate iACT, a trial with 60 adolescents with SCD is being conducted in conjunction with the Georgia Institute of Technology, Children’s Healthcare of Atlanta, and Georgia State University. PMID:24110179

  19. iACT--an interactive mHealth monitoring system to enhance psychotherapy for adolescents with sickle cell disease.

    PubMed

    Cheng, Chihwen; Brown, R Clark; Cohen, Lindsey L; Venugopalan, Janani; Stokes, Todd H; Wang, May D

    2013-01-01

    Sickle cell disease (SCD) is the most common inherited disease, and SCD symptoms impact functioning and well-being. For example, adolescents with SCD have a higher tendency of psychological problems than the general population. Acceptance and Commitment Therapy (ACT), a cognitive-behavioral therapy, is an effective intervention to promote quality of life and functioning in adolescents with chronic illness. However, traditional visit-based therapy sessions are restrained by challenges, such as limited follow-up, insufficient data collection, low treatment adherence, and delayed intervention. In this paper, we present Instant Acceptance and Commitment Therapy (iACT), a system designed to enhance the quality of pediatric ACT. iACT utilizes text messaging technology, which is the most popular cell phone activity among adolescents, to conduct real-time psychotherapy interventions. The system is built on cloud computing technologies, which provides a convenient and cost-effective monitoring environment. To evaluate iACT, a trial with 60 adolescents with SCD is being conducted in conjunction with the Georgia Institute of Technology, Children's Healthcare of Atlanta, and Georgia State University.

  20. Services to Homeless Students and Families: The McKinney-Vento Act and Its Implications for School Social Work Practice

    ERIC Educational Resources Information Center

    Jozefowicz-Simbeni, Debra M. Hernandez; Israel, Nathaniel

    2006-01-01

    In 1987 Congress authorized the Stewart B. McKinney Homeless Assistance Act to protect the rights of homeless students and to ensure that they receive the same quality and appropriate education that other students receive. This article summarizes key aspects of the 2001 reauthorization of the act, now known as the McKinney-Vento Act, outlines how…

  1. 40 CFR 131.4 - State authority.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS WATER QUALITY STANDARDS... reviewing, establishing, and revising water quality standards. As recognized by section 510 of the Clean Water Act, States may develop water quality standards more stringent than required by this regulation...

  2. Emission Reduction Potential of the Congestion Mitigation and Air Quality Program

    DOT National Transportation Integrated Search

    1997-05-19

    The Congestion Mitigation and Air Quality Improvement Program (CMAQ) provides : funds to states for projects designed to help attain and maintain the national : ambient air quality standards (NAAQS) set under the Clean Air Act (CAA). CMAQ : was creat...

  3. 77 FR 12527 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ...EPA is proposing to approve revisions to the Antelope Valley Air Quality Management District (AVAQMD) and San Joaquin Valley Unified Air Pollution Control District (SJVUAPCD) portions of the California State Implementation Plan (SIP). These revisions concern negative declarations for volatile organic compound (VOC) and oxides of sulfur source categories. We are proposing to approve these negative declarations under the Clean Air Act as amended in 1990 (CAA or the Act).

  4. 40 CFR 35.925-2 - Water quality management plans and agencies.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Water quality management plans and... Water Act § 35.925-2 Water quality management plans and agencies. That the project is consistent with any applicable water quality management (WQM) plan approved under section 208 or section 303(e) of the...

  5. 40 CFR 35.2102 - Water quality management planning.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Water quality management planning. 35... Administrator shall first determine that the project is: (a) Included in any water quality management plan being implemented for the area under section 208 of the Act or will be included in any water quality management plan...

  6. 40 CFR 52.683 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... quality. 52.683 Section 52.683 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The State of Idaho Rules for Control of Air Pollution in Idaho, specifically... quality. (b) The requirements of sections 160 through 165 of the Clean Air Act are not met for Indian...

  7. Quality in Student Financial Aid Programs. A New Approach.

    ERIC Educational Resources Information Center

    Fecso, Ronald S., Ed.

    This report of the Panel on Quality Improvement in Student Financial Aid Programs examines the quality control of federal student financial aid programs covered by Title IV of the Higher Education Act of 1965 and offers recommendations calling for sweeping revisions of the present system. The report explores: (1) the quality control practices…

  8. 76 FR 44932 - Meeting of the National Advisory Council Subcommittee Identifying Quality Measures for Medicaid...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-27

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the... for Healthcare Research and Quality is authorized by Section 941 of the Public Health Service Act, 42... Department of Health and Human Services and the Director, Agency for Healthcare Research and Quality (AHRQ...

  9. 75 FR 19920 - Approval and Promulgation of Air Quality Implementation Plans; Wyoming; Revisions to the Wyoming...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-16

    ... Promulgation of Air Quality Implementation Plans; Wyoming; Revisions to the Wyoming Air Quality Standards and... Wyoming on September 11, 2008. Wyoming has revised its Air Quality Standards and Regulations, specifically... is taking this action under section 110 of the Clean Air Act. In the ``Rules and Regulations...

  10. 40 CFR 1518.3 - Policy.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY OFFICE OF ENVIRONMENTAL QUALITY MANAGEMENT FUND § 1518.3 Policy. (a) All studies and projects financed through the OEQ Management Fund shall be... Quality Improvement Act. (b) Agency funds accepted by the Director for transfer into the OEQ Management...

  11. 40 CFR 50.2 - Scope.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS NATIONAL PRIMARY AND SECONDARY AMBIENT AIR QUALITY STANDARDS § 50.2 Scope. (a) National primary and secondary ambient air quality standards under section 109 of the Act are set forth in this part. (b) National primary ambient air quality...

  12. Air Quality Index (AQI) -- A Guide to Air Quality and Your Health

    MedlinePlus

    ... Guide for Ozone Air Quality Guide for Particle Pollution Other AirNow Publications Other AirNow Publications En Español ... the Clean Air Act: ground-level ozone, particle pollution (also known as particulate matter), carbon monoxide, sulfur ...

  13. User-Oriented Quality for OER: Understanding Teachers' Views on Re-Use, Quality, and Trust

    ERIC Educational Resources Information Center

    Clements, K. I.; Pawlowski, J. M.

    2012-01-01

    We analysed how teachers as users of open educational resources (OER) repositories act in the re-use process and how they perceive quality. Based on a quantitative empirical study, we also surveyed which quality requirements users have and how they would contribute to the quality process. Trust in resources, organizations, and technologies seem to…

  14. 75 FR 26956 - Clean Water Act Section 303(d): Availability of Los Angeles Area Lakes Total Maximum Daily Loads...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-13

    ... included on the State of California's Section 303(d) list of polluted waters due to water quality impacts... ENVIRONMENTAL PROTECTION AGENCY [FRL-9146-6] Clean Water Act Section 303(d): Availability of Los... nutrient, mercury, chlordane, dieldrin, DDT, PCB, and trash impairments pursuant to Clean Water Act Section...

  15. 76 FR 12946 - National Advisory Committee on Institutional Quality and Integrity (NACIQI) Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-09

    ... Act (FACA) and Section 114(d)(1)(B) of the Higher Education Act of 1965, as amended (HEA... Section 114 of the Higher Education Act (HEA), as amended, 20 U.S.C. 1011c. The NACIQI advises the... certification process for institutions of higher education under Title IV, HEA. The relationship between: (1...

  16. The High-­Performing Preschool: Story Acting in Head Start Classrooms

    ERIC Educational Resources Information Center

    McNamee, Gillian Dowley

    2015-01-01

    "The High-Performing Preschool" takes readers into the lives of three- and four-year-old Head Start students during their first year of school and focuses on the centerpiece of their school day: story acting. In this activity, students act out stories from high-quality children's literature as well as stories dictated by their peers.…

  17. 40 CFR 1515.5 - How to make a Freedom of Information Act request.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Information Act request by writing a letter which states that you are making a Freedom of Information Act request. Address your letter to: Freedom of Information Officer, Council on Environmental Quality... information. (See § 1515.15(c) also.) (5) The 10 day period for making a determination on a request will begin...

  18. 78 FR 63100 - Endangered and Threatened Wildlife and Plants; Revised Critical Habitat for the Comal Springs...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... wetlands, water quality, tide, soil type) that are essential to the conservation of the species. Primary...), under the Endangered Species Act of 1973, as amended. In total, we are designating approximately 169... cave amphipod. Under the Endangered Species Act of 1973, as amended (Act), any species that is...

  19. 78 FR 62509 - Approval of Air Quality Implementation Plans; Navajo Nation; Regional Haze Requirements for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... Retrofit Technology (BART) provision of the Clean Air Act (CAA or Act). EPA proposed the BART FIP to reduce... included in the proposal due to the unique purpose and history of NGS and the numerous stakeholder... Use I. National Technology Transfer and Advancement Act J. Executive Order 12898: Federal Actions To...

  20. 10 CFR 51.10 - Purpose and scope of subpart; application of regulations of Council on Environmental Quality.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Responsibilities and Policy Statement on Implementation of Section 511 of the Federal Water Pollution Control Act... National Environmental Policy Act-Regulations Implementing Section 102(2) § 51.10 Purpose and scope of... Policy Act of 1969, as amended (NEPA) directs that, to the fullest extent possible: (1) The policies...

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

    Holzemer, Michael J.; Hart, Edward

    Hazardous Waste Management Act/Resource Conservation and Recovery Act Storage and Treatment Permit Reapplication for the Idaho National Laboratory Materials and Fuels Complex Hazardous Waste Management Act/Resource Conservation and Recovery Act Partial Permit, PER-116. This Permit Reapplication is required by the PER-116 Permit Conditions I.G. and I.H., and must be submitted to the Idaho Department of Environmental Quality in accordance with IDAPA 58.01.05.012 [40 CFR §§ 270.10 and 270.13 through 270.29].

  2. The Patient Protection and Affordable Care Act's provisions regarding medical loss ratios and quality: evidence from Texas.

    PubMed

    Quast, Troy

    2013-01-01

    The Patient Protection and Affordable Care Act (PPACA) includes a provision that penalizes insurance companies if their Medical Loss Ratio (MLR) falls below a specified threshold. The MLR is roughly measured as the ratio of health care expenses to premiums paid by enrollees. I investigate whether there is a relationship between MLRs and the quality of care provided by insurance companies. I employ a ten-year sample of market-level financial data and quality variables for Texas insurers, as well as relevant control variables, in regression analyses that utilize insurer and market fixed effects. Of the 15 quality measures, only one has a statistically significant relationship with the MLR. For this measure, the relationship is negative. Although the MLR provision may provide incentives for insurance companies to lower premiums, this sample does not suggest that there is likely to be a beneficial effect on quality.

  3. Guidelines for preparation of the 1996 state water quality assessments (305(b) reports)

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

    NONE

    1995-05-01

    The Federal Water Polluton Control Act (PL92-500, commonly known as the Clean Water Act), establishes a process for States to use to develop information on the quality of the Nation`s water resources and to report this information to the U.S. Environmental Protection Agency (EPA), the U.S. Congress, and the citizens of this country. Each State must develop a program to monitor the quality of its surface and ground waters and prepare a report every 2 years describing the status of its water quality. EPA compiles the data from the State reports, summarizes them, and transmits the summaries to Congress alongmore » with an analysis of the status of water quality nationwide. This process, referred to as the 305(b) process, is an essential aspect of the Nation`s water pollution control effort.« less

  4. Data bank has operational impact. Proper peer review can protect hospitals from antitrust and defamation suits.

    PubMed

    Purtell, D L

    1990-11-01

    The Health Care Quality Improvement Act of 1986 can help protect medical professionals and healthcare facilities from antitrust and defamation claims and other forms of litigation arising from the peer review process. Some hospitals may need to make major changes in their peer review activity as a result of the act. The healthcare entity, not the physicians involved in peer review, has the burden of complying with the provisions of the act. Failure to comply with the act can lead to loss of immunity from damages, fines, and potential exclusion from the Medicare program. The potential for liability has sparked a need for hospitals to reexamine and possibly reorganize medical staff and update procedures and related governing documents. Healthcare entities may consider changes such as implementing a director of medical affairs function, choosing medical staff for multiple-year terms, and centralizing physician review files. In the 1980s many hospitals created quality assurance and risk management programs. Risk managers need to share data with quality assurance personnel, who must in turn share the information with medical staff involved with credentialing, peer review, and medical affairs management. Legal counsel will need to be familiar with the legalities of the act, as well as the hospital's peer review procedures and operations. General legal counsel should oversee coordination of hospital proceedings and assist in educating staff on the legalities of peer review.

  5. 7 CFR 58.141 - Alternate quality control program.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....141 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT...

  6. Region 9 Tribal Clean Water Act Programs and Grants

    EPA Pesticide Factsheets

    EPA's Tribal Water Office in Region 9 manages all grants related to the Clean Water Act for over 100 federally recognized tribes and provides programmatic and technical assistance for water quality standards and CWA grant programs.

  7. Regulation by consensus: The expanded use of regulatory negotiation under the Clean Air Act

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

    Claiborne, M.L.

    This article discusses the consensus building approach, which stems from the more formal regulatory negotiation process under the Negotiated Rulemaking Act of 1990, for improving air quality. The article uses as examples the joint plan to improve air quality and visibility in the Grand Canyon and 15 other national parks and wilderness areas in the SW USA, and the Southern Appalachian Mountain initiative tackling more complex issues including visibility, ground ozone, acid deposition, etc.

  8. 78 FR 21581 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ...EPA is proposing to approve revisions to the Antelope Valley Air Quality Management District (AVAQMD), Monterey Bay Unified Air Pollution Control District (MBUAPCD) and Santa Barbara County Air Pollution Control District (SCAPCD) portions of the California State Implementation Plan (SIP). We are proposing to approve revisions local rules that address emission statements for AVAQMD, rule rescissions that address public records for MBUAPCD, and define terms for SBCAPCD, under the Clean Air Act as amended in 1990 (CAA or the Act).

  9. Final report on the waste area grouping perimeter groundwater quality monitoring well installation program at Oak Ridge National Laboratory, Oak Ridge, Tennessee

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

    Greene, J.A.

    1991-06-01

    A groundwater quality monitoring well installation program was conducted at Oak Ridge National Laboratory (ORNL) to meet the requirements of environmental regulations, including the Resource Conservation and Recovery Act (RCRA) and the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA). A total of 173 wells were installed and developed at 11 different waste area groupings (WAGs) between June 1986 and November 1990. A location map of the wells is included.

  10. 40 CFR 121.1 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... certify compliance with applicable water quality standards. If an interstate agency has sole authority to... agency shall be the certifying agency. Where water quality standards have been promulgated by the... Control Act, 33 U.S.C. 1151 et seq. (g) Water quality standards means standards established pursuant to...

  11. 40 CFR 121.1 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... certify compliance with applicable water quality standards. If an interstate agency has sole authority to... agency shall be the certifying agency. Where water quality standards have been promulgated by the... Control Act, 33 U.S.C. 1151 et seq. (g) Water quality standards means standards established pursuant to...

  12. 40 CFR 35.600 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ASSISTANCE Environmental Program Grants for Tribes Water Quality Cooperative Agreements (section 104(b)(3)) § 35.600 Purpose. (a) Purpose of section. Sections 35.600 through 35.604 govern Water Quality... Water Act. These sections do not govern Water Quality Cooperative Agreements under section 104(b)(3) to...

  13. Unravelling Quality Culture in Higher Education: A Realist Review

    ERIC Educational Resources Information Center

    Bendermacher, G. W. G.; oude Egbrink, M. G. A.; Wolfhagen, I. H. A. P.; Dolmans, D. H. J. M.

    2017-01-01

    There is a growing belief that higher education institutions should nurture a "quality culture" in which structural/managerial and cultural/psychological elements act in synergy to continuously improve education. Notwithstanding the positive connotation of the "quality culture" concept, its exact configuration remains subject…

  14. 40 CFR 35.410 - Purpose.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ASSISTANCE Environmental Program Grants Water Quality Management Planning Grants (section 205(j)(2)) § 35.410 Purpose. (a) Purpose of section. Sections 35.410 through 35.418 govern Water Quality Management Planning... the Act. (b) Purpose of program. EPA awards Water Quality Management Planning Grants to carry out...

  15. 40 CFR 1517.2 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY PUBLIC MEETING PROCEDURES OF THE COUNCIL ON ENVIRONMENTAL QUALITY § 1517.2 Definitions. For the purpose of this part: (a) The term Council shall mean the Council on Environmental Quality established under title II of the National Environmental Policy Act of...

  16. 40 CFR 1517.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY PUBLIC MEETING PROCEDURES OF THE COUNCIL ON ENVIRONMENTAL QUALITY § 1517.2 Definitions. For the purpose of this part: (a) The term Council shall mean the Council on Environmental Quality established under title II of the National Environmental Policy Act of...

