Science.gov

Sample records for records management modernization

  1. Records Management Manual.

    ERIC Educational Resources Information Center

    Alaska State Dept. of Education, Juneau. State Archives and Records Management.

    This manual, prepared primarily for state government agencies, describes the organization and management of Alaska government records. Information is presented in nine topic areas: (1) Alaska's Archives and Records Management Program, which describes the program, its mission, services available, and employee responsibilities; (2) Records in…

  2. Pest Management Records Modernization Act

    THOMAS, 113th Congress

    Rep. Schrader, Kurt [D-OR-5

    2014-11-14

    12/03/2014 Received in the Senate and Read twice and referred to the Committee on Agriculture, Nutrition, and Forestry. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  3. Modern climate challenges and the geological record

    USGS Publications Warehouse

    Cronin, Thomas M.

    2010-01-01

    Today's changing climate poses challenges about the influence of human activity, such as greenhouse gas emissions and land use changes, the natural variability of Earth's climate, and complex feedback processes. Ice core and instrumental records show that over the last century, atmospheric carbon dioxide (CO2) concentrations have risen to 390 parts per million volume (ppmv), about 40% above pre-Industrial Age concentrations of 280 ppmv and nearly twice those of the last glacial maximum about 22,000 years ago. Similar historical increases are recorded in atmospheric methane (CH4) and nitrous oxide (N2O). There is general agreement that human activity is largely responsible for these trends. Substantial evidence also suggests that elevated greenhouse gas concentrations are responsible for much of the recent atmospheric and oceanic warming, rising sea level, declining Arctic sea-ice cover, retreating glaciers and small ice caps, decreased mass balance of the Greenland and parts of the Antarctic ice sheets, and decreasing ocean pH (ocean "acidification"). Elevated CO2 concentrations raise concern not only from observations of the climate system, but because feedbacks associated with reduced reflectivity from in land and sea ice, sea level, and land vegetation relatively slowly (centuries or longer) to elevated 2 levels. This means that additional human-induced climate change is expected even if the rate of CO2 emissions is reduced or concentrations immediately stabilized.

  4. Modern management of patellar instability.

    PubMed

    Rhee, Shin-Jae; Pavlou, George; Oakley, Jeremy; Barlow, David; Haddad, Farres

    2012-12-01

    Recurrent patellofemoral instability is a disabling condition, attributed to a variety of anatomical aetiologies. Trochlear dysplasia, patella alta, an increased tibial tubercle trochlear groove distance of greater than 20 mm and soft tissue abnormalities such as a torn medial patellofemoral ligament and inadequate vastus medialis obliquus are all factors to be considered. Management of this condition remains difficult and controversial and knowledge of the functional anatomy and biomechanics of the patellofemoral joint, a detailed history and clinical examination, and an accurate patient assessment are all imperative to formulate an appropriate management plan. Surgical treatment is based on the underlying anatomical pathology with an aim to restore normal patellofemoral kinematics. We summarise aspects of assessment, treatment and outcome of patellofemoral instability and propose an algorithm of treatment.

  5. Record Management and Design Reuse

    NASA Technical Reports Server (NTRS)

    Briggs, Hugh C.

    2008-01-01

    Government mandated records management requirements apply to retention and long term archival of a wide variety of records. Part of the attention is on permanent accession and retention by the U.S. National Archives and Records Administration (NARA) but interim requirements for storage by the source agency are included. As government agencies and the Department of Defense move toward implementations, additional goals often include saving design data for reuse. This paper briefly reviews the government records management requirements then investigates candidate meanings of 'reuse' and proposes an enhanced design records retention approach. The recommended strategy that emerges is, for a given program or product family, to invest in rich and readily re-executable preservation of design artifacts for one or two subsequent generations, then downgrade the data in utility through conversions, ultimately reaching the NARA minimum standard for permanent historical-interest archives.

  6. STORM WATER MANAGEMENT MODEL (SWMM) MODERNIZATION

    EPA Science Inventory

    The U.S. Environmental Protection Agency's Water Supply and Water Resources Division in partnership with the consulting firm of CDM to redevelop and modernize the Storm Water Management Model (SWMM). In the initial phase of this project EPA rewrote SWMM's computational engine usi...

  7. 3 CFR - Managing Government Records

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... requirements in law, regulation, and this memorandum is a priority for senior agency management; (ii) ensure... (Archivist), a senior agency official to supervise the review required by subsection (b) of this section, in...) increasing open Government and appropriate public access to Government records; (v) supporting...

  8. Casebooks in early modern England: medicine, astrology, and written records.

    PubMed

    Kassell, Lauren

    2014-01-01

    Casebooks are the richest sources that we have for encounters between early modern medical practitioners and their patients. This article compares astrological and medical records across two centuries, focused on England, and charts developments in the ways in which practitioners kept records and reflected on their practices. Astrologers had a long history of working from particular moments, stellar configurations, and events to general rules. These practices required systematic notation. Physicians increasingly modeled themselves on Hippocrates, recording details of cases as the basis for reasoned expositions of the histories of disease. Medical records, as other scholars have demonstrated, shaped the production of medical knowledge. Instead, this article focuses on the nature of casebooks as artifacts of the medical encounter. It establishes that casebooks were serial records of practice, akin to diaries, testimonials, and registers; identifies extant English casebooks and the practices that led to their production and preservation; and concludes that the processes of writing, ordering, and preserving medical records are as important for understanding the medical encounter as the records themselves.

  9. 1993 Department of Energy Records Management Conference

    SciTech Connect

    1993-12-31

    This document consists of viewgraphs from the presentations at the conference. Topics included are: DOE records management overview, NIRMA and ARMA resources, NARA records management training, potential quality assurance records, filing systems, organizing and indexing technical records, DOE-HQ initiatives, IRM reviews, status of epidemiologic inventory, disposition of records and personal papers, inactive records storage, establishing administrative records, managing records at Hanford, electronic mail -- legal and records issues, NARA-GAO reports status, consultive selling, automated indexing, decentralized approach to scheduling at a DOE office, developing specific records management programs, storage and retrieval at Savannah River Plant, an optical disk case study, and special interest group reports.

  10. Establishing an Agency Records Management Program.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. State Archives and Records Administration.

    The New York State Archives and Records Administration (SARA) provides centralized records management services to State agencies. The State Government Records Management Information Series includes booklets and brochures on many aspects of sound records and information management. This booklet explains the purposes and benefits of records…

  11. [Role of modern hunting in wildlife management].

    PubMed

    Cao, Shi; Zhou, Xue-Hong; Zhang, Wei

    2014-01-01

    Although modern hunting is different from traditional hunting, it remains a controversial topic. A large number of scholars in the world have studied the effects of hunting on wild animals from an ecological, ethological, genetic and economic aspect. This paper reviewed the role of controlled hunting in wildlife production from population dynamics, behavior, genetic and a phenotypic level, and by integrating a large number of domestic and foreign literatures. Many studies have shown that regulated hunting is an efficient approach in managing wildlife populations, which could be beneficial to the recovery and possibly even growth of wildlife populations. Meanwhile, over-exploitation or inappropriate hunting could affect the sex, birth and mortality ratios of wildlife populations, change foraging behavior and socio-spatial behavior and generate artificial selection of their genotype and phenotype. To apply modern hunting properly to wildlife management, China could learn from successful hunting programs implemented in many other countries, which are based on ecological and economic principles to formulate scientifically determined hunting quotas and set up an effective system to regulate and manage the hunting of wildlife populations.

  12. [Medical audit: a modern undervalued management tool].

    PubMed

    Osorio, Guido; Sayes, Nilda; Fernández, Lautaro; Araya, Ester; Poblete, Dennis

    2002-02-01

    Medical audit is defined as the critical and periodical assessment of the quality of medical care, through the revision on medical records and hospital statistics. This review defines the work of the medical auditor and shows the fields of action of medical audit, emphasizing its importance and usefulness as a management tool. The authors propose that every hospital should create an audit system, should provide the necessary tools to carry out medical audits and should form an audit committee.

  13. Managing Records for the Long Term - 12363

    SciTech Connect

    Montgomery, John V.; Gueretta, Jeanie

    2012-07-01

    The U.S. Department of Energy (DOE) is responsible for managing vast amounts of information documenting historical and current operations. This information is critical to the operations of the DOE Office of Legacy Management. Managing legacy records and information is challenging in terms of accessibility and changing technology. The Office of Legacy Management is meeting these challenges by making records and information management an organizational priority. The Office of Legacy Management mission is to manage DOE post-closure responsibilities at former Cold War weapons sites to ensure the future protection of human health and the environment. These responsibilities include environmental stewardship and long-term preservation and management of operational and environmental cleanup records associated with each site. A primary organizational goal for the Office of Legacy Management is to 'Preserve, Protect, and Share Records and Information'. Managing records for long-term preservation is an important responsibility. Adequate and dedicated resources and management support are required to perform this responsibility successfully. Records tell the story of an organization and may be required to defend an organization in court, provide historical information, identify lessons learned, or provide valuable information for researchers. Loss of records or the inability to retrieve records because of poor records management processes can have serious consequences and even lead to an organisation's downfall. Organizations must invest time and resources to establish a good records management program because of its significance to the organization as a whole. The Office of Legacy Management will continue to research and apply innovative ways of doing business to ensure that the organization stays at the forefront of effective records and information management. DOE is committed to preserving records that document our nation's Cold War legacy, and the Office of Legacy

  14. Developing an Information and Records Management Program.

    ERIC Educational Resources Information Center

    Rutledge, Juli G.; Kartis, Alexia M.

    1984-01-01

    The need for information controls for college records management programs and the elements of program organization, planning, and management are discussed. Conditions at institutions that indicate a flaw in information control are identified, along with the benefits of a sound records management program. The management of an information and…

  15. The Digital Age: Challenges for Records Management.

    ERIC Educational Resources Information Center

    Plocher, David

    1999-01-01

    Discusses advances in information technology that are being embraced by federal agencies and considers the implications for records management. Highlights include federal Web sites; the National Archives and Records Administration (NARA); and the impact of changing technology. (Author/LRW)

  16. A model for life cycle records management

    SciTech Connect

    Tayfun, A.C.; Gibson, S.

    1996-10-01

    The primary objective of this paper is to update an old Records Management concept; the management of records according to the records life cycle. Accordingly, the authors are presenting a new version of the Records Management life cycle model and its associated elements. The basic concept is that every record progresses through three phases; a record is created, is used and maintained, and dispositioned. In this presentation, the authors update the very old straight line model and the more current circular model with a new model that essentially combines the two. The model portrays Records Management as having a distinct straight-line beginning, a circular use and maintenance phase, and a distinct straight-line end. The presentation maps Records Management Program elements and activities against the phases depicted in the model. The authors believe that this new records life cycle model is an enhanced physical representation of the process. This presentation is designed to help put all of the specialized Records Management topics that participants have heard about during the conference in the perspective of the records life cycle.

  17. 1995 Department of Energy Records Management Conference

    SciTech Connect

    1995-07-01

    The Department of Energy (DOE) Records Management Group (RMG) provides a forum for DOE and its contractor personnel to review and discuss subjects, issues, and concerns of common interest. This forum will include the exchange of information, and interpretation of requirements, and a dialog to aid in cost-effective management of the DOE Records Management program. Issues addressed by the RMG may result in recommendations for DOE-wide initiatives. Proposed DOE-wide initiatives shall be, provided in writing by the RMG Steering Committee to the DOE Records Management Committee and to DOE`s Office of ERM Policy, Records, and Reports Management for appropriate action. The membership of the RMG is composed of personnel engaged in Records Management from DOE Headquarters, Field sites, contractors, and other organizations, as appropriate. Selected papers are indexed separately for inclusion in the Energy Science and Technology Database.

  18. Record Management in Nigerian Secondary School Administration

    ERIC Educational Resources Information Center

    Nakpodia, E. D.

    2009-01-01

    This paper examined the usefulness of record management in Nigerian Secondary Schools. Record keeping is one of the administrative principles in secondary school administration and it cannot be overemphasized in any organisation. The continuity of any school organisation depends on availability of useful records of past activities. In a complex…

  19. An Investigation of the Applicability of Modern Management Processes by Industrial Managers in Turkey.

    ERIC Educational Resources Information Center

    Lauter, Geza Peter

    This study noted American concepts of modern management which Turkish industrial managers tend to find difficult: identified cultural, economic, and other factors that impede application of modern management processes; and compared the practices of American overseas managers with those of Turkish managers of domestic firms. Managerial performance…

  20. 1994 Department of Energy Records Management Conference

    SciTech Connect

    Not Available

    1994-09-01

    The Department of Energy (DOE) Records Management Group (RMG) provides a forum for DOE and its contractor personnel to review and discuss subjects, issues, and concerns of common interest. This forum will include the exchange of information, and interpretation of requirements, and a dialog to aid in cost-effective management of the DOE Records Management program. This report contains the contributions from this forum.

  1. Information resource management concepts for records managers

    SciTech Connect

    Seesing, P.R.

    1992-10-01

    Information Resource Management (ERM) is the label given to the various approaches used to foster greater accountability for the use of computing resources. It is a corporate philosophy that treats information as it would its other resources. There is a reorientation from simply expenditures to considering the value of the data stored on that hardware. Accountability for computing resources is expanding beyond just the data processing (DP) or management information systems (MIS) manager to include senior organization management and user management. Management`s goal for office automation is being refocused from saving money to improving productivity. A model developed by Richard Nolan (1982) illustrates the basic evolution of computer use in organizations. Computer Era: (1) Initiation (computer acquisition), (2) Contagion (intense system development), (3) Control (proliferation of management controls). Data Resource Era: (4) Integration (user service orientation), (5) Data Administration (corporate value of information), (6) Maturity (strategic approach to information technology). The first three stages mark the growth of traditional data processing and management information systems departments. The development of the IRM philosophy in an organization involves the restructuring of the DP organization and new management techniques. The three stages of the Data Resource Era represent the evolution of IRM. This paper examines each of them in greater detail.

  2. Information resource management concepts for records managers

    SciTech Connect

    Seesing, P.R.

    1992-10-01

    Information Resource Management (ERM) is the label given to the various approaches used to foster greater accountability for the use of computing resources. It is a corporate philosophy that treats information as it would its other resources. There is a reorientation from simply expenditures to considering the value of the data stored on that hardware. Accountability for computing resources is expanding beyond just the data processing (DP) or management information systems (MIS) manager to include senior organization management and user management. Management's goal for office automation is being refocused from saving money to improving productivity. A model developed by Richard Nolan (1982) illustrates the basic evolution of computer use in organizations. Computer Era: (1) Initiation (computer acquisition), (2) Contagion (intense system development), (3) Control (proliferation of management controls). Data Resource Era: (4) Integration (user service orientation), (5) Data Administration (corporate value of information), (6) Maturity (strategic approach to information technology). The first three stages mark the growth of traditional data processing and management information systems departments. The development of the IRM philosophy in an organization involves the restructuring of the DP organization and new management techniques. The three stages of the Data Resource Era represent the evolution of IRM. This paper examines each of them in greater detail.

  3. [The modern microbiology in the clinical managing].

    PubMed

    Casal Román, Manuel

    2012-01-01

    The tuberculosis is one of the most important and mortal diseases of the world. The microbiological confirmatory diagnosis and the microbiological therapeutic orientation are fundamental nowadays in the tuberculosis in AIDS and in the Resistant tuberculosis. They are described throughout the time by the classic Microbiology: From 1882 to final 20th century (130 years). With the modern current Microbiology: In the beginning of the 21st century (20-30 years). And as will be done with the future Microbiology: From the years 2020-30. The important advances are outlined in the modern and future clinical microbiology, for the control of the Tuberculosis.

  4. Old World fossil record of modern-type hummingbirds.

    PubMed

    Mayr, Gerald

    2004-05-07

    I report on tiny skeletons of stem-group hummingbirds from the early Oligocene of Germany that are of essentially modern appearance and exhibit morphological specializations toward nectarivory and hovering flight. These are the oldest fossils of modern-type hummingbirds, which had not previously been reported from the Old World. The findings demonstrate that early hummingbird evolution was not restricted to the New World. They further suggest that bird-flower coevolution dates back to the early Oligocene and open another view on the origin of ornithophily in Old World plants.

  5. Managing School Social Work Records

    ERIC Educational Resources Information Center

    Garrett, Kendra J.

    2012-01-01

    This article documents results of a survey of 73 school social workers regarding their record-keeping practices. These social workers indicated that time pressures are a major challenge to documentation; they struggle to know what to include, and they worry about privacy. More than half fail to consistently include assessment information, progress…

  6. Principal Challenges Facing Electronic Records Management in Federal Agencies Today.

    ERIC Educational Resources Information Center

    Patterson, Giovanna; Sprehe, J. Timothy

    2002-01-01

    Discusses electronic records management in the federal government. Highlights include managing electronic mail; information technology planning, systems design, and architecture; updating conventional records management; integrating electronic records management with other information technology systems; challenges of end-user training; business…

  7. 32 CFR 806.10 - Records management.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Records management. 806.10 Section 806.10 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE... of records that were released in response to the same request. Refer to Air Force Manual (AFMAN)...

  8. 32 CFR 806.10 - Records management.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Records management. 806.10 Section 806.10 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE... of records that were released in response to the same request. Refer to Air Force Manual (AFMAN)...

  9. 32 CFR 806.10 - Records management.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Records management. 806.10 Section 806.10 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE... of records that were released in response to the same request. Refer to Air Force Manual (AFMAN)...

  10. 32 CFR 806.10 - Records management.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Records management. 806.10 Section 806.10 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE... of records that were released in response to the same request. Refer to Air Force Manual (AFMAN)...

  11. 32 CFR 806.10 - Records management.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Records management. 806.10 Section 806.10 National Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE ADMINISTRATION AIR FORCE... of records that were released in response to the same request. Refer to Air Force Manual (AFMAN)...

  12. Information Management: Records Management: The Modern Army Recordkeeping System (MARKS)

    DTIC Science & Technology

    2007-11-02

    at the end of the month, hold 1 month in the current files area, and then destroy. Label entry examples are as follows: (a) COFF 31 Jan 91, Dest Mar...91. (b) COFF 28 Feb 91, Dest Apr 91. (c) COFF 31 Mar 91, Dest May 91. (d) COFF 30 Apr 91, Dest Jun 91. (e) COFF 31 May 91, Dest Jul 91. (f) COFF 30 Jun...91, Dest Aug 91. (g) COFF 31 Jul 91, Dest Sep 91. (h) COFF 31 Aug 91, Dest Oct 91. (i) COFF 30 Sep 91, Dest Nov 91. (j) COFF 31 Oct 91, Dest Dec 91

  13. Office of Legacy Management. Information and Records Management. Transition Guidance

    SciTech Connect

    2004-03-01

    The Office of Legacy Management (LM) is an integral part of the U.S. Department of Energy’s (DOE’s) strategy to ensure that legacy liabilities of former nuclear weapons production sites are properly managed following the completion of environmental cleanup activities. LM will work with each site using an integrated team approach to ensure a successful transition. Part of this process will include transition of Government records and information. The Office of Legacy Management Information and Records Management Transition Guidance focuses on LM’s goal to preserve and protect legacy records and information. This guidance document establishes a framework for the transfer of records management responsibilities for sites transferring to LM. It describes the requirements, responsibilities, and procedures for the efficient and cost-effective transfer of custody, ownership, and management of records and other information products from the transfer site to LM. Records management practices are critical to the functions of Federal agencies because records provide information about, or evidence of, the organization, functions, policies, decisions, procedures, operations, or other activities. Therefore, the information generated by an agency is created, maintained, and dispositioned through records management processes that ensure the appropriate preservation and retrieval of essential information. Because of their intrinsic value, best practices to preserve information and records should be utilized when records are transferred from one organization to another. As the transfer program completes cleanup activities at closure sites, a transitional process will facilitate the transparent shift in the management of site records activities to LM. The roles and responsibilities of the transfer site and/or program and LM described in this document are a necessary foundation for cooperation and coordination and are essential to the successful transition of records and

  14. Development of Innovative Business Model of Modern Manager's Qualities

    ERIC Educational Resources Information Center

    Yashkova, Elena V.; Sineva, Nadezda L.; Shkunova, Angelika A.; Bystrova, Natalia V.; Smirnova, Zhanna V.; Kolosova, Tatyana V.

    2016-01-01

    The paper defines a complex of manager's qualities based on theoretical and methodological analysis and synthesis methods, available national and world literature, research papers and publications. The complex approach methodology was used, which provides an innovative view of the development of modern manager's qualities. The methodological…

  15. Modern Reservoir Sedimentation Management Techniques with Examples

    NASA Astrophysics Data System (ADS)

    Annandale, G. W.

    2014-12-01

    Implementation of reservoir sedimentation management approaches results in a win-win scenario, it assists in enhancing the environment by preserving river function downstream of dams while concurrently providing opportunities to sustainably manage water resource infrastructure. This paper summarizes the most often used reservoir sedimentation management techniques with examples of where they have been implemented. Three categories can be used to classify these technologies, i.e. catchment management, sediment routing and sediment removal. The objective of catchment management techniques is to minimize the amount of sediment that may discharge into a reservoir, thereby reducing the loss of storage space due to sedimentation. Reservoir routing is a set of techniques that aim at minimizing the amount of sediment that may deposit in a reservoir, thereby maximizing the amount of sediment that may be passed downstream. The third group consists of techniques that may be used to remove previously deposited sediment from reservoirs. The selection of reservoir sedimentation management approaches is site specific and depends on various factors, including dam height, reservoir volume, reservoir length, valley shape, valley slope, sediment type and hydrology. Description of the different reservoir sedimentation management techniques that are used in practice will be accompanied by case studies, including video, illustrating criteria that may be used to determine the potential success of implementing the techniques.

  16. PSV records from sediments of modern lakes (Aslikyl, Svir, Naroch).

    NASA Astrophysics Data System (ADS)

    Kuzina, D.; Kosareva, L.; Nourgaliev, D.; Kosarev, V.

    2014-12-01

    During the last 20 years, our paleomagnetic group had investigated many lakes with the aim to know the behavior of the geomagnetic field during the Holocene. Lake sediments are the good presenters of the paleosecular variation (PSV) records. In this paper are presented materials from Lakes Aslikul (Russia, 54o 25' N, 54o 07' E), Svir (Belorussia, 54o 47' N; 26o 30' E), Naroch (Belorussia, 54o 51' N, 26o 51' E). Samples of lake floor sediments were collected using a piston corer designed and manufactured at the Kazan University as a prototype were used piston corer which had been designed and used by F. J. H. Mackereth. Three cores were collected from each Lake Aslikul and Svir and six cores from Lake Naroch. Cores length was between 3,5-6,5 meters. Sediments were subsampled into cubic nonmagnetic plastic boxes. Their magnetic susceptibilities were then measured using a MS2-B instrument, and their natural remanent magnetization (NRM) (module and direction) was measured using a JR-4 magnetometer. Based on this data were built generalized record for each parameter. We compared the geomagnetic field variations recorded in our study with the records reported in the literature for the sediments in the different lakes. Our data have a good PSV records correlation with other data so we can obtain age of sediments according to PSV records. The dating of lakes sediments was also improved and further detailed by radiocarbon dating that gave the same results. Some characteristic features, the B and S minima and the Y and E maxima (cf. nomenclature of Thompson and Turner, 1982) are recognized. All peaks have a wide but complicated structure. Studied lakes compared to the other European records available, it can be concluded that the PSV master curves obtained in this study can be used to model Holocene geomagnetic variations. The work is performed according to the Russian Government Program of Competitive Growth of Kazan Federal University also by RFBR research projects No. 14

  17. IR signature management for the modern navy

    NASA Astrophysics Data System (ADS)

    Vaitekunas, David A.; Kim, Yoonsik

    2013-06-01

    A methodology for analysing the infrared (IR) signature and susceptibility of naval platforms using ShipIR/NTCS was presented by Vaitekunas (2010). This paper provides three key improvements: use of a larger climatic data set (N=100), a new target sub-image algorithm eliminating false detections from pixel-aliasing at the horizon, and a new seeker model interfacing with a line-by-line background clutter model. Existing commercial stealth technologies (exhaust stack suppression, low solar absorptive paints, extended hull film-cooling) are re-analysed using the new models and methods to produce a more rigorous and comprehensive analysis of their effectiveness based on the statistics of reduction in IR susceptibility. These methods and results combined with the cost of each stealth option should allow platform managers to select an appropriate level of infrared suppression and establish the design criteria for a new ship.

  18. 76 FR 75421 - Managing Government Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-01

    ... requirements in law, regulation, and this memorandum is a priority for senior agency management; (ii) ensure... (Archivist), a senior agency official to supervise the review required by subsection (b) of this section, in...) increasing open Government and appropriate public access to Government records; (v) supporting...

  19. New frontiers in color management by using modern spectrometers

    NASA Astrophysics Data System (ADS)

    Vauderwange, Oliver; Wielage, Heinz-Hermann; Haiss, Ulrich; Dreßler, Paul; Curticapean, Dan

    2014-07-01

    designers is the proper color management. Print, screen and mobile applications must independently display the same colors. The authors will present their experience in the field of color management. All abovementioned aspects in print, screen and mobile devices will be considered. The color measure system is based on a modern spectrometer, and an older color measure system is also considered. The paper will present how the students learn to find technical solutions in classical color management and how can they recognize the specific upcoming difficulties in this area.

  20. UMTRA Project Administrative Files Collection Records Management Program

    SciTech Connect

    Not Available

    1994-09-01

    The UPAFC Records Management Plan is based on the life cycle of a record - the evolution of a record from creation until final disposition. There are three major phases in the life cycle of a record: (1) creation and receipt, (2) maintenance and use, and (3) disposition. Accordingly, the Records Management Plan is structured to follow each of those phases. During each of the three phases, some kind of control is mandatory. The Records Management Plan establishes appropriate standards, policies, and procedures to ensure adequate control is always maintained. It includes a plan for records management, a plan for records management training activities, and a plan for auditing and appraising the program.

  1. 76 FR 76215 - Privacy Act; System of Records: State-78, Risk Analysis and Management Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-06

    ... Act; System of Records: State-78, Risk Analysis and Management Records SUMMARY: Notice is hereby given that the Department of State proposes to create a system of records, Risk Analysis and Management... Office of Management and Budget Circular No. A-130, Appendix I. DATES: This system of records will...

  2. Iodine-129 time series records from the Pacific Ocean as recorded in modern corals

    NASA Astrophysics Data System (ADS)

    Chang, C.; Burr, G. S.; Jull, A. T.; Biddulph, D. L.

    2010-12-01

    The long-lived radionuclide 129I is well known as a useful environmental tracer. At present, the global 129I in surface water is about 1-2 orders of magnitude higher than pre-1990 levels. The anthropogenic 129I signal produced from industrial nuclear fuel reprocessing plants is known to be the primary source of 129I in marine surface waters of the Atlantic, and elevated 129I values are found globally. Corals that produce annual growth layers offer an excellent archive to study 129I and have been used in a few cases to reconstruct time series over the past 50 years. This is the kind of information needed to model ocean circulation through time with 129I as a tracer. We present a new 129I time series record from the South China Sea to complement published records from the Solomon Islands and Easter Island. Taken together, these provide a broad picture of 129I behavior in the Pacific over the past 50 years.

  3. The Pb isotopic record of historical to modern human lead exposure.

    PubMed

    Kamenov, George D; Gulson, Brian L

    2014-08-15

    Human teeth and bones incorporate trace amounts of lead (Pb) from the local environment during growth and remodeling. Anthropogenic activities have caused changes in the natural Pb isotopic background since historical times and this is reflected in the Pb isotopes of historical European teeth. Lead mining and use increased exponentially during the last century and the isotopic compositions of modern human teeth reflect the modern anthropogenic Pb. USA teeth show the most radiogenic Pb and Australian teeth show the least radiogenic Pb, a result of different Pb ores used in the two regions. During the last century the Australian Pb was exported to Europe, Asia, South America, and Africa, resulting in swamping of the local environmental Pb signal by the imported Pb. As a result, the modern human teeth in Europe show a significant drop to lower isotopic values compared with historical times. Similarly, modern human teeth in other regions of the world show similar Pb isotopic ratios to modern European teeth reflecting the Pb imports. The specific pattern of human Pb exposure allows us to use the Pb isotopic signal recorded in the skeleton as a geo-referencing tool. As historical European teeth show a distinct Pb signal, we can identify early European skeletal remains in the New World and likely elsewhere. In modern forensic investigations we can discriminate to some extent Eastern Europeans from Western and Northern Europeans. Australians can be identified to some extent in any region in the world, although there is some overlap with Western European individuals. Lead isotopes can be used to easily identify foreigners in the USA, as modern USA teeth are distinct from any other region of the world. By analogy, USA individuals can be identified virtually in any other region of the world.

  4. Injuries in professional modern dancers: incidence, risk factors, and management.

    PubMed

    Shah, Selina; Weiss, David S; Burchette, Raoul J

    2012-03-01

    Modern (or contemporary) dance has become increasingly popular, yet little has been reported with respect to modern dance injuries and their consequences. The purpose of this study is to define the incidence, risk factors, and management of musculoskeletal injuries in professional modern dancers. A total of 184 dancers in the United States completed an anonymous 17-page questionnaire on their injuries, including extensive details regarding the two most severe injuries that had occurred in the prior 12 months. According to their self-reports, a total of 82% of the dancers had suffered between one and seven injuries. The foot and ankle (40%) was the most common site of injury, followed by the lower back (17%) and the knee (16%). The rate of injuries was 0.59 per 1,000 hours of class and rehearsal. Injured male dancers returned to full dancing after a median of 21 days, while females returned after a median of 18 days. Most dancers missed no performances due to injury. Of the medical consultations sought by dancers for their injuries, 47% were made to physicians, 41% to physical therapists, and 34% to chiropractors. The majority of dancers adhered to the advice given them by consultants (87% of males and 78% of females for the most severe injury). While the majority of injuries were considered work-related (61% of the most severe injury and 69% of the second most severe), few were covered by Workers' Compensation insurance (12% and 5% respectively). These professional modern dancers suffer from a rate of injury similar to other groups of professional dancers. Most dancers return to a partial level of dancing several weeks before attempting full-capacity dancing.

  5. Chasing the ambulance. The emerging crisis in the preservation of modern health records.

    PubMed

    Higgs, E; Melling, J

    1997-04-01

    In this brief essay we argue that the best efforts of archivists, scholars, and practitioners within the National Health Service have not prevented the wholesale destruction of the bulk of patient records created during the twentieth century. This is a matter of vital concern not merely for historians of modern medicine. Important clinical work has frequently been undertaken on materials which have survived, usually by chance or by the foresight of physicians, matrons, and administrators. Even the significant fragments of historical documents which remain in the hands of the health authorities have been threatened by the continuing drive to reduce storage and maintenance costs within hospitals. Archivists and academics have struggled to address the problems of sampling, storage, and access which the enormous bulk of modern records present. In this essay we suggest that the first step must be to raise awareness amongst professionals and the public of the extent to which any future history of the medical services and of patient care will depend on a reasonable rate of survival of these records. The second step must be to confront the problem of resources and the inevitable task of selection which must form the foundations of any long-term policy of preservation. An initial survey of archival materials in Devon indicates that the records of community health care form a substantial and potentially invaluable research source for future historians, though their relevance has rarely been recognized within the academic community.

  6. 7 CFR 25.606 - Financial management and records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false Financial management and records. 25.606 Section 25... COMMUNITIES Round II and Round IIS Grants § 25.606 Financial management and records. (a) In complying with the... retained in electronic form. (b) Grantees must retain financial records, supporting documents,...

  7. Integrating Records Management (RM) and Information Technology (IT)

    SciTech Connect

    NUSBAUM,ANNA W.; CUSIMANO,LINDA J.

    2000-03-02

    Records Managers are continually exploring ways to integrate their services with those offered by Information Technology-related professions to capitalize on the advantages of providing customers a total solution to managing their records and information. In this day and age, where technology abounds, there often exists a fear on the part of records management that this integration will result in a loss of identity and the focus of one's own mission - a fear that records management may become subordinated to the fast-paced technology fields. They need to remember there is strength in numbers and it benefits RM, IT, and the customer when they can bring together the unique offerings each possess to reach synergy for the benefit of all the corporations. Records Managers, need to continually strive to move ''outside the records management box'', network, expand their knowledge, and influence the IT disciplines to incorporate the concept of ''management'' into their customer solutions.

  8. Farm Business and Production Management Program Course Competency Record.

    ERIC Educational Resources Information Center

    Madison Area Technical Coll., WI.

    This course competency record is intended to help teachers rate development of student competencies in a farm business and production management program. Competencies are listed for six courses: operating the farm business, soil management, crop management, livestock nutrition, livestock management/farmstead equipment management, and farm records…

  9. Modern approaches to non-surgical biofilm management.

    PubMed

    Apatzidou, Danae Anastasia

    2012-01-01

    The subgingival dental plaque is a microbial biofilm consisting of highly variable bacterial microcolonies embedded within a self-produced matrix of extracellular polymeric substance. In contrast to microorganisms growing in a planktonic state, the inhabitants of a biofilm are effectively protected within this dense structure from host defense mechanisms and from therapeutic agents, including antimicrobials. The mechanical removal of the microbial biofilm and the establishment of meticulous plaque control measures comprise the key elements for the success of non-surgical periodontal treatment. Ultrasonic devices are effective in disrupting the biofilm, and carefully remove soft and hard deposits from a root surface with minimal trauma to the tooth structure. Controversies and modern trends in non-surgical periodontal therapy - such as quadrant-wise treatment modalities versus full-mouth approaches, hand-versus power-driven instrumentation, and the time frame of non-surgical periodontal therapy - are discussed here in depth in order to provide an insight into modern approaches to non-surgical biofilm management. Clinical, microbiological and immunological findings following different treatment protocols, in addition to cost-effective benefits of these clinical modalities, are discussed.

  10. Amalgamation of management information system into anaesthesiology practice: A boon for the modern anaesthesiologists.

    PubMed

    Bajwa, Sukhminder Jit Singh

    2014-03-01

    Over the years, traditional anaesthesia record keeping system has been the backbone of anaesthesiology ever since its introduction in the 1890s by Dr. Harvey Cushing and Dr. Ernest A. Codman. Besides providing the important information regarding patients' vital physiologic parameters, paper records had been a reliable source for various clinical research activities. The introduction of electronic monitoring gadgets and electronic record keeping systems has revolutionised the anaesthesiology practice to a large extent. Recently, the introduction of anaesthesia information management system (AIMS), which incorporates all the features of monitoring gadgets, such as electronic storage of large accurate data, quality assurance in anaesthesia, enhancing patient safety, ensuring legal protection, improved billing services and effecting an organisational change, is almost a revolution in modern-day anaesthesiology practice. The clinical research activities that are responsible for taking anaesthesiology discipline to higher peaks have also been boosted by the amalgamation of AIMS, enabling multicenter studies and sharing of clinical data. Barring few concerns in its installation, cost factors and functional aspects, the future of AIMS seems to be bright and will definitely prove to be a boon for modern-day anaesthesiology practice.

  11. Amalgamation of management information system into anaesthesiology practice: A boon for the modern anaesthesiologists

    PubMed Central

    Bajwa, Sukhminder Jit Singh

    2014-01-01

    Over the years, traditional anaesthesia record keeping system has been the backbone of anaesthesiology ever since its introduction in the 1890s by Dr. Harvey Cushing and Dr. Ernest A. Codman. Besides providing the important information regarding patients’ vital physiologic parameters, paper records had been a reliable source for various clinical research activities. The introduction of electronic monitoring gadgets and electronic record keeping systems has revolutionised the anaesthesiology practice to a large extent. Recently, the introduction of anaesthesia information management system (AIMS), which incorporates all the features of monitoring gadgets, such as electronic storage of large accurate data, quality assurance in anaesthesia, enhancing patient safety, ensuring legal protection, improved billing services and effecting an organisational change, is almost a revolution in modern-day anaesthesiology practice. The clinical research activities that are responsible for taking anaesthesiology discipline to higher peaks have also been boosted by the amalgamation of AIMS, enabling multicenter studies and sharing of clinical data. Barring few concerns in its installation, cost factors and functional aspects, the future of AIMS seems to be bright and will definitely prove to be a boon for modern-day anaesthesiology practice. PMID:24963173

  12. Modernization of Management: Social and Socio-Cultural Aspects

    ERIC Educational Resources Information Center

    Vinogradova, Marina V.; Babakaev, Sergy V.; Larionova, Anna A.; Kobyak, Marina V.; Layko, Mikhail Y.

    2016-01-01

    The relevance of the topic is determined by the new challenges faced by the Russian state in modern conditions that have a significant impact on public administration, which entails the need for its comprehensive modernization. In this regard, this article is aimed at the disclosure of social and socio-cultural aspects of the modernization of…

  13. Archives and Records Management for Decision Makers: A RAMP Study.

    ERIC Educational Resources Information Center

    Mazikana, Peter C.

    Intended to highlight those aspects of the archival field that government officials should be aware of, this report on the Records and Archives Management Programme (RAMP) outlines the major principles of records management and archives administration, identifies the information needs of the decision makers, and assesses the ways in which records…

  14. Teaching Electronic Records Management in the Archival Curriculum

    ERIC Educational Resources Information Center

    Zhang, Jane

    2016-01-01

    Electronic records management has been incorporated into the archival curriculum in North America since the 1990s. This study reported in this paper provides a systematic analysis of the content of electronic records management (ERM) courses currently taught in archival education programs. Through the analysis of course combinations and their…

  15. Procedures for Electronic Management of Rulemaking and Other Docketed Records in the Federal Docket Management System

    EPA Pesticide Factsheets

    This procedure identifies the specific requirements, processes and supporting documents EPA uses to electronically manage rulemaking and other docketed records in the Federal Docket Management System (FDMS).

  16. Managing Dental Office Records. Student's Manual [and] Instructor's Guide.

    ERIC Educational Resources Information Center

    Graf, Sandra Kovacs

    The student's manual of this set consists of materials for use by individuals enrolled in an extension course in managing dental office records. Addressed in the individual units of the course are the following topics: clinical records, dental insurance, recall systems, inventory control, and financial records. Each unit contains some or all of…

  17. Oxygen Isotope Records in Modern Oyster Shells from Chi Ku, Tainan and Their Implication of Seasonality

    NASA Astrophysics Data System (ADS)

    Chen, Y. C.; Mii, H. S.; Li, K. T.

    2015-12-01

    To exam whether oxygen isotope records of Crassostrea gigasoysters can be used as proxies of environment, 133 cultivated oysters and 21 water samples were collected from Chi Ku area, Tainan City, southern Taiwan in December of 2012, and from March, 2013 to July, 2014. Instrumental air and water temperatures and precipitation records were obtained from a nearest Central Weather Bureau (CWB) station roughly 16 km north of Chi Ku. The oxygen and carbon isotope values of the ligamental area of the modern oyster shells are from -6.92‰ to -0.08‰ (-3.05 ± 1.17‰, N = 2280; 1σ; VPDB) and from -5.57‰ to 0.63‰ (-1.88 ± 0.81‰), respectively. Oxygen isotope values of the water samples are mainly between -0.28‰ and 0.74‰ (0.18 ± 0.29‰, N = 20; 1σ; VSMOW). However, water oxygen isotope value of -2.75‰ was observed for the water sample collected immediately after a typhoon heavy rainfall. Seasonal temperature fluctuation pattern of estimated oxygen isotope temperatures from modern shells is similar to that of CWB instrumental records. However, the oxygen isotope temperatures are respectively about 3 °C and 10°C higher than those of instrumental records for winter and summer. Higher estimated oxygen isotope temperatures are most likely caused by underestimated fraction of freshwater. We analyzed 5 archaeological oyster shells of Siraya culture (500~250B.P.) collected from Wu Chien Tuso North (WCTN) archaeological site of Tainan branch of Southern Taiwan Science Park to infer the harvest season of mollusks. Oxygen isotope values of the ligamental area of the archaeological oyster shells are between -5.98‰ and -1.26‰ (-3.34 ± 1.37‰, N = 60; 1σ), and carbon isotope values are between -3.21‰ and 0.60‰ (-2.04‰ ± 0.55‰). The oxygen isotope records of archaeological oyster shells also showed clear seasonality. Most of the oysters were collected in autumn and winter. Oxygen isotope values of archaeological oyster shells was 1‰ greater than that

  18. Project Management Using Modern Guidance, Navigation and Control Theory

    NASA Technical Reports Server (NTRS)

    Hill, Terry R.

    2011-01-01

    Implementing guidance, navigation, and control (GN&C) theory principles and applying them to the human element of project management and control is not a new concept. As both the literature on the subject and the real-world applications are neither readily available nor comprehensive with regard to how such principles might be applied, this paper has been written to educate the project manager on the "laws of physics" of his or her project (not to teach a GN&C engineer how to become a project manager) and to provide an intuitive, mathematical explanation as to the control and behavior of projects. This paper will also address how the fundamental principles of modern GN&C were applied to the National Aeronautics and Space Administration's (NASA) Constellation Program (CxP) space suit project, ensuring the project was managed within cost, schedule, and budget. A project that is akin to a physical system can be modeled and managed using the same over arching principles of GN&C that would be used if that project were a complex vehicle, a complex system(s), or complex software with time-varying processes (at times nonlinear) containing multiple data inputs of varying accuracy and a range of operating points. The classic GN&C theory approach could thus be applied to small, well-defined projects; yet when working with larger, multiyear projects necessitating multiple organizational structures, numerous external influences, and a multitude of diverse resources, modern GN&C principles are required to model and manage the project. The fundamental principles of a GN&C system incorporate these basic concepts: State, Behavior, Feedback Control, Navigation, Guidance and Planning Logic systems. The State of a system defines the aspects of the system that can change over time; e.g., position, velocity, acceleration, coordinate-based attitude, and temperature, etc. The Behavior of the system focuses more on what changes are possible within the system; this is denoted in the state

  19. [Historical records and modern studies on agarwood production method and overall agarwood production method].

    PubMed

    Huang, Jun-Qing; Wei, Jian-He; Zhang, Zheng; Yang, Yun; Liu, Yang-Yang; Meng, Hui; Zhang, Xing-Li; Zhang, Jin-Lian

    2013-02-01

    Agarwood is a precious traditional Chinese medicine with the efficacy of promoting qi circulation and relieving pain, warming middle-jiao, controlling nausea and vomiting, governing inspiration and relieving asthma, therefore it is widely applied in the clinic. Meanwhile, agarwood is also a precious spice. Aquilaria sinensis is the only source of agarwood production in China. Under natural conditions, a healthy A. sinensis tree produces no agarwood. Only if being wounded or infected with fungus can it synthetize and accumulate agarwood. It takes a decade or even several decades to produce agarwood, thus natural agarwood can not meet market demands. The essay summarizes historical records of agarwood production method and modern agarwood production method, in order to provide basis and reference for large-scale production of agarwood.

  20. Project Management Using Modern Guidance, Navigation and Control Theory

    NASA Technical Reports Server (NTRS)

    Hill, Terry

    2010-01-01

    The idea of control theory and its application to project management is not new, however literature on the topic and real-world applications is not as readily available and comprehensive in how all the principals of Guidance, Navigation and Control (GN&C) apply. This paper will address how the fundamental principals of modern GN&C Theory have been applied to NASA's Constellation Space Suit project and the results in the ability to manage the project within cost, schedule and budget. A s with physical systems, projects can be modeled and managed with the same guiding principles of GN&C as if it were a complex vehicle, system or software with time-varying processes, at times non-linear responses, multiple data inputs of varying accuracy and a range of operating points. With such systems the classic approach could be applied to small and well-defined projects; however with larger, multi-year projects involving multiple organizational structures, external influences and a multitude of diverse resources, then modern control theory is required to model and control the project. The fundamental principals of G N&C stated that a system is comprised of these basic core concepts: State, Behavior, Control system, Navigation system, Guidance and Planning Logic, Feedback systems. The state of a system is a definition of the aspects of the dynamics of the system that can change, such as position, velocity, acceleration, coordinate-based attitude, temperature, etc. The behavior of the system is more of what changes are possible rather than what can change, which is captured in the state of the system. The behavior of a system is captured in the system modeling and if properly done, will aid in accurate system performance prediction in the future. The Control system understands the state and behavior of the system and feedback systems to adjust the control inputs into the system. The Navigation system takes the multiple data inputs and based upon a priori knowledge of the input

  1. Paired oxygen isotope records reveal modern North American atmospheric dynamics during the Holocene.

    PubMed

    Liu, Zhongfang; Yoshimura, Kei; Bowen, Gabriel J; Buenning, Nikolaus H; Risi, Camille; Welker, Jeffrey M; Yuan, Fasong

    2014-04-16

    The Pacific North American (PNA) teleconnection has a strong influence on North American climate. Instrumental records and century-scale reconstructions indicate an accelerating tendency towards the positive PNA state since the mid-1850s, but much less is known about long-term PNA variability. Here we reconstruct PNA-like climate variability during the mid- and late Holocene using paired oxygen isotope records from two regions in North America with robust, anticorrelated isotopic response to the modern PNA. We identify mean states of more negative and positive PNA-like climate during the mid- and late Holocene, respectively. Superimposed on the secular change between states is a robust, quasi-200-year oscillation, which we associate with the de Vries solar cycle. These findings suggest the persistence of PNA-like climate variability throughout the mid- and late Holocene, provide evidence for modulation of PNA over multiple timescales and may help researchers de-convolve PNA pattern variation from other factors reflected in palaeorecords.

  2. 20 CFR 638.802 - Student records management.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Student records management. 638.802 Section... PROGRAM UNDER TITLE IV-B OF THE JOB TRAINING PARTNERSHIP ACT Administrative Provisions § 638.802 Student... for each student during enrollment and for the disposition of such records after termination....

  3. 20 CFR 638.802 - Student records management.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 3 2012-04-01 2012-04-01 false Student records management. 638.802 Section... PROGRAM UNDER TITLE IV-B OF THE JOB TRAINING PARTNERSHIP ACT Administrative Provisions § 638.802 Student... for each student during enrollment and for the disposition of such records after termination....

  4. 20 CFR 638.802 - Student records management.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Student records management. 638.802 Section... PROGRAM UNDER TITLE IV-B OF THE JOB TRAINING PARTNERSHIP ACT Administrative Provisions § 638.802 Student... for each student during enrollment and for the disposition of such records after termination....

  5. Modern and Cenozoic records of seawater magnesium from foraminiferal Mg isotopes

    NASA Astrophysics Data System (ADS)

    Pogge von Strandmann, P. A. E.; Forshaw, J.; Schmidt, D. N.

    2014-09-01

    Magnesium is an element critically involved in the carbon cycle, because weathering of Ca-Mg silicates removes atmospheric CO2 into rivers, and formation of Ca-Mg carbonates in the oceans removes carbon from the ocean-atmosphere system. Hence the Mg cycle holds the potential to provide valuable insights into Cenozoic climate-system history, and the shift during this time from a greenhouse to icehouse state. We present Mg isotope ratios for the past 40 Myr using planktic foraminifers as an archive. Modern foraminifera, which discriminate against elemental and isotopically heavy Mg during calcification, show no correlation between the Mg isotope composition (δ26Mg, relative to DSM-3) and temperature, Mg / Ca or other parameters such as carbonate saturation (ΔCO3). However, inter-species isotopic differences imply that only well-calibrated single species should be used for reconstruction of past seawater. Seawater δ26Mg inferred from the foraminiferal record decreased from ~0‰ at 15 Ma, to -0.83‰ at the present day, which coincides with increases in seawater lithium and oxygen isotope ratios. It strongly suggests that neither Mg concentrations nor isotope ratios are at steady state in modern oceans, given its ~10 Myr residence time. From these data, we have developed a dynamic box model to understand and constrain changes in Mg sources to the oceans (rivers) and Mg sinks (dolomitisation and hydrothermal alteration). Our estimates of seawater Mg concentrations through time are similar to those independently determined by pore waters and fluid inclusions. Modelling suggests that dolomite formation and the riverine Mg flux are the primary controls on the δ26Mg of seawater, while hydrothermal Mg removal and the δ26Mg of rivers are more minor controls. Using Mg riverine flux and isotope ratios inferred from the 87Sr / 86Sr record, the modelled Mg removal by dolomite formation shows minima in the Oligocene and at the present day (with decreasing trends from 15 Ma

  6. Database Management Systems: New Homes for Migrating Bibliographic Records.

    ERIC Educational Resources Information Center

    Brooks, Terrence A.; Bierbaum, Esther G.

    1987-01-01

    Assesses bibliographic databases as part of visionary text systems such as hypertext and scholars' workstations. Downloading is discussed in terms of the capability to search records and to maintain unique bibliographic descriptions, and relational database management systems, file managers, and text databases are reviewed as possible hosts for…

  7. Nacre tablet thickness records formation temperature in modern and fossil shells

    NASA Astrophysics Data System (ADS)

    Gilbert, Pupa U. P. A.; Bergmann, Kristin D.; Myers, Corinne E.; Marcus, Matthew A.; DeVol, Ross T.; Sun, Chang-Yu; Blonsky, Adam Z.; Tamre, Erik; Zhao, Jessica; Karan, Elizabeth A.; Tamura, Nobumichi; Lemer, Sarah; Giuffre, Anthony J.; Giribet, Gonzalo; Eiler, John M.; Knoll, Andrew H.

    2017-02-01

    Nacre, the iridescent outer lining of pearls and inner lining of many mollusk shells, is composed of periodic, parallel, organic sheets alternating with aragonite (CaCO3) tablet layers. Nacre tablet thickness (TT) generates both nacre's iridescence and its remarkable resistance to fracture. Despite extensive studies on how nacre forms, the mechanisms controlling TT remain unknown, even though they determine the most conspicuous of nacre's characteristics, visible even to the naked eye. Thermodynamics predicts that temperature (T) will affect both physical and chemical components of biomineralized skeletons. The chemical composition of biominerals is well-established to record environmental parameters, and has therefore been extensively used in paleoclimate studies. The physical structure, however, has been hypothesized but never directly demonstrated to depend on the environment. Here we observe that the physical TT in nacre from modern and fossil shallow-water shells of the bivalves Pinna and Atrina correlates with T as measured by the carbonate clumped isotope thermometer. Based on the observed TT vs. T correlation, we anticipate that TT will be used as a paleothermometer, useful to estimate paleotemperature in shallow-water paleoenvironments. Here we successfully test the proposed new nacre TT thermometer on two Jurassic Pinna shells. The increase of TT with T is consistent with greater aragonite growth rate at higher T, and with greater metabolic rate at higher T. Thus, it reveals a complex, T-dependent biophysical mechanism for nacre formation.

  8. Securing Secrets and Managing Trust in Modern Computing Applications

    ERIC Educational Resources Information Center

    Sayler, Andy

    2016-01-01

    The amount of digital data generated and stored by users increases every day. In order to protect this data, modern computing systems employ numerous cryptographic and access control solutions. Almost all of such solutions, however, require the keeping of certain secrets as the basis of their security models. How best to securely store and control…

  9. 36 CFR 1236.10 - What records management controls must agencies establish for records in electronic information...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... controls must agencies establish for records in electronic information systems? 1236.10 Section 1236.10... Implementing Electronic Information Systems § 1236.10 What records management controls must agencies establish for records in electronic information systems? The following types of records management controls...

  10. 36 CFR 1236.10 - What records management controls must agencies establish for records in electronic information...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... controls must agencies establish for records in electronic information systems? 1236.10 Section 1236.10... Implementing Electronic Information Systems § 1236.10 What records management controls must agencies establish for records in electronic information systems? The following types of records management controls...

  11. 36 CFR 1236.10 - What records management controls must agencies establish for records in electronic information...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... controls must agencies establish for records in electronic information systems? 1236.10 Section 1236.10... Implementing Electronic Information Systems § 1236.10 What records management controls must agencies establish for records in electronic information systems? The following types of records management controls...

  12. 36 CFR 1236.10 - What records management controls must agencies establish for records in electronic information...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... controls must agencies establish for records in electronic information systems? 1236.10 Section 1236.10... Implementing Electronic Information Systems § 1236.10 What records management controls must agencies establish for records in electronic information systems? The following types of records management controls...

  13. Managing a Modern University: Is It Time for a Rethink?

    ERIC Educational Resources Information Center

    Kenny, John Daniel

    2009-01-01

    The corporate approaches introduced in the late 1980s and now prevalent in universities in Australia have led to irrevocable changes in the way universities are managed and academics work. The management approaches widely applied in Australian universities are largely based on a top-down corporate management model, with central control over policy…

  14. 36 CFR 1236.6 - What are agency responsibilities for electronic records management?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... responsibilities for electronic records management? 1236.6 Section 1236.6 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT ELECTRONIC RECORDS MANAGEMENT General § 1236.6 What are agency responsibilities for electronic records management? Agencies must:...

  15. 36 CFR 1236.6 - What are agency responsibilities for electronic records management?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... responsibilities for electronic records management? 1236.6 Section 1236.6 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT ELECTRONIC RECORDS MANAGEMENT General § 1236.6 What are agency responsibilities for electronic records management? Agencies must:...

  16. Morphometric patterns in Modern carbonate platforms can be applied to the ancient rock record: Similarities between Modern Alacranes Reef and Upper Palaeozoic platforms of the Barents Sea

    NASA Astrophysics Data System (ADS)

    Purkis, Sam; Casini, Giulio; Hunt, Dave; Colpaert, Arnout

    2015-05-01

    In recent years, considerable research has been undertaken in order to gain a better quantitative understanding of morphometric patterns within modern carbonate depositional systems. The industrial application of the scaling/juxtaposition relationships derived from the Modern to subsurface Cenozoic carbonate reservoirs appears relatively straightforward, given that many key biota are common to both. However, the direct application of Modern sedimentary insight further back into the geologic rock record is more controversial, given the enormous changes in the biota, climate, sea level, water chemistry and so on, that have taken place. To justify such an approach, we contend that similar morphometric patterns should be observed in both the Modern and ancient data. In the Norwegian Barents Sea, numerous seismic surveys have imaged Upper Palaeozoic carbonate buildups arranged in polygonal networks, or reticular patterns. These patterns are observed in both warm water photozoan and cool water heterozoan carbonate stratigraphies, and are developed atop platforms founded on stable shelves, in tectonically active settings and platforms developed over basinal evaporites. GIS mapping of multiple seismic horizons allows the Palaeozoic reticulated morphology to be numerically compared to that mapped in Alacranes Reef from QuickBird satellite imagery. QuickBird's metre-scale resolution allows identification of subtle cross-platform trends, such as windward-leeward differences in the packing density of ridge-and-pond complexes, which can be correlated with the kilometre-scale patterning extracted in the Barents subsurface. Despite different controls and architecture, the patterning of reticular networks is statistically inseparable between the two systems, once the metre-scale Modern dataset is down-sampled to seismic resolution. Whilst other controls cannot unequivocally be ruled out, these results suggest that biotic self-organisation is a fundamental driver of sedimentary

  17. Foundational Report Series. Advanced Distribution management Systems for Grid Modernization (Importance of DMS for Distribution Grid Modernization)

    SciTech Connect

    Wang, Jianhui

    2015-09-01

    Grid modernization is transforming the operation and management of electric distribution systems from manual, paper-driven business processes to electronic, computer-assisted decisionmaking. At the center of this business transformation is the distribution management system (DMS), which provides a foundation from which optimal levels of performance can be achieved in an increasingly complex business and operating environment. Electric distribution utilities are facing many new challenges that are dramatically increasing the complexity of operating and managing the electric distribution system: growing customer expectations for service reliability and power quality, pressure to achieve better efficiency and utilization of existing distribution system assets, and reduction of greenhouse gas emissions by accommodating high penetration levels of distributed generating resources powered by renewable energy sources (wind, solar, etc.). Recent “storm of the century” events in the northeastern United States and the lengthy power outages and customer hardships that followed have greatly elevated the need to make power delivery systems more resilient to major storm events and to provide a more effective electric utility response during such regional power grid emergencies. Despite these newly emerging challenges for electric distribution system operators, only a small percentage of electric utilities have actually implemented a DMS. This paper discusses reasons why a DMS is needed and why the DMS may emerge as a mission-critical system that will soon be considered essential as electric utilities roll out their grid modernization strategies.

  18. Team Hanford: Records management in a multi-contractor environment

    SciTech Connect

    Anderson, E.N.; Anderson, T.V.; Munch, J.W.; Potter, C.N.