  17. 40 CFR 1517.2 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY PUBLIC MEETING PROCEDURES OF THE COUNCIL ON ENVIRONMENTAL QUALITY § 1517.2 Definitions. For the purpose of this part: (a) The term Council shall mean the Council on Environmental Quality established under title II of the National Environmental Policy Act of...

  18. 40 CFR 1517.2 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY PUBLIC MEETING PROCEDURES OF THE COUNCIL ON ENVIRONMENTAL QUALITY § 1517.2 Definitions. For the purpose of this part: (a) The term Council shall mean the Council on Environmental Quality established under title II of the National Environmental Policy Act of...

  19. 40 CFR 1517.2 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY PUBLIC MEETING PROCEDURES OF THE COUNCIL ON ENVIRONMENTAL QUALITY § 1517.2 Definitions. For the purpose of this part: (a) The term Council shall mean the Council on Environmental Quality established under title II of the National Environmental Policy Act of...

  20. AIR QUALITY CRITERIA FOR OZONE AND RELATED PHOTOCHEMICAL OXIDANTS

    EPA Science Inventory

    The Clean Air Act requires periodic (5-year) update revision of criteria and National Ambient Air Quality Standards (NAAQS) for Ozone. The previous revision of the criteria contained in the Air Quality Criteria Document (AQCD) for Ozone and Related Photochemical Oxidants was co...

  1. Clean air through transportation : challenges in meeting national air quality standards

    DOT National Transportation Integrated Search

    1993-08-01

    This report, required by Section 108(f)(3) of the Clean Air Act, as amended in 1990, addresses the issues of motor vehicles and air quality. The report discusses the challenges faced in attempting to improve air quality through transportation program...

  2. 40 CFR 35.410 - Purpose.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... ASSISTANCE Environmental Program Grants Water Quality Management Planning Grants (section 205(j)(2)) § 35.410 Purpose. (a) Purpose of section. Sections 35.410 through 35.418 govern Water Quality Management Planning... the Act. (b) Purpose of program. EPA awards Water Quality Management Planning Grants to carry out...

  3. 40 CFR 35.410 - Purpose.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... ASSISTANCE Environmental Program Grants Water Quality Management Planning Grants (section 205(j)(2)) § 35.410 Purpose. (a) Purpose of section. Sections 35.410 through 35.418 govern Water Quality Management Planning... the Act. (b) Purpose of program. EPA awards Water Quality Management Planning Grants to carry out...

  4. 40 CFR 35.410 - Purpose.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... ASSISTANCE Environmental Program Grants Water Quality Management Planning Grants (section 205(j)(2)) § 35.410 Purpose. (a) Purpose of section. Sections 35.410 through 35.418 govern Water Quality Management Planning... the Act. (b) Purpose of program. EPA awards Water Quality Management Planning Grants to carry out...

  5. 40 CFR 35.410 - Purpose.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... ASSISTANCE Environmental Program Grants Water Quality Management Planning Grants (section 205(j)(2)) § 35.410 Purpose. (a) Purpose of section. Sections 35.410 through 35.418 govern Water Quality Management Planning... the Act. (b) Purpose of program. EPA awards Water Quality Management Planning Grants to carry out...

  6. INFORMATION: Audit Report on "Accounting and Reporting for the American Recovery and Reinvestment Act by the Department of Energy's Funding Recipients"

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

    None

    2010-04-01

    The American Recovery and Reinvestment Act of 2009 (Recovery Act) was established to jumpstart the U.S. economy, create or save millions of jobs, and invest in the Nation's energy future. The Department of Energy received approximately $37 billion through the Recovery Act to support a variety of science, energy and environmental initiatives. The Office of Management and Budget (OMB) issued guidance for carrying out stimulus-related activities which requires, among other things, that recipients ensure funds provided by the Recovery Act are clearly distinguishable from non-Recovery Act funds in all reporting systems and that recipients' actions are transparent to the public.more » To meet these requirements, the Department's recipients must clearly and accurately track and report on 18 separate data elements. In addition, the Department was to develop and implement a process to ensure that recipient information reported to the public was free from material omissions and significant reporting errors. Our recent report (OAS-RA-10-01, October 2009) noted that the Department had developed a quality assurance process to facilitate the quarterly reviews of recipient data and planned to test it during the first quarterly reporting cycle. To determine whether the Department's quality assurance process was effective, we examined information reported by recipients of Departmental funding as of September 30, 2009. We also sought to determine whether the Department's prime contractors were prepared to track and report on Recovery Act activities. The Department had taken a number of actions designed to ensure the accuracy and transparency of reported Recovery Act results. This process identified potential anomalies with information reported by 1,113 of 2,038, or 55 percent of recipients. We view the Department's data quality assurance efforts as both timely and significant. As noted by our audit testing, however, opportunities exist to strengthen the process. In particular: (1) Site officials did not always ensure that anomalies, once identified during the quality assurance process, were actually resolved. For example, the Department's process identified that about 740 of the approximately 10,000 jobs reported in the first quarter of Fiscal Year 2010 as created/retained were for projects reported as having no funds spent. Although these problems were referred to site officials for follow-up and/or correction, the information was never actually changed; (2) The Department did not always utilize the correct basis when evaluating the accuracy of 'funds provided' data submitted by grant recipients. For example, in its analysis process, the Department used data reflecting 'funds obligated' rather than the correct amount of 'total grant awards'. This generated a number of potential false positives; and, (3) Duplicate reports by certain recipients, resulting in overstatements of as much as $137 million of the more than $18 billion obligated, were not corrected. We observed that the Department had taken prompt action to ensure that its prime facility management contractors could properly report Recovery Act information. Notably, the seven contractors in this category included in our review had modified their accounting systems, as necessary, to ensure that they could accurately track and report on Recovery Act activities. The systems at each of these entities had been restructured so that they: (i) could separate Recovery Act and non-Recovery Act funds; and, (ii) had adequate processing capacity to handle the projected increase in transactions. We found the Department's decision to limit its reviews to the four elements that it considered to be critical (award amount, invoiced amount, jobs created/retained, and project status) to be reasonable. We concluded, however, other elements or dependent relationships should not be completely excluded from review. Beyond its initial development and implementation of its quality assurance process, the Department had taken steps to improve its ability to ensure that Recovery Act information was both accurate and transparent to the public. Specifically, officials changed the quality assurance plan based on initial data reviews. Department officials also informed us that they are in the process of updating their quality assurance process to meet new OMB requirements. For example, recent guidance directed agencies to focus on certain data elements, such as award number and recipient name, during their quality assurance reviews. In addition, subsequent to our review, the Department added two more data elements and comparisons to its quarterly assurance process, including an analysis of costs/expenditures and a comparison of the recipient reported project status to the Department's data contained in its financial system.« less

  7. Acceptance and Commitment Therapy in Daily Life Training: A Feasibility Study of an mHealth Intervention

    PubMed Central

    Bakker, Jindra; Vaessen, Thomas; Kasanova, Zuzana; Collip, Dina; van Os, Jim; Wichers, Marieke; Germeys, Inez; Peeters, Frenk

    2016-01-01

    Background With the development of mHealth, it is possible to treat patients in their natural environment. Mobile technology helps to bridge the gap between the therapist’s office and the “real world.” The ACT in Daily Life training (ACT-DL) was designed as an add-on intervention to help patients practice with acceptance and commitment therapy in their daily lives. The ACT-DL consists of two main components: daily monitoring using experience sampling and ACT training in daily life. Objectives To assess the acceptability and feasibility of the ACT-DL in a general outpatient population. A secondary objective was to conduct a preliminary examination of the effectiveness of the ACT-DL. Methods An observational comparative study was conducted. The experimental group consisted of 49 patients who volunteered for ACT-DL, and the control group consisted of 112 patients who did not volunteer. As part of an inpatient treatment program, both groups received a 6-week ACT training. Participants went home to continue their treatment on an outpatient basis, during which time the experimental group received the 4-week add-on ACT-DL. Acceptability and feasibility of the ACT-DL was assessed weekly by telephone survey. Effectiveness of the ACT-DL was evaluated with several self-report questionnaires ( Flexibility Index Test (FIT-60): psychological flexibility, Brief Symptom Inventory: symptoms, Utrechtse Coping List: coping, and Quality of life visual analog scale (QoL-VAS): quality of life). Results More than three-quarters of the participants (76%) completed the full 4-week training. User evaluations showed that ACT-DL stimulated the use of ACT in daily life: participants practiced over an hour a week (mean 78.8 minutes, standard deviation 54.4), doing 10.4 exercises (standard deviation 6.0) on average. Both ACT exercises and metaphors were experienced as useful components of the training (rated 5 out of 7). Repeated measures ANCOVA did not show significant effects of the ACT-DL on psychological flexibility (P=.88), symptoms (P=.39), avoidant coping (P=.28), or quality of life (P=.15). Conclusions This is the first study that uses experience sampling to foster awareness in daily life in combination with acceptance and commitment therapy to foster skill building. Adherence to the ACT-DL was high for an intensive mHealth intervention. ACT-DL appears to be an acceptable and feasible mHealth intervention, suitable for a broad range of mental health problems. However, short-term effectiveness could not be demonstrated. Additional clinical trials are needed to examine both short-term and long-term effects. PMID:27634747

  8. 78 FR 16630 - Clean Air Act Grant: South Coast Air Quality Management District; Opportunity for Pubic Hearing

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-18

    ... Grant: South Coast Air Quality Management District; Opportunity for Pubic Hearing AGENCY: Environmental... expenditures of non-Federal funds for the South Coast Air Quality Management District (SCAQMD) in support of... to a non-selective reduction in the expenditures in the programs of the South Coast Air Quality...

  9. A Comparison of Assertive Community Treatment Fidelity Measures and Patient-Centered Medical Home Standards

    PubMed Central

    Vanderlip, Erik R.; Cerimele, Joseph M.; Monroe-DeVita, Maria

    2014-01-01

    Objective This study compared program measures of assertive community treatment (ACT) with standards of accreditation for the patient-centered medical home (PCMH) to determine whether there were similarities in the infrastructure of the two methods of service delivery and whether high-fidelity ACT teams would qualify for medical home accreditation. Methods The authors compared National Committee for Quality Assurance PCMH standards with two ACT fidelity measures (the Dartmouth Assertive Community Treatment Scale and the Tool for Measurement of Assertive Community Treatment [TMACT]) and with national ACT program standards. Results PCMH standards pertaining to enhanced access and continuity, management of care, and self-care support demonstrated strong overlap across ACT measures. Standards for identification and management of populations, care coordination and follow-up, and quality improvement demonstrated less overlap. The TMACT and the program standards had sufficient overlap to score in the range of a level 1 PCMH, but no ACT measure sufficiently detailed methods of population-based screening and tracking of referrals to satisfy “must-pass” elements of the standards. Conclusions ACT measures and medical home standards had significant overlap in innate infrastructure. ACT teams following the program standards or undergoing TMACT fidelity review could have the necessary infrastructure to serve as medical homes if they were properly equipped to supervise general medical care and administer activities to improve management of chronic diseases. PMID:23820753

  10. 7 CFR 52.782 - Allowances for quality factors.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT PROCESSED FRUITS AND VEGETABLES, PROCESSED...

  11. 7 CFR 52.810 - Allowances for quality factors.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT PROCESSED FRUITS AND VEGETABLES, PROCESSED...

  12. 7 CFR 52.810 - Allowances for quality factors.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT PROCESSED FRUITS AND VEGETABLES, PROCESSED...

  13. 7 CFR 52.782 - Allowances for quality factors.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Agriculture Regulations of the Department of Agriculture AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT PROCESSED FRUITS AND VEGETABLES, PROCESSED...

  14. 7 CFR 58.642 - Quality control tests.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) GRADING AND INSPECTION...

  15. 7 CFR 58.642 - Quality control tests.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) GRADING AND INSPECTION...

  16. 7 CFR 58.928 - Quality control tests.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) GRADING AND INSPECTION...

  17. 7 CFR 58.335 - Quality control tests.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) GRADING AND INSPECTION...

  18. ORD PYRETHROIDS PROJECT

    EPA Science Inventory

    The Food Quality Protection Act (FQPA) of 1996 requires the Agency to consider the cumulative effects of pesticides and other substances that act by a common mechanism. Under the mandates of FQPA, the Agency conducted a cumulative risk assessment for the organophosphate pesticid...

  19. 77 FR 39737 - Notice of Lodging of Proposed Consent Decree With Dairyland Power Cooperative Under the Clean Air...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-05

    ... Cooperative Under the Clean Air Act Pursuant to 28 CFR 50.7, notice is hereby given that on June 28, 2012, a... Wisconsin. In this civil enforcement action under the federal Clean Air Act (``Act''), the United States... intended to protect air quality. The complaint alleges that Dairyland violated the Prevention of...

  20. 75 FR 4070 - Science Advisory Board Staff Office; Notification of a Public Meeting of the Air Quality Modeling...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-26

    ... Prospective Analysis of the benefits and costs of the Clean Air Act. DATES: The meeting date is Friday... support the Second Prospective Section 812 Benefit-Cost Analysis of the Clean Air Act. The Council was... studies to assess benefits and costs of the EPA's regulatory actions under the Clean Air Act. The Council...

  1. 75 FR 20002 - Notice Pursuant to the National Cooperative Research and Production Act of 1993 Joint Venture...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-16

    ... demonstrate the production of low-cost, high-quality metallic and semiconducting single wall carbon nanotube... Production Act of 1993 Joint Venture Under Tip Award Number: 7ONANB1OHOO1 Notice is hereby given that, on February 3, 2010, pursuant to Section 6(a) of the National Cooperative Research and Production Act of 1993...

  2. 77 FR 35663 - Notice of Solicitation of Applications for Stakeholder Representative Members of the Missouri...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-14

    ... required by the U.S. Congress through the Water Resources Development Act of 2007 (WRDA), Section 5018... Act, 16 U.S.C. 1531 et seq.; Sec. 601(a) of the Water Resources Development Act (WRDA) of 1986, Public.... Hydropower; c. Irrigation; d. Local Government; e. Navigation; f. Thermal Power; g. Water Quality; h. Water...

  3. 78 FR 36174 - Notice of Solicitation of Applications for Stakeholder Representative Members of the Missouri...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-17

    ... the MRRIC as required by the U.S. Congress through the Water Resources Development Act of 2007 (WRDA... Endangered Species Act, 16 U.S.C. 1531 et seq.; Sec. 601(a) of the Water Resources Development Act (WRDA) of... Power; i. Water Quality; and j. Waterway Industries. Terms of stakeholder representative members of the...

  4. Implications of the No Child Left Behind Act of 2001 for Teacher Education. ERIC Digest.

    ERIC Educational Resources Information Center

    Trahan, Christopher

    The No Child Left Behind Act (NCLB) amends and changes programs from the Elementary and Secondary Education Act. Although the main component of this bill is Title I, it also highlights teacher education quality. NCLB was accompanied, for fiscal year 2002, by the largest increase ever in federal education aid, targeting federal resources to support…

  5. METHODS FOR DETERMINING RECREATIONAL WATER QUALITY

    EPA Science Inventory

    The goal of the clean water act of 1972 was to restore and maintain physical, chemical & biological quality of waters in the U.S. Although great progress has been made in cleaning up lakes, rivers and coastal waters many still do not meet water quality standards. Most beaches ha...

  6. Exploring Nontraditional Participation as an Approach to Make Water Quality Trading Markets More Effective

    EPA Science Inventory

    Water quality trading (WQT) under the Clean Water Act is a compliance option for water quality based effluent limitations in a National Pollutant Discharge Elimination System (NPDES) permit (i.e., the requirements for discharging, monitoring, and reporting). States that have enac...

  7. 75 FR 35632 - Transparency Provisions of Section 23 of the Natural Gas Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-23

    ... pipeline- quality natural gas. For instance, some Respondents questioned whether pipeline-quality natural gas that is sold directly into an interstate or intrastate natural gas pipeline without processing... reported transactions of pipeline-quality gas under the assumption that ``unprocessed natural gas'' was...

  8. 21 CFR 900.11 - Requirements for certification.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ....11 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MAMMOGRAPHY QUALITY STANDARDS ACT MAMMOGRAPHY Quality Standards and Certification § 900.11 Requirements for... FDA, facilities are required to meet the quality standards in § 900.12 and to be accredited by an...

  9. 21 CFR 900.21 - Application for approval as a certification agency.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... description of the mammography quality standards the applicant will require facilities to meet and, for those... certification standards the applicant will require facilities to meet are the quality standards published under... SERVICES (CONTINUED) MAMMOGRAPHY QUALITY STANDARDS ACT MAMMOGRAPHY States as Certifiers § 900.21...