    1993-08-01

    Expanding technology, increased emphasis on cost containment, and an ever growing list of requirements and regulations present challenges to records managers. The multi-contractor environment of the Department of Energy`s (DOE) Hanford Site further complicates the picture. In an effort to strengthen the site`s records management program, representatives of DOE`s Richland Operations Office and its four Hanford contractors joined forces. This synergistic Team Hanford approach continues to spawn success and is looked on as a model for similar DOE sites.

  19. US Navy Ships Food Service Divisions: Modernizing Inventory Management

    DTIC Science & Technology

    2010-05-31

    relatively unchanged for decades. Culinary Specialists are utilizing an antiquated and unreliable inventory management program (the Food Management System...validities, reduce man-hours and improve the quality of life for Culinary Specialists). 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION...procedures for receipt, inventory, stowage, and issue of provisions onboard ships have remained relatively unchanged for decades. Culinary Specialists

  20. Records Management: Preserving the Past to Make the Future

    NASA Technical Reports Server (NTRS)

    Petro, Kathryn

    2004-01-01

    As an intern in the Records Management Office at NASA, I have learned the importance of records management and teamwork. I work in building 60 with Kevin Coleman, the Records and Forms Manager and History Officer, and Deborah Demaline, the senior records specialist. Prior to my internship, I had never paid attention to records and their role in operating a business. However, after my first assignment of identifying files and filling out a C-277 form, I realized the importance of preserving each file. Since NASA is a government agency, keeping our records in a safe and easily accessible area is a major priority. As the records have accumulated over the years, and the destruction of records has been put on hold due to the fairly recent tobacco litigation; the amount of NASA s records has been quickly accumulating. Currently, our records are stored at Plum Brook in Sandusky, Ohio. Recently, rain has leaked through the bunkers and caused damage to some of our records boxes. Plum Brook has been experiencing difficulty in finding the funds to repair the damage. NASA Glenn is reluctant to give Plum Brook more money because the staff at the Sandusky site has not shown us a detailed summary of what they are doing with the funds we give them annually. Even though storing our records at Plum Brook comes with little cost, there are plenty other companies that offer a records storage area and a special software database for easy record retrieval. My assignment is to do a feasibility study on these companies to see how they compare in providing the appropriate criteria for NASA Glenn's needs. Other research I am doing is on which companies will allow us to convert our physical records into an electronic database for quicker retrieval and to eliminate the cost of storing our records in a facility altogether. The two studies have required me to not only work closely with the Records Management Department, but also the Information Technology staff. It has been important for me to

  1. Pain management documentation: analyzing one hospital's computerized clinical records.

    PubMed

    Samuels, Joanne G; Kritter, Dawn

    2011-09-01

    Pain management documentation, consisting of assessment, interventions, and reassessment, can help provide an important means of communication among practitioners to individualize care. Standard-setting organizations use pain management documentation as a key indicator of quality. Adoption of the electronic medical record alters the presentation of pain management documentation data for clinical and quality evaluation use. The purpose of this study was to describe pain management documentation output from the electronic medical record to gain an understanding of its presentation and evaluate the quantity and quality of the output. After institutional review board approval, data were abstracted from 51 electronic records of postsurgical patients in a 100-bed community hospital. Time-variant pain assessments, interventions, and reassessments were organized into pain management episodes to provide clinically interpretable data for evaluation. Data sources were identified. Data generated 1499 episodes for analysis. Analysis of variance results implied that pain management documentation changes with pain severity. Despite legibility and date and time stamping, inconsistencies and omitted and duplicated documentation were identified. Inconsistent data origination posed difficulty for interpreting clinically relevant associations. Improvements are required to streamline fields and consolidate entries to allow for output in alignment with care.

  2. A review of post-modern management techniques as currently applied to Turkish forestry.

    PubMed

    Dölarslan, Emre Sahin

    2009-01-01

    This paper reviews the effects of six post-modern management concepts as applied to Turkish forestry. Up to now, Turkish forestry has been constrained, both in terms of its operations and internal organization, by a highly bureaucratic system. The application of new thinking in forestry management, however, has recently resulted in new organizational and production concepts that promise to address problems specific to this Turkish industry and bring about positive changes. This paper will elucidate these specific issues and demonstrate how post-modern management thinking is influencing the administration and operational capacity of Turkish forestry within its current structure.

  3. Notification: Audit of Certain EPA Electronic Records Management Practices

    EPA Pesticide Factsheets

    Project #OA-FY13-0113, December 13, 2012. This memorandum is to notify you that the U.S. Environmental Protection Agency (EPA), Office of Inspector General, plans to begin an audit of certain EPA electronic records management practices.

  4. A Question Managing Suite for Automatic Lecture Recording

    ERIC Educational Resources Information Center

    Lampi, Fleming; Lemelson, Hendrik; Kopf, Stephan; Effelsberg, Wolfgang

    2009-01-01

    Purpose: The purpose of this paper is describing the seamless integration of the question-answer interaction into automatic lecture recordings (ALRs). This includes the design and implementation of the question management (QM) software for a virtual camera team. Design/methodology/approach: Coming from the human role model the interaction and its…

  5. Analysis of Farm Records. Teacher Edition. Farm Business Management Series.

    ERIC Educational Resources Information Center

    Oklahoma State Dept. of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

    This curriculum guide for the Oklahoma Farm Business Management Program contains three instructional units that teach students how to interpret farm records to get optimum use of facilities and maximize profits. Each unit of instruction includes some or all of these components: performance objectives, suggested activities for the instructor,…

  6. Supporting Information Governance through Records and Information Management. Research Bulletin

    ERIC Educational Resources Information Center

    Kaczmarek, Joanne

    2014-01-01

    The expanding scope of IT initiatives in higher education institutions now goes well beyond basic desktop and enterprise applications. IT is often asked to focus on efforts to establish good information-governance practices. The many aspects of information governance are often found in a records and information management (RIM) program, but not…

  7. An "Academic" Dilemma: The Tale of Archives and Records Management

    ERIC Educational Resources Information Center

    Shepherd, Elizabeth

    2012-01-01

    This article discusses the development of academic research in the archives and records management field. It is argued that the field has faced a dilemma between educating graduates for work in a professional domain and developing robust research methods and frameworks for the emerging academic discipline. The article reports on some projects…

  8. Records access and management on closure of a medical practice.

    PubMed

    Carter, David J

    2015-07-20

    Despite uneven regulation, health practitioners registered with the Australian Health Practitioner Regulation Agency have immediate and continuing obligations to patients when contemplating practice closure. Recent enforcement actions by regulators highlight the importance of knowledge and compliance with requirements relating to record management.

  9. Hydrogen isotope ratios of recent lacustrine sedimentary n-alkanes record modern climate variability

    NASA Astrophysics Data System (ADS)

    Sachse, D.; Radke, J.; Gleixner, G.

    2004-12-01

    Hydrogen isotope ratios were measured on n-alkanes (n-C 12 to n-C 31) extracted from recent lake surface sediments along a N-S European transect to test if modern climate variability is recorded in these biomarkers. δD values of the n-alkanes are compared to δD values of meteoric water from the IAEA-GNIP database spanning a range from -119‰ in northern Sweden to -41‰ in southern Italy, to lake water δD values, and to mean annual temperatures, varying between -2.0°C in the north and 13.7°C in the south. δD values of the short-chained n-alkanes n-C 12 to n-C 20, excluding algal derived n-C 17 and n-C 19, are higher in the north and lower in the south. The isotopic fractionation ɛ for hydrogen between meteoric water and the short-chained n-alkanes is increasing from N to S by more than 100‰ and is significantly correlated to mean annual temperature for n-C 16 and n-C 18. This suggests that these n-alkanes may originate from a different source in the northern lakes, possibly due to petroleum contamination, or are synthesized using a different biochemical pathway. The n-C 17 and n-C 19 alkanes of algal origin, the n-C 21 and n-C 23 alkanes originating from water plants, and the long-chain n-alkanes n-C 25, n-C 27, n-C 29, and n-C 31 of terrestrial origin, clearly correlate with δD values of meteoric water, lake water, and mean annual temperature, indicating that they excellently record the δD value of meteoric water. The mean hydrogen isotope fractionation ɛ C17/w of -157‰ (SD = 13) between n-C 17 and meteoric water is fairly constant over the wide range of different climates and lake environments, suggesting only minor influence of environmental factors on this biochemical fractionation. This suggests that δD values of n-C 17 are suitable to reconstruct the isotopic composition of source water. The mean fractionation between the long-chain n-alkanes and water is -128‰ (SD = 12). The mean difference of 31‰ between both ɛ values is likely due to

  10. Biomarker and molecular isotope approaches to deconvolve the terrestrial carbon isotope record: modern and Eocene calibrations

    NASA Astrophysics Data System (ADS)

    Diefendorf, A. F.; Freeman, K. H.; Wing, S.; Currano, E. D.

    2010-12-01

    Climate, biome, and plant community are important predictors of carbon isotope patterns recorded in leaves and leaf waxes. However, signatures recorded by terrestrial organic carbon and lipids that have mixed floral sources (e.g., n-alkanes) potentially reflect both plant community changes and climate. More taxonomically specific proxies for plants (i.e., di- and tri-terpenoids for conifers and angiosperms, respectively), can help to resolve the relative influences of changing community and climate, provided differences in biomarker production and lipid biosynthetic fractionation among plants can be better constrained. We present biomarker abundance and carbon isotope values for lipids from leaves, branches and bark of 44 tree species, representing 21 families including deciduous and evergreen conifers and angiosperms. n-alkane production differs greatly between conifer and angiosperm leaves. Both deciduous and evergreen angiosperms make significantly more n-alkanes than conifers, with n-alkanes not detected in over half of the conifers in our study. Terpenoid abundances scale strongly with leaf habit: evergreen species have significantly higher abundances. We combine these relative differences in lipid production with published estimates of fluxes for leaf litter from conifer and angiosperm trees to develop a new proxy approach for estimating paleo plant community inputs to ancient soils and sediments. To test our modern calibration results, we have evaluated n-alkanes and terpenoids from laterally extensive (~18 km) carbonaceous shales and mudstones in Eocene sediments (52.6 Ma) at Fifteenmile Creek in the Bighorn Basin (WY, USA). Our terpenoid-based proxy predicts on average a 40% conifer community, which is remarkably close in agreement with a fossil-based estimate of 36%. n-alkane carbon isotope fractionation (leaf-lipid) differs among plant types, with conifer n-alkanes about 2-3‰ 13C enriched relative to those in angiosperms. Since conifer leaves are

  11. Integrated Electronic Health Record Database Management System: A Proposal.

    PubMed

    Schiza, Eirini C; Panos, George; David, Christiana; Petkov, Nicolai; Schizas, Christos N

    2015-01-01

    eHealth has attained significant importance as a new mechanism for health management and medical practice. However, the technological growth of eHealth is still limited by technical expertise needed to develop appropriate products. Researchers are constantly in a process of developing and testing new software for building and handling Clinical Medical Records, being renamed to Electronic Health Record (EHR) systems; EHRs take full advantage of the technological developments and at the same time provide increased diagnostic and treatment capabilities to doctors. A step to be considered for facilitating this aim is to involve more actively the doctor in building the fundamental steps for creating the EHR system and database. A global clinical patient record database management system can be electronically created by simulating real life medical practice health record taking and utilizing, analyzing the recorded parameters. This proposed approach demonstrates the effective implementation of a universal classic medical record in electronic form, a procedure by which, clinicians are led to utilize algorithms and intelligent systems for their differential diagnosis, final diagnosis and treatment strategies.

  12. Modernizing the State Education Agency: Different Paths toward Performance Management

    ERIC Educational Resources Information Center

    Murphy, Patrick; Rainey, Lydia

    2012-01-01

    This project examines how eight state education agencies engaged the charge of improving their lowest-performing schools. The states examined are among the most active and intentional in this regard. In many ways, they are at the leading edge of what could eventually become 50 different experiments in performance management. By focusing on states…

  13. Foundational Report Series: Advanced Distribution Management Systems for Grid Modernization

    SciTech Connect

    Wang, Jianhui

    2015-09-01

    This report describes the application functions for distribution management systems (DMS). The application functions are those surveyed by the IEEE Power and Energy Society’s Task Force on Distribution Management Systems. The description of each DMS application includes functional requirements and the key features and characteristics in current and future deployments, as well as a summary of the major benefits provided by each function to stakeholders — from customers to shareholders. Due consideration is paid to the fact that the realizable benefits of each function may differ by type of utility, whether investor-owned, cooperative, or municipal. This report is sufficient to define the functional requirements of each application for system procurement (request-for-proposal [RFP]) purposes and for developing preliminary high-level use cases for those functions. However, it should not be considered a design document that will enable a vendor or software developer to design and build actual DMS applications.

  14. Department of Defense Healthcare Management System Modernization (DHMSM)

    DTIC Science & Technology

    2016-03-01

    Acquisition Management Information Retrieval (DAMIR) UNCLASSIFIED DHMSM 2016 MAR UNCLASSIFIED 2 Table of Contents Common Acronyms and Abbreviations...Dollars MAIS - Major Automated Information System MAIS OE - MAIS Original Estimate MAR – MAIS Annual Report MDA - Milestone Decision Authority MDD...Determined TY - Then Year U.S.C- United States Code USD(AT&L) - Under Secretary of Defense for Acquisition, Technology, & Logistics DHMSM 2016 MAR

  15. [The management of acute pancreatitis according to the modern guidelines].

    PubMed

    Botoi, G; Andercou, O; Andercou, A; Marian, D; Tamasan, A; Span, M

    2011-01-01

    Severe acute pancreatitis is a critical illness as the organism that produces a significant mortality despite diagnostic and therapeutic acquisitions. While new mechanisms have been identified for production and were crystallized management principles, a number of controversies remain awaiting resolution in the near future. Aim is to establish, based on their experience and literature data, place the current means of diagnosis and treatment in close correlation with the pathophysiological events of acute pancreatitis.

  16. A hypermedia-based medical records management system.

    PubMed

    Laforest, F; Frénot, S; Flory, A

    1998-01-01

    This article presents a new way to manage computerized medical records, based on a totally-hypermedia system. As a matter of fact, the classical use of a database limits the necessary variability of the medical record, in function of both the patient profile and the care practitioner habits. The system we propose is based on a hospital Intranet, and on the XML language. This language allows the definition of semantic tags in hyperdocuments, and thus information retrieval is ensured through semantic tags indexation.

  17. Change Management – Recommendations for Successful Electronic Medical Records Implementation

    PubMed Central

    Shoolin, J.S.

    2010-01-01

    Summary Change is difficult and managing change even more so. With the advent of Electronic Medical Records (EMRs) and the difficulty of its acceptance, understanding physician’s attitudes and the psychology of change management is imperative. While many authors describe change management theories, one comes nearest to describing this particularly difficult transition. In 1969, Elizabeth Kübler-Ross wrote her seminal treatise, On Death and Dying, detailing the psychological changes terminally ill patients undergo. Her grieving model is a template to examine the impact of change. By following a physician through the EMR maze, understanding the difficulties he/she perceives and developing a plan other change agents are able to use, the paper gives practical recommendations to EMR change management. PMID:23616842

  18. Irritable bowel syndrome: modern concepts and management options.

    PubMed

    Sayuk, Gregory S; Gyawali, C Prakash

    2015-08-01

    Irritable bowel syndrome is the most common functional gastrointestinal disorder, manifesting as abdominal pain/discomfort and altered bowel function. Despite affecting as many as 20% of adults, a lack of understanding of etiopathogenesis and evaluation strategies results in diagnostic uncertainty, and in turn frustration of both the physician and the patient. This review summarizes the current literature on the diagnosis and management of irritable bowel syndrome, with attention to evidence-based approaches. A 4-step treatment strategy that has been used successfully in our tertiary referral practice is presented and should lead to successful therapeutic outcomes in the majority of patients with irritable bowel syndrome.

  19. U.S. Navy Ships Food Service Divisions: Modernizing Inventory Management

    DTIC Science & Technology

    2010-06-01

    management procedures for receipt, inventory, stowage, and issue of provisions onboard ships have remained relatively unchanged for decades. Culinary ...improve the quality of life for Culinary Specialists 15. NUMBER OF PAGES 87 14. SUBJECT TERMS Inventory management, records keeper, stores onload...remained relatively unchanged for decades. Culinary Specialists are utilizing an antiquated and unreliable inventory management program (the Food

  20. Why different countries manage death differently: a comparative analysis of modern urban societies.

    PubMed

    Walter, Tony

    2012-03-01

    The sociology of death, dying and bereavement tends to take as its implicit frame either the nation state or a homogenous modernity. Between-nation differences in the management of death and dying are either ignored or untheorized. This article seeks to identify the factors that can explain both similarities and differences in the management of death between different modern western nations. Structural factors which affect all modern nations include urbanization and the division of labour leading to the dominance of professionals, migration, rationality and bureaucracy, information technology and the risk society. How these sociologically familiar structural features are responded to, however, depends on national histories, institutions and cultures. Historically, key transitional periods to modernity, different in different nations, necessitated particular institutional responses in the management of dying and dead bodies. Culturally, key factors include individualism versus collectivism, religion, secularization, boundary regulation, and expressivism. Global flows of death practices depend significantly on subjugated nations' perceptions of colonialism, neo-colonialism and modernity, which can lead to a dominant power's death practices being either imitated or rejected.

  1. [The modern principles of management of intermittent claudication].

    PubMed

    Gamzatov, T Kh; Svetlikov, A V

    2016-01-01

    Number of patients with peripheral arterial disease, despite various national public health programs, remains high and has no steady downward trend over the past few decades. Despite recent advances in drug therapy, сonservative approach in the management of peripheral arterial disease is often neglected by vascular surgeons. However, vast majority of patients with intermittent claudication, who receive comprehensive conservative treatment, including risk factor modification, exercise and drug therapy, may get significant improvement in quality of life by partial or complete relief of symptoms related to the disease. Patients strictly adhering to medical recommendations has favorable prognosis and progression of disease to the stage of critical limb ischemia is very unlikely. Noncompliant patients and those who continue smoking in particular, often experience progression of symptoms related to the disease. That may result in the need for surgical intervention aiming to prevent or delay the onset of critical limb ischemia.

  2. Taking control of your digital library: how modern citation managers do more than just referencing.

    PubMed

    Mahajan, Amit K; Hogarth, D Kyle

    2013-12-01

    Physicians are constantly navigating the overwhelming body of medical literature available on the Internet. Although early citation managers were capable of limited searching of index databases and tedious bibliography production, modern versions of citation managers such as EndNote, Zotero, and Mendeley are powerful web-based tools for searching, organizing, and sharing medical literature. Effortless point-and-click functions provide physicians with the ability to develop robust digital libraries filled with literature relevant to their fields of interest. In addition to easily creating manuscript bibliographies, various citation managers allow physicians to readily access medical literature, share references for teaching purposes, collaborate with colleagues, and even participate in social networking. If physicians are willing to invest the time to familiarize themselves with modern citation managers, they will reap great benefits in the future.

  3. Department of Defense: Further Actions Needed to Institutionalize Key Business System Modernization Management Controls

    DTIC Science & Technology

    2011-06-01

    reported that the pace of DOD’s efforts in defining and implementing key institutional modernization management controls had slowed compared with...Carl Barden, Shaun Byrnes, Debra Conner, Elena Epps, Rebecca Eyler, Nancy Glover, Neelaxi Lakhmani (Assistant Director), Anh Le, Lori Martinez

  4. Current role of modern radiotherapy techniques in the management of breast cancer

    PubMed Central

    Ozyigit, Gokhan; Gultekin, Melis

    2014-01-01

    Breast cancer is the most common type of malignancy in females. Advances in systemic therapies and radiotherapy (RT) provided long survival rates in breast cancer patients. RT has a major role in the management of breast cancer. During the past 15 years several developments took place in the field of imaging and irradiation techniques, intensity modulated RT, hypofractionation and partial-breast irradiation. Currently, improvements in the RT technology allow us a subsequent decrease in the treatment-related complications such as fibrosis and long-term cardiac toxicity while improving the loco-regional control rates and cosmetic results. Thus, it is crucial that modern radiotherapy techniques should be carried out with maximum care and efficiency. Several randomized trials provided evidence for the feasibility of modern radiotherapy techniques in the management of breast cancer. However, the role of modern radiotherapy techniques in the management of breast cancer will continue to be defined by the mature results of randomized trials. Current review will provide an up-to-date evidence based data on the role of modern radiotherapy techniques in the management of breast cancer. PMID:25114857

  5. Modern Management Principles Come to the Dental School.

    PubMed

    Wataha, John C; Mouradian, Wendy E; Slayton, Rebecca L; Sorensen, John A; Berg, Joel H

    2016-04-01

    The University of Washington School of Dentistry may be the first dental school in the nation to apply lean process management principles as a primary tool to re-engineer its operations and curriculum to produce the dentist of the future. The efficiencies realized through re-engineering will better enable the school to remain competitive and viable as a national leader of dental education. Several task forces conducted rigorous value stream analyses in a highly collaborative environment led by the dean of the school. The four areas undergoing evaluation and re-engineering were organizational infrastructure, organizational processes, curriculum, and clinic operations. The new educational model was derived by thoroughly analyzing the current state of dental education in order to design and achieve the closest possible ideal state. As well, the school's goal was to create a lean, sustainable operational model. This model aims to ensure continued excellence in restorative dental instruction and to serve as a blueprint for other public dental schools seeking financial stability in this era of shrinking state support and rising costs.

  6. Rational use of electronic health records for diabetes population management.

    PubMed

    Eggleston, Emma M; Klompas, Michael

    2014-04-01

    Population management is increasingly invoked as an approach to improve the quality and value of diabetes care. Recent emphasis is driven by increased focus on both costs and measures of care as the US moves from fee for service to payment models in which providers are responsible for costs incurred, and outcomes achieved, for their entire patient population. The capacity of electronic health records (EHRs) to create patient registries, apply analytic tools, and facilitate provider- and patient-level interventions has allowed rapid evolution in the scope of population management initiatives. However, findings on the efficacy of these efforts for diabetes are mixed, and work remains to achieve the full potential of an-EHR based population approach. Here we seek to clarify definitions and key domains, provide an overview of evidence for EHR-based diabetes population management, and recommend future directions for applying the considerable power of EHRs to diabetes care and prevention.

  7. Windows into nothingness: terror management, meaninglessness, and negative reactions to modern art.

    PubMed

    Landau, Mark J; Greenberg, Jeff; Solomon, Sheldon; Pyszczynski, Tom; Martens, Andy

    2006-06-01

    Why do people dislike art that they find meaningless? According to terror management theory, maintaining a basic meaningful view of reality is a key prerequisite for managing concerns about mortality. Therefore, mortality salience should decrease liking for apparently meaningless art, particularly among those predisposed to unambiguous knowledge. Accordingly, mortality salience diminished affection for modern art in Study 1, and this effect was shown in Study 2 to be specific to individuals with a high personal need for structure (PNS). In Studies 3 and 4, mortality salient high-PNS participants disliked modern art unless it was imbued with meaning, either by means of a title or a personal frame of reference induction. Discussion focused on the roles of meaninglessness, PNS, and art in terror management.

  8. Security issues at the Department of Energy and records management

    SciTech Connect

    NUSBAUM,ANNA W.

    2000-03-13

    In order to discuss the connection between security issues within the Department of Energy and records management, the author covers a bit of security history and talks about what she calls ``the Amazing Project''. Initiated in late May 1999, it was to be a tri-laboratory (Lawrence Livermore National Laboratory of Livermore, California, Los Alamos National Laboratory of Los Alamos, New Mexico, and Sandia National Laboratories of Albuquerque, New Mexico, and Livermore, California) project. The team that formed was tasked to develop the best set of security solutions that still enabled weapon mission work to get done and the security solutions were to be the same set for everyone. The amazing project was called ''The Integrated Security Management Project'', or ''ISecM' for short. She'll describe why she thinks this project was so amazing and what it accomplished. There's a bit of sad news about the project, but then she'll move onto discuss what was learned at Sandia as a result of the project and what they're currently doing in records management.

  9. Ancient Records and Modern Research on the Mechanisms of Chinese Herbal Medicines in the Treatment of Diabetes Mellitus

    PubMed Central

    Zhang, Hai-ming; Liang, Feng-xia

    2015-01-01

    Over the past decades, Chinese herbal medicines (CHM) have been extensively and intensively studied through from both clinical and experimental perspectives and CHM have been proved to be effective in the treatment of diabetes mellitus (DM). This study, by searching ancient records and modern research papers, reviewed CHM in terms of their clinical application and principal mechanism in the treatment of DM. We summarized the use of CHM mentioned in 54 famous ancient materia medica monographs and searched papers on the hypoglycemic effect of several representative CHM. Main mechanisms and limitations of CHM and further research direction for DM were discussed. On the basis of the study, we were led to conclude that TCM, as a main form of complementary and alternative medicine (CAM), was well recorded in ancient literatures and has less adverse effects as shown by modern studies. The mechanisms of CHM treatment of DM are complex, multilink, and multitarget, so we should find main hypoglycemic mechanism through doing research on CHM monomer active constituents. Many CHM monomer constituents possess noteworthy hypoglycemic effects. Therefore, developing a novel natural product for DM and its complications is of much significance. It is strongly significant to pay close attention to CHM for treatment of DM and its complications. PMID:25815039

  10. Ancient records and modern research on the mechanisms of chinese herbal medicines in the treatment of diabetes mellitus.

    PubMed

    Zhang, Hai-Ming; Liang, Feng-Xia; Chen, Rui

    2015-01-01

    Over the past decades, Chinese herbal medicines (CHM) have been extensively and intensively studied through from both clinical and experimental perspectives and CHM have been proved to be effective in the treatment of diabetes mellitus (DM). This study, by searching ancient records and modern research papers, reviewed CHM in terms of their clinical application and principal mechanism in the treatment of DM. We summarized the use of CHM mentioned in 54 famous ancient materia medica monographs and searched papers on the hypoglycemic effect of several representative CHM. Main mechanisms and limitations of CHM and further research direction for DM were discussed. On the basis of the study, we were led to conclude that TCM, as a main form of complementary and alternative medicine (CAM), was well recorded in ancient literatures and has less adverse effects as shown by modern studies. The mechanisms of CHM treatment of DM are complex, multilink, and multitarget, so we should find main hypoglycemic mechanism through doing research on CHM monomer active constituents. Many CHM monomer constituents possess noteworthy hypoglycemic effects. Therefore, developing a novel natural product for DM and its complications is of much significance. It is strongly significant to pay close attention to CHM for treatment of DM and its complications.

  11. Molecular and isotopic composition of lipids in modern and fossil bivalve shells: Records of paleoenvironmental change?

    SciTech Connect

    CoBabe, E.A.

    1995-12-31

    Suites of lipids residing in situ in modern and fossil bivalve shells offer new possibilities for the study of paleoecology and paleoclimatology. Distributions of carbon isotopic compositions of modem shell lipids suggests that many of these compounds, including alkanes, sterols, fatty acids, ketones and phytadienes, are derived from the bivalves and not directly from the surrounding environment. The occurrence of fatty acids in modem and fossil shell material opens up the possibility that saturation levels of these compounds may be used as paleothermometers. To date, the utility of fatty acids in paleoclimate studies has been limited because of the swift breakdown of these compounds in sediment. However, initial results indicate that fatty acids in bivalve shells retain their original structure for at least several million years. Comparison of modem bivalve shell fatty acids from tropical, temperate and polar nearshore marine systems will be presented, along with analogous fossil data.

  12. 36 CFR 1222.32 - How do agencies manage records created or received by contractors?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT CREATION AND MAINTENANCE OF FEDERAL RECORDS...) Contracts that require the creation of data for the Government's use must specify, in addition to the...

  13. 36 CFR 1222.32 - How do agencies manage records created or received by contractors?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT CREATION AND MAINTENANCE OF FEDERAL RECORDS...) Contracts that require the creation of data for the Government's use must specify, in addition to the...

  14. 36 CFR 1222.32 - How do agencies manage records created or received by contractors?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT CREATION AND MAINTENANCE OF FEDERAL RECORDS...) Contracts that require the creation of data for the Government's use must specify, in addition to the...

  15. 36 CFR 1222.32 - How do agencies manage records created or received by contractors?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT CREATION AND MAINTENANCE OF FEDERAL RECORDS Agency...) Contracts that require the creation of data for the Government's use must specify, in addition to the...

  16. Improving the medical records department processes by lean management

    PubMed Central

    Ajami, Sima; Ketabi, Saeedeh; Sadeghian, Akram; Saghaeinnejad-Isfahani, Sakine

    2015-01-01

    Background: Lean management is a process improvement technique to identify waste actions and processes to eliminate them. The benefits of Lean for healthcare organizations are that first, the quality of the outcomes in terms of mistakes and errors improves. The second is that the amount of time taken through the whole process significantly improves. Aims: The purpose of this paper is to improve the Medical Records Department (MRD) processes at Ayatolah-Kashani Hospital in Isfahan, Iran by utilizing Lean management. Materials and Methods: This research was applied and an interventional study. The data have been collected by brainstorming, observation, interview, and workflow review. The study population included MRD staff and other expert staff within the hospital who were stakeholders and users of the MRD. Statistical Analysis Used: The MRD were initially taught the concepts of Lean management and then formed into the MRD Lean team. The team then identified and reviewed the current processes subsequently; they identified wastes and values, and proposed solutions. Results: The findings showed that the MRD units (Archive, Coding, Statistics, and Admission) had 17 current processes, 28 wastes, and 11 values were identified. In addition, they offered 27 comments for eliminating the wastes. Conclusion: The MRD is the critical department for the hospital information system and, therefore, the continuous improvement of its services and processes, through scientific methods such as Lean management, are essential. Originality/Value: The study represents one of the few attempts trying to eliminate wastes in the MRD. PMID:26097862

  17. 75 FR 24796 - FBI Records Management Division National Name Check Program Section User Fees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ... CFR Part 20 RIN 1110-AA29 FBI Records Management Division National Name Check Program Section User...-based background checks conducted by the National Name Check Program (NNCP) of the Records Management..., 2010. FOR FURTHER INFORMATION CONTACT: FBI, Records Management Division, National Name Check...

  18. Physical Records of Impacts in the Early and Modern Solar System

    NASA Astrophysics Data System (ADS)

    Beauford, Robert E.

    The study of terrestrial meteorite impact craters and of impacted meteorites expands our understanding of cratered rocky surfaces throughout the solar system. Terrestrial craters uniquely expand upon data from remote imaging and planetary surface exploration by providing analogs for understanding the buried sub-surface portions of impact structures, while impacted meteorites provide examples of a much wider range of surface and subsurface impactite materials than we can directly sample thus far through solar system exploration. This report examines three facets of the impact record preserved in terrestrial impact craters and in meteorites. First, it looks at the macroscopic structure of the Sutters Mill meteorite, a brecciated regolithic CM chondrite that preserves a three-dimensional record of the one of the most primitive known impact gardened surfaces in the solar system. The report details distinct lithologies preserved in the meteorite and the ways in which these lithologies reflect impact and alteration processes, with the intention of contextualizing and illuminating the wider body of recently published instrumental work on the stone by the current authors and others. Second, this dissertation presents a detailed analysis of the origin and nature of unique sub-spherical `round rocks' commonly associated with the surface exposed sediments at the proposed Weaubleau impact structure, in west-central Missouri. Third, and finally, the dissertation looks at the nature of impact evidence for small impact pits and craters on earth. Unambiguously proving the impact origin of sub-kilometer terrestrial impact craters has presented significant historical challenges. A systematic analysis of field reports for all widely recognized sub-km terrestrial craters addresses both the nature of compelling evidence for impact origin for structures in this size range and the adequacy of the existing record of evidence for currently recognized structures.

  19. A graded approach to ISO 9000 implementation for records managers

    SciTech Connect

    Pasterczyk, C.E.

    1994-08-01

    ISO 9000 is a series of quality system standards developed by Technical Committee 176 of the International Standards Organization. The series includes three standards, ISO 9001 `Quality systems--Model for quality assurance in design/development, production, installation and serving,` ISO 9002 `Quality systems--Model for quality assurance in production and installation,` ISO 9003 `Quality systems--Model for quality assurance in final inspection and test,` and two guidelines, ISO 9000 `Quality management and quality assurance standards` and ISO 9004 `Quality management and quality system elements--Guidelines.` In companies with quality programs already in place, the structure of the ISO series lends itself to augmenting those policies, procedures, and instructions where problems exist or where the risks of failure are greater. The objectives of this paper are to provide a basic familiarity to ISO 9000 and quality assurance concepts; provide a higher level of familiarity to the records management and document control portions of the ISO 9000 series; and to discuss a graded approach to meeting the intent of ISO 9000.

  20. Atmospheric Mercury Deposition Inferred from Glacial Records in the Tibetan Plateau: Modern Process and History

    NASA Astrophysics Data System (ADS)

    Zhang, Qianggong; Kang, Shichang; Zhang, Yulan

    2015-04-01

    Mercury (Hg) has been recognized as a global contaminant due to its intrinsic toxicity, biomagnifications in ecosystems, and long-range transport via the atmosphere. Atmospheric Hg deposition was evaluated using snowpits and an ice core retrieved from glaciers over the Tibetan Plateau (TP). Results revealed a wide range of total Hg (THg) concentrations (<1 to 43.6 ng L-1) in glacier snow and a clear seasonal variations with higher values in winter than those in summer. Estimated atmospheric Hg depositional fluxes ranged from 0.74 to 7.89 μg m-2 yr-1. Consecutive snowpit sampling at Zhadang glacier in the southern TP during summer season revealed that Hg in glaciers is mainly preserved in the form of particulate-bound Hg, Hg tends to accumulate in dust-enriched stratums during its percolation down to lower snow stratums. The presence of dust layers, usually formed yearly in winter/spring seasons, likely act as effective "adsorbers" enhancing the preservation and seasonality of the atmospheric Hg deposition records in glaciers over the TP. A high-resolution Hg record reconstructed by the Mt.Geladiandong ice core provided insight into historical atmospheric Hg deposition during the past 500 years. Notable elevated THg concentrations and fluxes were observed since 1940s, which coincides the increase of global Hg production, especially the Asian Hg production history. Ice core reconstructed Hg depositional flux for post-1940s era is over 6 times of that for pre-20th centuries, which clearly indicated anthropogenic influences on the regional, and perhaps even the global atmospheric Hg background and deposition rate.

  1. Microbial mat records in siliciclastic rocks: Examples from Four Indian Proterozoic basins and their modern equivalents in Gulf of Cambay

    NASA Astrophysics Data System (ADS)

    Sarkar, Subir; Banerjee, Santanu; Samanta, Pradip; Chakraborty, Nivedita; Chakraborty, Partha Pratim; Mukhopadhyay, Soumik; Singh, Arvind K.

    2014-09-01

    Microbial mat-related structures (MRS) in siliciclastics have been investigated from four Proterozic formations in India, namely the Marwar Supergroup, the Vindhyan Supergroup, the Chhatisgarh Supergroup and the Khariar Group for their spectral variations, genetic aspects, palaeo-environmental significance and influence on sequence stratigraphic architecture. The maximum diversification of MRS has been experienced in shallow marine coastal Precambrian successions. Observations made from modern environment as well as Precambrian rock records clearly indicates that the features like petee ridges, sand-cracks, gas domes, multi-directed ripples, reticulate surfaces, sieve-like surfaces and setulf are most likely to form in the shallowest part of the marine basins, in upper intertidal to supratidal conditions while wrinkle structures, roll-up structures and patchy ripples had a broader range of palaeogeographic settings from the supratidal to subtidal conditions. Discoidal microbial colony (DMC) represents a special variety of the mat-layer feature in modern environment that may have diverse internal architecture, sometimes falsely resembles Ediacaran medusoids. The uniqueness in sequence stratigraphic architecture of the microbial mat-covered sediment is reflected by the presence of more amalgamated HSTs compare to that of TSTs. The preservation of forced and normal regressive deposits on low-gradient epeiric shelf under low continental freeboard indicates microbial mat-infested sea-floor impedes erosion and concomitant sediment supply may facilitate formation and preservation of regressive packages.

  2. Computational methods in the pricing and risk management of modern financial derivatives

    NASA Astrophysics Data System (ADS)

    Deutsch, Hans-Peter

    1999-09-01

    In the last 20 years modern finance has developed into a complex mathematically challenging field. Very complicated risks exist in financial markets which need very advanced methods to measure and/or model them. The financial instruments invented by the market participants to trade these risk, the so called derivatives are usually even more complicated than the risks themselves and also sometimes generate new riks. Topics like random walks, stochastic differential equations, martingale measures, time series analysis, implied correlations, etc. are of common use in the field. This is why more and more people with a science background, such as physicists, mathematicians, or computer scientists, are entering the field of finance. The measurement and management of all theses risks is the key to the continuing success of banks. This talk gives insight into today's common methods of modern market risk management such as variance-covariance, historical simulation, Monte Carlo, “Greek” ratios, etc., including the statistical concepts on which they are based. Derivatives are at the same time the main reason for and the most effective means of conducting risk management. As such, they stand at the beginning and end of risk management. The valuation of derivatives and structured financial instruments is therefore the prerequisite, the condition sine qua non, for all risk management. This talk introduces some of the important valuation methods used in modern derivatives pricing such as present value, Black-Scholes, binomial trees, Monte Carlo, etc. In summary this talk highlights an area outside physics where there is a lot of interesting work to do, especially for physicists. Or as one of our consultants said: The fascinating thing about this job is that Arthur Andersen hired me not ALTHOUGH I am a physicist but BECAUSE I am a physicist.

  3. [The basis of modern technologies in management of health care system].

    PubMed

    Nemytin, Iu V

    2014-12-01

    For the development of national heaIth care it is required to implement modern and effective methods and forms of governance. It is necessary to clearly identify transition to process management followed by an introduction of quality management care. It is necessary to create a complete version of the three-level health care system based on the integration into the system "Clinic - Hospital - Rehabilitation", which will ensure resource conservation in general throughout the industry. The most important task is purposeful comprehensive management training for health care--statesmen who have the potential ability to manage. The leader must possess all forms of management and apply them on a scientific basis. Standards and other tools of health management should constantly improve. Standards should be a teaching tool and help to improve the quality and effectiveness of treatment processes, the transition to the single-channel financing--the most advanced form of payment for the medical assistance. This type of financing requires managers to new management approaches, knowledge of business economics. One of the breakthrough objectives is the creation of a new type of health care organizations, which as lead locomotives for a rest.

  4. 36 CFR 1236.10 - What records management controls must agencies establish for records in electronic information...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... into the electronic information system or integrate them into a recordkeeping system that is external... controls must agencies establish for records in electronic information systems? 1236.10 Section 1236.10... Implementing Electronic Information Systems § 1236.10 What records management controls must agencies...

  5. 36 CFR 1236.22 - What are the additional requirements for managing electronic mail records?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... requirements for managing electronic mail records? 1236.22 Section 1236.22 Parks, Forests, and Public Property... Requirements for Electronic Records § 1236.22 What are the additional requirements for managing electronic mail... requirements for electronic mail records: (1) The names of sender and all addressee(s) and date the message...

  6. 36 CFR 1236.22 - What are the additional requirements for managing electronic mail records?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... requirements for managing electronic mail records? 1236.22 Section 1236.22 Parks, Forests, and Public Property... Requirements for Electronic Records § 1236.22 What are the additional requirements for managing electronic mail... requirements for electronic mail records: (1) The names of sender and all addressee(s) and date the message...

  7. 36 CFR 1236.22 - What are the additional requirements for managing electronic mail records?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... requirements for managing electronic mail records? 1236.22 Section 1236.22 Parks, Forests, and Public Property... Requirements for Electronic Records § 1236.22 What are the additional requirements for managing electronic mail... requirements for electronic mail records: (1) The names of sender and all addressee(s) and date the message...

  8. 36 CFR 1236.22 - What are the additional requirements for managing electronic mail records?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... requirements for managing electronic mail records? 1236.22 Section 1236.22 Parks, Forests, and Public Property... Requirements for Electronic Records § 1236.22 What are the additional requirements for managing electronic mail... requirements for electronic mail records: (1) The names of sender and all addressee(s) and date the message...

  9. Late Holocene and modern pollen records from three sites in Shannon and Carter Counties, southeast Missouri Ozarks

    SciTech Connect

    Huber, J.K. . Archaeometry Lab.)

    1993-03-01

    Palynological investigations of a small sinkhole bog (Buttonbush Bog) and two archaeological sites (Round Spring Shelter, Round Spring Site 23SH19 and Gooseneck Site 23CT54) located in Shannon and Carter counties, Missouri provide a 3,100 year record of vegetational change. Bryophytic polsters and surface samples were also collected in Shannon and Carter counties in the southeast Missouri Ozarks to determine modern pollen rain. A 302-cm core retrieved from Buttonbush Bog has a basal data of 3,130 [+-] 100 yr B.P. and a date of 1,400 [+-] 100 yr B.P. at 52--56 cm. The Buttonbush Bog pollen sequence is divided into three pollen-assemblage zones. The pollen spectra from Buttonbush Bog indicate that pine did not become well established in the southeast Missouri Ozarks until after 3,100 yr B.P. Zone 1 (the oldest) represents a mixed oak forest with minor components of pine and hickory. In Zone 2, pine values increase, indicating a shift to a pine-oak forest. The pollen sequence from Round Spring Shelter is divided into two pollen-assemblage zones. The lower zone (Zone 1) suggests the presence of a pine-oak forest in the vicinity of Round Spring prior to an Ambrosia rise at the top of the sequence in Zone 2. Regional pollen rain and variation in the local pollen rain are reflected by modern pollen spectra extracted from the bryophytic polsters surface samples. In this area the average regional pollen rain is dominated by pine, oak, hickory, and Ambrosia. The data are consistent with the mosaic of pine-oak and oak-hickory-pine forests characteristic of this region.

  10. Sulfur isotope fractionation in modern euxinic systems: Implications for paleoenvironmental reconstructions of paired sulfate-sulfide isotope records

    NASA Astrophysics Data System (ADS)

    Gomes, Maya L.; Hurtgen, Matthew T.

    2015-05-01

    The sulfur (S) isotope difference between sulfates and sulfides preserved in sedimentary rocks (Δ34S) has been utilized to reconstruct ancient marine sulfate levels with implications for oxygenation of the Earth surface and biogeochemical cycling. S isotope data from modern, low-sulfate euxinic systems illustrate that preserved Δ34S values are positively correlated with sulfate concentration. However, absolute constraints on the range of low-sulfate levels over which preserved Δ34S values vary with sulfate concentration remain poorly constrained. Here, we present a compilation of S isotope data for modern euxinic systems demonstrating that preserved Δ34S values increase with sulfate concentration at low sulfate levels and approach values that are similar to in situ S isotope fractionation values from microbial sulfate reduction at high sulfate levels. We compare these results to a closed system model of S isotope cycling in a euxinic ocean in order to evaluate when the size of the sulfate reservoir is sufficiently small that Rayleigh fractionation affects the preservation of S isotope signatures. We conclude that the reservoir effect places constraints on Δ34S values deposited in euxinic settings at sulfate concentrations <5 mM. Thus, over this range, Δ34S values can be used to evaluate ancient sulfate levels. At higher sulfate levels (>10 mM), Δ34S values are similar to the kinetic isotope fractionation due to microbial sulfate reduction and therefore provide information about biological and environmental controls on sulfate reduction rates and location of pyrite formation. The results of this compilation provide an improved model for the use of Δ34S records to evaluate paleoenvironmental conditions in euxinic depositional environments.

  11. Influence of Modern Stormwater Management Practices on Transport of Road Salt to Surface Waters.

    PubMed

    Snodgrass, Joel W; Moore, Joel; Lev, Steven M; Casey, Ryan E; Ownby, David R; Flora, Robert F; Izzo, Grant

    2017-03-29

    Application of road salts in regions with colder climates is leading to ground and surface water contamination. However, we know little about how modern stormwater management practices affect the movement of road salt through urban watersheds. We investigated groundwater contamination and transport of road salts at two stormwater ponds in Baltimore County, Maryland. In association with the ponds, we documented a plume of contaminated groundwater that resulted in Cl(-) loadings to the adjacent stream of 6574 to 40 008 kg Cl(-) per winter, depending on winter snowfall. We also monitored Na(+) and Cl(-) ion concentrations and the temporal dynamics of conductivity at a range of stream sites in watersheds with and without stormwater management ponds. Streams draining watersheds with stormwater ponds had consistently higher conductivities and Cl(-) concentrations during base flow conditions and often exhibited greater peaks in Cl(-) and conductivity associated with winter storms and subsequent melting events, despite the degree of watershed development. Our results indicate that modern stormwater management practices are not protecting surface waters from road salt contamination and suggest they create contaminated plumes of groundwater that deliver Cl(-) and Na(+) to streams throughout the year.

  12. 36 CFR 1220.32 - What records management principles must agencies implement?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Responsibilities § 1220.32 What records management principles must agencies implement? Agencies must create and...) Records, regardless of format, are protected in a safe and secure environment and removal or...

  13. 36 CFR 1220.32 - What records management principles must agencies implement?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Responsibilities § 1220.32 What records management principles must agencies implement? Agencies must create and...) Records, regardless of format, are protected in a safe and secure environment and removal or...

  14. Innovative work behavior of managers: Implications regarding stressful challenges of modernized public- and private-sector organizations

    PubMed Central

    Mukherjee, Sudeshna Basu; Ray, Anjali

    2009-01-01

    Background: The present study was firstly aimed to find out the nature of stressful life events arising out of the innovative challenges in modernized organizations; and secondly, it tried to identify the relationship between innovative work behavior of managers and the levels of stress arising out of stressful events in modernized organizations (public and private) in West Bengal. Materials and Methods: Data was collected from a sample of 200 managers, by using 3 tools (General Information Schedule, Life Event Inventory and Innovative Work Behavior Scale) through a face-to-face interview. Responses were subjected to both quantitative and qualitative analyses. The data was statistically treated for ‘t’ and ANOVA. Results: Data highlighted the fact that the qualitative profile of stressful events in the lives of managers expressed specificity in terms of their organizational type (public- and private-sector modernized organizations), and levels of stress from stressful life events were significantly higher among the modernized private-sector managers than those among public-sector managers. The prevalence of innovative work behavior was moderately higher among managers of private-sector modernized organizations than their counterparts in public-sector organizations. The trends of innovative work behavior of the managers indicated much variability due to interaction of their level of perceived stressful challenges for innovation and the global forces of change that have unleashed dynamic, systematic and higher expectation level from them. PMID:21180486

  15. Fluvial geomorphic elements in modern sedimentary basins and their potential preservation in the rock record: A review

    NASA Astrophysics Data System (ADS)

    Weissmann, G. S.; Hartley, A. J.; Scuderi, L. A.; Nichols, G. J.; Owen, A.; Wright, S.; Felicia, A. L.; Holland, F.; Anaya, F. M. L.

    2015-12-01

    Since tectonic subsidence in sedimentary basins provides the potential for long-term facies preservation into the sedimentary record, analysis of geomorphic elements in modern continental sedimentary basins is required to understand facies relationships in sedimentary rocks. We use a database of over 700 modern sedimentary basins to characterize the fluvial geomorphology of sedimentary basins. Geomorphic elements were delineated in 10 representative sedimentary basins, focusing primarily on fluvial environments. Elements identified include distributive fluvial systems (DFS), tributive fluvial systems that occur between large DFS or in an axial position in the basin, lacustrine/playa, and eolian environments. The DFS elements include large DFS (> 30 km in length), small DFS (< 30 km in length), coalesced DFS in bajada or piedmont plains, and incised DFS. Our results indicate that over 88% of fluvial deposits in the evaluated sedimentary basins are present as DFS, with tributary systems covering a small portion (1-12%) of the basin. These geomorphic elements are commonly arranged hierarchically, with the largest transverse rivers forming large DFS and smaller transverse streams depositing smaller DFS in the areas between the larger DFS. These smaller streams commonly converge between the large DFS, forming a tributary system. Ultimately, most transverse rivers become tributary to the axial system in the sedimentary basin, with the axial system being confined between transverse DFS entering the basin from opposite sides of the basin, or a transverse DFS and the edge of the sedimentary basin. If axial systems are not confined by transverse DFS, they will form a DFS. Many of the world's largest rivers are located in the axial position of some sedimentary basins. Assuming uniformitarianism, sedimentary basins from the past most likely had a similar configuration of geomorphic elements. Facies distributions in tributary positions and those on DFS appear to display

  16. 36 CFR 1236.6 - What are agency responsibilities for electronic records management?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-1235 of this subchapter; (b) Integrate records management and preservation considerations into the design, development, enhancement, and implementation of electronic information systems in accordance...

  17. Injuries in a modern dance company effect of comprehensive management on injury incidence and cost.

    PubMed

    Ojofeitimi, Sheyi; Bronner, Shaw

    2011-09-01

    Injury costs strain the finances of many dance companies. The objectives of this study were to analyze the effect of comprehensive management on injury patterns, incidence, and time loss and examine its financial impact on workers compensation premiums in a modern dance company. In this retrospective-prospective cohort study, injury was defined as any physical insult that required financial outlay (workers compensation or self insurance) or caused a dancer to cease dancing beyond the day of injury (time-loss injury). Injury data and insurance premiums were analyzed over an eight-year period. Injuries were compared using a mixed linear model with phase and gender as fixed effects. It was found that comprehensive management resulted in 34% decline in total injury incidence, 66% decrease in workers compensation claims, and 56% decrease in lost days. These outcomes achieved substantial savings in workers compensation premiums. Thus, this study demonstrates the effectiveness of an injury prevention program in reducing injury-related costs and promoting dancers' health and wellness in a modern dance company.

  18. Geological and geodynamic investigations of Alaskan tectonics: Responses in the ancient and modern geologic records to oblique plate convergence

    NASA Astrophysics Data System (ADS)

    Kalbas, James L.

    Stratigraphic, structural, and geophysical modeling studies focusing on both the Mesozoic and modern development of southern Alaska aid in understanding the nature of tectonic responses to oblique plate convergence. Analyses of the Lower to Upper (?) Cretaceous Kahiltna assemblage of the western Alaska Range and the Upper Cretaceous Kuskokwim Group of the northern Kuskokwim Mountains provide a stratigraphic record of orogenic growth in southwestern Alaska. The Kahiltna assemblage records dominantly west-directed gravity-flow transport of sediment to the axis of an obliquely closing basin that made up the suture zone between the allochthonous Wrangellia composite terrane and the North American pericratonic margin. Stratigraphic, compositional, and geochronologic analyses suggest that submarine-fan systems of the Kahiltna basin were fed from the subearial suture zone and contain detrital grains derived from both allochthonous and pericratonic sources, thereby implying a relatively close proximity of the island-arc terrane to the North American margin by late Early Cretaceous time. In contrast, Upper Cretaceous strata exposed immediately west of the Kahiltna assemblage record marine deposition during a period of transition from island arc accretion to strike-slip tectonics. The new stratigraphic model presented here recognizes diverse bathyal- to shelfal-marine depositional systems within the Kuskokwim Group that represent distinctive regional sediment entry points to the basin. Collectively, these strata suggest that the Kuskokwim Group represents the waning stages of marine deposition in a long-lived intra-oceanic and continental margin basin. Geodynamic studies focus on the mechanics of contemporary fault systems in southern Alaska inboard of the collisional Yakutat microplate. Finite-element analyses predict that a poorly understood Holocene strike-slip fault in the St. Elias Mountains transfers shear from the Queen Charlotte fault northward to the Denali fault

  19. New Directions in Library and Information Science Education. Final Report. Volume 2.8: Records and Information Manager Competencies.

    ERIC Educational Resources Information Center

    Griffiths, Jose-Marie; And Others

    This document contains validated activities and competencies needed by information professionals working as records and information managers. The activities of information professionals are listed by function: records and information program management; systems analysis; records center administration; general administration; planning; financial…

  20. Modern plant-derived terpenoids in an upper Michigan river basin and implications for interpreting the geologic record

    NASA Astrophysics Data System (ADS)

    Giri, S.; Diefendorf, A. F.; Lowell, T. V.

    2013-12-01

    Di- and triterpenoids are taxonomically specific plant biomarkers, which are produced by conifers and angiosperms, respectively. Because of this source specificity, terpenoids are often used for paleovegetation reconstruction. However, few studies have evaluated weather terpenoid ratios in modern river systems reflect the surrounding plant community. It is likely that various processes that bias terpenoid ratios as they are transported from plants to sediments. To learn more about these important geologic biomarkers, we used a modern fluvial system as an ancient river analog to provide information on the utility of terpenoids as quantitative paleovegetation proxies. Di- and triterpenoid concentrations were quantified in plants, sediments, and particulate and dissolved organic matter in a small river in the Upper Peninsula of Michigan to (1) determine if the contribution of terpenoids from source vegetation is reflected in forested soil and river sediments, and (2) constrain the dispersal of these compounds in fluvial systems. In Miners River drainage basin, evergreen needleleaf conifers are six times less abundant than deciduous broadleaf angiosperms, yet contribute five times more terpenoids to the sediments, when scaled for leaf litter production and present vegetation cover. Thus, using sediment terpenoid ratios alone (ie. no corrections for production differences between major taxonomic groups) to reconstruct vegetation will drastically over represent evergreen conifer populations. Sediment di-/triterpenoid ratios are considerably lower than the expected terpenoid flux from vegetation, suggesting these compounds are preferentially lost between source and sink. In Miners River, terpenoids are transported in the particulate and dissolved organic matter (POM and DOM) fractions of river water. Fluvial transport of terpenoids does not appear to influence river sediment terpenoid concentrations in fresh water systems, like Miners River, however, transport by POM and

  1. Remotely Managing Operation, Data Collection and processing in Modern Automated ET Networks

    NASA Astrophysics Data System (ADS)

    Johnson, D.; Xu, L.; Li, J.; Yuan, G.; Sun, X.; Zhu, Z.; Tang, X.; Velgersdyk, M.; Beaty, K.; Fratini, G.; Kathilankal, J. C.; Burba, G. G.

    2014-12-01

    The significant increase in overall data generation and available computing power in the recent years has greatly improved spatial and temporal data coverage of evapotranspiration (ET) measurements on multiple scales, ranging from a single station to continental scale ET networks. With the increased number of ET stations and increased amount of data flowing from each station, modern tools are needed to effectively and efficiently handle the entire infrastructure (hardware, software and data management). These tools can automate key stages of ET network operation, remotely providing real-time ET rates and alerts for the health of the instruments. This can help maximize time dedicated to answering research questions, rather than to station management. This year, the Chinese Ecosystem Research Network (CERN) within the Chinese Academy of Sciences implemented a large-scale 27-station national ET network across China to measure and understand the water cycle from a variety of ecosystems. It includes automated eddy covariance systems, on-site flux computations, wireless communication, and a network server for system, data, and user management. This presentation will discuss the latest information on the CERN network, methods and hardware for ET measurements, tools for automated data collection, data processing and quality control, and data transport and management of the multiple stations. This system description is beneficial for individuals and institutions interested in setting up or modifying present ET networks consisting of single or multiple stations spread over geographic locations ranging from single field site or watershed to national or continental scale.

  2. 36 CFR 1220.30 - What are an agency's records management responsibilities?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... management responsibilities? 1220.30 Section 1220.30 Parks, Forests, and Public Property NATIONAL ARCHIVES... Responsibilities § 1220.30 What are an agency's records management responsibilities? (a) Under 44 U.S.C. 3101, the... agency. These records must be designed to furnish the information necessary to protect the legal...

  3. 36 CFR 1220.30 - What are an agency's records management responsibilities?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... management responsibilities? 1220.30 Section 1220.30 Parks, Forests, and Public Property NATIONAL ARCHIVES... Responsibilities § 1220.30 What are an agency's records management responsibilities? (a) Under 44 U.S.C. 3101, the... agency. These records must be designed to furnish the information necessary to protect the legal...

  4. 36 CFR 1220.30 - What are an agency's records management responsibilities?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... management responsibilities? 1220.30 Section 1220.30 Parks, Forests, and Public Property NATIONAL ARCHIVES... Responsibilities § 1220.30 What are an agency's records management responsibilities? (a) Under 44 U.S.C. 3101, the... agency. These records must be designed to furnish the information necessary to protect the legal...

  5. 32 CFR 903.10 - Information collections, records, and forms or information management tools (IMTS).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Information collections, records, and forms or information management tools (IMTS). 903.10 Section 903.10 National Defense Department of Defense (Continued... Information collections, records, and forms or information management tools (IMTS). (a)...