  10. 3 CFR 101.5 - Council on Environmental Quality.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 3 The President 1 2014-01-01 2014-01-01 false Council on Environmental Quality. 101.5 Section 101.5 Presidential Documents EXECUTIVE OFFICE OF THE PRESIDENT PUBLIC INFORMATION PROVISIONS OF THE ADMINISTRATIVE PROCEDURES ACT § 101.5 Council on Environmental Quality. Freedom of Information regulations for...

  11. 3 CFR 101.5 - Council on Environmental Quality.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 3 The President 1 2013-01-01 2013-01-01 false Council on Environmental Quality. 101.5 Section 101.5 Presidential Documents EXECUTIVE OFFICE OF THE PRESIDENT PUBLIC INFORMATION PROVISIONS OF THE ADMINISTRATIVE PROCEDURES ACT § 101.5 Council on Environmental Quality. Freedom of Information regulations for...

  12. 3 CFR 101.5 - Council on Environmental Quality.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 3 The President 1 2012-01-01 2012-01-01 false Council on Environmental Quality. 101.5 Section 101.5 Presidential Documents EXECUTIVE OFFICE OF THE PRESIDENT PUBLIC INFORMATION PROVISIONS OF THE ADMINISTRATIVE PROCEDURES ACT § 101.5 Council on Environmental Quality. Freedom of Information regulations for...

  13. 3 CFR 101.5 - Council on Environmental Quality.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 3 The President 1 2010-01-01 2010-01-01 false Council on Environmental Quality. 101.5 Section 101.5 Presidential Documents EXECUTIVE OFFICE OF THE PRESIDENT PUBLIC INFORMATION PROVISIONS OF THE ADMINISTRATIVE PROCEDURES ACT § 101.5 Council on Environmental Quality. Freedom of Information regulations for...

  14. 3 CFR 101.5 - Council on Environmental Quality.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 3 The President 1 2011-01-01 2011-01-01 false Council on Environmental Quality. 101.5 Section 101.5 Presidential Documents EXECUTIVE OFFICE OF THE PRESIDENT PUBLIC INFORMATION PROVISIONS OF THE ADMINISTRATIVE PROCEDURES ACT § 101.5 Council on Environmental Quality. Freedom of Information regulations for...

  15. 45 CFR 156.1120 - Quality rating system.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Quality rating system. 156.1120 Section 156.1120 Public Welfare Department of Health and Human Services REQUIREMENTS RELATING TO HEALTH CARE ACCESS HEALTH INSURANCE ISSUER STANDARDS UNDER THE AFFORDABLE CARE ACT, INCLUDING STANDARDS RELATED TO EXCHANGES Quality...

  16. Chapter 5: Surface water quality sampling in streams and canals

    USDA-ARS?s Scientific Manuscript database

    Surface water sampling and water quality assessments have greatly evolved in the United States since the 1970s establishment of the Clean Water Act. Traditionally, water quality referred to only the chemical characteristics of the water and its toxicological properties related to drinking water or ...

  17. 75 FR 11503 - Approval and Promulgation of Air Quality Implementation Plans; Minnesota

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-11

    ... Promulgation of Air Quality Implementation Plans; Minnesota AGENCY: Environmental Protection Agency (EPA... PM 10 emission limits are being reduced, the air quality of Ramsey County will be protected. DATES...: (312) 385-5501. 4. Mail: Genevieve Damico, Acting Chief, Criteria Pollutant Section, Air Programs...

  18. 76 FR 67429 - National Advisory Committee on Institutional Quality and Integrity (NACIQI) Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... DEPARTMENT OF EDUCATION National Advisory Committee on Institutional Quality and Integrity (NACIQI) Meeting AGENCY: National Advisory Committee on Institutional Quality and Integrity, Office of... submissions comply with the requirements of Section 508 of the Rehabilitation Act, or be submitted in an...

  19. Can green roof act as a sink for contaminants? A methodological study to evaluate runoff quality from green roofs.

    PubMed

    Vijayaraghavan, K; Joshi, Umid Man

    2014-11-01

    The present study examines whether green roofs act as a sink or source of contaminants based on various physico-chemical parameters (pH, conductivity and total dissolved solids) and metals (Na, K, Ca, Mg, Al, Fe, Cr, Cu, Ni, Zn, Cd and Pb). The performance of green roof substrate prepared using perlite, vermiculite, sand, crushed brick, and coco-peat, was compared with local garden soil based on improvement of runoff quality. Portulaca grandiflora was used as green roof vegetation. Four different green roof configurations, with vegetated and non-vegetated systems, were examined for several artificial rain events (un-spiked and metal-spiked). In general, the vegetated green roof assemblies generated better-quality runoff with less conductivity and total metal ion concentration compared to un-vegetated assemblies. Of the different green roof configurations examined, P. grandiflora planted on green roof substrate acted as sink for various metals and showed the potential to generate better runoff. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Managing storm water at airports

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

    Halm, M.J.

    1996-09-01

    Airports are active facilities with numerous on-going operations at their sites. The following operations may adversely affect the water quality of nearby aquatic environments: De-icing runways; de-icing taxiways; de-icing and anti-icing aircraft; aircraft maintenance; and salt de-icer application. Until the amendments to the Clean Water Act of 1972, referred to as the Water Quality Act of 1987, were passed by Congress, the majority of storm water discharges in the US were unregulated. The Water Quality Act of 1987 was promulgated as an effort to manage the pollution resulting from storm water runoff. Many industrial facilities, especially airports, were faced withmore » complex problems in attempting to comply with these new federal regulations. National Pollution Discharge Elimination System (NPDES) permits for airports with more than 50,000 flight operations per year require periodic monitoring of receiving waters and storm sewer outfalls. The federal government has given states jurisdiction in issuing NPDES permits for storm water discharges. States may require composite or grab samples.« less

  1. Bois Forte Indoor Air Quality Program

    EPA Pesticide Factsheets

    The Bois Forte Indoor Air Quality Program acted swiftly and aggressively to tackle mold and moisture problems in its community members’ homes after several residents became ill as a result of environmental exposures.

  2. Hazardous Air Pollutants

    MedlinePlus

    ... Air Toxics Website Rules and Implementation Related Information Air Quality Data and Tools Clean Air Act Criteria Air ... Resources Visibility and Haze Voluntary Programs for Improving Air Quality Contact Us to ask a question, provide feedback, ...

  3. Water-quality, water-level, and discharge data associated with the Mississippi embayment agricultural chemical-transport study, 2006-2008

    USGS Publications Warehouse

    Dalton, Melinda S.; Rose, Claire E.; Coupe, Richard H.

    2010-01-01

    In 2006, the Agricultural Chemicals: Sources, Transport and Fate study team (Agricultural Chemicals Team, ACT) of the U.S. Geological Survey National Water-Quality Assessment Program began a study in northwestern Mississippi to evaluate the influence of surface-water recharge on the occurrence of agriculturally related nutrients and pesticides in the Mississippi River Valley alluvial aquifer. The ACT study was composed in the Bogue Phalia Basin, an indicator watershed within the National Water-Quality Assessment Program Mississippi Embayment Study Unit and utilized several small, subbasins within the Bogue Phalia to evaluate surface and groundwater interaction and chemical transport in the Basin. Data collected as part of this ACT study include water-quality data from routine and incident-driven water samples evaluated for major ions, nutrients, organic carbon, physical properties, and commonly used pesticides in the area; discharge, gage height and water-level data for surface-water sites, the shallow alluvial aquifer, and hyporheic zone; additionally, agricultural data and detailed management activities were reported by land managers for farms within two subbasins of the Bogue Phalia Basin—Tommie Bayou at Pace, MS, and an unnamed tributary to Clear Creek near Napanee, MS.

  4. Value-Based Payment Reform and the Medicare Access and Children's Health Insurance Program Reauthorization Act of 2015: A Primer for Plastic Surgeons.

    PubMed

    Squitieri, Lee; Chung, Kevin C

    2017-07-01

    In 2015, the U.S. Congress passed the Medicare Access and Children's Health Insurance Program Reauthorization Act, which effectively repealed the Centers for Medicare and Medicaid Services sustainable growth rate formula and established the Centers for Medicare and Medicaid Services Quality Payment Program. The Medicare Access and Children's Health Insurance Program Reauthorization Act represents an unparalleled acceleration toward value-based payment models and a departure from traditional volume-driven fee-for-service reimbursement. The Quality Payment Program includes two paths for provider participation: the Merit-Based Incentive Payment System and Advanced Alternative Payment Models. The Merit-Based Incentive Payment System pathway replaces existing quality reporting programs and adds several new measures to create a composite performance score for each provider (or provider group) that will be used to adjust reimbursed payment. The advanced alternative payment model pathway is available to providers who participate in qualifying Advanced Alternative Payment Models and is associated with an initial 5 percent payment incentive. The first performance period for the Merit-Based Incentive Payment System opens January 1, 2017, and closes on December 31, 2017, and is associated with payment adjustments in January of 2019. The Centers for Medicare and Medicaid Services estimates that the majority of providers will begin participation in 2017 through the Merit-Based Incentive Payment System pathway, but aims to have 50 percent of payments tied to quality or value through Advanced Alternative Payment Models by 2018. In this article, the authors describe key components of the Medicare Access and Children's Health Insurance Program Reauthorization Act to providers navigating through the Quality Payment Program and discuss how plastic surgeons may optimize their performance in this new value-based payment program.

  5. Poor quality vital anti-malarials in Africa - an urgent neglected public health priority

    PubMed Central

    2011-01-01

    Background Plasmodium falciparum malaria remains a major public health problem. A vital component of malaria control rests on the availability of good quality artemisinin-derivative based combination therapy (ACT) at the correct dose. However, there are increasing reports of poor quality anti-malarials in Africa. Methods Seven collections of artemisinin derivative monotherapies, ACT and halofantrine anti-malarials of suspicious quality were collected in 2002/10 in eleven African countries and in Asia en route to Africa. Packaging, chemical composition (high performance liquid chromatography, direct ionization mass spectrometry, X-ray diffractometry, stable isotope analysis) and botanical investigations were performed. Results Counterfeit artesunate containing chloroquine, counterfeit dihydroartemisinin (DHA) containing paracetamol (acetaminophen), counterfeit DHA-piperaquine containing sildenafil, counterfeit artemether-lumefantrine containing pyrimethamine, counterfeit halofantrine containing artemisinin, and substandard/counterfeit or degraded artesunate and artesunate+amodiaquine in eight countries are described. Pollen analysis was consistent with manufacture of counterfeits in eastern Asia. These data do not allow estimation of the frequency of poor quality anti-malarials in Africa. Conclusions Criminals are producing diverse harmful anti-malarial counterfeits with important public health consequences. The presence of artesunate monotherapy, substandard and/or degraded and counterfeit medicines containing sub-therapeutic amounts of unexpected anti-malarials will engender drug resistance. With the threatening spread of artemisinin resistance to Africa, much greater investment is required to ensure the quality of ACTs and removal of artemisinin monotherapies. The International Health Regulations may need to be invoked to counter these serious public health problems. PMID:22152094

  6. Green Infrastructure Research at NRMRL’s Urban Watershed Research Facility

    EPA Science Inventory

    USEPA’s National Risk Management Research Laboratory (NRMRL) examined several options for completing water quality research supporting the Clean Water Act and the Safe Drinking Water Act. NRMRL concluded that developing and understanding the engineering unit processes within gre...

  7. Clean Water Act (CWA) Action Plan Implementation Priorities: Changes to Improve Water Quality, Increase Compliance and Expand Transparency

    EPA Pesticide Factsheets

    The Clean Water Act (CWA) Action Plan Implementation Priorities describes the new approaches to revamp the National Pollutant Discharge Elimination System (NPDES) permitting, compliance and enforcement program.Issued May 11, 2011

  8. A School-Based Quality Improvement Program.

    ERIC Educational Resources Information Center

    Rappaport, Lewis A.

    1993-01-01

    As one Brooklyn high school discovered, quality improvement begins with administrator commitment and participants' immersion in the literature. Other key elements include ongoing training of personnel involved in the quality-improvement process, tools such as the Deming Cycle (plan-do-check-act), voluntary and goal-oriented teamwork, and a worthy…

  9. 75 FR 996 - Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Section 1013: Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-07

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Medicare... Effective Health Care Stakeholder Group AGENCY: Agency for Healthcare Research and Quality (AHRQ), DHHS.... SUMMARY: The DHHS Agency for Healthcare Research and Quality (AHRQ) invites nominations from interested...

  10. 78 FR 6819 - Patient Safety Organizations: Voluntary Relinquishment From the BREF PSO

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-31

    ..., Center for Quality Improvement and Patient Safety, AHRQ, 540 Gaither Road, Rockville, MD 20850; Telephone... DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Patient Safety... (AHRQ), HHS. ACTION: Notice of delisting. SUMMARY: The Patient Safety and Quality Improvement Act of...

  11. 40 CFR 35.2024 - Combined sewer overflows.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... project priority list, it addresses impaired uses in priority water quality areas which are due to the... must demonstrate to the Administrator that the water quality goals of the Act will not be achieved... priority water quality areas in marine bays and estuaries due to the impacts of combined sewer overflows...

  12. 40 CFR 52.275 - Particulate matter control.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... National Ambient Air Quality Standards or any other applicable requirement of the Clean Air Act. (1) South Coast Air Quality Management District. (i) Rule 401, submitted on January 12, 1999. [43 FR 25675, June... interfere with the attainment and maintenance of the National Ambient Air Quality Standards. (1) Amador...

  13. 40 CFR 35.2015 - State priority system and project priority list.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... achieve optimum water quality management consistent with the goals and requirements of the Act. All..., needs and priorities set forth in areawide water quality management plans, and any other factors... priority to projects in priority water quality areas. The priority system may also include the...

  14. 40 CFR 130.0 - Program summary and purpose.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.0 Program summary and purpose. (a) This subpart establishes policies and program requirements for water quality planning, management and implementation under sections 106, 205(j), non-construction management 205(g), 208, 303 and 305 of the Clean Water Act. The Water Quality...

  15. 40 CFR 35.917 - Facilities planning (step 1).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... projection totals and disaggregations in approved water quality management (WQM) plans. (See paragraph 8a(3... the most economical means of meeting established effluent and water quality goals while recognizing... WQM work program, or that award of the grant is necessary to achieve water quality goals of the Act...

  16. 77 FR 73611 - Submission for OMB Review; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-11

    ...: Negative Quality Control Review Schedule. OMB Control Number: 0584-0034. Summary of Collection: The legislative basis for the operation of the quality control system is provided by section 16 of the Food and Nutrition Act of 2008. State agencies are required to perform Quality Control (QC) reviews for the...

  17. 77 FR 36263 - Notice of Proposed Information Collection Requests; Office of Postsecondary Education; Higher...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-18

    ... institutions of higher education (IHEs) on the quality of teacher preparation and state teacher certification... of Collection: Higher Education Opportunity Act (HEOA) Title II Reporting Forms on Teacher Quality... institutions of higher education (IHEs) on the quality of teacher preparation and state teacher certification...

  18. 78 FR 10127 - Request for Nominations to the Agricultural Air Quality Task Force

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-13

    ... Conservation Service Request for Nominations to the Agricultural Air Quality Task Force AGENCY: Natural... Nominations to the Agricultural Air Quality Task Force. SUMMARY: The Secretary of Agriculture invites... Force (AAQTF) which was established by the Federal Agriculture Improvement and Reform Act of 1996 to...

  19. 40 CFR 35.917 - Facilities planning (step 1).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... projection totals and disaggregations in approved water quality management (WQM) plans. (See paragraph 8a(3... the most economical means of meeting established effluent and water quality goals while recognizing... WQM work program, or that award of the grant is necessary to achieve water quality goals of the Act...

  20. 40 CFR 52.1436 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 4 2014-07-01 2014-07-01 false Significant deterioration of air quality. 52.1436 Section 52.1436 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. The requirements of sections 160 through 165 of the Clean Air Act...

  1. 40 CFR 52.382 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 3 2014-07-01 2014-07-01 false Significant deterioration of air quality. 52.382 Section 52.382 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met...

  2. 40 CFR 52.884 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 3 2012-07-01 2012-07-01 false Significant deterioration of air quality. 52.884 Section 52.884 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of section 160 through 165 of the Clean Air Act, as amended...

  3. 40 CFR 52.884 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 3 2011-07-01 2011-07-01 false Significant deterioration of air quality. 52.884 Section 52.884 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of section 160 through 165 of the Clean Air Act, as amended...

  4. 40 CFR 52.382 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 3 2013-07-01 2013-07-01 false Significant deterioration of air quality. 52.382 Section 52.382 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met...

  5. 40 CFR 52.1436 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 4 2011-07-01 2011-07-01 false Significant deterioration of air quality. 52.1436 Section 52.1436 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. The requirements of sections 160 through 165 of the Clean Air Act...

  6. 40 CFR 52.884 - Significant deterioration of air quality.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 3 2014-07-01 2014-07-01 false Significant deterioration of air quality. 52.884 Section 52.884 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of section 160 through 165 of the Clean Air Act, as amended...

  7. 40 CFR 52.1436 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 4 2013-07-01 2013-07-01 false Significant deterioration of air quality. 52.1436 Section 52.1436 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. The requirements of sections 160 through 165 of the Clean Air Act...

  8. 40 CFR 52.1436 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 4 2012-07-01 2012-07-01 false Significant deterioration of air quality. 52.1436 Section 52.1436 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. The requirements of sections 160 through 165 of the Clean Air Act...

  9. 40 CFR 52.382 - Significant deterioration of air quality.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 3 2011-07-01 2011-07-01 false Significant deterioration of air quality. 52.382 Section 52.382 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met...

  10. 40 CFR 52.884 - Significant deterioration of air quality.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 3 2013-07-01 2013-07-01 false Significant deterioration of air quality. 52.884 Section 52.884 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of section 160 through 165 of the Clean Air Act, as amended...

  11. 40 CFR 52.382 - Significant deterioration of air quality.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 3 2012-07-01 2012-07-01 false Significant deterioration of air quality. 52.382 Section 52.382 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met...

  12. Phase II Recommendations by the Air Quality Management Subcommittee to the Clean Air Act Advisory Committee

    EPA Pesticide Factsheets

    The primary charge of the AQM Subcommittee was to develop recommendations to improve the air quality management system and address the air quality challenges in this country expected over the next 10 to 20 years. This report addresses those challenges.

  13. 40 CFR 52.1436 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 4 2010-07-01 2010-07-01 false Significant deterioration of air quality. 52.1436 Section 52.1436 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... Significant deterioration of air quality. The requirements of sections 160 through 165 of the Clean Air Act...

  14. 40 CFR 52.884 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Significant deterioration of air quality. 52.884 Section 52.884 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of section 160 through 165 of the Clean Air Act, as amended...

  15. 40 CFR 52.382 - Significant deterioration of air quality.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Significant deterioration of air quality. 52.382 Section 52.382 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... deterioration of air quality. (a) The requirements of sections 160 through 165 of the Clean Air Act are not met...

  16. 40 CFR 130.0 - Program summary and purpose.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.0 Program summary and purpose. (a) This subpart establishes policies and program requirements for water quality planning, management and implementation under sections 106, 205(j), non-construction management 205(g), 208, 303 and 305 of the Clean Water Act. The Water Quality...

  17. 40 CFR 130.0 - Program summary and purpose.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.0 Program summary and purpose. (a) This subpart establishes policies and program requirements for water quality planning, management and implementation under sections 106, 205(j), non-construction management 205(g), 208, 303 and 305 of the Clean Water Act. The Water Quality...

  18. 40 CFR 130.0 - Program summary and purpose.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.0 Program summary and purpose. (a) This subpart establishes policies and program requirements for water quality planning, management and implementation under sections 106, 205(j), non-construction management 205(g), 208, 303 and 305 of the Clean Water Act. The Water Quality...

  19. Annual committee reports in 1983: Environmental Quality Committee

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

    Not Available

    1984-01-01

    The committee reports several judicial developments under the Endangered Species Act, the Marine Mammal Protection Act, the Federal Insecticide, Fungicide and Rodenticide Act, and the National Environmental Policy Act. Among other issues, the lawsuits dealt with the recovery of attorneys' fees, plans to open forest and offshore areas for resource exploration and development, the incidental taking of porpoises during tuna fishing, and pesticide labeling requirements and proprietary secrets. Although there was no legislative action, there was some rule and guideline writing under administrative development. 112 references.

  20. 30 CFR 285.659 - What requirements must I include in my SAP, COP, or GAP regarding air quality?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., or GAP regarding air quality? 285.659 Section 285.659 Mineral Resources MINERALS MANAGEMENT SERVICE... must I include in my SAP, COP, or GAP regarding air quality? (a) You must comply with the Clean Air Act...) For air quality modeling that you perform in support of the activities proposed in your plan, you...

  1. 42 CFR 476.72 - Review of the quality of care of risk-basis health maintenance organizations and competitive...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) QUALITY IMPROVEMENT... under section 1154(a)(4) of the Act, a QIO must determine whether the quality of services (including... 42 Public Health 4 2010-10-01 2010-10-01 false Review of the quality of care of risk-basis health...

  2. Positive and Negative Aspects of Relationship Quality and Unprotected Sex among Young Women.

    PubMed

    Brady, Sonya S; Gruber, Sandra K; Wolfson, Julian A

    2016-01-01

    The aim of this study was to examine both positive and negative aspects of relationship quality in relation to condom use. Sexually active young women aged 14-18 years (n=111; 34% non-white) were recruited from community clinics and schools in the Midwest USA and provided data via an online survey. The number of unprotected sex acts in the past month with the most recent male partner was regressed on relationship quality with that partner, adjusting for demographics and other characteristics. Negative relationship quality was associated with a greater number of unprotected sex acts among women reporting a low level of positive relationship quality and among women taking hormonal/IUD contraception. Positive relationship quality was associated with unprotected sex among women who reported multiple partners in the past month. Both positive and negative aspects of relationship quality may confer risk for unprotected sex. This risk appears modified by patterns of contraceptive use and other sexual behaviours. Health professionals may be more effective in promoting condom use if they ask questions about both positive and negative aspects of young people's relationship quality and tailor their conversations based on the responses received.

  3. School Readiness Act of 1991. Report to Accompany S.911. Senate, 102d Congress, 1st Session.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC. Senate Committee on Labor and Human Resources.

    The School Readiness Act of 1991 (S. 911) amends the Head Start Act to expand the availability of the comprehensive health, educational, nutritional, and social services of Head Start to all eligible children and their families by 1997. This senate report on S. 911 begins by affirming the effectiveness of high quality early childhood development…

  4. School Leadership Interventions under the Every Student Succeeds Act: Evidence Review. Updated and Expanded. Research Report. RR-1550-3-WF

    ERIC Educational Resources Information Center

    Herman, Rebecca; Gates, Susan M.; Arifkhanova, Aziza; Barrett, Mark; Bega, Andriy; Chavez-Herrerias, Emilio R.; Han, Eugeniu; Harris, Mark; Migacheva, Katya; Ross, Rachel; Leschitz, Jennifer T.; Wrabel, Stephani L.

    2017-01-01

    The Every Student Succeeds Act (ESSA) presents a renewed focus on school leadership and acknowledges the importance of school principals to school improvement and effective instruction (Public Law No. 114-95, 2015). The act allows states and districts to use federal funds for activities targeting the quality of school principals and other school…

  5. Water Quality Indicators Data Usability Improvement Project ...

    EPA Pesticide Factsheets

    ECHO, Enforcement and Compliance History Online, provides compliance and enforcement information for approximately 800,000 EPA-regulated facilities nationwide. ECHO includes permit, inspection, violation, enforcement action, and penalty information about facilities regulated under the Clean Air Act (CAA) Stationary Source Program, Clean Water Act (CWA) National Pollutant Elimination Discharge System (NPDES), and/or Resource Conservation and Recovery Act (RCRA). Information also is provided on surrounding demographics when available.

  6. National List of Beaches

    EPA Pesticide Factsheets

    EPA has published a list of coastal recreation waters adjacent to beaches (or similar points of access) used by the public in the U.S. The list, required by the Beaches Environmental Assessment and Coastal Health Act (BEACH Act), identifies waters that are subject to a state beach water quality monitoring and public notification program consistent with the National Beach Guidance and Required Performance Criteria for BEACH Act Grants.

  7. Making the Most of the Every Student Succeeds Act (ESSA): Helping States Focus on School Equity, Quality and Climate

    ERIC Educational Resources Information Center

    Penuel, William; Meyer, Elizabeth; Valladares, Michelle Renée

    2016-01-01

    Staff in State Departments of Education are diligently reviewing and revising their state accountability systems to meet the new requirements and opportunities of the Every Student Succeeds Act (ESSA). ESSA is the latest reauthorization of the 1965 Elementary and Secondary Education Act, the primary federal bill guiding K-12 education policy. As a…

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

    EPA Pesticide Factsheets

    EPA announced that the Second External Review Draft of the Integrated Science Assessment (ISA) for Carbon Monoxide (CO) and related Annexes was made available for independent peer review and public review. This draft ISA document represents a concise synthesis and evaluation of the most policy-relevant science and will ultimately provide the scientific bases for EPA's decision regarding whether the current standards for CO sufficiently protect public health and the environment. Section 108(a) of the Clean Air Act directs the EPA Administrator to identify certain pollutants that “cause or contribute to air pollution which may reasonably be anticipated to endanger public health or welfare” and to issue air quality criteria for them. These air quality criteria are to “accurately reflect the latest scientific knowledge useful in indicating the kind and extent of all identifiable effects on public health or welfare which may be expected from the presence of such pollutant in the ambient air….” Under section 109 of the Act, EPA is to establish national ambient air quality standards (NAAQS) for each pollutant for which EPA has issued criteria. Section 109(d) of the Act requires periodic review and, if appropriate, revision of existing air quality criteria to reflect advances in scientific knowledge on the effects of the pollutant on public health or welfare. EPA is also to revise the NAAQS, if appropriate, based on the revised air quality criteria.

  9. Reforming Cardiovascular Care in the United States towards High-Quality Care at Lower Cost with Examples from Model Programs in the State of Michigan.

    PubMed

    Alyeshmerni, Daniel; Froehlich, James B; Lewin, Jack; Eagle, Kim A

    2014-07-01

    Despite its status as a world leader in treatment innovation and medical education, a quality chasm exists in American health care. Care fragmentation and poor coordination contribute to expensive care with highly variable quality in the United States. The rising costs of health care since 1990 have had a huge impact on individuals, families, businesses, the federal and state governments, and the national budget deficit. The passage of the Affordable Care Act represents a large shift in how health care is financed and delivered in the United States. The objective of this review is to describe some of the economic and social forces driving health care reform, provide an overview of the Patient Protection and Affordable Care Act (ACA), and review model cardiovascular quality improvement programs underway in the state of Michigan. As health care reorganization occurs at the federal level, local and regional efforts can serve as models to accelerate improvement toward achieving better population health and better care at lower cost. Model programs in Michigan have achieved this goal in cardiovascular care through the systematic application of evidence-based care, the utilization of regional quality improvement collaboratives, community-based childhood wellness promotion, and medical device-based competitive bidding strategies. These efforts are examples of the direction cardiovascular care delivery will need to move in this era of the Affordable Care Act.

  10. Managing Air Quality - Program Implementation

    EPA Pesticide Factsheets

    Describes elements for the set of activities to ensure that control strategies are put into effect and that air quality goals and standards are fulfilled, permitting programs, and additional resources related to implementation under the Clean Air Act.

  11. Transportation impact analysis gets a failing grade when it comes to climate change and smart growth

    DOT National Transportation Integrated Search

    2008-12-01

    Transportation impact analysis performed to comply with environmental impact laws (i.e., the : California Environmental Quality Act or the National Environmental Policy Act) often focuses : on only one perspective about potential impacts. That perspe...

  12. Rules, Roles, and Responsibilities in Transportation Planning and Air Quality: One State's View

    DOT National Transportation Integrated Search

    1999-01-01

    The Clean Air Act Amendments (CAAA) of 1990 and the Intermodal Surface : Transportation Efficiency Act (ISTEA) of 1991 are a pivotal moment in : transportation planning in the United States. In 1997 the U.S. Environmental : Protection Agency revised ...

  13. PROTECTING ECOLOGICAL RESOURCES WITH THE CLEAN AIR ACT: THE ROLE OF SCIENCE

    EPA Science Inventory

    The Clean Air Act provides for establishing National Ambient Air Quality Standards (NAAQS) to protect public welfare (including crops, forests, ecosystems, and soils) from adverse effects of air pollutants, including tropospheric ozone. The formulation of policies is science-base...

  14. COMPARISON OF MULTIPLE POINT AND COMPOSITE SAMPLING FOR THE PURPOSE OF MONITORING BATHING WATER QUALITY

    EPA Science Inventory

    The USEPA Beaches Environmental Assessment and Coastal Health Act (BEACH Act) requires states to develop monitoring and notification programs for recreational waters using approved bacterial indicators. Implementation of an appropriate monitoring program can, under some circumsta...

  15. THE EPA/ORD/NERL'S HUMAN EXPOSURE MEASUREMENTS PROGRAM - CHILDREN'S FOCUS

    EPA Science Inventory

    The U.S. EPA's National Exposure Research Laboratory (NERL) conducts research in support of the Food Quality Protection Act (FQPA) of 1996. FQPA requires that children's risks to pesticide exposures be considered during the tolerance-setting process. The Act requires exposure...

  16. 76 FR 62410 - Agency Information Collection Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-07

    ... proposed information collection project: ``Evaluation of the Children's Health Insurance Program... Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant... under subsection (d) of Sec. 401(a) of the Children's Health Insurance Program Reauthorization Act of...

  17. 77 FR 26475 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-04

    ...EPA is proposing to approve revisions to the Antelope Valley Air Quality Management District (AVAQMD), Eastern Kern Air Pollution Control District (EKAPCD), and Santa Barbara County Air Pollution Control District (SBCAPCD) portions of the California State Implementation Plan (SIP). We are proposing to approve revisions to local rules that define terms used in other air pollution regulations in these areas and a rule rescission that address Petroleum Coke Calcining Operations--Oxides of Sulfur, under the Clean Air Act as amended in 1990 (CAA or the Act).

  18. 78 FR 21545 - Revisions to the California State Implementation Plan, Antelope Valley Air Quality Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-11

    ...EPA is taking direct final action to approve revisions to the Antelope Valley Air Quality Management District (AVAQMD) and Monterey Bay Unified Air Pollution Control District (MBUAPCD) and Santa Barbara County Air Pollution Control District (SBCAPCD) portions of the California State Implementation Plan (SIP). Under authority of the Clean Air Act as amended in 1990 (CAA or the Act), we are approving local rules that address emission statements for AVAQMD, rule rescissions that addresses public records for MBUAPCD, and define terms for SBCAPCD.

  19. Microbiological water methods: quality control measures for Federal Clean Water Act and Safe Drinking Water Act regulatory compliance.

    PubMed

    Root, Patsy; Hunt, Margo; Fjeld, Karla; Kundrat, Laurie

    2014-01-01

    Quality assurance (QA) and quality control (QC) data are required in order to have confidence in the results from analytical tests and the equipment used to produce those results. Some AOAC water methods include specific QA/QC procedures, frequencies, and acceptance criteria, but these are considered to be the minimum controls needed to perform a microbiological method successfully. Some regulatory programs, such as those at Code of Federal Regulations (CFR), Title 40, Part 136.7 for chemistry methods, require additional QA/QC measures beyond those listed in the method, which can also apply to microbiological methods. Essential QA/QC measures include sterility checks, reagent specificity and sensitivity checks, assessment of each analyst's capabilities, analysis of blind check samples, and evaluation of the presence of laboratory contamination and instrument calibration and checks. The details of these procedures, their performance frequency, and expected results are set out in this report as they apply to microbiological methods. The specific regulatory requirements of CFR Title 40 Part 136.7 for the Clean Water Act, the laboratory certification requirements of CFR Title 40 Part 141 for the Safe Drinking Water Act, and the International Organization for Standardization 17025 accreditation requirements under The NELAC Institute are also discussed.

  20. Implications of recent EIA changes in Thailand

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

    Tongcumpou, C.; Harvey, N.

    The practice of environmental impact assessment (EIA) was implemented in Thailand after the revision of the National Environmental Quality Act in 1978. This led to more than 3,000 EIA documents being prepared and officially submitted up to 1992. More recently, a new act, the Enhancement and Conservation of National Environmental Quality Act, was introduced in 1992. As a consequence, some aspects of environmental legislation have been improved including the EIA process, which is expected to be more effective under the new act. This article examines the development and implementation of the EIA process in Thailand and its effectiveness in themore » context of its performance as an environmental management tool. The strengths and weaknesses of the EIA process under the original act are analyzed and compared to the new act, using two case studies in order to gain an insight into the EIA system. The first is the Second Stage Expressway in Bangkok, and the second is the Pak Mun Hydroelectric Dam project in Ubon Rachathani, a northeastern province of Thailand. EIAs for these projects were originally submitted according to the requirements of the old act. Both are public projects that have aroused controversy for different environmental reasons, although final decisions have been made facilitating the implementation of these projects. Finally, the article presents some suggestions for improving the content and procedures for the EIA system in Thailand.« less

  1. Reducing the impact of environmental noise on quality of life requires an effective national noise policy

    DOT National Transportation Integrated Search

    2003-06-22

    The focus here is on the impact of environmental noise on the quality of life. After : reviewing the terms of The Noise Control Act of 1972 (NCA 72) related to quality of life, : the authors explore the following issues: (1) the desire for an accepta...