  6. 32 CFR 903.10 - Information collections, records, and forms or information management tools (IMTS).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 6 2014-07-01 2014-07-01 false Information collections, records, and forms or information management tools (IMTS). 903.10 Section 903.10 National Defense Department of Defense (Continued... Information collections, records, and forms or information management tools (IMTS). (a)...

  7. 32 CFR 903.10 - Information collections, records, and forms or information management tools (IMTS).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 6 2012-07-01 2012-07-01 false Information collections, records, and forms or information management tools (IMTS). 903.10 Section 903.10 National Defense Department of Defense (Continued... Information collections, records, and forms or information management tools (IMTS). (a)...

  8. 32 CFR 903.10 - Information collections, records, and forms or information management tools (IMTS).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 6 2013-07-01 2013-07-01 false Information collections, records, and forms or information management tools (IMTS). 903.10 Section 903.10 National Defense Department of Defense (Continued... Information collections, records, and forms or information management tools (IMTS). (a)...

  9. 32 CFR 903.10 - Information collections, records, and forms or information management tools (IMTS).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Information collections, records, and forms or information management tools (IMTS). 903.10 Section 903.10 National Defense Department of Defense (Continued... Information collections, records, and forms or information management tools (IMTS). (a)...

  10. 75 FR 77044 - Financial Management Service; Privacy Act of 1974, as Amended; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-10

    ... Financial Management Service; Privacy Act of 1974, as Amended; System of Records AGENCY: Financial Management Service, Treasury. ACTION: Withdrawal of a Privacy Act Notice. SUMMARY: The Department of the Treasury is withdrawing the proposed system of records notice published on behalf of the...

  11. 41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction...

  12. 41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction...

  13. 41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction...

  14. 41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction...

  15. 41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.10 What are the goals of the... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... creation, maintenance, and use. (e) Judicious preservation and disposal of records. (f) Direction...

  16. Analysis of Service Records Management Systems for Rescue and Retention of Cultural Resource Documents

    DTIC Science & Technology

    2009-06-01

    General Astronomical and Chronometric Support General Avionics Records General Contract and Special Financing Records General Contracting Records...quarters Mechanical details (drawings) Aerial (photos/ photography ) Full-scale maps Roads Building maintenance files Storm damage Many of same in...photo, hous photo Still photography files - original 25- 1vv1 See footnote.32 INFORMATION MANAGEMENT contract award, photo, hous photo Still

  17. Applications of modern sensors and wireless technology in effective wound management.

    PubMed

    Mehmood, Nasir; Hariz, Alex; Fitridge, Robert; Voelcker, Nicolas H

    2014-05-01

    The management of chronic wounds has emerged as a major health care challenge during the 21st century consuming, significant portions of health care budgets. Chronic wounds such as diabetic foot ulcers, leg ulcers, and pressure sores have a significant negative impact on the quality of life of affected individuals. Covering wounds with suitable dressings facilitates the healing process and is common practice in wound management plans. However, standard dressings do not provide insights into the status of the wound underneath. Parameters such as moisture, pressure, temperature and pH inside the dressings are indicative of the healing rate, infection, and wound healing phase. But owing to the lack of information available from within the dressings, these are often changed to inspect the wound, disturbing the normal healing process of wounds in addition to causing pain to the patient. Sensors embedded in the dressing would provide clinicians and nurses with important information that would aid in wound care decision making, improve patient comfort, and reduce the frequency of dressing changes. The potential benefits of this enabling technology would be seen in terms of a reduction in hospitalization time and health care cost. Modern sensing technology along with wireless radio frequency communication technology is poised to make significant advances in wound management. This review discusses issues related to the design and implementation of sensor technology and telemetry systems both incorporated in wound dressings to devise an automated wound monitoring technology, and also surveys the literature available on current sensor and wireless telemetry systems.

  18. Emotional foundations of music as a non-pharmacological pain management tool in modern medicine.

    PubMed

    Bernatzky, Guenther; Presch, Michaela; Anderson, Mary; Panksepp, Jaak

    2011-10-01

    This paper reviews the use of music as an adjuvant to the control of pain, especially in medical procedures. Surgery causes stress and anxiety that exacerbates the experience of pain. Self-report of and physiological measures on post-surgical patients indicate that music therapy or music stimulation reduces the perception of pain, both alone and when part of a multimodal pain management program, and can reduce the need for pharmaceutical interventions. However, multimodal pain therapy, including non-pharmacological interventions after surgery, is still rare in medical practice. We summarize how music can enhance medical therapies and can be used as an adjuvant with other pain-management programs to increase the effectiveness of those therapies. As summarized, we currently know that musical pieces chosen by the patient are commonly, but not always, more effective than pieces chosen by another person. Further research should focus both on finding the specific indications and contra-indications of music therapy and on the biological and neurological pathways responsible for those findings (related evidence has implicated brain opioid and oxytocin mechanisms in affective changes evoked by music). In turn, these findings will allow medical investigators and practitioners to design guidelines and reliable, standardized applications for this promising method of pain management in modern medicine.

  19. [Modern coagulation management reduces the transfusion rate of allogenic blood products].

    PubMed

    Weber, Christian Friedrich

    2012-06-01

    Evaluating the patient's individual bleeding history with a standardized questionnaire, using "point-of-care" - methods for coagulation analyses and providing autologous transfusion techniques are preconditions of a modern coagulation management. Therapy of coagulopathic patients should be based on structured hemotherapy algorithms. Surgical haemostasis and the maintenance of the basic conditions for haemostasis are elementary requirements for an effective therapy. In cases of diffuse bleeding, early antifibrinolytic therapy should be considered. Coagulation factor deficiencies should be corrected "goal-directed" using coagulation factor concentrates. Transfusion of fresh frozen plasma is only indicated in the clinical setting of massive transfusions. DDAVP and transfusion of platelet concentrates are options to optimize primary haemostasis. In cases of on-going bleeding, recombinant activated coagulation factor VII represents an option for "ultima-ratio" therapy.

  20. A perspective on modern pesticides, pelagic fish declines, and unknown ecological resilience in highly managed ecosystems

    USGS Publications Warehouse

    Scholz, Nathaniel L.; Fleishman, Erica; Brown, Larry; Werner, Inge; Johnson, Michael L.; Brooks, Marjorie L.; Mitchelmore, Carys L.; Schlenk, Daniel

    2012-01-01

    Pesticides applied on land are commonly transported by runoff or spray drift to aquatic ecosystems, where they are potentially toxic to fishes and other nontarget organisms. Pesticides add to and interact with other stressors of ecosystem processes, including surface-water diversions, losses of spawning and rearing habitats, nonnative species, and harmful algal blooms. Assessing the cumulative effects of pesticides on species or ecological functions has been difficult for historical, legal, conceptual, and practical reasons. To explore these challenges, we examine current-use (modern) pesticides and their potential connections to the abundances of fishes in the San Francisco Estuary (California). Declines in delta smelt (Hypomesus transpacificus), Chinook salmon (Oncorhynchus tshawytscha), and other species have triggered mandatory and expensive management actions in the urbanizing estuary and agriculturally productive Central Valley. Our inferences are transferable to other situations in which toxics may drive changes in ecological status and trends.

  1. High Potential for Using DNA from Ancient Herring Bones to Inform Modern Fisheries Management and Conservation

    PubMed Central

    Speller, Camilla F.; Hauser, Lorenz; Lepofsky, Dana; Moore, Jason; Rodrigues, Antonia T.; Moss, Madonna L.; McKechnie, Iain; Yang, Dongya Y.

    2012-01-01

    Pacific herring (Clupea pallasi) are an abundant and important component of the coastal ecosystems for the west coast of North America. Current Canadian federal herring management assumes five regional herring populations in British Columbia with a high degree of exchange between units, and few distinct local populations within them. Indigenous traditional knowledge and historic sources, however, suggest that locally adapted, distinct regional herring populations may have been more prevalent in the past. Within the last century, the combined effects of commercial fishing and other anthropogenic factors have resulted in severe declines of herring populations, with contemporary populations potentially reflecting only the remnants of a previously more abundant and genetically diverse metapopulation. Through the analysis of 85 archaeological herring bones, this study attempted to reconstruct the genetic diversity and population structure of ancient herring populations using three different marker systems (mitochondrial DNA (mtDNA), microsatellites and SNPs). A high success rate (91%) of DNA recovery was obtained from the extremely small herring bone samples (often <10 mg). The ancient herring mtDNA revealed high haplotype diversity comparable to modern populations, although population discrimination was not possible due to the limited power of the mtDNA marker. Ancient microsatellite diversity was also similar to modern samples, but the data quality was compromised by large allele drop-out and stuttering. In contrast, SNPs were found to have low error rates with no evidence for deviations from Hardy-Weinberg equilibrium, and simulations indicated high power to detect genetic differentiation if loci under selection are used. This study demonstrates that SNPs may be the most effective and feasible approach to survey genetic population structure in ancient remains, and further efforts should be made to screen for high differentiation markers.This study provides the much

  2. Optical Storage Systems for Records and Information Management: Overview, Recommendations and Guidelines for Local Governments. Local Government Records Technical Information Series. Number 45.

    ERIC Educational Resources Information Center

    Schwartz, Stanley F.

    This publication discusses optical storage, a term encompassing technologies that use laser-produced light to record and store information in digital form. The booklet also discusses how optical storage systems relate to records management, in particular to the management of local government records in New York State. It describes components of…

  3. 36 CFR 1220.16 - What recorded information must be managed in accordance with the regulations in subchapter B?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT FEDERAL... subchapter B? The requirements in subchapter B apply to documentary materials that meet the definition...

  4. 32 CFR 806b.54 - Information collections, records, and forms or information management tools (IMT).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... information management tools (IMT). 806b.54 Section 806b.54 National Defense Department of Defense (Continued..., records, and forms or information management tools (IMT). (a) Information Collections. No information.../pubfiles/af/37/afman37-139/afman37-139.pdf. (c) Forms or Information Management Tools (Adopted...

  5. 32 CFR 806b.54 - Information collections, records, and forms or information management tools (IMT).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... information management tools (IMT). 806b.54 Section 806b.54 National Defense Department of Defense (Continued..., records, and forms or information management tools (IMT). (a) Information Collections. No information.../pubfiles/af/37/afman37-139/afman37-139.pdf. (c) Forms or Information Management Tools (Adopted...

  6. 32 CFR 806b.54 - Information collections, records, and forms or information management tools (IMT).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... information management tools (IMT). 806b.54 Section 806b.54 National Defense Department of Defense (Continued..., records, and forms or information management tools (IMT). (a) Information Collections. No information.../pubfiles/af/37/afman37-139/afman37-139.pdf. (c) Forms or Information Management Tools (Adopted...

  7. 32 CFR 806b.54 - Information collections, records, and forms or information management tools (IMT).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... information management tools (IMT). 806b.54 Section 806b.54 National Defense Department of Defense (Continued..., records, and forms or information management tools (IMT). (a) Information Collections. No information.../pubfiles/af/37/afman37-139/afman37-139.pdf. (c) Forms or Information Management Tools (Adopted...

  8. 32 CFR 806b.54 - Information collections, records, and forms or information management tools (IMT).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... information management tools (IMT). 806b.54 Section 806b.54 National Defense Department of Defense (Continued..., records, and forms or information management tools (IMT). (a) Information Collections. No information.../pubfiles/af/37/afman37-139/afman37-139.pdf. (c) Forms or Information Management Tools (Adopted...

  9. 75 FR 10308 - Fire Management Plan, Final Environmental Impact Statement, Record of Decision, Grand Canyon...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-05

    ... Doc No: 2010-4414] DEPARTMENT OF THE INTERIOR National Park Service Fire Management Plan, Final... Impact Statement for the Fire Management Plan, Grand Canyon National Park. SUMMARY: Pursuant to the... availability of the Record of Decision for the Fire Management Plan, Grand Canyon National Park, Arizona....

  10. Modern Spirometry Supports Anesthetic Management in Small Animal Clinical Practice: A Case Series.

    PubMed

    Calice, Ivana; Moens, Yves

    2016-01-01

    Modern spirometry, like no other monitoring technique, allows insight into breath-to-breath respiratory mechanics. Spirometers continuously measure volume, airway pressure, and flow while calculating and continuously displaying respiratory system compliance and resistance in the form of loops. The aim of this case series is to show how observation of spirometric loops, similar to electrocardiogram or CO2 curve monitoring, can improve safety of anesthetic management in small animals. Spirometric monitoring cases described in this case series are based on use of the anaesthesia monitor Capnomac Ultima with a side stream spirometry sensor. The cases illustrate how recognition and understanding of spirometric loops allows for easy diagnosis of iatrogenic pneumothorax, incorrect ventilator settings, leaks in the system, kinked or partially obstructed endotracheal tube, and spontaneous breathing interfering with intermittent positive-pressure ventilation. The case series demonstrates the potential of spirometry to improve the quality and safety of anesthetic management, and, hence, its use can be recommended during intermittent positive-pressure ventilation and procedures in which interference with ventilation can be expected.

  11. Modern surgical management of breast cancer therapy related upper limb and breast lymphoedema.

    PubMed

    Leung, Nelson; Furniss, Dominic; Giele, Henk

    2015-04-01

    Breast cancer is the commonest cancer in the UK. Advances in breast cancer treatment means that the sequelae of treatment are affecting more women and for a longer duration. Lymphoedema is one such sequela, with wide-ranging implications, from serious functional and psychological effects at the individual level to wider economic burdens to society. Breast cancer-related lymphoedema is principally managed by conservative therapy comprising compression garments and manual decongestive massage. This approach is effective for early stages of lymphoedema, but it is not curative and the effectiveness depends on patient compliance. Early surgical approaches were ablative, gave significant morbidity and hence, reserved for the most severe cases of refractory lymphoedema. However, recent non-ablative reconstructive surgical approaches have seen a revival of interest in the prevention or surgical management of breast cancer-related lymphoedema. This review examines the modern surgical techniques for the treatment of breast cancer-related lymphoedema. Liposuction reduces the volume and symptoms of lymphedema, but requires continual compressive therapy to avoid recurrence. Lymphatic reconstruction or bypass techniques including lymph node transfer (inguinal nodes are transferred to the affected limb), lymphatico-lymphatic bypass (lymphatics bypass the axilla using a lymph vessel graft reconstructing lymphatic flow from arm to neck) and lymphaticovenous anastomoses (lymphatics in the arm are joined to the venous system aiding lymph drainage) show promise in reducing lymphedema significantly. Further research is required, including into the role of primary lymphaticovenous anastomoses in the prevention of lymphedema at the time of axillary dissection.

  12. Documentation and record-keeping in pressure ulcer management.

    PubMed

    Chamanga, Edwin; Ward, Renee

    2015-05-06

    National and international guidelines recommend the use of clinical assessments and interventions to prevent pressure-related skin damage. This includes the categorisation of pressure ulcers as avoidable or unavoidable, which is challenging in clinical practice, mainly because of poor documentation and record-keeping for care delivered. Documentation and record-keeping are influenced by the individual's employing organisation, maintenance procedures for documentation and record-keeping, and local auditing processes. A transfer sticker to enable patient assessment and promote pressure ulcer documentation was designed and implemented. The transfer sticker captures the date, time and location of a pressure ulcer preventive risk assessment and the plan of care to be implemented. The increased clarity of record of care achieved by using the transfer sticker has enabled the number of avoidable hospital-acquired pressure ulcers resulting from poor documentation on admission or ward transfers to be reduced. The transfer sticker helps staff identify patients at risk and allows interventions to be implemented in a timely manner.

  13. A modern solid waste management strategy--the generation of new by-products.

    PubMed

    Fudala-Ksiazek, Sylwia; Pierpaoli, Mattia; Kulbat, Eliza; Luczkiewicz, Aneta

    2016-03-01

    To benefit the environment and society, EU legislation has introduced a 'zero waste' strategy, in which waste material should be converted to resources. Such legislation is supported by the solid waste hierarchy concept, which is a set of priorities in waste management. Under this concept, municipal solid waste plants (MSWPs) should be equipped with sorting and recycling facilities, composting/incineration units and landfill prisms for residual bulk disposal. However, each of the aforementioned facilities generates by-products that must be treated. This project focuses on the leachates from landfill prisms, including modern prism (MP) that meet EU requirements and previous prism (PP) that provide for the storage of permitted biodegradable waste as well as technological wastewaters from sorting unit (SU) and composting unit (CU), which are usually overlooked. The physico-chemical parameters of the liquid by-products collected over 38 months were supported by quantitative real-time PCR (qPCR) amplifications of functional genes transcripts and a metagenomic approach that describes the archaeal and bacterial community in the MP. The obtained data show that SU and especially CU generate wastewater that is rich in nutrients, organic matter and heavy metals. Through their on-site pre-treatment and recirculation via landfill prisms, the landfill waste decomposition process may be accelerated because of the introduction of organic matter and greenhouse gas emissions may be increased. These results have been confirmed by the progressive abundance of both archaeal community and the methyl coenzyme M reductase (mcrA) gene. The resulting multivariate data set, supported by a principal component analysis, provides useful information for the design, operation and risk assessment of modern MSWPs.

  14. Data Management in the Modern Structural Biology and Biomedical Research Environment

    PubMed Central

    Zimmerman, Matthew D.; Grabowski, Marek; Domagalski, Marcin J.; MacLean, Elizabeth M.; Chruszcz, Maksymilian; Minor, Wladek

    2014-01-01

    Modern high-throughput structural biology laboratories produce vast amounts of raw experimental data. The traditional method of data reduction is very simple—results are summarized in peer-reviewed publications, which are hopefully published in high-impact journals. By their nature, publications include only the most important results derived from experiments that may have been performed over the course of many years. The main content of the published paper is a concise compilation of these data, an interpretation of the experimental results, and a comparison of these results with those obtained by other scientists. Due to an avalanche of structural biology manuscripts submitted to scientific journals, in many recent cases descriptions of experimental methodology (and sometimes even experimental results) are pushed to supplementary materials that are only published online and sometimes may not be reviewed as thoroughly as the main body of a manuscript. Trouble may arise when experimental results are contradicting the results obtained by other scientists, which requires (in the best case) the reexamination of the original raw data or independent repetition of the experiment according to the published description of the experiment. There are reports that a significant fraction of experiments obtained in academic laboratories cannot be repeated in an industrial environment (Begley CG & Ellis LM, Nature 483(7391):531–3, 2012). This is not an indication of scientific fraud but rather reflects the inadequate description of experiments performed on different equipment and on biological samples that were produced with disparate methods. For that reason the goal of a modern data management system is not only the simple replacement of the laboratory notebook by an electronic one but also the creation of a sophisticated, internally consistent, scalable data management system that will combine data obtained by a variety of experiments performed by various individuals on

  15. Totality and Representation: A History of Knowledge Management through European Documentation, Critical Modernity, and Post-Fordism.

    ERIC Educational Resources Information Center

    Day, Ronald E.

    2001-01-01

    Presents European documentalist, critical modernist, and Autonomous Marxist influenced post-Fordist views regarding the management of knowledge in mid- and late-twentieth century Western modernity and postmodernity, and the complex theoretical and ideological debates, especially concerning issues of language and community. Discusses views of…

  16. Modern Functions of a Textbook on Social Sciences and Humanities as an Informational Management Tool of University Education

    ERIC Educational Resources Information Center

    Nikonova, Elina I.; Sharonov, Ivan A.; Sorokoumova, Svetlana N.; Suvorova, Olga V.; Sorokoumova, Elena A.

    2016-01-01

    The relevance of the study is conditioned by the changes in the content of socio-humanitarian education, aimed at the acquisition of knowledge, the development of tolerance, civic and moral education. The purpose of the paper is to identify the modern functions of a textbook on social sciences and humanities as an informational management tool of…

  17. Pavement management and weigh-in-motion. Transportation research record

    SciTech Connect

    Cation, K.A.; Shahin, M.Y.; Scullion, T.; Lytton, R.L.; Butt, A.A.

    1987-01-01

    The 15 papers in the report deal with the following areas: development of a preventive maintenance algorithm for use in pavement-management systems; pavement-performance prediction model using the Markov Process; roadway modeling and data conversion for a transportation-facilities information system; development of a methodology to estimate pavement maintenance and repair costs for different ranges of pavement-condition index; new techniques for modeling pavement deterioration; pavement management at the local government level; a comprehensive ranking system for local-agency pavement management; expert system as a part of pavement management; MAPCON: a pavement-evaluation data-analysis computer system; a microcomputer procedure to analyze axle load limits and pavement damage responsibility; selected results from the first three years of the Oregon automatic monitoring demonstration project; automated acquisition of truck-tire pressure data; calibration and accuracy testing of weigh-in-motion systems; accuracy and tolerances of weigh-in-motion systems; on-site calibration of weigh-in-motion systems.

  18. Incorporating Personal Health Records into the Disease Management of Rural Heart Failure Patients

    ERIC Educational Resources Information Center

    Baron, Karen Parsley

    2012-01-01

    Personal Health Records (PHRs) allow patients to access and in some cases manage their own health records. Their potential benefits include access to health information, enhanced asynchronous communication between patients and clinicians, and convenience of online appointment scheduling and prescription refills. Potential barriers to PHR use…

  19. 36 CFR 1220.12 - What are NARA's records management responsibilities?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... records management responsibilities? (a) The Archivist of the United States issues regulations and... a records scheduling and appraisal process, the Archivist of the United States determines which... and must be preserved and transferred to the National Archives of the United States. The...

  20. 36 CFR 1220.12 - What are NARA's records management responsibilities?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... records management responsibilities? (a) The Archivist of the United States issues regulations and... a records scheduling and appraisal process, the Archivist of the United States determines which... and must be preserved and transferred to the National Archives of the United States. The...

  1. 22 CFR 308.9 - Records systems-management and control.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Records systems-management and control. 308.9 Section 308.9 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.9 Records... direct control of authorized personnel....

  2. 22 CFR 308.9 - Records systems-management and control.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Records systems-management and control. 308.9 Section 308.9 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.9 Records... direct control of authorized personnel....

  3. 22 CFR 308.9 - Records systems-management and control.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Records systems-management and control. 308.9 Section 308.9 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.9 Records... direct control of authorized personnel....

  4. 22 CFR 308.9 - Records systems-management and control.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Records systems-management and control. 308.9 Section 308.9 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.9 Records... direct control of authorized personnel....

  5. 22 CFR 308.9 - Records systems-management and control.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Records systems-management and control. 308.9 Section 308.9 Foreign Relations PEACE CORPS IMPLEMENTATION OF THE PRIVACY ACT OF 1974 § 308.9 Records... direct control of authorized personnel....

  6. Modern management of dental decay in children and adolescents - a review

    PubMed Central

    MUNTEAN, ALEXANDRINA; MESAROS, ANCA STEFANIA; FESTILA, DANA; MESAROS, MICHAELA

    2015-01-01

    Health is a right that requires responsible individual actions. Oral health corresponds to an important part of general health, even if for a large majority of people healthy teeth are equal with beautiful teeth. For children and adolescents „having an attractive smile” is synonymous with social acceptance and success. Dental decay has a high incidence in children in our country and progress in decay prevention, diagnosis and treatment is not reflected in children and adolescents’ oral health. It is established by studies conducted by dentists and psychologists that dental decay can affect the quality of life by engendering specific eating behaviors, particular ways of speech or smile and unfortunately pain. The aim of this article is to emphasize the modern approach of dental decay in line with principles of non-invasive strategies. An important element to be considered - prophylactic methods - must be included in every treatment plan, in order to control individual caries risk. The time invested in prevention during childhood represents a real benefit for the future adult’s oral health. Many a dental problems can be avoided if dental decay management relies on the link between medical science and every day practice. PMID:26528061

  7. Recording information on protein complexes in an information management system

    PubMed Central

    Savitsky, Marc; Diprose, Jonathan M.; Morris, Chris; Griffiths, Susanne L.; Daniel, Edward; Lin, Bill; Daenke, Susan; Bishop, Benjamin; Siebold, Christian; Wilson, Keith S.; Blake, Richard; Stuart, David I.; Esnouf, Robert M.

    2011-01-01

    The Protein Information Management System (PiMS) is a laboratory information management system (LIMS) designed for use with the production of proteins in a research environment. The software is distributed under the CCP4 licence, and so is available free of charge to academic laboratories. Like most LIMS, the underlying PiMS data model originally had no support for protein–protein complexes. To support the SPINE2-Complexes project the developers have extended PiMS to meet these requirements. The modifications to PiMS, described here, include data model changes, additional protocols, some user interface changes and functionality to detect when an experiment may have formed a complex. Example data are shown for the production of a crystal of a protein complex. Integration with SPINE2-Complexes Target Tracker application is also described. PMID:21605682

  8. Recording information on protein complexes in an information management system.

    PubMed

    Savitsky, Marc; Diprose, Jonathan M; Morris, Chris; Griffiths, Susanne L; Daniel, Edward; Lin, Bill; Daenke, Susan; Bishop, Benjamin; Siebold, Christian; Wilson, Keith S; Blake, Richard; Stuart, David I; Esnouf, Robert M

    2011-08-01

    The Protein Information Management System (PiMS) is a laboratory information management system (LIMS) designed for use with the production of proteins in a research environment. The software is distributed under the CCP4 licence, and so is available free of charge to academic laboratories. Like most LIMS, the underlying PiMS data model originally had no support for protein-protein complexes. To support the SPINE2-Complexes project the developers have extended PiMS to meet these requirements. The modifications to PiMS, described here, include data model changes, additional protocols, some user interface changes and functionality to detect when an experiment may have formed a complex. Example data are shown for the production of a crystal of a protein complex. Integration with SPINE2-Complexes Target Tracker application is also described.

  9. Osteological associations with unique tooth development in manatees (Trichechidae, Sirenia): a detailed look at modern Trichechus and a review of the fossil record.

    PubMed

    Beatty, Brian Lee; Vitkovski, Taisia; Lambert, Olivier; Macrini, Thomas E

    2012-09-01

    Modern manatees have a unique type of tooth development, continually forming identical new molars in the posterior end of each quadrant of their mouths, and then progressively moving teeth anteriorly, only to reabsorb roots and spit out worn crowns. This process is not only developmentally complex, but requires space in the oral cavity that imposes its own limitations on other uses of that space. To gain a clearer understanding of the anatomical constraints on the evolution of this unique developmental process, we identified the specialized craniodental features in modern Trichechus that permit this specialization using visual observation and CT. Furthermore, to better understand the evolution of these traits, we review the fossil record of trichechids for these traits, including CT analysis of the skull of Miosiren kocki, a possible early member of the family from the Early Miocene of Belgium.

  10. Strategies Nurse Managers Used to Offset Challenges during Electronic Medical Records Implementation: A Case Study

    ERIC Educational Resources Information Center

    Easterling, Latasha

    2015-01-01

    The purpose of this qualitative, descriptive case study was to discover successful approaches used, by nurse managers, to reduce barriers during the implementation of electronic medical record system in one hospital. Fourteen nurse managers were interviewed from an academic health science center in Mississippi. A pilot study was conducted to…

  11. Detrital Zircon Provenance Record of Pre-Andean to Modern Tectonics in the Northern Andes: Examples from Peru, Ecuador, and Colombia

    NASA Astrophysics Data System (ADS)

    George, S. W. M.; Jackson, L. J.; Horton, B. K.