  2. 40 CFR 131.21 - EPA review and approval of water quality standards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Act remains the applicable standard until EPA approves a change, deletion, or addition to that water... 40 Protection of Environment 23 2013-07-01 2013-07-01 false EPA review and approval of water... (CONTINUED) WATER PROGRAMS WATER QUALITY STANDARDS Procedures for Review and Revision of Water Quality...

  3. 40 CFR 131.21 - EPA review and approval of water quality standards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Act remains the applicable standard until EPA approves a change, deletion, or addition to that water... 40 Protection of Environment 22 2014-07-01 2013-07-01 true EPA review and approval of water... (CONTINUED) WATER PROGRAMS WATER QUALITY STANDARDS Procedures for Review and Revision of Water Quality...

  4. 40 CFR 131.21 - EPA review and approval of water quality standards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Act remains the applicable standard until EPA approves a change, deletion, or addition to that water... 40 Protection of Environment 23 2012-07-01 2012-07-01 false EPA review and approval of water... (CONTINUED) WATER PROGRAMS WATER QUALITY STANDARDS Procedures for Review and Revision of Water Quality...

  5. 40 CFR 131.21 - EPA review and approval of water quality standards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Act remains the applicable standard until EPA approves a change, deletion, or addition to that water... 40 Protection of Environment 22 2011-07-01 2011-07-01 false EPA review and approval of water... (CONTINUED) WATER PROGRAMS WATER QUALITY STANDARDS Procedures for Review and Revision of Water Quality...

  6. 78 FR 16826 - Approval and Promulgation of Air Quality Implementation Plans; Ohio; Cleveland-Akron-Lorain and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-19

    ...-9790-1] Approval and Promulgation of Air Quality Implementation Plans; Ohio; Cleveland-Akron-Lorain and Columbus 1997 8-Hour Ozone Maintenance Plan Revisions to Approved Motor Vehicle Emissions Budgets AGENCY... quality State Implementation Plans (SIPs) under the Clean Air Act to replace the previously approved motor...

  7. 78 FR 28551 - Approval and Promulgation of Air Quality Implementation Plans; Ohio; Canton-Massillon 1997 8-Hour...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-15

    ... Promulgation of Air Quality Implementation Plans; Ohio; Canton-Massillon 1997 8-Hour Ozone Maintenance Plan..., Ohio, 1997 8-hour ozone maintenance air quality State Implementation Plan (SIP) under the Clean Air Act... Motor Vehicle Emissions Simulator (MOVES) emissions model. Ohio submitted the SIP revision request to...

  8. 40 CFR 130.10 - State submittals to EPA.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.10 State submittals to EPA. (a) The following must be submitted... the annual section 205(j) certification or update of the 305(b) water quality report; (Approved by OMB... water quality standards (WQS) (303(c)). (Approved by OMB under 2040-0049) (b) The Act also requires that...

  9. 40 CFR 130.10 - State submittals to EPA.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.10 State submittals to EPA. (a) The following must be submitted... the annual section 205(j) certification or update of the 305(b) water quality report; (Approved by OMB... water quality standards (WQS) (303(c)). (Approved by OMB under 2040-0049) (b) The Act also requires that...

  10. 40 CFR 130.10 - State submittals to EPA.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.10 State submittals to EPA. (a) The following must be submitted... the annual section 205(j) certification or update of the 305(b) water quality report; (Approved by OMB... water quality standards (WQS) (303(c)). (Approved by OMB under 2040-0049) (b) The Act also requires that...

  11. 40 CFR 130.10 - State submittals to EPA.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.10 State submittals to EPA. (a) The following must be submitted... the annual section 205(j) certification or update of the 305(b) water quality report; (Approved by OMB... water quality standards (WQS) (303(c)). (Approved by OMB under 2040-0049) (b) The Act also requires that...

  12. 40 CFR 130.10 - State submittals to EPA.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... QUALITY PLANNING AND MANAGEMENT § 130.10 State submittals to EPA. (a) The following must be submitted... the annual section 205(j) certification or update of the 305(b) water quality report; (Approved by OMB... water quality standards (WQS) (303(c)). (Approved by OMB under 2040-0049) (b) The Act also requires that...

  13. 77 FR 1687 - EPA Workshops on Achieving Water Quality Through Integrated Municipal Stormwater and Wastewater...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-11

    ... ENVIRONMENTAL PROTECTION AGENCY [EPA-HQ-OW-2011-0986; FRL-9617-1] EPA Workshops on Achieving Water Quality Through Integrated Municipal Stormwater and Wastewater Plans Under the Clean Water Act (CWA... integrated municipal stormwater and wastewater plans to meet the water quality objectives of the CWA. The...

  14. 21 CFR 106.1 - Status and applicability of the quality control procedures regulation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION INFANT FORMULA QUALITY CONTROL PROCEDURES... infant formula meets the safety, quality, and nutrient requirements of section 412 of the act and the..., processing, and packaging of an infant formula shall render such formula adulterated under section 412(a)(1...

  15. 21 CFR 106.1 - Status and applicability of the quality control procedures regulation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AND HUMAN SERVICES (CONTINUED) FOOD FOR HUMAN CONSUMPTION INFANT FORMULA QUALITY CONTROL PROCEDURES... infant formula meets the safety, quality, and nutrient requirements of section 412 of the act and the..., processing, and packaging of an infant formula shall render such formula adulterated under section 412(a)(1...

  16. Fiscal Year 1997-2000 transportation improvement program : air quality analysis : air quality conformity determination documentation for the Franklin, Delaware, and Licking County maintenance area

    DOT National Transportation Integrated Search

    1996-04-01

    Under the Clean Air Act Amendments (CAAA) Franklin, Delaware and Licking : Counties were designated a marginal nonattainment area for ozone. This : designation was based on 1988 air quality data which violated the NAAQS for : ozone. Since 1988 year t...

  17. 78 FR 9703 - Food and Drug Administration/Xavier University PharmaLink Conference-Quality in a Global Supply...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ... the Office of the Commissioner on the implementation of the FDA Safety and Innovation Act, Business Impact of Outsourcing, Supplier Management Models that Work, Implementing Quality by Design (QbD... quality and management through the following topics: Beyond our Borders--Maximizing the Impact of FDA's...

  18. Quality in Work-Based Studies Not Lost, Merely Undiscovered

    ERIC Educational Resources Information Center

    Gibbs, Paul

    2009-01-01

    The argument made in this paper is that good quality is subsumed into the practices of skillful participants and that institutions should act upon their consciences. This is particularly important in the complex blending of the workplace and the academy, where codified quality may disrupt learning rather than support a flourishing environment for…

  19. 78 FR 4337 - Approval and Promulgation of Air Quality Implementation Plans; New Mexico; Infrastructure and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-22

    ... Promulgation of Air Quality Implementation Plans; New Mexico; Infrastructure and Interstate Transport.... SUMMARY: EPA is approving the submittal from the State of New Mexico pursuant to the Clean Air Act (CAA or..., and enforce the 2006 fine particulate matter (PM 2.5 ) national ambient air quality standards (NAAQS...

  20. 40 CFR 147.1601 - State-administered program-Class I, III, IV and V wells.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... lands, is the program administered by the New Mexico Water Quality Control Commission, the Environmental..., are also part of the approved State-administered UIC program: (1) Water Quality Act, New Mexico...). (c)(1) The Memorandum of Agreement between EPA Region VI and the New Mexico Water Quality Control...

  1. 40 CFR 147.1601 - State-administered program-Class I, III, IV and V wells.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... lands, is the program administered by the New Mexico Water Quality Control Commission, the Environmental..., are also part of the approved State-administered UIC program: (1) Water Quality Act, New Mexico...). (c)(1) The Memorandum of Agreement between EPA Region VI and the New Mexico Water Quality Control...

  2. Distribution and Availability of State and Areawide Water Quality Reports in Oklahoma Libraries.

    ERIC Educational Resources Information Center

    McClure, Charles R.; Million, Anne

    This report examines the distribution and availability of water quality reports in the state of Oklahoma. Based on legislation from the Clean Water Act and regulations from the Environmental Protection Agency's "Public Participation Handbook for Water Quality Management," depository libraries must be established to provide citizen access to…

  3. AN APPROACH FOR EVALUATING THE EFFECTIVENESS OF VARIOUS OZONE AIR QUALITY STANDARDS FOR PROTECTING TREES

    EPA Science Inventory

    We demonstrate an approach for evaluating the level of protection attained using a variety of forms and levels of past, current, and proposed Air Quality Standards (AQSs). The U.S. Clean Air Act requires the establishment of ambient air quality standards to protect health and pub...

  4. Quality of Education and Its Evaluation: An Analysis of the Russian Academic Discussion

    ERIC Educational Resources Information Center

    Gurova, Galina; Piattoeva, Nelli; Takala, Tuomas

    2015-01-01

    The article describes and critically analyzes how Russian education researchers approached the topic of quality evaluation in education between 1990 and 2014. Evaluation and quality have grown into major policy issues in education across the world, simultaneously acting as powerful steering mechanisms on national and transnational levels. Russia…

  5. The Equitable Distribution of High-Quality Teachers

    ERIC Educational Resources Information Center

    Bumgardner, Stan

    2010-01-01

    A new report by the National Comprehensive Center for Teacher Quality (TQ Center) highlights efforts across the nation to address a key point in the No Child Left Behind law and the American Recovery and Reinvestment Act (ARRA)--the equitable distribution of high-quality teachers across all schools. Research consistently has pointed to effective…

  6. 78 FR 47831 - Endangered and Threatened Wildlife and Plants; Designation of Critical Habitat for Graham's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-06

    ... roost sites, nesting grounds, seasonal wetlands, water quality, tide, soil type) that are essential to... Federal Register on July 1, 1994 (59 FR 34271)), the Information Quality Act (section 515 of the Treasury... associated Information Quality Guidelines, provide criteria, establish procedures, and provide guidance to...

  7. Review of the Primary National Ambient Air Quality Standard for Sulfur Oxides: Risk and Exposure Assessment

    EPA Science Inventory

    Sulfur oxides are one of the six major air pollutants for which EPA has issued air quality criteria and established national ambient air quality standards (NAAQS) based on those criteria. The Clear Air Act (CAA) requires EPA to periodically review and revise, as appropriate, exis...

  8. Quality in Education.

    ERIC Educational Resources Information Center

    Gould, Ronald

    In a wide-ranging speech on the question of educational quality in Great Britain, the author observes that the achievement of higher quality "demands the will to act in a hundred ways, even to the point of sacrifice, on the part of teachers, managers, governors, local authorities, the government, parents, newspapers, radio and T.V., and the…

  9. 78 FR 28173 - Approval and Promulgation of Air Quality Implementation Plans; Indiana; Sulfur Dioxide and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-14

    ...-9811-5] Approval and Promulgation of Air Quality Implementation Plans; Indiana; Sulfur Dioxide and Nitrogen Dioxide Ambient Air Quality Standards AGENCY: Environmental Protection Agency (EPA). ACTION... implementation plan (SIP) for nitrogen dioxide (NO 2 ) and sulfur dioxide (SO 2 ) under the Clean Air Act. This...

  10. 40 CFR 35.925-2 - Water quality management plans and agencies.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Water quality management plans and... OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.925-2 Water quality management plans and agencies. That the project is consistent with...

  11. 40 CFR 35.925-2 - Water quality management plans and agencies.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Water quality management plans and... OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.925-2 Water quality management plans and agencies. That the project is consistent with...

  12. 40 CFR 35.925-2 - Water quality management plans and agencies.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Water quality management plans and... OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.925-2 Water quality management plans and agencies. That the project is consistent with...

  13. 21 CFR 900.10 - Applicability.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MAMMOGRAPHY QUALITY STANDARDS ACT MAMMOGRAPHY Quality Standards and Certification § 900.10 Applicability. The... States that provide mammography services, with the exception of the Department of Veterans Affairs. ...

  14. 75 FR 56994 - Malcolm Baldrige National Quality Award Board of Overseers

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... Commerce. ACTION: Notice of Open Meeting. SUMMARY: Pursuant to the Federal Advisory Committee Act, 5 U.S.C... prominent in the fields of quality, innovation, and performance management and appointed by the Secretary of...

  15. Clean Air Act : historical information on EPA's process for reviewing California waiver requests and making waiver determinations

    DOT National Transportation Integrated Search

    2009-01-01

    Emissions from mobile sources, such as automobiles and trucks, contribute to air quality degradation and can threaten public health and the environment. Under the Clean Air Act, the Environmental Protection Agency (EPA) regulates these emissions. The...

  16. Clean Air Act : historical information on EPA's process for reviewing California waiver requests and making waiver determinations.

    DOT National Transportation Integrated Search

    2009-01-16

    Emissions from mobile sources, such as automobiles and trucks, contribute to air : quality degradation and can threaten public health and the environment. Under the : Clean Air Act, the Environmental Protection Agency (EPA) regulates these emissions....

  17. THE EPA NATIONAL EXPOSURE RESEARCH LABORATORY CHILDREN'S PESTICIDE EXPOSURE MEASUREMENT PROGRAM

    EPA Science Inventory

    The U.S. EPA's National Exposure Research Laboratory (NERL) conducts research in support of the Food Quality Protection Act (FQPA) of 1996. FQPA requires that children's risks to pesticide exposures be considered during the tolerance-setting process. The Act requires exposure...

  18. Petaluma Revisited

    ERIC Educational Resources Information Center

    Wolff, Anthony

    1975-01-01

    If economic recovery occurs, land development and construction will revive simultaneously with land-use controls. Already the Federal government has affected land use by passing the Coastal Zone Management Act and the Clean Air Act. The states have also initiated land-use regulations concerning community planning and environmental quality. (MR)

  19. Maintaining flexible pavements : the long term pavement performance experiment SPS-3 5-year data analysis

    DOT National Transportation Integrated Search

    1997-02-01

    This report focuses on the Clean Air Act (CAAA) and the State Air Quality Implementation Plan (SIP) and the need for conformity with transportation measures and policies. The Intermodal Surface Transportation Efficiency Act (ISTEA) has reinforced Fed...

  20. 1990 Clean Air Act Amendment Summary: Title I

    EPA Pesticide Factsheets

    This page provides an overview of the 1990 amendments to Title I of the Clean Air Act, which were enacted to curb acid rain, urban air pollution and toxic air emissions. The edits to this title deal with the national ambient air quality standards.

  1. 36 CFR 907.3 - Definitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... QUALITY § 907.3 Definitions. (a) CEQ Regulations means the regulations for implementing the procedural... which this part is a supplement. (b) The Act of October 27, 1972 or Act means the Pennsylvania Avenue... Plan means The Pennsylvania Avenue Plan—1974, prepared by the Pennsylvania Avenue Development...

  2. 75 FR 68783 - Clean Water Act Section 303(d): Availability of List Decisions

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-09

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9223-5] Clean Water Act Section 303(d): Availability of List Decisions AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of availability. SUMMARY: This action announces the availability of EPA decisions identifying water quality limited segments and...

  3. Clean Air Act : historical information on EPA's process for reviewing California waiver requests and making waiver determinations

    DOT National Transportation Integrated Search

    2009-01-16

    Emissions from mobile sources, such as automobiles and trucks, contribute to air quality degradation and can threaten public health and the environment. Under the Clean Air Act, the Environmental Protection Agency (EPA) regulates these emissions. The...

  4. Endocrine Disruptor Screening Program: Tier I Screening Battery

    EPA Science Inventory

    In response to emerging concerns that environmental chemicals may have adverse effects on human health by altering the function of the endocrine system,' the Food Quality Protection Act and subsequent amendments to the Safe Drinking Water Act and Federal Food, Drug and Cosmetic A...

  5. Telecommunications Act of 1996. Public Law 104-104.

    ERIC Educational Resources Information Center

    Congress of the U.S., Washington, DC.