    2015-12-01

    Detrital zircon U-Pb age distributions from modern rivers and Mesozoic-Cenozoic basin fill in the northern Andes provide insights into pre-Andean, Andean, and active uplift and exhumation of distinctive sediment source regions. Diagnostic age signatures enable straightforward discrimination of competing sediment sources within the Andean magmatic arc (Western Cordillera-Central Cordillera), retroarc fold-thrust belt (Eastern Cordillera-Subandean Zone), and Amazonian craton (composed of several basement provinces). More complex, however, are the mid/late Cenozoic provenance records generated by recycling of basin fill originally deposited during early/mid Mesozoic extension, late Mesozoic thermal subsidence, and early Cenozoic shortening. Although subject to time-transgressive trends, regionally significant provenance patterns in Peru, Ecuador, and Colombia reveal: (1) Triassic-Jurassic growth of extensional subbasins fed by local block uplifts (with commonly unimodal 300­-150 Ma age peaks); (2) Cretaceous deposition in an extensive postrift setting fed by principally cratonic sources (with common 1800-900 Ma ages); and (3) Cenozoic growth of a broad flexural basin fed initially fed by magmatic-arc rocks (100-0 Ma), then later dominance by thrust-belt sedimentary rocks with progressively greater degrees of basin recycling (yielding diverse and variable age populations from the aforementioned source regions). U-Pb results from modern rivers and smaller subbasins prove useful in evaluating source-to-sink relationships, downstream mixing relationships, hinterland-foreland basin connectivity, paleodrainage integration, and tectonic/paleotopographic reconstructions. Most but not all of the elevated intermontane basins in the modern hinterland of the northern Andes contain provenance records consistent with genesis in a broader foreland basin developed at low elevation. Downstream variations within modern axial rivers and Cenozoic axial basins inform predictive models of

  12. Personal health records: key adoption issues and implications for management.

    PubMed

    Raisinghani, Mahesh S; Young, Erika

    2008-01-01

    Electronic Personal Health Records (PHRs) has been perceived as the tool to empower consumers to become active decision-makers of their healthcare instead of leaving the decision to providers. However, there has been the lack of enthusiasm and adoption of PHRs. This paper examines the current healthcare climate and attempts to understand the major challenges associated with PHRs adoption. The paper-based and fragmented healthcare system is no longer appropriate for the digital economy of the 21st century. The integrated health information technology system is the solution to transform clinical practice to consumer centric and information driven. Tools such as PHRs are means to an end that provide better, safer and more affordable healthcare for consumers. However, there has been little research conducted to demonstrate PHR's tangible value, despite the widespread perceived value of these technologies. Although survey data reveals that there is a lack of awareness among the public, consumers are receptive to this concept, especially when a physician recommends it. Key issues in adopting PHRs and strategies for successful implementation of PHRs are discussed.

  13. No benefit to surgical fixation of flail chest injuries compared with modern comprehensive management: results of a retrospective cohort study

    PubMed Central

    Farquhar, Jaclyn; Almahrabi, Yahya; Slobogean, Gerard; Slobogean, Bronwyn; Garraway, Naisan; Simons, Richard K.; Hameed, S. Morad

    2016-01-01

    Background Chest wall trauma is a common cause of morbidity and mortality. Recent technological advances and scientific publications have created a renewed interest in surgical fixation of flail chest. However, definitive data supporting surgical fixation are lacking, and its virtues have not been evaluated against modern, comprehensive management protocols. Methods Consecutive patients undergoing rib fracture fixation with rib-specific locking plates at 2 regional trauma centres between July 2010 and August 2012 were matched to historical controls with similar injury patterns and severity who were managed nonoperatively with modern, multidisciplinary protocols. We compared short- and long-term outcomes between these cohorts. Results Our patient cohorts were well matched for age, sex, injury severity scores and abbreviated injury scores. The nonoperatively managed group had significantly better outcomes than the surgical group in terms of ventilator days (3.1 v. 6.1, p = 0.012), length of stay in the intensive care unit (3.7 v. 7.4 d, p = 0.009), total hospital length of stay (16.0 v. 21.9 d, p = 0.044) and rates of pneumonia (22% v. 63%, p = 0.004). There were no significant differences in long-term outcomes, such as chest pain or dyspnea. Conclusion Although considerable enthusiasm surrounds surgical fixation of flail chest injuries, our analysis does not immediately validate its universal implementation, but rather encourages the use of modern, multidisciplinary, nonoperative strategies. The role of rib fracture fixation in the modern era of chest wall trauma management should ultimately be defined by prospective, randomized trials. PMID:27438051

  14. Lake Prespa palaeoenvironment since the MIS 5: a continuous record from a mid-altitude site on modern human's way to Europe.

    NASA Astrophysics Data System (ADS)

    Panagiotopoulos, K.; Aufgebauer, A.; Schäbitz, F.; Wagner, B.

    2012-04-01

    Lake Prespa is situated in the Balkans (40°57'50'' N, 20°58'41'' E) along the eastern trajectory of modern human dispersal. A long (c. 18m) composite sediment core was investigated using geophysical, geochemical and pollen analyses. This study aims to reconstruct the palaeoenvironment and palaeoclimate from a mid-altitude (849m asl) site and evaluate their implications in the migration of our ancestors from Africa to Europe. The age-depth model, based on radiocarbon dating and tephrochronology, indicates continuous sedimentation reaching back to MIS 5. According to the pollen record, the wider Lake Prespa catchment sustained refugial temperate tree populations throughout this period. Following the decline of woodlands at the end of MIS 5, pollen concentration and TOC percentages retain relatively low values until the onset of the Holocene when closed forest formations dominated the landscape signaling the establishment of a warmer and moister climate. Distinct fluctuations of arboreal relative percentages coupled with the occurrence of TIC and Mn peaks can be tentatively correlated to Heinrich events. Climatic oscillations are sensitively recorded in the Lake Prespa sediments at a sub-millennial scale permitting a detailed reconstruction of the regional palaeoenvironment, as well as correlations with other regional and global climate archives. This project is part of the Collaborative Research Center 806: "Our Way To Europe; Culture-Environment Interaction and Human Mobility in the Late Quaternary" (www.sfb806.de). Keywords: Lake Prespa, Balkans, eastern Mediterranean, pollen analysis, palaeolimnology, modern human dispersal

  15. Analysis of self-recording in self-management interventions for stereotypy.

    PubMed

    Fritz, Jennifer N; Iwata, Brian A; Rolider, Natalie U; Camp, Erin M; Neidert, Pamela L

    2012-01-01

    Most treatments for stereotypy involve arrangements of antecedent or consequent events that are imposed entirely by a therapist. By contrast, results of some studies suggest that self-recording, a common component of self-management interventions, might be an effective and efficient way to reduce stereotypy. Because the procedure typically has included instructions to refrain from stereotypy, self-recording of the absence of stereotypy, and differential reinforcement of accurate recording, it is unclear which element or combination of elements produces reductions in stereotypy. We conducted a component analysis of a self-management intervention and observed that decreases in stereotypy might be attributable to instructional control or to differential reinforcement, but that self-recording per se had little effect on stereotypy.

  16. 45 CFR 2508.9 - What officials are responsible for the security, management and control of Corporation record...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., management and control of Corporation record keeping systems? 2508.9 Section 2508.9 Public Welfare... and control of Corporation record keeping systems? (a) The Director of Administration and Management Services shall have overall control and supervision of the security of all systems of records and shall...

  17. High-resolution onshore-offshore morpho-bathymetric records of modern chalk and granitic shore platforms in NW France

    NASA Astrophysics Data System (ADS)

    Duperret, Anne; Raimbault, Céline; Le Gall, Bernard; Authemayou, Christine; van Vliet-Lanoë, Brigitte; Regard, Vincent; Dromelet, Elsa; Vandycke, Sara

    2016-07-01

    Modern shore platforms developed on rocky coasts are key areas for understanding coastal erosion processes during the Holocene. This contribution offers a detailed picture of two contrasted shore-platform systems, based on new high-resolution shallow-water bathymetry, further coupled with aerial LiDAR topography. Merged land-sea digital elevation models were achieved on two distinct types of rocky coasts along the eastern English Channel in France (Picardy and Upper-Normandy: PUN) and in a NE Atlantic area (SW Brittany: SWB) in NW France. About the PUN case, submarine steps, identified as paleo-shorelines, parallel the actual coastline. Coastal erosive processes appear to be continuous and regular through time, since mid-Holocene at least. In SWB, there is a discrepancy between contemporary coastline orientation and a continuous step extending from inland to offshore, identified as a paleo-shoreline. This illustrates a polyphased and inherited shore platform edification, mainly controlled by tectonic processes.

  18. Use of Electronic Health Records by Nurses for Symptom Management in Inpatient Settings: A Systematic Review.

    PubMed

    Ozkaynak, Mustafa; Reeder, Blaine; Hoffecker, Lilian; Makic, Mary Beth; Sousa, Karen

    2017-02-25

    Symptom management is one of the essential functions of nurses in inpatient settings; yet, little is understood about the manner in which nurses use electronic health records for symptom documentation. Therefore, the purpose of this systematic review is to characterize nurses' use of electronic health records for documentation of symptom assessment and management in inpatient settings, to inform design studies that better support electronic health records for patient symptom management by nurses. We searched the Ovid Medline (1946-current), Cumulative Index to Nursing and Allied Health Literature (EBSCO, 1981-current), and Excerpta Medica Database (Embase.com, 1974-current) databases from inception through May 2015 using multiple subject headings and "free text" key words, representing the concepts of electronic medical records, symptom documentation, and inpatient setting. One thousand nine hundred eighty-two articles were returned from the search. Eighteen publications from the years 2003 to 2014 were included after abstract and full text review. Studies heavily focused on a pain as symptom. Nurses face challenges when using electronic health records that can threaten quality and safety of care. Clinical, design, and administrative recommendations were identified to overcome the challenges of nurses' electronic health record use. A call for interdisciplinary, comprehensive, systematic interventions and user-centered design of information systems is needed.

  19. Integrating satellite observations and modern climate measurements with the recent sedimentary record: An example from Southeast Alaska

    NASA Astrophysics Data System (ADS)

    Addison, Jason A.; Finney, Bruce P.; Jaeger, John M.; Stoner, Joseph S.; Norris, Richard D.; Hangsterfer, Alexandra

    2013-07-01

    Assessments of climate change over time scales that exceed the last 100 years require robust integration of high-quality instrument records with high-resolution paleoclimate proxy data. In this study, we show that the recent biogenic sediments accumulating in two temperate ice-free fjords in Southeast Alaska preserve evidence of North Pacific Ocean climate variability as recorded by both instrument networks and satellite observations. Multicore samples EW0408-32MC and EW0408-43MC were investigated with 137Cs and excess 210Pb geochronometry, three-dimensional computed tomography, high-resolution scanning XRF geochemistry, and organic stable isotope analyses. EW0408-32MC (57.162°N, 135.357°W, 146 m depth) is a moderately bioturbated continuous record that spans AD ˜1930-2004. EW0408-43MC (56.965°N, 135.268°W, 91 m depth) is composed of laminated diatom oozes, a turbidite, and a hypopycnal plume (river flood) deposit. A discontinuous event-based varve chronology indicates 43MC spans AD ˜1940-1981. Decadal-scale fluctuations in sedimentary Br/Cl ratios accurately reflect changes in marine organic matter accumulation that display the same temporal pattern as that of the Pacific Decadal Oscillation. An estimated Sitka summer productivity parameter calibrated using SeaWiFS satellite observations support these relationships. The correlation of North Pacific climate regime states, primary productivity, and sediment geochemistry indicate the accumulation of biogenic sediment in Southeast Alaska temperate fjords can be used as a sensitive recorder of past productivity variability, and by inference, past climate conditions in the high-latitude Gulf of Alaska.

  20. Electronic health records and improved nursing management of chronic obstructive pulmonary disease.

    PubMed

    Liu, Fengping; Zou, Yeqing; Huang, Qingmei; Zheng, Li; Wang, Wei

    2015-01-01

    This paper identifies evolving trends in the diagnosis and treatment of chronic obstructive pulmonary disease (COPD), and recommends the integration of nursing strategies in COPD management via widespread implementation of electronic health records. COPD is a complex lung disease with diverse origins, both physical and behavioral, manifested in a wide range of symptoms that further increase the patient's risk for comorbidities. Early diagnosis and effective management of COPD require monitoring of a dizzying array of COPD symptoms over extended periods of time, and nurses are especially well positioned to manage potential progressions of COPD, as frontline health care providers who obtain, record, and organize patient data. Developments in medical technology greatly aid nursing management of COPD, from the deployment of spirometry as a diagnostic tool at the family practice level to newly approved treatment options, including non-nicotine pharmacotherapies that reduce the cravings associated with tobacco withdrawal. Among new medical technologies, electronic health records have proven particularly advantageous in the management of COPD, enabling providers to gather, maintain, and reference more patient data than has ever been possible before. Thus, consistent and widespread implementation of electronic health records facilitates the coordination of diverse treatment strategies, resulting in increased positive health outcomes for patients with COPD.

  1. 12 CFR 225.175 - What risk management, record keeping and reporting policies are required to make merchant banking...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 3 2011-01-01 2011-01-01 false What risk management, record keeping and... risk management, record keeping and reporting policies are required to make merchant banking... the aggregate portfolio; (ii) Identify and manage the market, credit, concentration and other...

  2. 17 CFR 274.129 - Form N-PX, annual report of proxy voting record of registered management investment company.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... proxy voting record of registered management investment company. 274.129 Section 274.129 Commodity and... COMPANY ACT OF 1940 Forms for Reports § 274.129 Form N-PX, annual report of proxy voting record of registered management investment company. This form shall be used by registered management...

  3. 17 CFR 274.129 - Form N-PX, annual report of proxy voting record of registered management investment company.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... proxy voting record of registered management investment company. 274.129 Section 274.129 Commodity and... COMPANY ACT OF 1940 Forms for Reports § 274.129 Form N-PX, annual report of proxy voting record of registered management investment company. This form shall be used by registered management...

  4. 41 CFR 102-193.15 - What are the records management responsibilities of the Administrator of General Services (the...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ...) FEDERAL MANAGEMENT REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false What are the records management responsibilities of the Administrator of General Services (the Administrator), the Archivist...

  5. 41 CFR 102-193.15 - What are the records management responsibilities of the Administrator of General Services (the...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) FEDERAL MANAGEMENT REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false What are the records management responsibilities of the Administrator of General Services (the Administrator), the Archivist...

  6. 41 CFR 102-193.15 - What are the records management responsibilities of the Administrator of General Services (the...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ...) FEDERAL MANAGEMENT REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false What are the records management responsibilities of the Administrator of General Services (the Administrator), the Archivist...

  7. 75 FR 53980 - Notice of Availability of the Record of Decision; Elk Management Plan/Environmental Impact...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-02

    ... National Park Service Notice of Availability of the Record of Decision; Elk Management Plan/Environmental... Decision on the Elk Management Plan/Environmental Impact Statement for Theodore Roosevelt National Park... the Record of Decision (ROD) for the Elk Management Plan/Environmental Impact Statement (Plan/EIS)...

  8. 41 CFR 102-193.25 - What type of records management business process improvements should my agency strive to achieve?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What type of records management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25...-193.25 What type of records management business process improvements should my agency strive...

  9. Project Management Series Case Study: The Office of Registration and Records

    ERIC Educational Resources Information Center

    Burgher, Karl E.; Snyder, Michael

    2012-01-01

    This is the third in a series of eight articles on project management (PM) in the academy. In this article, the authors describe the step-by-step implementation of a structural change to Indiana State University's (ISU's) Office of Registration and Records (ORR). The process described may vary as it is implemented elsewhere, but the authors…

  10. 75 FR 24970 - FBI Records Management Division National Name Check Program Section User Fees

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-06

    ... Federal Bureau of Investigation FBI Records Management Division National Name Check Program Section User Fees AGENCY: Federal Bureau of Investigation (FBI), Justice. ACTION: Notice. SUMMARY: This notice establishes the user fee schedule for federal agencies requesting name-based background checks of the...

  11. Selected Guidelines for the Management of Records and Archives: A RAMP Reader.

    ERIC Educational Resources Information Center

    Walne, Peter, Comp.

    The guidelines contained in this book are taken from studies published by UNESCO's Records and Archives Management Program (RAMP) between 1981 and 1987. Each set of guidelines is accompanied by an introduction to provide chronological or methodological context. The guidelines are titled as follows: (1) "The Use of Sampling Techniques in the…

  12. Idaho National Engineering Laboratory Nonradiological Waste Management Information for 1993 and record to date

    SciTech Connect

    Sims, A.M.; Taylor, K.A.

    1994-08-01

    This document provides detailed data and graphics on airborne and liquid effluent releases, fuel oil and coal consumption, water usage, and hazardous and mixed waste generated for calendar year 1993. This report summarizes industrial waste data records compiled since 1971 for the Idaho National Engineering Laboratory (INEL). The data presented are from the INEL Nonradiological Waste Management Information System.

  13. Idaho National Engineering Laboratory Nonradiological Waste Management Information for 1992 and record to date

    SciTech Connect

    Randall, V.C.; Sims, A.M.

    1993-08-01

    This document provides detailed data and graphics on airborne and liquid effluent releases, fuel oil and coal consumption, water usage, and hazardous and mixed waste generated for calendar year 1992. This report summarizes industrial waste data records compiled since 1971 for the Idaho National Engineering Laboratory (INEL). The data presented are from the INEL Nonradiological Waste Management Information System.

  14. Idaho National Engineering Laboratory nonradiological waste management information for 1994 and record to date

    SciTech Connect

    French, D.L.; Lisee, D.J.; Taylor, K.A.

    1995-08-01

    This document provides detailed data and graphics on airborne and liquid effluent releases, fuel oil and coal consumption, water usage, and hazardous and mixed waste generated for calendar year 1994. This report summarizes industrial waste data records compiled since 1971 for the Idaho National Engineering Laboratory (INEL). The data presented are from the INEL Nonradiological Waste Management Information System.

  15. Principles for Information Technology Investment in U.S. Federal Electronic Records Management.

    ERIC Educational Resources Information Center

    Van Wingen, Rachel Senner; Hathorn, Fred; Sprehe, J. Timothy

    1999-01-01

    The United States Environmental Protection Agency (EPA) underwent a business process reengineering (BPR) exercise with respect to future co-location of previously separate regulatory docket facilities. Their experience suggests that future mandatory electronic records management (ERM) requirements will cause federal agencies to take a more…

  16. Analysis of Self-Recording in Self-Management Interventions for Stereotypy

    ERIC Educational Resources Information Center

    Fritz, Jennifer N.; Iwata, Brian A.; Rolider, Natalie U.; Camp, Erin M.; Neidert, Pamela L.

    2012-01-01

    Most treatments for stereotypy involve arrangements of antecedent or consequent events that are imposed entirely by a therapist. By contrast, results of some studies suggest that self-recording, a common component of self-management interventions, might be an effective and efficient way to reduce stereotypy. Because the procedure typically has…

  17. Radioactive waste management information for 1996 and record-to-date

    SciTech Connect

    French, D.L.; Lisee, D.J.; Taylor, K.A.

    1997-07-01

    This document presents detailed data, bar graphs, and pie charts on volume, radioactivity, isotopic identity, origin, and status of radioactive waste for calendar year 1996. It also summarizes the radioactive waste data records compiled from 1952 to present for the Idaho National Engineering and Environmental Laboratory (INEEL). The data presented are from the INEEL Radioactive Waste Management Information System.

  18. Radioactive Waste Management Information for 1991 and Record-to-Date

    SciTech Connect

    Litteer, D.L.; Peterson, C.N.; Sims, A.M.

    1993-04-01

    This document presents detailed data, bar graphs, and pie charts on volume, radioactivity, isotopic identity, origin, and decay status of radioactive waste for the calendar year 1991. It also summarizes the radiative waste data records compiled from 1952 to present for the Idaho National Engineering Laboratory (INEL). The data presented are from the INEL Radioactive Waste Management Information System.

  19. 14 CFR 145.161 - Records of management, supervisory, and inspection personnel.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Records of management, supervisory, and inspection personnel. 145.161 Section 145.161 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) SCHOOLS AND OTHER CERTIFICATED AGENCIES REPAIR STATIONS...

  20. From Canon to Chaos Management: Blogging as a Learning Tool in a Modern Finnish Literature Course

    ERIC Educational Resources Information Center

    Jokinen, Elina; Vaarala, Heidi

    2015-01-01

    This article is based on the teaching experiment implemented in summer 2013 in a modern Finnish literature course organised by the Centre for International Mobility (CIMO) and the University of Jyväskylä Language Centre. In order to break away from the traditional conception of literature and text, students' independent blogging was chosen as the…

  1. A model for consent-based privilege management in personal electronic health records.

    PubMed

    Heinze, Oliver; Bergh, Björn

    2014-01-01

    One of the biggest issues in the domain of standardized, regional, crossinstitutional, personal, electronic health records is the privilege management. While many health information exchange projects use IHE-based architectures there are still unsolved questions regarding the restricting parameters a patient can use in the electronic consent configuring access control. This work determines these parameters, derives an information model of privilege management, introduces a set representation of the model and shows how to apply them to EHR architectures. The introduced model can serve as framework for health information exchanges using a consent-based privilege management. The set representation can help to understand the complexity of consent representations.

  2. Complex water management in modern agriculture: Trends in the water-energy-food nexus over the High Plains Aquifer.

    PubMed

    Smidt, Samuel J; Haacker, Erin M K; Kendall, Anthony D; Deines, Jillian M; Pei, Lisi; Cotterman, Kayla A; Li, Haoyang; Liu, Xiao; Basso, Bruno; Hyndman, David W

    2016-10-01

    In modern agriculture, the interplay between complex physical, agricultural, and socioeconomic water use drivers must be fully understood to successfully manage water supplies on extended timescales. This is particularly evident across large portions of the High Plains Aquifer where groundwater levels have declined at unsustainable rates despite improvements in both the efficiency of water use and water productivity in agricultural practices. Improved technology and land use practices have not mitigated groundwater level declines, thus water management strategies must adapt accordingly or risk further resource loss. In this study, we analyze the water-energy-food nexus over the High Plains Aquifer as a framework to isolate the major drivers that have shaped the history, and will direct the future, of water use in modern agriculture. Based on this analysis, we conclude that future water management strategies can benefit from: (1) prioritizing farmer profit to encourage decision-making that aligns with strategic objectives, (2) management of water as both an input into the water-energy-food nexus and a key incentive for farmers, (3) adaptive frameworks that allow for short-term objectives within long-term goals, (4) innovative strategies that fit within restrictive political frameworks, (5) reduced production risks to aid farmer decision-making, and (6) increasing the political desire to conserve valuable water resources. This research sets the foundation to address water management as a function of complex decision-making trends linked to the water-energy-food nexus. Water management strategy recommendations are made based on the objective of balancing farmer profit and conserving water resources to ensure future agricultural production.

  3. Biogeosystem technique - the fundamental base of modern Water Policy and Management

    NASA Astrophysics Data System (ADS)

    Kalinitchenko, Valery; Batukaev, Abdulmalik; Minkina, Tatiana; Solntseva, Natalia; Skovpen, Andrey; Zarmaev, Ali; Jusupov, Vaha; Lohmanova, Olga

    2014-05-01

    out from active biosphere stage to vadose zone. These substances are entering the undesired stage of sedimentation and lithogenesis. Such adverse events are enhanced by irrigation. As a result, up to 80-90% of the fresh water taken for irrigation from lakes, rivers, storage reservoirs, desalinators are lost useless entailing economic losses. As a result of irrigation the quality of water is deteriorated as well as the quality of soil and landscape. A quality of human environment and a quality of biosphere as a whole is reduced. It is much more dangerous than economic losses. The irrigation paradigm shift is essential for successful water policy and water management in modern world. In a framework of Biogeosystem technics the new intrasoil pulse continuous-discrete paradigm of irrigation is developed. Water is supplied by small discrete portions into individual volumes of a soil continuum without excess soil mass transfer, transpiration, evaporation and seepage. New paradigm of irrigation optimizes plant growth, reduces consumption of water per unit of biological product, the yield increases. It provides the soil and landscape conservation, fresh water - the global deficit - saving up to 10-20 times, biological productivity and sustainability of biosphere. Intrasoil pulse continuous-discrete robotic irrigation technologies match the nowadays noosphere technological platform.

  4. A Fish Assemblage from the Middle Eocene from Libya (Dur At-Talah) and the Earliest Record of Modern African Fish Genera.

    PubMed

    Otero, Olga; Pinton, Aurélie; Cappetta, Henri; Adnet, Sylvain; Valentin, Xavier; Salem, Mustapha; Jaeger, Jean-Jacques

    2015-01-01

    In the early nineteen sixties, Arambourg and Magnier found some freshwater fish (i.e., Polypterus sp., Siluriformes indet. and Lates sp.) mixed with marine members in an Eocene vertebrate assemblage at Gebel Coquin, in the southern Libyan Desert. This locality, aged ca 37-39Ma and now known under the name of Dur At-Talah, has been recently excavated. A new fish assemblage, mostly composed of teeth, was collected by the Mission Paléontologique Franco-Libyenne. In this paper, we describe freshwater fish members including a dipnoan (Protopterus sp.), and several actinopterygians: bichir (Polypterus sp.), aba fish (Gymnarchus sp.), several catfishes (Chrysichthys sp. and a mochokid indet.), several characiforms (including the tiger fish Hydrocynus sp., and one or two alestin-like fish), and perciforms (including the snake-head fish Parachanna sp. and at least one cichlid). Together with the fossiliferous outcrops at Birket Qarun in Egypt, the Libyan site at Dur At-Talah reduces a 10-Ma chronological gap in the fossil record of African freshwater fish. Their fish assemblages overlap in their composition and thus constitute a rather homogenous, original and significant amount of new elements regarding the Paleogene African ichthyofauna. This supports the establishment of the modern African freshwater fish fauna during this time period because these sites mostly contain the earliest members known in modern genera.

  5. A Fish Assemblage from the Middle Eocene from Libya (Dur At-Talah) and the Earliest Record of Modern African Fish Genera

    PubMed Central

    Otero, Olga; Pinton, Aurélie; Cappetta, Henri; Adnet, Sylvain; Valentin, Xavier; Salem, Mustapha; Jaeger, Jean-Jacques

    2015-01-01

    In the early nineteen sixties, Arambourg and Magnier found some freshwater fish (i.e., Polypterus sp., Siluriformes indet. and Lates sp.) mixed with marine members in an Eocene vertebrate assemblage at Gebel Coquin, in the southern Libyan Desert. This locality, aged ca 37–39Ma and now known under the name of Dur At-Talah, has been recently excavated. A new fish assemblage, mostly composed of teeth, was collected by the Mission Paléontologique Franco-Libyenne. In this paper, we describe freshwater fish members including a dipnoan (Protopterus sp.), and several actinopterygians: bichir (Polypterus sp.), aba fish (Gymnarchus sp.), several catfishes (Chrysichthys sp. and a mochokid indet.), several characiforms (including the tiger fish Hydrocynus sp., and one or two alestin-like fish), and perciforms (including the snake-head fish Parachanna sp. and at least one cichlid). Together with the fossiliferous outcrops at Birket Qarun in Egypt, the Libyan site at Dur At-Talah reduces a 10-Ma chronological gap in the fossil record of African freshwater fish. Their fish assemblages overlap in their composition and thus constitute a rather homogenous, original and significant amount of new elements regarding the Paleogene African ichthyofauna. This supports the establishment of the modern African freshwater fish fauna during this time period because these sites mostly contain the earliest members known in modern genera. PMID:26674637

  6. DOD Business Transformation: Improved Management Oversight of Business System Modernization Efforts Needed

    DTIC Science & Technology

    2010-10-01

    Appendix V Assessments of Four DOD ERP Program Cost Estimates 96 Appendix VI GAO Contacts and Staff Acknowledgments 103 Tables Table 1...review board IT information technology IUID item-unique identification IV&V independent verification and validation LMP Logistics Modernization... LMP ); Navy—Navy Enterprise Resource Planning (Navy ERP) and Global Combat Support System-Marine Corps (GCSS-MC); Air Force—Defense Enterprise

  7. 41 CFR 102-193.25 - What type of records management business process improvements should my agency strive to achieve?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false What type of records management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25 Public Contracts and Property Management Federal Property Management Regulations System...

  8. 41 CFR 102-193.25 - What type of records management business process improvements should my agency strive to achieve?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What type of records management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25 Public Contracts and Property Management Federal Property Management Regulations System...

  9. 41 CFR 102-193.25 - What type of records management business process improvements should my agency strive to achieve?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false What type of records management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25 Public Contracts and Property Management Federal Property Management Regulations System...

  10. Integration of the enterprise electronic health record and anesthesia information management systems.

    PubMed

    Springman, Scott R

    2011-09-01

    Fewer than 5% of anesthesia departments use an electronic medical record (EMR) that is anesthesia specific. Many anesthesia information management systems (AIMS) have been developed with a focus only on the unique needs of anesthesia providers, without being fully integrated into other electronic health record components of the entire enterprise medical system. To understand why anesthesia providers should embrace health information technology (HIT) on a health system-wide basis, this article reviews recent HIT history and reviews HIT concepts. The author explores current developments in efforts to expand enterprise HIT, and the pros and cons of full enterprise integration with an AIMS.