    This document provides the text of the Telecommunications Act of 1996, legislation enacted "to promote competition and reduce regulation in order to secure lower prices and higher quality services for American telecommunications consumers and encourage the rapid deployment of new telecommunications technologies." The legislation contains…

  6. THE EPA NATIONAL EXPOSURE RESEARCH LABORATORY CHILDREN'S PESTICIDE EXPOSURE MEASUREMENT PROGRAM

    EPA Science Inventory

    The U.S. Environmental Protection Agency (EPA) National Exposure Research Laboratory (NERL) is performing research in support of the Food Quality Protection Act (FQPA) of 1996. This act requires that pesticide exposure assessments to be conducted for all potential sources, rou...

  7. A Toolbox for Corrective Action: Resource Conservation and Recovery Act Facilities Investigation Remedy Selection Track

    EPA Pesticide Factsheets

    The purpose of this toolbox is to help EPA Regional staff and their partners to take advantage of the efficiency and quality gains from the Resource Conservation and Recovery Act (RCRA) Facilities Investigation Remedy Selection Track (FIRST) approach.

  8. Identifying family members who may struggle in the role of surrogate decision maker.

    PubMed

    Majesko, Alyssa; Hong, Seo Yeon; Weissfeld, Lisa; White, Douglas B

    2012-08-01

    Although acting as a surrogate decision maker can be highly distressing for some family members of intensive care unit patients, little is known about whether there are modifiable risk factors for the occurrence of such difficulties. To identify: 1) factors associated with lower levels of confidence among family members to function as surrogates and 2) whether the quality of clinician-family communication is associated with the timing of decisions to forego life support. We conducted a prospective study of 230 surrogate decision makers for incapacitated, mechanically ventilated patients at high risk of death in four intensive care units at University of California San Francisco Medical Center from 2006 to 2007. Surrogates completed a questionnaire addressing their perceived ability to act as a surrogate and the quality of their communication with physicians. We used clustered multivariate logistic regression to identify predictors of low levels of perceived ability to act as a surrogate and a Cox proportional hazard model to determine whether quality of communication was associated with the timing of decisions to withdraw life support. There was substantial variability in family members' confidence to act as surrogate decision makers, with 27% rating their perceived ability as 7 or lower on a 10-point scale. Independent predictors of lower role confidence were the lack of prior experience as a surrogate (odds ratio 2.2, 95% confidence interval [1.04-4.46], p=.04), no prior discussions with the patient about treatment preferences (odds ratio 3.7, 95% confidence interval [1.79-7.76], p<.001), and poor quality of communication with the ICU physician (odds ratio 1.2, 95% confidence interval [1.09-1.35] p<.001). Higher quality physician-family communication was associated with a significantly shorter duration of life-sustaining treatment among patients who died (β=0.11, p=.001). Family members without prior experience as a surrogate and those who had not engaged in advanced discussions with the patient about treatment preferences were at higher risk to report less confidence in carrying out the surrogate role. Better-quality clinician-family communication was associated with both more confidence among family members to act as surrogates and a shorter duration of use of life support among patients who died.

  9. Using baldrige performance excellence program approaches in the pursuit of radiation oncology quality care, patient satisfaction, and workforce commitment.

    PubMed

    Sternick, Edward S

    2011-01-01

    The Malcolm Baldrige National Quality Improvement Act was signed into law in 1987 to advance US business competitiveness and economic growth. Administered by the National Institute of Standards and Technology, the Act created the Baldrige National Quality Program, recently renamed the Baldrige Performance Excellence Program. The comprehensive analytical approaches referred to as the Baldrige Healthcare Criteria, are very well-suited for the evaluation and sustainable improvement of radiation oncology management and operations. A multidisciplinary self-assessment approach is used for radiotherapy program evaluation and development in order to generate a fact-based, knowledge-driven system for improving quality of care, increasing patient satisfaction, enhancing leadership effectiveness, building employee engagement, and boosting organizational innovation. This methodology also provides a valuable framework for benchmarking an individual radiation oncology practice's operations and results against guidelines defined by accreditation and professional organizations and regulatory agencies.

  10. Water Quality Indicators Data Review | ECHO | US EPA

    EPA Pesticide Factsheets

    ECHO, Enforcement and Compliance History Online, provides compliance and enforcement information for approximately 800,000 EPA-regulated facilities nationwide. ECHO includes permit, inspection, violation, enforcement action, and penalty information about facilities regulated under the Clean Air Act (CAA) Stationary Source Program, Clean Water Act (CWA) National Pollutant Elimination Discharge System (NPDES), and/or Resource Conservation and Recovery Act (RCRA). Information also is provided on surrounding demographics when available.

  11. Airway clearance techniques for bronchiectasis.

    PubMed

    Lee, Annemarie L; Burge, Angela; Holland, Anne E

    2013-05-31

    People with non-cystic fibrosis bronchiectasis commonly experience chronic cough and sputum production and these features may be associated with progressive decline in clinical status. Airway clearance techniques (ACTs) are often prescribed to facilitate expectoration of sputum from the lungs, but the efficacy of these techniques in a stable clinical state or during an acute exacerbation of bronchiectasis is unclear. Primary: to determine the effects of ACTs on the rate of acute exacerbations, incidence of hospitalisation and health-related quality of life in individuals with acute and stable bronchiectasis.Secondary: to determine whether a) ACTs are safe for individuals with acute and stable bronchiectasis and b) ACTs have beneficial effects on physiology and symptoms in individuals with acute and stable bronchiectasis. We searched the Cochrane Airways Group Specialised Register of trials from inception to October 2012, PEDro in October 2012 and handsearched relevant journals. Randomised controlled parallel and cross-over trials that compared an ACT to no treatment, sham ACT or directed coughing in participants with bronchiectasis. We used standard methodological procedures expected by The Cochrane Collaboration. Five studies involving 51 participants met the inclusion criteria of the review, all of which were cross-over design. Four studies were on adults with stable bronchiectasis, and the other study was on clinically stable children with bronchiectasis. Three studies were single treatment sessions, two were longer-term studies. The interventions varied and some control groups received a sham intervention while others were inactive. The methodological quality of the studies was variable and the studies were not able to blind participants and personal. Heterogeneity between studies precluded these data from meta-analysis and the review was therefore narrative.One study on 20 adults comparing an airway oscillatory device with no treatment found no significant difference in the number of exacerbations at 12 weeks (low-quality evidence). No data were available to assess the impact of ACTs on the time to exacerbation, duration of, incidence of hospitalisation or total number of hospitalised days. The same study reported clinically significant improvements in health-related quality of life in both disease-specific and cough-related measures. While based on a small number of participants and the data were skewed, the median difference in the change in total St George's Respiratory Questionnaire (SGRQ) score over three months in this study was 8.5 units (P value = 0.005 (Wilcoxon), low-quality evidence). Two studies reported mean increases in volume of sputum expectorated with airway oscillatory devices in the short term of 8.4 mL (95% CI 3.4 to 13.4 mL) and in the long term of 3 mL (P value = 0.02), with no significant effect on lung function. One study reported an immediate reduction in pulmonary hyperinflation in adults with non-positive expiratory pressure (PEP) ACTs (difference in functional residual capacity (FRC) of 19%, P value < 0.05) and with airway oscillatory devices (difference in FRC of 30%, P value < 0.05) compared to no ACTs. A similar decrease in pulmonary hyperinflation (difference in FRC of 6%) was found in children using an airway oscillatory device for 3 months compared to sham therapy. No studies reported on the effects of gas exchange, people's symptoms or antibiotic usage. ACTs appear to be safe for individuals (adults and children) with stable bronchiectasis, where there may be improvements in sputum expectoration, selected measures of lung function and health-related quality of life. The role of these techniques in people with an acute exacerbation of bronchiectasis is unknown. In view of the chronic nature of bronchiectasis, more data are needed to establish the clinical value of ACTs over the short and long term on patient-important outcomes, including symptoms, on physiological outcomes which may clarify the rationale for each technique and on long-term parameters that impact on disease progression in individuals with stable bronchiectasis. This is necessary in order to provide further guidance of specific ACT prescription for people with bronchiectasis. It may also be important to establish the comparative effect of different types of ACTs in people with bronchiectasis.

  12. Quality and safety in medical care: what does the future hold?

    PubMed

    Liang, Bryan A; Mackey, Tim

    2011-11-01

    The rapid changes in health care policy, embracing quality and safety mandates, have culminated in programs and initiatives under the Patient Protection and Affordable Care Act. To review the context of, and anticipated quality and patient safety mandates for, delivery systems, incentives under health care reform, and models for future accountability for outcomes of care. Assessment of the provisions of Patient Protection and Affordable Care Act, other reform efforts, and reform initiatives focusing on future quality and safety provisions for health care providers. Health care reform and other efforts focus on consumerism in the context of price. Quality and safety efforts will be structured using financial incentives, best-practices research, and new delivery models that focus on reaching benchmarks while reducing costs. In addition, patient experience will be a key component of reimbursement, and a move toward "retail" approaches directed at the individual patient may supplant traditional "wholesale" efforts at attracting employers. Quality and safety have always been of prime importance in medicine. However, in the future, under health care reform and associated initiatives, a shift in the paradigm of medicine will integrate quality and safety measurement with financial incentives and a new emphasis on consumerism.

  13. Resilience as a mediator between cardiorespiratory fitness and mental health-related quality of life: A cross-sectional study.

    PubMed

    Pozuelo-Carrascosa, Diana P; Martínez-Vizcaíno, Vicente; Sánchez-López, Mairena; Bartolomé-Gutiérrez, Raquel; Rodríguez-Martín, Beatriz; Notario-Pacheco, Blanca

    2017-09-01

    In this cross-sectional study, we analyzed the relationship between resilience, cardiorespiratory fitness, and mental health-related quality of life, and examined whether resilience acts as a mediator between the latter two. The study included 770 university students, aged 18-30 years, from Cuenca, Spain. Anthropometric, sociodemographic, cardiorespiratory fitness (20 m shuttle run test), biochemical parameters, resilience, and mental health-related quality of life measurements were analyzed. The results showed that mental health-related quality-of-life values were significantly higher in students who had good cardiorespiratory fitness and a high level of resilience. Moreover, resilience acted as a partial mediator between cardiorespiratory fitness and mental health-related quality of life at 33.79%. Therefore, in young adults, resilience mediates the relationship between cardiorespiratory fitness and mental health-related quality of life. These findings should be taken into account by nurses and other public health professionals, because in addition to the development of physical activity interventions to improve mental health-related quality of life, it is necessary to implement measures that increase resilience to achieve mental wellness. © 2017 John Wiley & Sons Australia, Ltd.

  14. A quality implementation of Title I of the Americans With Disabilities Act of 1990.

    PubMed

    Rybski, D

    1992-05-01

    The Americans with Disabilities Act (ADA) of 1990 (Public Law 101-336) will have a major effect on private sector employers. Employers with 25 or more employees must provide qualified persons with disabilities equal access to employment with or without reasonable accommodations by July 1992. Employers with 15 to 24 employees must comply with the law by July 1994. Occupational therapy managers must understand the employment provisions of the law and develop strategies for implementation in order to comply with its regulations. This paper suggests the use of a total quality management approach, as espoused by W. E. Deming (1986), as a framework for an implementation plan. This approach focuses on quality improvement in the organization, respect of all workers for their abilities, replacement of fear of persons with disabilities with respect, and the building of partnerships between employers and employees with disabilities. A summary of the provisions of Title I as well as a checklist of measures and a sample job description that adheres to the regulations of Title I is presented to prepare an organization to become compliant. Occupational therapists are seen as uniquely skilled professionals who can contribute greatly in their own organizations as well as act as consultants to other managers in implementing Title I of the ADA using a total quality approach.

  15. Projects to Improve Air Quality at Ports – 2014 Diesel Emissions Reduction Act (DERA) Funding Opportunity - Closed Announcement FY 2014

    EPA Pesticide Factsheets

    OTAQ is soliciting proposals that achieve reductions in diesel emissions produced by diesel engines and diesel emissions exposure, from fleets operating at marine and inland water ports under the Diesel Emissions Reduction Act (DERA).

  16. 78 FR 13621 - Forest Service

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-28

    ... expansions, will add an additional 20 years life to the Sentinel Quarry, add an additional 40 years life to... requirements of both the National Environmental Policy Act (NEPA) and the California Environmental Quality Act... and that they are effective in protecting the environment. Inspections will occur during the life of...

  17. Report on the First APCA Government Affairs Seminar "The Clean Air Act."

    ERIC Educational Resources Information Center

    Beery, Williamina, T.

    1973-01-01

    A summary of 18 speeches and sessions from the Government Affairs Seminar is given. Topics featured were emission standards for mobile sources, implementation strategies for stationary sources, non-degradation of air quality standards, and technology assessment and the National Environmental Policy Act. (BL)

  18. Life in a Regulated Environment: Do You Comply with Environmental Laws?

    ERIC Educational Resources Information Center

    McKeague, Kevin J.

    1994-01-01

    Discusses the following issues: (1) implications of the Americans with Disabilities Act; (2) Asbestos Hazard Emergency Response Act regulations; (3) new lead guidelines; (4) requirements regarding underground storage tanks; (5) potential indoor air quality requirements; and (6) Occupational Safety and Health Administration guidelines. (MLF)

  19. Projects to Improve Air Quality at Ports – 2013 Diesel Emissions Reduction Act (DERA) Funding Opportunity - Closed Announcement FY 2014

    EPA Pesticide Factsheets

    OTAQ is soliciting proposals that achieve reductions in diesel emissions produced by diesel engines and diesel emissions exposure, from fleets operating at marine and inland water ports under the Diesel Emissions Reduction Act (DERA).

  20. Improved Prediction Models For PCC Pavement Performance-Related Specifications, Volume I: Final Report

    DOT National Transportation Integrated Search

    1992-01-01

    This brochure summarizes the provisions of the Intermodal Surface Transportation Efficiency Act of 1991 (ISTEA) that can best help State and local officials as they work toward the air quality goals of the Clean Air Act Amendments of 1990 (CAAA). Thi...

  1. 77 FR 67396 - Government in the Sunshine Act Meeting Notice

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-09

    ...-Quality Steel Pipe from India, Oman, the United Arab Emirates, and Vietnam). The Commission is currently... INTERNATIONAL TRADE COMMISSION [USITC Se-12-030] Government in the Sunshine Act Meeting Notice AGENCY HOLDING THE MEETING: United States International Trade Commission. TIME AND DATE: November 14...

  2. TESTING STRATEGIES TO ESTIMATE NEUROTOXIC RISK FOR CUMULATIVE EXPOSURE TO PYRETHROID MIXTURES.

    EPA Science Inventory

    The Food Quality Protection Act requires EPA to consider the cumulative risk of pesticides with

    a common mechanism-of-toxicity. Evidence supports a mechanistic commonality for pyrethroid

    insecticides: these chemicals all act on neuronal sodium channels. The lack of ...

  3. 78 FR 32652 - Agency Information Collections Activities: Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program: Survey Data Collection.'' In accordance... Grant Program: Survey Data Collection. The Children's Health Insurance Program Reauthorization Act of... other States in designing and implementing their projects. Of the 10 grantee States selected, six are...

  4. 7 CFR 54.4 - Kind of service.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS INSPECTION ACT (CONTINUED) MEATS, PREPARED MEATS, AND MEAT PRODUCTS (GRADING, CERTIFICATION, AND STANDARDS) Regulations Service § 54.4 Kind of service. (a... standards. Class, grade, and other quality may be determined under said standards for meat of cattle, sheep...

  5. Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities (SNFs) for FY 2016, SNF Value-Based Purchasing Program, SNF Quality Reporting Program, and Staffing Data Collection. Final Rule.

    PubMed

    2015-08-04

    This final rule updates the payment rates used under the prospective payment system (PPS) for skilled nursing facilities (SNFs) for fiscal year (FY) 2016. In addition, it specifies a SNF all-cause all-condition hospital readmission measure, as well as adopts that measure for a new SNF Value-Based Purchasing (VBP) Program, and includes a discussion of SNF VBP Program policies we are considering for future rulemaking to promote higher quality and more efficient health care for Medicare beneficiaries. Additionally, this final rule will implement a new quality reporting program for SNFs as specified in the Improving Medicare Post-Acute Care Transformation Act of 2014 (IMPACT Act). It also amends the requirements that a long-term care (LTC) facility must meet to qualify to participate as a skilled nursing facility (SNF) in the Medicare program, or a nursing facility (NF) in the Medicaid program, by establishing requirements that implement the provision in the Affordable Care Act regarding the submission of staffing information based on payroll data.

  6. 40 CFR 1515.2 - What is the Council on Environmental Quality (CEQ)?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Environmental Quality, March 5, 1970, as amended by Executive Order 11991, May 24, 1977. (b) The Council's... Information Act. This index is updated and published in the Federal Register quarterly, starting in 1976. The...