  11. Horizontal gene transfer and the rock record: comparative genomics of phylogenetically distant bacteria that induce wrinkle structure formation in modern sediments.

    PubMed

    Flood, B E; Bailey, J V; Biddle, J F

    2014-03-01

    Wrinkle structures are sedimentary features that are produced primarily through the trapping and binding of siliciclastic sediments by mat-forming micro-organisms. Wrinkle structures and related sedimentary structures in the rock record are commonly interpreted to represent the stabilizing influence of cyanobacteria on sediments because cyanobacteria are known to produce similar textures and structures in modern tidal flat settings. However, other extant bacteria such as filamentous representatives of the family Beggiatoaceae can also interact with sediments to produce sedimentary features that morphologically resemble many of those associated with cyanobacteria-dominated mats. While Beggiatoa spp. and cyanobacteria are metabolically and phylogenetically distant, genomic analyses show that the two groups share hundreds of homologous genes, likely as the result of horizontal gene transfer. The comparative genomics results described here suggest that some horizontally transferred genes may code for phenotypic traits such as filament formation, chemotaxis, and the production of extracellular polymeric substances that potentially underlie the similar biostabilizing influences of these organisms on sediments. We suggest that the ecological utility of certain basic life modes such as the construction of mats and biofilms, coupled with the lateral mobility of genes in the microbial world, introduces an element of uncertainty into the inference of specific phylogenetic origins from gross morphological features preserved in the ancient rock record.

  12. My Work in the NASA Glenn History Office and Records Management Office

    NASA Technical Reports Server (NTRS)

    Mate, Robert C.

    2004-01-01

    This is my fourth summer working with my mentor, Kevin P. Coleman, who is the Center History Coordinator, Center Records Manager, and Center Forms Manager. I am working in the GRC History Office with some overlap in the Records Management Office. I have three major projects this summer. First, I am assisting in the documentation of historic facilities. Second, I am involved in a project to organize files and create an archives at Plum Brook Station. Third, I have helped the records management office with its inventory of stored records at Plum Brook. Also, I received an award this summer for research work I had done for NASA in the past. First, my primary project is to help assemble documentation for historic facilities at Glenn. This is somewhat of an extension of my project from last summer. Last summer, I worked to compile a complete list of all of NASA s historic sites and landmarks (as designated by the National Park Service, as well as several private organizations) throughout the country. Then, I briefly researched the significance of historic designation under federal law. Finally, I put my findings into a report which was submitted to NASA Headquarters. Upon review by the NASA History Office and several center-level history officials, it was decided that NASA should work to update its documentation of its historic sites and landmarks since some of the documentation was outdated or unavailable. Until recently, many project managers and facility managers working at historic facilities were not even aware that their surroundings had been designated as historic under federal law (most specifically, the National Historic Preservation Act of 1966 and its amendments). Therefore, they were unaware of the legal obligations for historic preservation. This summer, my project is to research some of Glenn s historic sites and landmarks in more detail. The goal is to put together a template for documenting historic NASA facilities. The hope is that this template of

  13. Decadal Scale Tropical Atlantic Sea Surface Temperature Indices as Recorded by a Modern Dominican Coral (1935-1996)

    NASA Astrophysics Data System (ADS)

    Greer, L.; Swart, P. K.

    2002-12-01

    In contrast to research in the tropical Pacific, there have been few definitive studies utilizing proxy records within Atlantic coral skeletons to provide information on the climate dynamics in this region. In order to study associations between salinity and temperature in the Subtropical North Atlantic, a core was retrieved from a colony of the coral species Montastraea annularis at El Pe¤¢n located in the northwestern region of Parque Nacional del Este (PNE), Dominican Republic. Decadal oscillations in the δ18O of the coral skeleton correlate with SST anomalies (SSTA) in the tropical North Atlantic for much of the period from 1935 to 1996. Cospectral analyses of coral δ18O and documented tropical Atlantic SSTAs reveal a dominant frequency of ~12-15 years. This decadal frequency is well documented in observed Atlantic SST data and models of tropical Atlantic climate. We do not believe that fluctuations in the δ18O of this coral reflect local temperature or precipitation patterns. Instead we suggest that the δ18O of the coral is related to Caribbean wide salinity anomalies, which are in turn related to tropical Atlantic SSTAs. The correlation between coral δ18O and tropical Atlantic SSTA may indicate that when a southward SSTA gradient is pronounced, tradewinds north of the ITCZ increase, enhancing evaporation in the North Atlantic Subtropical Gyre. The net increase in evaporation coupled with a strengthening of gyre circulation could result in a relative increase in the transport of more saline water into the Caribbean via the Mona Passage. When a northward SST gradient is present, precipitation associated with the northern extent of the ITCZ may decrease the mean salinity of the North Atlantic Subtropical Gyre and/or gyre circulation. A relative increase in the transport of less saline South Equatorial waters to the Caribbean could result. However, the correlation between coral δ18O and tropical SST anomalies changes significantly between 1960 and

  14. Modern Microbial Ecosystems are a Key to Understanding Our Biosphere's Early Evolution and its Contributions To The Atmosphere and Rock Record

    NASA Technical Reports Server (NTRS)

    DesMarais, David J.; DeVincenzi, Donald L. (Technical Monitor)

    2000-01-01

    The survival of our early biosphere depended upon efficient coordination anion- diverse microbial populations. Microbial mats exhibit a 3.46-billion-year fossil record, thus they are the oldest known ecosystems. Photosynthetic microbial mats were key because, today, sunlight powers more than 99 percent of global primary productivity. Thus photosynthetic ecosystems have affected the atmosphere profoundly and have created the most pervasive, easily-detected fossils. Photosynthetic biospheres elsewhere will be most detectible via telescopes or spacecraft. As a part of the Astrobiology Institute, our Ames Microbial Ecosystems group examines the roles played by ecological processes in the early evolution of our biosphere, as recorded in geologic fossils and in the macromolecules of living cells: (1) We are defining the microbial mat microenvironment, which was an important milieu for early evolution. (2) We are comparing mats in contrasting environments to discern strategies of adaptation and diversification, traits that were key for long-term survival. (3) We have selected sites that mimic key environmental attributes of early Earth and thereby focus upon evolutionary adaptations to long-term changes in the global environment. (4) Our studies of gas exchange contribute to better estimates of biogenic gases in Earth's early atmosphere. This group therefore directly addresses the question: How have the Earth and its biosphere influenced each other over time Our studies strengthen the systematics for interpreting the microbial fossil record and thereby enhance astrobiological studies of martian samples. Our models of biogenic gas emissions will enhance models of atmospheres that might be detected on inhabited extrasolar planets. This work therefore also addresses the question: How can other biospheres be recogniZed" Our choice of field sites helps us explore Earth's evolving early environment. For example, modern mats that occupy thermal springs and certain freshwater

  15. Relationships between Electronic Information Media and Records Management Practices: Results of a Survey of United Nations Organizations. A Rand Note.

    ERIC Educational Resources Information Center

    Bikson, T. K.; Schieber, L.

    A Technical Panel on Electronic Records Management (TP/REM), which was established by the Advisory Committee for the Co-ordination of Information Systems (ACCIS), conducted a survey of existing electronic records management practices and standards related to new information and communication technologies and their interrelationships within the…

  16. 78 FR 39314 - Notice of Availability of the Decision Record for the Delta River Special Recreation Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-01

    ....AL0000] Notice of Availability of the Decision Record for the Delta River Special Recreation Management... of the Decision Record (DR) for the Delta River Special Recreation Management Area and East Alaska..., Glennallen, AK 99588 or by calling 907-822-3217. The Environmental Assessment (EA) for the Delta...

  17. 77 FR 49011 - Privacy Act of 1974; New System of Records, Office of General Counsel E-Discovery Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-15

    ... Management System--Change in Final Effective Date AGENCY: Office of the General Counsel, HUD. ACTION: Notice... of a new system of records for the OGC E-Discovery Management System until after the opportunity for... that announced OGC's intent to establish a new system of records for OGC's E-Discovery...

  18. 12 CFR 225.175 - What risk management, record keeping and reporting policies are required to make merchant banking...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., concentration and other risks associated with such investments; (iii) Identify, monitor and assess the terms... 12 Banks and Banking 3 2013-01-01 2013-01-01 false What risk management, record keeping and... Investments § 225.175 What risk management, record keeping and reporting policies are required to...

  19. Using Modern Digital Photography Tools to Guide Management Decisions on Forested Land

    ERIC Educational Resources Information Center

    Craft, Brandon; Barlow, Rebecca; Kush, John; Hemard, Charles

    2016-01-01

    Forestland management depends on assessing changes that occur over time. Long-term photo point monitoring is a low-cost method for documenting these changes. Using forestry as an example, this article highlights the idea that long-term photo point monitoring can be used to improve many types of land management decision making. Guidance on…

  20. Practical Teaching & Learning Model: A Modern Dimension for Business Management Schools

    ERIC Educational Resources Information Center

    Kolachi, Nadir Ali

    2013-01-01

    Purpose: The purpose of this research is to evaluate and investigate the most suitable model required for teaching business Management curriculum. The paper will report a new dimension of Business Management Teaching. For this purpose, a Practical teaching & Learning Model has been prepared and will be discussed through qualitative research…

  1. Climatic stress events in the source region of modern man - Matching the last 20 ka of the Chew Bahir climate record with occupation history of adjacent refugia

    NASA Astrophysics Data System (ADS)

    Foerster, Verena; Vogelsang, Ralf; Junginger, Annett; Asrat, Asfawossen; Lamb, Henry F.; Viehberg, Finn; Trauth, Martin H.; Schaebitz, Frank

    2014-05-01

    A rapidly changing environment is considered an important driver not just for human evolution but also for cultural and technological innovation and migration. To evaluate the impact that climatic shifts on different timescales might have had on the living conditions of prehistoric humans is one of the cornerstones in current research, but continuous paleo-climate records in the vicinity of archaeological sites are still rare. As a contribution towards a better understanding of this human-climate interaction we here present a match between the last 20 ka of the just recently developed paleo-climate record from Chew Bahir in southern Ethiopia and the settlement history of adjacent possible refugia. The Chew Bahir basin, as a newly explored reliable climatic archive, lies in a biogeographically highly sensitive transition zone between the Main Ethiopian Rift and the Omo-Turkana basin and hence represents an ideal site to study climatic variability in the source region of modern man. The climatic history with a temporal resolution of up to 3 years is showing besides orbitally driven long-term transitions in and out of favourable living conditions several short abrupt excursions towards drier or wetter episodes. Comparing the frequency of archaeological findings as a parameter for human occupation to this close-by climate record that allows us to outline how complex the interplay between humans and environment during the last 20 ka really was, which dynamics might have been involved and which role the temporal dimension of environmental changes could have played for the adaption of humans.

  2. Data management in the cell therapy production facility: the batch process record (BPR).

    PubMed

    Janssen, We

    2008-01-01

    The activities of cell therapy establishments are associated with substantial amounts of information. For reasons of best practice, regulation and adherence to prevailing standards, the data generated in the course of cell therapy product processing must be recorded and retained in an organized manner. Because cell therapy products are functionally pharmaceuticals, the paradigm of the pharmaceutical manufacturing batch process record (BPR) is proposed as a unit for collecting the data resulting from processing. Considerations for cell-processing facilities for the design of BPR and possible selection of electronic data-recording tools are reviewed, including data to collect in response to regulatory or accreditation mandates and different types of electronic data management tools that may be employed. Additionally, considerations for selection, qualification and validation of computer software for maintenance of the BPR are addressed.

  3. Database system for management of health physics and industrial hygiene records.

    SciTech Connect

    Murdoch, B. T.; Blomquist, J. A.; Cooke, R. H.; Davis, J. T.; Davis, T. M.; Dolecek, E. H.; Halka-Peel, L.; Johnson, D.; Keto, D. N.; Reyes, L. R.; Schlenker, R. A.; Woodring; J. L.

    1999-10-05

    This paper provides an overview of the Worker Protection System (WPS), a client/server, Windows-based database management system for essential radiological protection and industrial hygiene. Seven operational modules handle records for external dosimetry, bioassay/internal dosimetry, sealed sources, routine radiological surveys, lasers, workplace exposure, and respirators. WPS utilizes the latest hardware and software technologies to provide ready electronic access to a consolidated source of worker protection.

  4. Individual Monitoring and Occupational Dose Record Management in China: History, Current Status and Perspectives

    PubMed Central

    Wang, Hong-Bo; Yu, Hai-Tao; Sun, Quan-Fu

    2016-01-01

    This review paper presents an overview of individual monitoring, as well as the national dose register and dose record management of radiation workers in China. Progress has recently been made on the individual monitoring of radiation workers. A critical analysis of current status and problems in individual monitoring is also presented and necessary future research on individual monitoring, such as the monitoring technology in the form of the ring dosimeters and eye lens dosimeters, is suggested. PMID:27271646

  5. Classification of modern and old Río Tinto sedimentary deposits through the biomolecular record using a life marker biochip: implications for detecting life on Mars.

    PubMed

    Parro, Victor; Fernández-Remolar, David; Rodríguez-Manfredi, José A; Cruz-Gil, Patricia; Rivas, Luis A; Ruiz-Bermejo, Marta; Moreno-Paz, Mercedes; García-Villadangos, Miriam; Gómez-Ortiz, David; Blanco-López, Yolanda; Menor-Salván, César; Prieto-Ballesteros, Olga; Gómez-Elvira, Javier

    2011-01-01

    The particular mineralogy formed in the acidic conditions of the Río Tinto has proven to be a first-order analogue for the acid-sulfate aqueous environments of Mars. Therefore, studies about the formation and preservation of biosignatures in the Río Tinto will provide insights into equivalent processes on Mars. We characterized the biomolecular patterns recorded in samples of modern and old fluvial sediments along a segment of the river by means of an antibody microarray containing more than 200 antibodies (LDCHIP200, for Life Detector Chip) against whole microorganisms, universal biomolecules, or environmental extracts. Samples containing 0.3-0.5 g of solid material were automatically analyzed in situ by the Signs Of LIfe Detector instrument (SOLID2), and the results were corroborated by extensive analysis in the laboratory. Positive antigen-antibody reactions indicated the presence of microbial strains or high-molecular-weight biopolymers that originated from them. The LDCHIP200 results were quantified and subjected to a multivariate analysis for immunoprofiling. We associated similar immunopatterns, and biomolecular markers, to samples with similar sedimentary age. Phyllosilicate-rich samples from modern fluvial sediments gave strong positive reactions with antibodies against bacteria of the genus Acidithiobacillus and against biochemical extracts from Río Tinto sediments and biofilms. These samples contained high amounts of sugars (mostly polysaccharides) with monosaccharides like glucose, rhamnose, fucose, and so on. By contrast, the older deposits, which are a mix of clastic sands and evaporites, showed only a few positives with LDCHIP200, consistent with lower protein and sugar content. We conclude that LDCHIP200 results can establish a correlation between microenvironments, diagenetic stages, and age with the biomarker profile associated with a sample. Our results would help in the search for putative martian biomarkers in acidic deposits with similar

  6. Classification of Modern and Old Río Tinto Sedimentary Deposits Through the Biomolecular Record Using a Life Marker Biochip: Implications for Detecting Life on Mars

    NASA Astrophysics Data System (ADS)

    Parro, Victor; Fernández-Remolar, David; Rodríguez-Manfredi, José A.; Cruz-Gil, Patricia; Rivas, Luis A.; Ruiz-Bermejo, Marta; Moreno-Paz, Mercedes; García-Villadangos, Miriam; Gómez-Ortiz, David; Blanco-López, Yolanda; Menor-Salván, César; Prieto-Ballesteros, Olga; Gómez-Elvira, Javier

    2011-01-01

    The particular mineralogy formed in the acidic conditions of the Río Tinto has proven to be a first-order analogue for the acid-sulfate aqueous environments of Mars. Therefore, studies about the formation and preservation of biosignatures in the Río Tinto will provide insights into equivalent processes on Mars. We characterized the biomolecular patterns recorded in samples of modern and old fluvial sediments along a segment of the river by means of an antibody microarray containing more than 200 antibodies (LDCHIP200, for Life Detector Chip) against whole microorganisms, universal biomolecules, or environmental extracts. Samples containing 0.3-0.5g of solid material were automatically analyzed in situ by the Signs Of LIfe Detector instrument (SOLID2), and the results were corroborated by extensive analysis in the laboratory. Positive antigen-antibody reactions indicated the presence of microbial strains or high-molecular-weight biopolymers that originated from them. The LDCHIP200 results were quantified and subjected to a multivariate analysis for immunoprofiling. We associated similar immunopatterns, and biomolecular markers, to samples with similar sedimentary age. Phyllosilicate-rich samples from modern fluvial sediments gave strong positive reactions with antibodies against bacteria of the genus Acidithiobacillus and against biochemical extracts from Río Tinto sediments and biofilms. These samples contained high amounts of sugars (mostly polysaccharides) with monosaccharides like glucose, rhamnose, fucose, and so on. By contrast, the older deposits, which are a mix of clastic sands and evaporites, showed only a few positives with LDCHIP200, consistent with lower protein and sugar content. We conclude that LDCHIP200 results can establish a correlation between microenvironments, diagenetic stages, and age with the biomarker profile associated with a sample. Our results would help in the search for putative martian biomarkers in acidic deposits with similar

  7. Integrating health information technology and electronic health records into the management of fibromyalgia.

    PubMed

    Wells, Alvin F; Arnold, Lesley M; Curtis, Cassandra E; Dunegan, L Jean; Lapp, Charles W; McCarberg, Bill H; Clair, Andrew

    2013-07-01

    Fibromyalgia (FM) is a widespread chronic pain condition that represents a significant economic burden for patients and health care systems. Effective treatment of FM requires a multidisciplinary management strategy that incorporates pharmacologic and nonpharmacologic therapy. Steps such as reducing the time to diagnosis and improving treatment decisions can result in significant cost savings and improved patient outcomes. An FM management framework, based on patient education and goal setting, has emphasized the need for ongoing care of patients with FM. In this article, we discuss how this framework could be further improved through the use of health information technology, including electronic health records. Health information technology/electronic health records can be incorporated at every stage of patient care, from initial presentation to diagnosis, through to making treatment decisions and maintaining ongoing patient management. This can lead to a number of potential benefits for patients with FM (by improving their level of care), primary care providers (by creating greater efficiencies), and the health care system (by reducing costs). Ultimately, the treatment and care of patients with FM need be no more burdensome to primary care providers than any other chronic illness. Through the greater efficiencies and optimized treatment approaches facilitated by health information technology/electronic health records, it should be possible to drive best-practice care for patients with FM and improve patient outcomes.

  8. [A personal balance of 25 years of modern health care management in the Spanish Public Health System].

    PubMed

    Belenes, R

    2003-01-01

    At the beginning of 2002, the transference of authority over public health care services from the Spanish national health System (INSALUD) to all the autonomous communities hitherto lacking this authority closed a period of modern halthcare management in Spain which, nevertheless, had lacked the dynamism and innovative capacity of business management. Despite this, during these 25 years, Spanish healthcare management underwent a spectacular growth. The problems of the Spanish public health system are either linked to the inherent problems of a system of universal coverage, with generous provisions and clear underfinancing, or they are characteristic of an obsolete organizational model in which centers and healthcare professionals lack autonomy, or they are related to users' increased expectations and to the enormous complexity of the medicine of the future. All these questions should be approached from the perspective of a new form of management appropriate to the new century. Despite its serious defects and problems, the public values the Spanish public health system; the main risk is chronic and progressive delegitimization wich causes users to lose faith and trust in the public health system.

  9. Thinking About Taking The Leap? Hear From Those Who Did So...and Survived A Case Study: NASA Stennis Space Center Electronic Records Management

    NASA Technical Reports Server (NTRS)

    Albasini, Colby V.

    2008-01-01

    Increased visibility into records management: a) Partnered with NARA to provide electronic records management and Emergency Response training; b) Mandate all civil servants and records personnel attend training.Improve Disaster Recovery: a) TechDoc considered a vital system; b) All electronic documentation and records managed by our system available offsite.

  10. The role of the veterinarian in bovine fertility management on modern dairy farms.

    PubMed

    Mee, J F

    2007-09-01

    The decline in dairy herd fertility internationally has highlighted the limited impact of traditional veterinary approaches to herd fertility. The role of the veterinarian in fertility management on dairy farms has evolved from addressing individual clinical conditions to analyzing suboptimal herd metrics. However, this paradigm shift has only successfully occurred in some dairy industries and less so in others. Needs analyses indicate that the critical constraints to change are veterinary practice size, client motivation and data quality and availability. In addition, this review identified the inability of veterinarians to demonstrate and to market the cost-benefit of their fertility management services as important impediments to change. In many cases change is not being managed but is imposed by the growth of paraprofessionals. Some veterinarians still see their role as an animal clinician while others have evolved into leaders of the herd fertility management team. The core role of dairy veterinarians remains individual animal examinations but this must be supplemented with systematic herd fertility investigation and veterinarian-led herd fertility management. This new role encompasses leading the change from clinical calls only to a planned approach to herd fertility, demonstrating the cost-benefits of the program, scheduling fertility management consultations, assisting the farmer in setting specific, measurable, attainable, relevant and time-limited (SMART) goals, drawing up standard operating procedures (SOPs), training and auditing staff in fertility management practices, encouraging a team approach, implementing veterinary fertility management and monitoring performance. Veterinarians who fail to engage in this process of change risk being marginalized by others keen to promote their herd fertility services.

  11. Proceedings of the ’Managing the Industrial Modernization Process’ Conference

    DTIC Science & Technology

    1990-05-05

    manager for the development of a Medium Antenna Terminal for the United States Army Satellite Communications Agency and Internal Manager of LA Faire Vite, a...an engineer with Harris and Collins Radio Corporation. During this time, he designed and developed an 85-foot antenna in Ethiopia, a 150-foot antenna ...solve all of our problems obviously. At this point we could take each of those three solutions, use a cause and effect analysis and with a fishbone

  12. [Modern methods of prehospital bleeding management based on the experience and standards of tactical medicine].

    PubMed

    Kluj, Przemysław; Aleksandrowicz, Dawid; Machała, Waldemar; Gaszyński, Tomasz

    2015-02-01

    Isolated limb hemorrhage represents 60% of avoidable deaths and remains the leading cause of death in combat zone. Ideal tourniquet must be light, durable and cheap. They should completely stop the flow of arterial blood in the limb, and their attachment should be quick and easy. Tourniquets applied in correct location save lives by stopping the bleeding. Their use in civil environment appear to be particularly relevant in the mass casualties events. Modern bandages used by the military, were designed mostly in the form of an elastic bandage, which attachment has to be easy and quick. Sequential wrapping of elastic dressing around the wound produces compressive force which aim is to stem the bleeding by pressing vessel from the outside. Dressings are made of materials which adhere well to the wound, causing the seal and leave no fragments in the injured tissue. The combination of all components enables fast and effective application of the dressing in the most demanding conditions.

  13. Records Surveys and Schedules: A RAMP Study with Guidelines.

    ERIC Educational Resources Information Center

    Charman, Derek

    Prepared for Unesco's Records and Archives Management Programme (RAMP), this study is intended to introduce workers in archival services to the life cycle concept of records, and to the advantages of establishing a legally authorized and comprehensive program for the orderly disposal of modern institutional records. It is noted that, although the…

  14. DOD Business Systems Modernization: Planned Investment in Navy Program to Create Cashless Shipboard Environment Needs to Be Justified and Better Managed

    DTIC Science & Technology

    2008-09-01

    Government Accountability Office GAO September 2008 DOD BUSINESS SYSTEMS MODERNIZATION Planned Investment in Navy Program to Create Cashless ...4. TITLE AND SUBTITLE DOD Business Systems Modernization. Planned Investment in Navy Program to Create Cashless Shipboard Environment Needs to Be...Planned Investment in Navy Program to Create Cashless Shipboard Environment Needs to Be Justified and Better Managed Highlights of GAO-08-922, a report

  15. Specialty pharmaceuticals care management in an integrated health care delivery system with electronic health records.

    PubMed

    Monroe, C Douglas; Chin, Karen Y

    2013-05-01

    The specialty pharmaceuticals market is expanding more rapidly than the traditional pharmaceuticals market. Specialty pharmacy operations have evolved to deliver selected medications and associated clinical services. The growing role of specialty drugs requires new approaches to managing the use of these drugs. The focus, expectations, and emphasis in specialty drug management in an integrated health care delivery system such as Kaiser Permanente (KP) can vary as compared with more conventional health care systems. The KP Specialty Pharmacy (KP-SP) serves KP members across the United States. This descriptive account addresses the impetus for specialty drug management within KP, the use of tools such as an electronic health record (EHR) system and process management software, the KP-SP approach for specialty pharmacy services, and the emphasis on quality measurement of services provided. Kaiser Permanente's integrated system enables KP-SP pharmacists to coordinate the provision of specialty drugs while monitoring laboratory values, physician visits, and most other relevant elements of the patient's therapy. Process management software facilitates the counseling of patients, promotion of adherence, and interventions to resolve clinical, logistic, or pharmacy benefit issues. The integrated EHR affords KP-SP pharmacists advantages for care management that should become available to more health care systems with broadened adoption of EHRs. The KP-SP experience may help to establish models for clinical pharmacy services as health care systems and information systems become more integrated.

  16. [Modern concepts of trauma care and multiple trauma management in oral and maxillofacial region].

    PubMed

    Tan, Yinghui

    2015-06-01

    Multiple trauma management requires the application of modem trauma care theories. Optimal treatment results can be achieved by reinforcing cooperation and stipulating a treatment plan together with other disciplines. Based on modem theories in trauma care and our understanding of the theoretical points, this paper analyzes the injury assessment strategies and methods in oral and maxillofacial multiple trauma management. Moreover, this paper discusses operating time and other influencing factors as well as proposed definitive surgical timing and indications in comprehensive management of oral and maxillofacial multiple trauma patients associated with injuries in other body parts. We hope that this paper can help stomatological physicians deepen their understanding of modem trauma care theories and improve their capacity and results in the treatment of oral and maxillofacial multiple trauma.

  17. Studying the Past for the Future: Managing Modern Biodiversity from Historic and Prehistoric Data

    SciTech Connect

    Foster, Professor Thomas; Olsen, Lisa M; Dale, Virginia H; Chen, Alice

    2010-01-01

    Management of biodiversity and anthropogenic effects on the environment are some of the most difficult challenges facing humans today. In this paper, we describe how archaeological, historical, and ecological data can be combined to identify metrics of ecological change. Archaeological surveys, historic witness tree data, analysis of ancient pollen, and recent satellite imagery are combined to create indicators of change that are useable by modem environmental managers at Fort Benning Military Reservation in Georgia and Alabama in the United States. Archaeological data were collected at 30 meter intervals, historic vegetation data were collected from early nineteenth century survey maps, and ancient pollen and charcoal were collected from soil cores in lakes. We show how data sets collected with disparate goals from anthropology and ecology can be applied to make policy decisions about environmental management.

  18. DOD Business Systems Modernization: Governance Mechanisms for Implementing Management Controls Need to Be Improved

    DTIC Science & Technology

    2012-06-01

    architecture BPR business process reengineering DCMO Deputy Chief Management Officer DITPR Defense Information Technology Portfolio Repository...statutory requirements. In addition, while DOD implemented a business process reengineering ( BPR ) review process, the department is not measuring...have not been validated. Further, while DOD has conducted various BPR activities related to its business system investments and underlying business

  19. Modern approach to the clinical management of non-alcoholic fatty liver disease.

    PubMed

    Del Ben, Maria; Polimeni, Licia; Baratta, Francesco; Pastori, Daniele; Loffredo, Lorenzo; Angelico, Francesco

    2014-07-14

    Non-alcoholic fatty liver disease (NAFLD) is the most common and emerging form of chronic liver disease worldwide. It includes a wide spectrum of liver diseases ranging from simple fatty liver to steatohepatitis, which may progress to cirrhosis, liver cancer, and liver mortality. Common metabolic diseases, which are well established cardiovascular risk factors, have been associated to NAFLD and cardiovascular disease is the single most important cause of morbidity and mortality in this patient population. The pathogenesis of NAFLD appears multifactorial and many mechanisms have been proposed as possible causes of fatty liver infiltration. Management of fatty liver has become a major challenge to healthcare systems as the consequence of the increasing rates of obesity worldwide. First-line management focuses on lifestyle modifications. Moderate weight reduction either by dietary restriction or by increased habitual physical activity is safe and highly recommended. Several therapeutic interventions have been proposed. These include insulin sensitizer agents, lipid lowering drugs, antioxidants such as vitamin E and supplementation of vitamin D3. However, therapeutic strategies have been largely empirical so far, and experimental trials have mostly been carried out in uncontrolled settings with small sample sizes. Metabolic conditions such as diabetes mellitus, obesity, hypertension and hyperlipidemia, should be strongly considered and a multidisciplinary approach should be personalized for individual patients. Treatment of co-morbidities should be regarded as of paramount importance in the management of these patients. The purpose of this review is to examine different approaches for the clinical management of non-alcoholic fatty liver disease.