  7. AMBIENT AIR MONITORING STRATEGY

    EPA Science Inventory

    The Clean Air Act requires EPA to establish national ambient air quality standards and to regulate as necessary, hazardous air pollutants. EPA uses ambient air monitoring to determine current air quality conditions, and to assess progress toward meeting these standards and relat...

  8. The impact of a pay-for-performance system on timing to hip fracture surgery: experience from the Lazio Region (Italy)

    PubMed Central

    2013-01-01

    Background A tariff modulation mechanisms has been introduced in some Italian regions with the aim of reducing inappropriate admissions and improving quality of care. In response to a regional act, hospitals in Lazio adopted a clinical pathway for elderly patients with hip fracture and introduced a compensation system based on the quality of health care, as in a pay-for-performance model. The objective of the present study was to compare the proportion of surgery for hip fracture performed within 48 hours of admission among Lazio hospitals according to different payment systems, before and after the implementation of the regional act. Methods A retrospective cohort study of patients aged 65 years and over, residing in the Lazio region and admitted to an acute care hospital for hip fracture before (1 July 2008 - 30 June 2009) and after (1 July 2010 - 30 June 2011) the pay-for-performance act. The proportion of surgeries performed within 48 h of hospital arrival was calculated. An adjusted multivariate regression analysis was applied to assess the effect of hospital payment type on the likelihood of surgery within 48 h of hospital arrival. Results The share of patients with hip fracture that had surgery within 48 hours was 11.7% before the introduction of the pay-for-performance act and 22.2% after. The proportion of early hip fracture operations increased after the pay-for-performance act, regardless of hospital payment type. The largest increase of surgery within 48 h occurred in private hospitals (adjusted Relative Risk = 2.80, p < 0.001). Conclusions The introduction of a compensation system based on health care quality is associated with improved quality of care for elderly patients with hip fracture, especially in hospitals that only use the Diagnosis Related Group system. PMID:24099264

  9. The malaria testing and treatment landscape in Benin.

    PubMed

    Zinsou, Cyprien; Cherifath, Adjibabi Bello

    2017-04-26

    Since 2004, artemisinin-based combination therapy (ACT) has been the first-line treatment for uncomplicated malaria in Benin. In 2016, a medicine outlet survey was implemented to investigate the availability, price, and market share of anti-malarial treatment and malaria diagnostics. Results provide a timely and important benchmark to measure future interventions aimed at increasing access to quality malaria case management services. Between July 5th to August 6th 2016, a cross sectional, nationally-representative malaria outlet survey was conducted in Benin. A census of all public and private outlets with potential to distribute malaria testing and/or treatment was implemented among 30 clusters (arrondissements). Outlets were eligible for inclusion in the study if they met at least one of three study criteria: (1) one or more anti-malarials reportedly in stock on the day of the survey; (2) one or more anti-malarials reportedly in stock within the 3 months preceding the survey; and/or (3) provided malaria blood testing. An audit was completed for all anti-malarials, malaria rapid diagnostic tests (RDT) and microscopy. 7260 outlets with the potential to sell or distribute anti-malarials were included in the census and 2966 were eligible and interviewed. A total of 17,669 anti-malarial and 494 RDT products were audited. Quality-assured ACT was available in 95.0% of all screened public health facilities and 59.4% of community health workers (CHW), and availability of malaria blood testing was 94.7 and 68.4% respectively. Sulfadoxine-pyrimethamine (SP) was available in 73.9% of public health facilities and not found among CHWs. Among private-sector outlets stocking at least one anti-malarial, non-artemisinin therapies were most commonly available (94.0% of outlets) as compared to quality-assured ACT (36.1%). 31.3% of the ACTs were marked with a "green leaf" logo, suggesting leakage of a co-paid ACT into Benin's unsubsidized ACT market from another country. 78.5% of the anti-malarials distributed were through the private sector, typically through general retailers (47.6% of all anti-malarial distribution). ACT comprised 44% of the private anti-malarial market share. Private-sector price of quality-assured ACT ($1.35) was three times more expensive than SP ($0.42) or chloroquine ($0.41). Non-artemisinin therapies were cited as the most effective treatment for uncomplicated malaria among general retailers and itinerant drug vendors. The ACTwatch data has shown the importance of the private sector in terms of access to malaria treatment for the majority of the population in Benin. These findings highlight the need for increased engagement with the private sector to improve malaria case management and an immediate need for a national ACT subsidy.

  10. Quality Service in the International Hotel Sector: A Catalyst for Strategic Human Resource Development?

    ERIC Educational Resources Information Center

    Maxwell, Gill; Watson, Sandra; Quail, Samantha

    2004-01-01

    This paper analyses the nature of, and relationship between, a quality service initiative and the concept of strategic human resource development. Hilton International is the case study used for this analysis. The principal finding is that the quality initiative is acting as a catalyst for a strategic approach to human resource development to…

  11. 76 FR 14626 - Approval and Promulgation of Implementation Plans; Kentucky; 110(a)(1) and (2) Infrastructure...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-17

    ... provide relevant data for the purpose of predicting the effect on ambient air quality of the 8-hour ozone... the 1997 8-Hour Ozone National Ambient Air Quality Standards AGENCY: Environmental Protection Agency... Act) for the 1997 8-hour ozone national ambient air quality standards (NAAQS). Section 110(a) of the...

  12. 75 FR 75455 - Certain Hot-Rolled Flat-Rolled Carbon-Quality Steel Products From Brazil: Final Results of Full...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-03

    ...-Rolled Carbon-Quality Steel Products From Brazil: Final Results of Full Sunset Review of Countervailing... of the countervailing duty (CVD) order on certain hot-rolled flat-rolled carbon-quality steel products (hot-rolled steel) from Brazil, pursuant to section 751(c) of the Tariff Act of 1930, as amended...

  13. Forest fires and smoke - impacts on air quality and human health in the USA

    Treesearch

    Charles K. McMahon

    1999-01-01

    Abstract. Scientific and regulatory interest in the air quality impacts of forest fire smoke (both prescribed and wildfires) followed the implementation of the 1970 Clean Air Act amendments. Attention on forest fires became more focused as a series of new amendments were enacted to protect the air quality and visibility of "natural" areas...

  14. Time for a Tune-Up: Comprehensive Curriculum Evaluation

    ERIC Educational Resources Information Center

    Meyers, Lisa H.

    2005-01-01

    How important is a high-quality curriculum? A school without a quality curriculum is like a car without an engine--neither goes anywhere. One responsibility of a school administrator is to ensure that quality curriculum is designed, adopted, and implemented. The No Child Left Behind act (NCLB) has focused the attention of an entire nation on the…

  15. National Water Quality Inventory, 1975 Report to Congress.

    ERIC Educational Resources Information Center

    Environmental Protection Agency, Washington, DC. Office of Water Programs.

    This document summarizes state submissions and provides a national overview of water quality as requested in Section 305(b) of the 1972 Federal Water Pollution Control Act Amendments (P.L. 92-500). This report provides the first opportunity for states to summarize their water quality and to report to EPA and Congress. Chapters of this report deal…

  16. Quality, Tuition, and Applications to In-State Public Colleges

    ERIC Educational Resources Information Center

    McDuff, DeForest

    2007-01-01

    This paper investigates the main determinants of applying to in-state public colleges and universities. I use data from over 500,000 SAT and ACT test takers to examine the roles of college quality and tuition in the college selection decision. I take advantage of the interstate variation in quality and tuition at the public flagship universities…

  17. Information Summary, Area of Concern: Ashtabula River, Ohio

    DTIC Science & Technology

    1990-12-01

    Sediment data...............................10 Water quality data............................11 Groundwater impacts..............................11 Point...Approved for public release; distribution unlimited 13. ABSTRACT (Maximum 200 words) The Water Quality -Act of 1987, Section 118, authorizes the Great Lakes...serious impairment of ben- eficial uses of water or biota (drinking, swimming, fishing, navigation, etc.) is known to exist, or where environmental quality

  18. Parameters of Quality Control and Decision Making At the State Level.

    ERIC Educational Resources Information Center

    Merkel-Keller, Claudia

    The recommendation is made that Elementary Secondary Education Act Title I data should be subjected to quality control procedures at local, state, and national levels. An industrial quality control model may provide a useful approach, particularly at the state level. A brief description of the Title I Evaluation and Reporting System is given,…

  19. Environmental Quality, the Third Annual Report of the Council on Environmental Quality.

    ERIC Educational Resources Information Center

    Council on Environmental Quality, Washington, DC.

    The state of the environment and efforts to improve it are reported upon in this Third Annual Report of the Council on Environmental Quality. Broad in scope, the report covers federal and state activities during the past year, the development of environmental indices, and legal implications of the National Environmental Policy Act. The chapter on…

  20. 40 CFR 35.925-2 - Water quality management plans and agencies.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Water quality management plans and agencies. 35.925-2 Section 35.925-2 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GRANTS AND OTHER FEDERAL ASSISTANCE STATE AND LOCAL ASSISTANCE Grants for Construction of Treatment Works-Clean Water Act § 35.925-2 Water quality management...

  1. Policy Assessment for the Review of the Primary National Ambient Air Quality Standard for Sulfur Oxides, External Review Draft

    EPA Science Inventory

    Sulfur oxides are one of the six major air pollutants for which EPA has issued air quality criteria and established national ambient air quality standards (NAAQS) based on those criteria. The Clear Air Act (CAA) requires EPA to periodically review and revise, as appropriate, exis...

  2. 40 CFR 436.42 - Effluent limitations guidelines representing the degree of effluent reduction attainable by the...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Industrial Sand Subcategory § 436.42 Effluent limitations guidelines representing the degree of effluent... 6.0 and water quality criteria in water quality standards approved under the Act authorize such lower pH, the pH limitation for such discharge may be adjusted downward to the pH water quality...

  3. Unsafe acts and unsafe outcomes in aircraft maintenance

    NASA Technical Reports Server (NTRS)

    Hobbs, Alan; Williamson, Ann

    2002-01-01

    Road safety studies using the Driver Behaviour Questionnaire (DBQ) have provided support for a three-way distinction between violations, skill-based errors and mistakes, and have indicated that a tendency to commit driving violations is associated with an increased risk of accident involvement. The aims of this study were to examine whether the three-way distinction of unsafe acts is applicable in the context of aircraft maintenance, and whether involvement in maintenance safety occurrences can be predicted on the basis of self-reported unsafe acts. A Maintenance Behaviour Questionnaire (MBQ) was developed to explore patterns of unsafe acts committed by aircraft maintenance mechanics. The MBQ was completed anonymously by over 1300 Australian aviation mechanics, who also provided information on their involvement in workplace accidents and incidents. Four factors were identified: routine violations, skill-based errors, mistakes and exceptional violations. Violations and mistakes were related significantly to the occurrence of incidents that jeopardized the quality of aircraft maintenance, but were not related to workplace injuries. Skill-based errors, while not related to work quality incidents, were related to workplace injuries. The results are consistent with the three-way typology of unsafe acts described by Reason et al. (1990) and with the DBQ research indicating an association between self-reported violations and accidents. The current findings suggest that interventions addressed at maintenance quality incidents should take into account the role of violations and mistakes, and the factors that promote them. In contrast, interventions directed at reducing workplace injury are likely to require a focus on skill-based errors.

  4. Satisfaction, quality of life and perception of patients regarding burdens and benefits of vitamin K antagonists compared with direct oral anticoagulants in patients with nonvalvular atrial fibrillation.

    PubMed

    Contreras Muruaga, Ma Del Mar; Vivancos, José; Reig, Gemma; González, Ayoze; Cardona, Pere; Ramírez-Moreno, José Mª; Martí, Joan; Suárez Fernández, Carmen

    2017-06-01

    To compare the satisfaction of patients treated with vitamin K antagonists (VKA) with that of patients treated with direct oral anticoagulants (DOACs) and to determine the impact on quality of life of both treatments in patients with nonvalvular atrial fibrillation (NVAF). Cross-sectional multicenter study in which outpatients with NVAF completed the ACTS (Anti-Clot Treatment Scale), SAT-Q (Satisfaction Questionnaire) and EQ-5D-3L (EuroQol 5 dimensions questionnaire, 3 level version) questionnaires. The study population comprised 1337 patients, of whom 587 were taking DOACs and 750 VKAs. Compared with VKAs, DOACs were more commonly prescribed in patients with a history of stroke and in patients with a higher thromboembolic risk. The study scores were as follows: SAT-Q: 63.8 ± 17.8; EQ-5D-3L total score: 75.6 ± 20.9; visual analog scale: 63.1 ± 20.6; ACTS Burdens: 51.8 ± 8.4 and ACTS Benefits: 11.9 ± 2.4. The ACTS Burdens score and ACTS Benefits score were higher with DOACs than with VKAs (54.83 ± 6.11 vs 49.50 ± 9.15; p < 0.001 and 12.36 ± 2.34 vs 11.48 ± 2.46; p < 0.001 respectively). NVAF patients treated with oral anticoagulants had many comorbidities and a high thromboembolic risk. Satisfaction and quality of life with oral anticoagulants were high, although they were both better with DOACs than with VKAs.

  5. Automating annotation of information-giving for analysis of clinical conversation.

    PubMed

    Mayfield, Elijah; Laws, M Barton; Wilson, Ira B; Penstein Rosé, Carolyn

    2014-02-01

    Coding of clinical communication for fine-grained features such as speech acts has produced a substantial literature. However, annotation by humans is laborious and expensive, limiting application of these methods. We aimed to show that through machine learning, computers could code certain categories of speech acts with sufficient reliability to make useful distinctions among clinical encounters. The data were transcripts of 415 routine outpatient visits of HIV patients which had previously been coded for speech acts using the Generalized Medical Interaction Analysis System (GMIAS); 50 had also been coded for larger scale features using the Comprehensive Analysis of the Structure of Encounters System (CASES). We aggregated selected speech acts into information-giving and requesting, then trained the machine to automatically annotate using logistic regression classification. We evaluated reliability by per-speech act accuracy. We used multiple regression to predict patient reports of communication quality from post-visit surveys using the patient and provider information-giving to information-requesting ratio (briefly, information-giving ratio) and patient gender. Automated coding produces moderate reliability with human coding (accuracy 71.2%, κ=0.57), with high correlation between machine and human prediction of the information-giving ratio (r=0.96). The regression significantly predicted four of five patient-reported measures of communication quality (r=0.263-0.344). The information-giving ratio is a useful and intuitive measure for predicting patient perception of provider-patient communication quality. These predictions can be made with automated annotation, which is a practical option for studying large collections of clinical encounters with objectivity, consistency, and low cost, providing greater opportunity for training and reflection for care providers.

  6. Indoor air quality and the law in Singapore.

    PubMed

    Chan, P

    1999-12-01

    With the greater use of air-conditioned offices in Singapore, achieving good indoor air quality has become an important issue. The laws that impose duties upon designers and contractors with respect to the design and construction of air-conditioning and mechanical ventilation (ACMV) systems are set out in the Building Control Regulations and the Singapore Standard Code of Practice for Mechanical Ventilation and Air-conditioning in Buildings (hereinafter "SS CP 13:1980"). ACMV maintenance is governed by the Environmental Public Health Act, the Building and Common Property (Maintenance and Management) Act, and the Land Titles (Strata) Act, as well as by lease or tenancy agreements. Designers, contractors, developers, building owners and management corporations may also be liable to the workers, occupants and other premises users for indoor air quality (IAQ)-related injuries under the general principles of contract and tort. Recently, the Guidelines for Good Indoor Air Quality in Office Premises was issued by the Ministry of Environment to complement SS CP 13:1980 toward improving the indoor air quality of air-conditioned office premises. Although the Guidelines have no statutory effect, they may be adopted as contractual requirements in construction, lease and maintenance contracts. They may also be used to determine the relevant standard of duty of care required to discharge tortious liability. This paper looks at the existing laws and rules affecting the design, construction and maintenance of air-conditioned offices in light of Part III of the Ministry's Guidelines.

  7. The Affordable Care Act: the ethical call for value-based leadership to transform quality.

    PubMed

    Piper, Llewellyn E

    2013-01-01

    Hospitals in America face a daunting and historical challenge starting in 2013 as leadership navigates their organizations toward a new port of call-the Patient Protection and Affordable Care Act. Known as the Affordable Care Act (ACA) was signed into law in March 2010 and held in abeyance waiting on 2 pivotal points-the Supreme Court's June 2012 ruling upholding the constitutionality of the ACA and the 2012 presidential election of Barack Obama bringing to reality to health care organizations that leadership now must implement the mandates of health care delivery under the ACA. This article addresses the need for value-based leadership to transform the culture of health care organizations in order to be successful in navigating uncharted waters under the unprecedented challenges for change in the delivery of quality health care.

  8. DNA ANALYSIS OF FECAL INDICATOR BACTERIA: ITS USES AND LIMITATIONS IN WATERSHED PLANNING

    EPA Science Inventory

    Although water quality of the Nation's lakes, rivers and streams has been monitored for many decades, particularly since the passage of the Clean Water Act (1972), many still do not meet the Act's goal of "fishable and swimmable". While waterways can be impaired in numerous way...

  9. Adverse outcome pathways (AOPs) to enhance EDC screening and testing: Overview of recent activities and future efforts

    EPA Science Inventory

    Screening and testing for endocrine active chemicals was mandated under 1996 amendments to the Safe Drinking Water Act and Food Quality Protection Act. Efficiencies can be gained in the endocrine disruptor screening program by using available biological and toxicological knowledg...

  10. 78 FR 50401 - National Advisory Committee on Institutional Quality and Integrity (NACIQI)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-19

    ... relationship between (1) accreditation of institutions of higher education and the certification and... Act (FACA) and Section 114(d)(1)(B) of the Higher Education Act (HEA) of 1965, as amended. Meeting... Accreditation Council for Teacher Education (MACTE) (Current and Requested Scope: The accreditation of...

  11. PHYSIOLOGICALLY-BASED PHARMACOKINETICS/PHARMACODYNAMIC MODELING AND CUMULATIVE RISK ASSESSMENT: CASE STUDY FOR THE N-METHYL CARBMATE PESTICIDES

    EPA Science Inventory

    The Food Quality Protection Act of 1996 [PL 104-170: 110 STAT. 1513] requires EPA to consider potential cumulative human health risks resulting from aggregate exposure to pesticide chemicals acting through a common mechanism of toxicity. This includes all anticipated dietary e...

  12. 40 CFR 1515.12 - Fees in general.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Fees in general. 1515.12 Section 1515.12 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES... comply with a time limit under the Freedom of Information Act for responding to the request for records...

  13. 40 CFR 1515.12 - Fees in general.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Fees in general. 1515.12 Section 1515.12 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES... comply with a time limit under the Freedom of Information Act for responding to the request for records...

  14. 40 CFR 1515.12 - Fees in general.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 34 2012-07-01 2012-07-01 false Fees in general. 1515.12 Section 1515.12 Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES... comply with a time limit under the Freedom of Information Act for responding to the request for records...

  15. 75 FR 24965 - Mormon Island Auxiliary Dam (MIAD) Modification Project, Sacramento and El Dorado Counties, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ... Folsom DS/FDR EIS/EIR considered several methods to modify MIAD to achieve Reclamation's risk standards... availability of the Final Supplemental Environmental Impact Statement/Environmental Impact Report (EIS/EIR). SUMMARY: Pursuant to the National Environmental Policy Act and the California Environmental Quality Act...

  16. Socio-Economic Condition and the Risk of Zika: Risk Mapping in Brownsville, TX

    EPA Science Inventory

    EPA has a Congressional mandate to support and promote the use of IPM. Both Federal Insecticide Fungicide and Rodenticide Act (FIFRA) and the Food Quality Protection Act (FQPA) contain language directing EPA to cooperate with various partners to further the use of IPM. Congress m...

  17. 75 FR 8698 - Clean Water Act Section 303(d): Availability of Ten Total Maximum Daily Loads (TMDLs) in Louisiana

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-25

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9118-5] Clean Water Act Section 303(d): Availability of Ten...: Notice of availability. SUMMARY: This notice announces the availability for comment on the administrative... Smith, Environmental Protection Specialist, Water Quality Protection Division, U.S. Environmental...

  18. 40 CFR 143.2 - Definitions.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... SECONDARY DRINKING WATER REGULATIONS § 143.2 Definitions. (a) Act means the Safe Drinking Water Act as... corrosion of piping and plumbing caused by water quality, are excluded from this definition. [44 FR 42198... 40 Protection of Environment 23 2011-07-01 2011-07-01 false Definitions. 143.2 Section 143.2...

  19. 77 FR 3836 - Supplemental Environmental Impact Statement, Mingo County, WV

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-25

    ... Mountain Surface Mine Clean Water Act Section 404 Permit Application. The FHWA and USACE are joint-lead... 2000 FEIS and approved in the 2000 ROD. The USACE is evaluating a Clean Water Act (CWA) Section 404... to surface water and groundwater resources, including aquatic habitat, water quantity and quality...

  20. VISUAL BEACH: SOFTWARE FOR ACHIEVING BEACH AESTHETIC AND PUBLIC HEALTH PROTECTION

    EPA Science Inventory

    The Beaches Environmental Assessment and Coastal Health Act of 2000 directs the EPA to assure that 100% of significant public beaches are managed by 2008. Under the Act EPA is developing a program to monitor beach water quality and strategies for timely notification of the public...

  1. Abdominal and General Adiposity and Level of Asthma Control in Adults with Uncontrolled Asthma

    PubMed Central

    Lv, Nan; Xiao, Lan; Camargo, Carlos A.; Wilson, Sandra R.; Buist, A. Sonia; Strub, Peg; Nadeau, Kari C.

    2014-01-01

    Rationale: Abdominal adiposity may be an important risk factor for uncontrolled asthma in adults, controlling for general obesity. Whether the relationship, if present, is explained by other factors (e.g., asthma onset age, sex, and/or coexisting conditions) is unclear. Objectives: To examine whether clinically applicable anthropometric measures of abdominal adiposity—waist circumference and waist-to-height ratio (WHtR)—are related to poorer asthma control in adults with uncontrolled asthma controlling for body mass index (BMI), and whether the relationship (if present) is explained by gastroesophageal reflux disorder (GERD), sleep quality, or obstructive sleep apnea (OSA) or differs by age of asthma onset or sex. Methods: Patients aged 18 to 70 years with uncontrolled asthma (n = 90) participated in a 6-month randomized clinical trial. Measurements and Main Results: Baseline measures included sociodemographics, standardized anthropometrics, Asthma Control Test (ACT), GERD Symptom Assessment Scale, Pittsburgh Sleep Quality Index, and Berlin Questionnaire for Sleep Apnea. Participants (mean [SD] age, 52 [12] yr) were racially and ethnically diverse, 67% women, and 69% overweight or obese, and 71% reported their age of asthma onset was 12 years or older. Participants had uncontrolled asthma (mean [SD] ACT score, 14.9 [3.7]) and low GERD symptoms score (0.6 [0.4]); 67% reported poor sleep quality, and 42% had a high OSA risk. General linear regression results showed that worse ACT scores were significantly associated with every SD increase in waist circumference (β= −1.03; 95% confidence interval [CI], −1.96 to −0.16; P = 0.02) and waist-to-height ratio (β= −1.16; 95% CI, −2.00 to −0.33; P = 0.008), controlling for sociodemographics. Waist-to-height ratio remained correlated with ACT (β= −2.30; 95% CI, −4.16 to −0.45; P = 0.02) after further adjusting for BMI. The BMI-controlled relationship between WHtR and ACT did not differ by age of asthma onset or sex (P > 0.05 for interactions) and persisted after additional adjustment for GERD, sleep quality, or OSA scores. Poor sleep quality was associated with worse ACT scores (β= −0.87; 95% CI, −1.71 to −0.03; P = 0.045) controlling for waist-to-height ratio, BMI, and sociodemographics. Conclusions: Abdominal adiposity by waist-to-height ratio and poor sleep quality correlated with poorer asthma control in adults with uncontrolled asthma, after controlling for BMI and sociodemographics. These results warrant replication in larger studies of diverse populations. Clinical trial registered with www.clinicaltrials.gov (NCT 01725945). PMID:25343191

  2. 40 CFR 35.408 - Award limitations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... funding under sections 106 (Water Pollution Control) and 205(j) (Water Quality Management Planning) of the Clean Water Act. Water Quality Management Planning Grants (Section 205(j)(2)) ... management grants unless there is a signed agreement delegating responsibility for administration of those...

  3. 78 FR 72620 - Federal Acquisition Regulation; Higher-Level Contract Quality Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-03

    ... DEPARTMENT OF DEFENSE GENERAL SERVICES ADMINISTRATION NATIONAL AERONAUTICS AND SPACE.... IV. Regulatory Flexibility Act The Department of Defense (DoD), the General Services Administration...-AM65 Federal Acquisition Regulation; Higher-Level Contract Quality Requirements AGENCY: Department of...

  4. 40 CFR 1515.8 - Appeals.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Procedures...: FOIA Appeals Officer, Council on Environmental Quality, Executive Office of the President, 722 Jackson... Appeals Officer to review the determination made by the Freedom of Information Officer. The letter should...

  5. 40 CFR 1515.8 - Appeals.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Procedures...: FOIA Appeals Officer, Council on Environmental Quality, Executive Office of the President, 722 Jackson... Appeals Officer to review the determination made by the Freedom of Information Officer. The letter should...

  6. 40 CFR 1515.8 - Appeals.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Procedures...: FOIA Appeals Officer, Council on Environmental Quality, Executive Office of the President, 722 Jackson... Appeals Officer to review the determination made by the Freedom of Information Officer. The letter should...

  7. 40 CFR 1515.8 - Appeals.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Protection of Environment COUNCIL ON ENVIRONMENTAL QUALITY FREEDOM OF INFORMATION ACT PROCEDURES Procedures...: FOIA Appeals Officer, Council on Environmental Quality, Executive Office of the President, 722 Jackson... Appeals Officer to review the determination made by the Freedom of Information Officer. The letter should...

  8. 43 CFR 10010.6 - Public involvement.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... POLICY ACT Protection and Enhancement of Environmental Quality § 10010.6 Public involvement. The... public concerning their activities affecting the quality of the environment. ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Public involvement. 10010.6 Section 10010...

  9. 43 CFR 10010.6 - Public involvement.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... POLICY ACT Protection and Enhancement of Environmental Quality § 10010.6 Public involvement. The... public concerning their activities affecting the quality of the environment. ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Public involvement. 10010.6 Section 10010...

  10. 43 CFR 10010.6 - Public involvement.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... POLICY ACT Protection and Enhancement of Environmental Quality § 10010.6 Public involvement. The... public concerning their activities affecting the quality of the environment. ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Public involvement. 10010.6 Section 10010...

  11. 40 CFR 792.35 - Quality assurance unit.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... from approved protocols or standard operating procedures were made without proper authorization and... standard operating procedures, and that the reported results accurately reflect the raw data of the study... ACT (CONTINUED) GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 792.35 Quality...

  12. 40 CFR 792.35 - Quality assurance unit.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... from approved protocols or standard operating procedures were made without proper authorization and... standard operating procedures, and that the reported results accurately reflect the raw data of the study... ACT (CONTINUED) GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 792.35 Quality...

  13. 40 CFR 792.35 - Quality assurance unit.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... from approved protocols or standard operating procedures were made without proper authorization and... standard operating procedures, and that the reported results accurately reflect the raw data of the study... ACT (CONTINUED) GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 792.35 Quality...

  14. 40 CFR 792.35 - Quality assurance unit.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... from approved protocols or standard operating procedures were made without proper authorization and... standard operating procedures, and that the reported results accurately reflect the raw data of the study... ACT (CONTINUED) GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 792.35 Quality...

  15. 40 CFR 792.35 - Quality assurance unit.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... from approved protocols or standard operating procedures were made without proper authorization and... standard operating procedures, and that the reported results accurately reflect the raw data of the study... ACT (CONTINUED) GOOD LABORATORY PRACTICE STANDARDS Organization and Personnel § 792.35 Quality...

  16. Report: Opportunities to Improve Data Quality and Children’s Health through the Food Quality Protection Act

    EPA Pesticide Factsheets

    Report #2006-P-00009, January 10, 2006. To meet the requirements of FQPA, EPA instituted numerous data requirements designed to provide infants and children with better protection against the health risks of pesticides.

  17. Artesunate plus pyronaridine for treating uncomplicated Plasmodium falciparum malaria.

    PubMed

    Bukirwa, Hasifa; Unnikrishnan, B; Kramer, Christine V; Sinclair, David; Nair, Suma; Tharyan, Prathap

    2014-03-04

    The World Health Organization (WHO) recommends that people with uncomplicated Plasmodium falciparum malaria are treated using Artemisinin-based Combination Therapy (ACT). ACT combines three-days of a short-acting artemisinin derivative with a longer-acting antimalarial which has a different mode of action. Pyronaridine has been reported as an effective antimalarial over two decades of use in parts of Asia, and is currently being evaluated as a partner drug for artesunate. To evaluate the efficacy and safety of artesunate-pyronaridine compared to alternative ACTs for treating people with uncomplicated P. falciparum malaria. We searched the Cochrane Infectious Diseases Group Specialized Register; Cochrane Central Register of Controlled Trials (CENTRAL), published in The Cochrane Library; MEDLINE; EMBASE; LILACS; ClinicalTrials.gov; the metaRegister of Controlled Trials (mRCT); and the WHO International Clinical Trials Search Portal up to 16 January 2014. We searched reference lists and conference abstracts, and contacted experts for information about ongoing and unpublished trials. Randomized controlled trials of artesunate-pyronaridine versus other ACTs in adults and children with uncomplicated P. falciparum malaria.For the safety analysis, we also included adverse events data from trials comparing any treatment regimen containing pyronaridine with regimens not containing pyronaridine. Two authors independently assessed trial eligibility and risk of bias, and extracted data. We combined dichotomous data using risk ratios (RR) and continuous data using mean differences (MD), and presented all results with a 95% confidence interval (CI). We used the GRADE approach to assess the quality of evidence. We included six randomized controlled trials enrolling 3718 children and adults. Artesunate-pyronaridine versus artemether-lumefantrineIn two multicentre trials, enrolling mainly older children and adults from west and south-central Africa, both artesunate-pyronaridine and artemether-lumefantrine had fewer than 5% PCR adjusted treatment failures during 42 days of follow-up, with no differences between groups (two trials, 1472 participants, low quality evidence). There were fewer new infections during the first 28 days in those given artesunate-pyronaridine (PCR-unadjusted treatment failure: RR 0.60, 95% CI 0.40 to 0.90, two trials, 1720 participants, moderate quality evidence), but no difference was detected over the whole 42 day follow-up (two trials, 1691 participants, moderate quality evidence). Artesunate-pyronaridine versus artesunate plus mefloquineIn one multicentre trial, enrolling mainly older children and adults from South East Asia, both artesunate-pyronaridine and artesunate plus mefloquine had fewer than 5% PCR adjusted treatment failures during 28 days follow-up (one trial, 1187 participants, moderate quality evidence). PCR-adjusted treatment failures were 6% by day 42 for these treated with artesunate-pyronaridine, and 4% for those with artesunate-mefloquine (RR 1.64, 95% CI 0.89 to 3.00, one trial, 1116 participants, low quality evidence). Again, there were fewer new infections during the first 28 days in those given artesunate-pyronaridine (PCR-unadjusted treatment failure: RR 0.35, 95% CI 0.17 to 0.73, one trial, 1720 participants, moderate quality evidence), but no differences were detected over the whole 42 days (one trial, 1146 participants, low quality evidence). Adverse effectsSerious adverse events were uncommon in these trials, with no difference detected between artesunate-pyronaridine and comparator ACTs. The analysis of liver function tests showed biochemical elevation were four times more frequent with artesunate-pyronaridine than with the other antimalarials (RR 4.17, 95% CI 1.38 to 12.62, four trials, 3523 participants, moderate quality evidence). Artesunate-pyronaridine performed well in these trials compared to artemether-lumefantrine and artesunate plus mefloquine, with PCR-adjusted treatment failure at day 28 below the 5% standard set by the WHO. Further efficacy and safety studies in African and Asian children are required to clarify whether this combination is an option for first-line treatment.

  18. Air Quality Conformity for Fiscal Years 1997-2000 Transportation Improvement Program for the Cincinnati Nonattainment Region

    DOT National Transportation Integrated Search

    1996-06-01

    The Clean Air Act Amendments (CAAA) of 1990 required emissions reductions in : nonattainment areas. The CAAA contains conformity provisions requiring : transportation plans and programs to conform to air quality plans. Based on the : documented analy...

  19. Air Quality Criteria for Lead (First External Review Draft)

    EPA Science Inventory

    Background:

    The Clean Air Act mandates periodic review of the National Ambient Air Quality Standards (NAAQS) for six common air pollutants, also referred to as criteria pollutants, including lead. Under the review process, EPA's Office of Research and Development d...

  20. Water Quality Standards for Coral Reef Protection

    EPA Science Inventory

    The U.S. Clean Water Act provides a legal framework to protect coastal biological resources such as coral reefs, mangrove forests, and seagrass meadows from the damaging effects of human activities. Even though many resources are protected under this authority, water quality stan...

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