  20. Challenges in the Development of Environmental Management Systems on the Modern University Campus

    ERIC Educational Resources Information Center

    Bero, Bridget N.; Doerry, Eckehard; Middleton, Ryan; Meinhardt, Christian

    2012-01-01

    Purpose: The purpose of this paper is to describe challenges and lessons learned in the design and development of a comprehensive, flexible environmental management system (EMS) in a real university setting; also to inform development of similar systems elsewhere and provide a modular, extensible software architecture for such efforts.…

  1. The Bureaucratic Experience and Post Modern Challenges of Strategic Management in Higher Education Institutions

    ERIC Educational Resources Information Center

    Thomas, Olusola A.

    2014-01-01

    This study examined the nature of bureaucracy in Higher Education Institutions (HEIs), and the need for strategic management considering the propelling forces of academic revolution meaning that HEIs must perform better with fewer resources and provide innovative solutions. Three research questions guided this study which followed a…

  2. Weighting for Health: Management, Measurement and Self-surveillance in the Modern Household

    PubMed Central

    Marland, Hilary

    2016-01-01

    Histories of late nineteenth- and early twentieth-century medicine emphasise the rise of professional and scientific authority, and suggest a decline in domestic health initiatives. Exploring the example of weight management in Britain, we argue that domestic agency persisted and that new regimes of measurement and weighing were adapted to personal and familial preferences as they entered the household. Drawing on print sources and objects ranging from prescriptive literature to postcards and ‘personal weighing machines’, the article examines changing practices of self-management as cultural norms initially dictated by ideals of body shape and function gradually incorporated quantified targets. In the twentieth century, the domestic management of health—like the medical management of illness—was increasingly technologised and re-focused on quantitative indicators of ‘normal’ or ‘pathological’ embodiment. We ask: in relation to weight, how did quantification permeate the household, and what did this domestication of bodily surveillance mean to lay users? PMID:27956758

  3. Aedes aegypti Control Through Modernized, Integrated Vector Management

    PubMed Central

    Yakob, Laith; Funk, Sebastian; Camacho, Anton; Brady, Oliver; Edmunds, W. John

    2017-01-01

    Introduction: In the context of the ongoing, unprecedented Zika virus outbreak in the Americas, the World Health Organization has expressed its support for developing and up-scaling three novel approaches to controlling the Aedes aegypti mosquito: the Sterile Insect Technique (SIT), the Release of Insects carrying Dominant Lethal genes (RIDL) and the release of Wolbachia-infected mosquitoes. Whereas the former two approaches are temporary insect population suppression strategies, Wolbachia infection is a self-sustaining, invasive strategy that uses inherited endosymbiotic bacteria to render natural mosquito populations arbovirus resistant. Methods: A mathematical model is parameterised with new, Brazilian field data informing the mating competitiveness of mass-reared, released insects; and simulations compare and contrast projections of vector control achieved with the alternative approaches. Results: Important disadvantages of Wolbachia and SIT are identified: both strategies result in mosquitoes ovipositing non-viable eggs and, by alleviating intense larval competition, can cause an overall increase in survival to the adult stage. However, it is demonstrated that strategically combining the suppression methods with Wolbachia can generate a sustained control while mitigating the risks of inadvertent exacerbation of the wild mosquito population. Discussion: This initial analysis demonstrates potential for good synergy when combining novel mosquito approaches in a modernized, integrated vector control programme. PMID:28286698

  4. Recent Forest Disturbance History in the Greater Yellowstone Ecosystem Reconstructed using Remote Sensing and Management Record

    NASA Astrophysics Data System (ADS)

    Zhao, F.; Huang, C.; Zhu, Z.

    2014-12-01

    The Greater Yellowstone Ecosystem (GYE), located in Central Rocky Mountains of United States, is of complex ecological and land management histories along with different land ownerships. What are effects of the different land management practices (such as those by national parks vs. national forests) on ecosystem disturbances and carbon balance? We present here the methods and results of a study on forest disturbance history over the GYE from 1984 to 2010 reconstructed from Landsat time series stacks and local management records. Annual forest fire, harvest and other disturbances were tracked and separated by integrating a model called Vegetation Change Tracker and the Support Vector Machine algorithm. Local management records were separated into training and validation data for the disturbance maps. Area statistics and rates of disturbances were quantified and compared across GYE land ownership over the multi-decade period and interpreted for implications of these changes for forest management and carbon analysis. Our results indicate that during the study interval (1984 - 2010), GYE National Parks (NPs) and Wilderness Area (WA) had higher percentages of area of forests disturbed compared to GYE National Forests (NF). Within the GYE NPs, over 45% of the forest lands were disturbed at least once during the study period, the majority (37%) was by wildfire. For GYE wilderness area, the total disturbance was 30% of forest with 19.4% by wildfire and 10.6% by other disturbances. In Bridger-Teton NF, 14.7% of forest was disturbed and 3.6%, 0.5% and 10.6% of forest were disturbed by fire, harvest and other disturbances, respectively. For Caribou-Targhee NF, 25% of total forest was disturbed during this time interval and 1.5%, 6.4% and 17.1% of forest were disturbed by fire, harvest and other disturbances, respectively.

  5. The dysplastic nevus: from historical perspective to management in the modern era

    PubMed Central

    Duffy, Keith; Grossman, Douglas

    2013-01-01

    The dysplastic nevus is a discreet histologic entity, which exhibits some clinical and histologic features overlapping with common nevi and melanoma. These overlapping features present a therapeutic challenge, and with a lack of accepted guidelines, the management of dysplastic nevi remains a controversial subject. Although some differences between dysplastic and common nevi can be detected at the molecular level, there are currently no established markers to predict biologic behavior. In part II of this continuing medical education article, we will review the molecular aspects of dysplastic nevi and their therapeutic implications. Our goal is to provide the clinician with an up-to-date understanding of this entity to facilitate clinical management of patients with nevi that demonstrate histologic dysplasia. PMID:22703916

  6. Civilian Workforce 2020: Strategies for Modernizing Human Resources Management in the Department of the Navy

    DTIC Science & Technology

    2000-08-18

    Completed February 1993 (McClellan Air broader pay bands; organization– Force Base) wide quality /productivity measures Federal Aviation Alternative...to attract and retain a quality civilian workforce capable of providing the human capital needed for the Navy to achieve mission excellence in the...manage, and, if necessary, terminate non-performing employees. Accountability measures should be clear and have consequences. ◆ Investments in human

  7. Modern approach to the clinical management of non-alcoholic fatty liver disease

    PubMed Central

    Del Ben, Maria; Polimeni, Licia; Baratta, Francesco; Pastori, Daniele; Loffredo, Lorenzo; Angelico, Francesco

    2014-01-01

    Non-alcoholic fatty liver disease (NAFLD) is the most common and emerging form of chronic liver disease worldwide. It includes a wide spectrum of liver diseases ranging from simple fatty liver to steatohepatitis, which may progress to cirrhosis, liver cancer, and liver mortality. Common metabolic diseases, which are well established cardiovascular risk factors, have been associated to NAFLD and cardiovascular disease is the single most important cause of morbidity and mortality in this patient population. The pathogenesis of NAFLD appears multifactorial and many mechanisms have been proposed as possible causes of fatty liver infiltration. Management of fatty liver has become a major challenge to healthcare systems as the consequence of the increasing rates of obesity worldwide. First-line management focuses on lifestyle modifications. Moderate weight reduction either by dietary restriction or by increased habitual physical activity is safe and highly recommended. Several therapeutic interventions have been proposed. These include insulin sensitizer agents, lipid lowering drugs, antioxidants such as vitamin E and supplementation of vitamin D3. However, therapeutic strategies have been largely empirical so far, and experimental trials have mostly been carried out in uncontrolled settings with small sample sizes. Metabolic conditions such as diabetes mellitus, obesity, hypertension and hyperlipidemia, should be strongly considered and a multidisciplinary approach should be personalized for individual patients. Treatment of co-morbidities should be regarded as of paramount importance in the management of these patients. The purpose of this review is to examine different approaches for the clinical management of non-alcoholic fatty liver disease. PMID:25024593

  8. Modern methods for the quality management of high-rate melt solidification

    NASA Astrophysics Data System (ADS)

    Vasiliev, V. A.; Odinokov, S. A.; Serov, M. M.

    2016-12-01

    The quality management of high-rate melt solidification needs combined solution obtained by methods and approaches adapted to a certain situation. Technological audit is recommended to estimate the possibilities of the process. Statistical methods are proposed with the choice of key parameters. Numerical methods, which can be used to perform simulation under multifactor technological conditions, and an increase in the quality of decisions are of particular importance.

  9. [Modern methods of comprehensive management of patients with varicose disease relapsing after surgical interventions].

    PubMed

    Gavrilenko, A V; Vakhrat'ian, P E

    2012-01-01

    Despite progress achieved by Russian phlebology in diagnosis and treatment of lower-limb varicose disease, the latter remains the most commonly encountered pathology of the vascular bed. Treatment for varicose disease includes a series of unsolved as yet problems, the main of which being a relapse of varicose disease after surgical interventions. The authors share herein their experience gained in using comprehensive methods while managing varicose disease relapses, also describing the technique of the procedures performed and analysing certain technical variants thereof.

  10. Contribution of Electronic Medical Records to the Management of Rare Diseases

    PubMed Central

    Bremond-Gignac, Dominique; Lewandowski, Elisabeth; Copin, Henri

    2015-01-01

    Purpose. Electronic health record systems provide great opportunity to study most diseases. Objective of this study was to determine whether electronic medical records (EMR) in ophthalmology contribute to management of rare eye diseases, isolated or in syndromes. Study was designed to identify and collect patients' data with ophthalmology-specific EMR. Methods. Ophthalmology-specific EMR software (Softalmo software Corilus) was used to acquire ophthalmological ocular consultation data from patients with five rare eye diseases. The rare eye diseases and data were selected and collected regarding expertise of eye center. Results. A total of 135,206 outpatient consultations were performed between 2011 and 2014 in our medical center specialized in rare eye diseases. The search software identified 29 congenital aniridia, 6 Axenfeld/Rieger syndrome, 11 BEPS, 3 Nanophthalmos, and 3 Rubinstein-Taybi syndrome. Discussion. EMR provides advantages for medical care. The use of ophthalmology-specific EMR is reliable and can contribute to a comprehensive ocular visual phenotype useful for clinical research. Conclusion. Routinely EMR acquired with specific software dedicated to ophthalmology provides sufficient detail for rare diseases. These software-collected data appear useful for creating patient cohorts and recording ocular examination, avoiding the time-consuming analysis of paper records and investigation, in a University Hospital linked to a National Reference Rare Center Disease. PMID:26539543

  11. Disease management and the Medicare Modernization Act: "It's the insurance, stupid".

    PubMed

    Sidorov, Jaan; Schlosberg, Claudia

    2005-12-01

    While definitions of "disease management" (DM) emphasize quality of care for populations with chronic illness, proponents argue it reduces healthcare costs. Buyers may find disease management organizations' (DMOs') use of clinical guidelines, physician collaboration, and promotion of patient self-management intuitively sound, but it is performance guarantees, combined with retrospective effectiveness cost studies, that have driven DMOs' penetration of the commercial insurance market with revenues that exceed $500 million per year. The success of DMOs contributed to the creation of the Chronic Care Improvement Program (CCIP), which is designed to prospectively test the impact of DM on both the quality and cost of care for fee-for-service Medicare beneficiaries with chronic illness. This may lead to an expansion of DM in Medicare, and even greater opportunities for DMOs beyond the $10 billion in 10- year projected growth. For community-based physicians caring for patients with chronic illness, the sharpened focus on chronic care and the growth of DMOs creates some potential advantages. These include more time to treat more patients with acute illness, lower practice costs, opportunities to collaborate over quality, and a greater ability to achieve quality targets set by pay-for-performance arrangements.

  12. Linking guidelines to Electronic Health Record design for improved chronic disease management.

    PubMed

    Barretto, Sistine A; Warren, Jim; Goodchild, Andrew; Bird, Linda; Heard, Sam; Stumptner, Markus

    2003-01-01

    The promise of electronic decision support to promote evidence based practice remains elusive in the context of chronic disease management. We examine the problem of achieving a close relationship of Electronic Health Record (EHR) content to other components of a clinical information system (guidelines, decision support and workflow), particularly linking the decisions made by providers back to the guidelines. We use the openEHR architecture, which allows extension of a core Reference Model via Archetypes to refine the detailed information recording options for specific classes of encounter. We illustrate the use of openEHR for tracking the relationship of a series of clinical encounters to a guideline via a case study of guideline-compliant treatment of hypertension in diabetes. This case study shows the contribution guideline content can have on problem-specific EHR structure and demonstrates the potential for a constructive interaction of electronic decision support and the EHR.

  13. Performance evaluation of continuity of care records (CCRs): parsing models in a mobile health management system.

    PubMed

    Chen, Hung-Ming; Liou, Yong-Zan

    2014-10-01

    In a mobile health management system, mobile devices act as the application hosting devices for personal health records (PHRs) and the healthcare servers construct to exchange and analyze PHRs. One of the most popular PHR standards is continuity of care record (CCR). The CCR is expressed in XML formats. However, parsing is an expensive operation that can degrade XML processing performance. Hence, the objective of this study was to identify different operational and performance characteristics for those CCR parsing models including the XML DOM parser, the SAX parser, the PULL parser, and the JSON parser with regard to JSON data converted from XML-based CCR. Thus, developers can make sensible choices for their target PHR applications to parse CCRs when using mobile devices or servers with different system resources. Furthermore, the simulation experiments of four case studies are conducted to compare the parsing performance on Android mobile devices and the server with large quantities of CCR data.

  14. [Design and Implementation of a Mobile Operating Room Information Management System Based on Electronic Medical Record].

    PubMed

    Liu, Baozhen; Liu, Zhiguo; Wang, Xianwen

    2015-06-01

    A mobile operating room information management system with electronic medical record (EMR) is designed to improve work efficiency and to enhance the patient information sharing. In the operating room, this system acquires the information from various medical devices through the Client/Server (C/S) pattern, and automatically generates XML-based EMR. Outside the operating room, this system provides information access service by using the Browser/Server (B/S) pattern. Software test shows that this system can correctly collect medical information from equipment and clearly display the real-time waveform. By achieving surgery records with higher quality and sharing the information among mobile medical units, this system can effectively reduce doctors' workload and promote the information construction of the field hospital.

  15. A method for automating calibration and records management for instrumentation and dosimetry

    SciTech Connect

    O`Brien, J.M. Jr.; Rushton, R.O.; Burns, R.E. Jr.

    1993-12-31

    Current industry requirements are becoming more stringent on quality assurance records and documentation for calibration of instruments and dosimetry. A novel method is presented here that will allow a progressive automation scheme to be used in pursuit of that goal. This concept is based on computer-controlled irradiators that can act as stand-alone devices or be interfaced to other components via a computer local area network. In this way, complete systems can be built with modules to create a records management system to meet the needs of small laboratories or large multi-building calibration groups. Different database engines or formats can be used simply by replacing a module. Modules for temperature and pressure monitoring or shipping and receiving can be added, as well as equipment modules for direct IEEE-488 interface to electrometers and other instrumentation.

  16. Modern management instruments--control of a water resources management association by means of an agreement on targets (balanced scorecard).

    PubMed

    von Seidlitz, A E; Londong, J

    2001-01-01

    Since the matter of water supply and sewage disposal is safeguarded in Germany, public concern would no longer appear to be directed at questions of disposal reliability, but almost exclusively to economic efficiency. The requirements with respect to sewage disposal are dominated not only by growing environmental regulations and technical challenges, but also to a major extent by a discussion on the costs arising. In order to ensure a viable and at the same time economic water supply and sewage disposal despite this, it is necessary to have a holistic corporate control system. As a counterpart to the river basin management approach adopted at the Wupperverband there is, on the business management side, the agreement on targets (balanced scorecard) as a management and controlling approach. This incorporates purely financial variables as well as non-financial variables in the economic valuation of corporate success. The starting point is the formulation of strategic goals, while including customer-oriented, in-company and forward-looking perspectives, taking into account at the same time the interactions between them. A major perspective of such balanced scorecards is customer satisfaction. By means of an intensive dialogue with members, licensing and supervisory authorities of the Wupperverband within the framework of a holistic corporate control, it has been possible not only to improve corporate success, but also, and more importantly, to achieve an appreciable increase in confidence.

  17. Process for Managing and Optimizing Radiology Work Flow in the Electronic Heath Record Environment.

    PubMed

    Sachs, Peter B; Long, Graham

    2016-02-01

    Electronic health record (EHR) implementation has dramatically impacted all facets of radiology workflow. Many departments find themselves unprepared for the multiple issues that surface following EHR deployment and the ongoing need for workflow optimization. This paper reviews the structure and processes utilized by the team, developed at the University of Colorado Hospital to evaluate, prioritize, and implement requests for workflow repairs and improvements within the EHR. The evolution of this team as the academic hospital formed a health system with two community hospital sites is also described. This structure may serve as a useful template for others considering EHR deployment or struggling to manage radiology workflow within an existing EHR environment.

  18. An application of an optical disk filing system to the management of medical records.

    PubMed

    Yamauchi, K; Miura, T

    1990-07-01

    An optical disk filing system is a promising new method to memorize the contents of medical records. However, due to problems of image quality, input speed and durability with the disk, this has not yet been put to practical use. In the present study the image quality of the laser disk system installed in our hospital were checked, and this system was thought to be useful to store discharge summary. We developed discharge summary management system by inputting into the optical disks the discharge summary written freely by doctors and the discharge abstract automatically formed by computer.

  19. Managing vulnerabilities and achieving compliance for Oracle databases in a modern ERP environment

    NASA Astrophysics Data System (ADS)

    Hölzner, Stefan; Kästle, Jan

    In this paper we summarize good practices on how to achieve compliance for an Oracle database in combination with an ERP system. We use an integrated approach to cover both the management of vulnerabilities (preventive measures) and the use of logging and auditing features (detective controls). This concise overview focusses on the combination Oracle and SAP and it’s dependencies, but also outlines security issues that arise with other ERP systems. Using practical examples, we demonstrate common vulnerabilities and coutermeasures as well as guidelines for the use of auditing features.

  20. Application of Modern Tools and Techniques for Mine Safety & Disaster Management

    NASA Astrophysics Data System (ADS)

    Kumar, Dheeraj

    2016-04-01

    The implementation of novel systems and adoption of improvised equipment in mines help mining companies in two important ways: enhanced mine productivity and improved worker safety. There is a substantial need for adoption of state-of-the-art automation technologies in the mines to ensure the safety and to protect health of mine workers. With the advent of new autonomous equipment used in the mine, the inefficiencies are reduced by limiting human inconsistencies and error. The desired increase in productivity at a mine can sometimes be achieved by changing only a few simple variables. Significant developments have been made in the areas of surface and underground communication, robotics, smart sensors, tracking systems, mine gas monitoring systems and ground movements etc. Advancement in information technology in the form of internet, GIS, remote sensing, satellite communication, etc. have proved to be important tools for hazard reduction and disaster management. This paper is mainly focused on issues pertaining to mine safety and disaster management and some of the recent innovations in the mine automations that could be deployed in mines for safe mining operations and for avoiding any unforeseen mine disaster.

  1. Foundational Report Series: Advanced Distribution Management Systems for Grid Modernization, Business Case Calculations for DMS

    SciTech Connect

    Lu, Xiaonan; Singh, Ravindra; Wang, Jianhui; Reilly, James T.

    2017-01-01

    Distribution Management System (DMS) applications require a substantial commitment of technical and financial resources. In order to proceed beyond limited-scale demonstration projects, utilities must have a clear understanding of the business case for committing these resources that recognizes the total cost of ownership. Many of the benefits provided by investments in DMSs do not translate easily into monetary terms, making cost-benefit calculations difficult. For example, Fault Location Isolation and Service Restoration (FLISR) can significantly reduce customer outage duration and improve reliability. However, there is no well-established and universally-accepted procedure for converting these benefits into monetary terms that can be compared directly to investment costs. This report presents a methodology to analyze the benefits and costs of DMS applications as fundamental to the business case.

  2. Triple oxygen isotopes and clumped isotopes in modern vertebrate and dinosaur biominerals: Records of paleoecology, paleoaridity, and paleo-carbon-cycling

    NASA Astrophysics Data System (ADS)

    Hu, H.; Passey, B. H.; Lehmann, S. B.; Levin, N. E.; Montanari, S.; Chin, K.; Johnson, B. J.

    2015-12-01

    The parameter Δ17O describes the departure of δ17O from an expected equilibrium relationship with δ18O, which can be caused by factors such as evaporation of parent waters, and photochemical reactions among oxygen-bearing gases in stratosphere. Hence, the Δ17O of water records information about environmental aridity, and the Δ17O of atmospheric O2 is related to atmospheric concentrations of CO2 and O2, and gross primary productivity (GPP). Vertebrates incorporate Δ17O signals of input water (e.g. drinking water and free food water) and atmospheric O2 into body water through respiration, and biominerals forming in equilibrium with body water can preserve this signal over geological timescales. The preservation of fossil biominerals can be evaluated by clumped isotopes as they record the temperature of mineralization, be it primary mineralization in the living animal (at body temperature), or secondary mineralization during diagenesis. We can distinguish the alteration of samples from the deviation between observed clumped isotope temperatures and plausible body temperatures. Meanwhile, diagenesis tends to moderate Δ17O of biominerals towards Δ17O of meteoric waters, such that measured Δ17O values reflect the minimum anomaly in fossil samples. Thus, preservation of anomalous Δ17O indicates at least partial preservation of the original signal. We present Δ17O data from both modern vertebrate and fossil dinosaur biominerals. We use a 17O-enabled body water model to explore the influence of aridity and dietary ecology on animal Δ17O, and to predict the degree of dilution of the atmospheric O2 Δ17O signal by other sources of oxygen to the animal. We observe: 1) animals consuming more leaf water than drinking water are "evaporation sensitive" (ES) animals, and have lower Δ17O relative to "evaporation insensitive" animals in the same climates; 2) ES animals from arid climates have lower Δ17O values compared to ES animals from humid climates, which forms the

  3. The emergence of modern type rain forests and mangroves and their traces in the palaeobotanical record during the Late Cretaceous and early Tertiary

    NASA Astrophysics Data System (ADS)

    Mohr, Barbara; Coiffard, Clément

    2014-05-01

    The origin of modern rain forests is still very poorly known. This ecosystem could have potentially fully evolved only after the development of relatively high numbers of flowering plant families adapted to rain forest conditions. During the early phase of angiosperm evolution in the early Cretaceous the palaeo-equatorial region was located in a seasonally dry climatic belt, so that during this phase, flowering plants often show adaptations to drought, rather than to continuously wet climate conditions. Therefore it is not surprising that except for the Nymphaeales, the most basal members of extant angiosperm families have members that do not necessarily occur in the continuously wet tropics today. However, during the late Early Cretaceous several clades emerged that later would give rise to families that are typically found today mostly in (shady) moist places in warmer regions. This is especially seen among the monocotyledons, a group of the mesangiosperms, that developed in many cases large leaves often with very specific venation patterns that make these leaves very unique and well recognizable. Especially members of three groups are here of interest: the arum family (Araceae), the palms (Arecaceae) and the Ginger and allies (Zingiberales). The earliest fossil of Araceae are restricted to low latitudes during the lower Cretaceous. Arecaceae and Zingiberales do not appear in the fossil record before the early late Cretaceous and occur at mid latitudes. During the Late Cretaceous, Araceae are represented at mid latitudes by non-tropical early diverging members and at low latitudes by derived rainforest members. Palms became widespread during the Late Cretataceous and also Nypa, a typical element of tropical to subtropical mangrove environments evolved during this time period. During the Paleocene Arecaceae appear to be restricted to lower latitudes as well as Zingiberales. All three groups are again widespread during the Eocene, reaching higher latitudes and

  4. Public Sector Readiness for Digital Preservation in New Zealand: The Rate of Adoption of an Innovation in Records Management Practices

    ERIC Educational Resources Information Center

    Dorner, Daniel G.

    2009-01-01

    Recent legislation in New Zealand has placed statutory obligations on its government organizations to introduce sound records management practices and to ensure long-term access to their digital records. To obtain a base level of knowledge on current digital preservation practices and on awareness of digital preservation issues, an online survey…

  5. 25 CFR 900.41 - How long must an Indian tribe or tribal organization keep management system records?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... minimum periods described below. Electronic, magnetic or photographic records may be substituted for hard... management system records? 900.41 Section 900.41 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR, AND INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN...

  6. 45 CFR 2508.9 - What officials are responsible for the security, management and control of Corporation record...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Services shall have overall control and supervision of the security of all systems of records and shall be... 45 Public Welfare 4 2011-10-01 2011-10-01 false What officials are responsible for the security, management and control of Corporation record keeping systems? 2508.9 Section 2508.9 Public...

  7. 45 CFR 2508.9 - What officials are responsible for the security, management and control of Corporation record...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Services shall have overall control and supervision of the security of all systems of records and shall be... 45 Public Welfare 4 2010-10-01 2010-10-01 false What officials are responsible for the security, management and control of Corporation record keeping systems? 2508.9 Section 2508.9 Public...

  8. 75 FR 82053 - Notification of a New Privacy Act System of Records, Effort to Outcomes-Case Management System...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ... of Records as required under the Privacy Act (5 U.S.C. 552a), as amended. The new records system is... status, service needs, and to facilitate on-going tracking and management of these services, leading to..., Department of Housing and Urban Development, 451 Seventh Street, SW., Room 10276, Washington, DC...

  9. Prognosis of neonatal tetanus in the modern management era: an observational study in 107 Vietnamese infants

    PubMed Central

    Lam, Phung Khanh; Trieu, Huynh T.; Lubis, Inke Nadia D.; Loan, Huynh T.; Thuy, Tran Thi Diem; Wills, Bridget; Parry, Christopher M.; Day, Nicholas P.J.; Qui, Phan T.; Yen, Lam Minh; Thwaites, C. Louise

    2015-01-01

    Summary Objectives Most data regarding the prognosis in neonatal tetanus originate from regions where limited resources have historically impeded management. It is not known whether recent improvements in critical care facilities in many low- and middle-income countries have affected indicators of a poor prognosis in neonatal tetanus. We aimed to determine the factors associated with worse outcomes in a Vietnamese hospital with neonatal intensive care facilities. Methods Data were collected from 107 cases of neonatal tetanus. Clinical features on admission were analyzed against mortality and a combined endpoint of ‘death or prolonged hospital stay’. Results Multivariable analysis showed that only younger age (odds ratio (OR) for mortality 0.69, 95% confidence interval (CI) 0.48–0.98) and lower weight (OR for mortality 0.06, 95% CI 0.01–0.54) were significantly associated with both the combined endpoint and death. A shorter period of onset (OR 0.94, 95% CI 0.88–0.99), raised white cell count (OR 1.17, 95% CI 1.02–1.35), and time between first symptom and admission (OR 3.77, 95% CI 1.14–12.51) were also indicators of mortality. Conclusions Risk factors for a poor outcome in neonatal tetanus in a setting with critical care facilities include younger age, lower weight, delay in admission, and leukocytosis. PMID:25499039

  10. Modern use of smartphone applications in the perioperative management in microsurgical breast reconstruction

    PubMed Central

    Rozen, Warren Matthew; Marsh, Daniel; Chow, Whitney T.H.; Vickers, Tobias; Khan, Lubna; Miller, George S.; Hunter-Smith, David J.; Ramakrishnan, Venkat V.

    2016-01-01

    Background Advances in mobile telecommunication, improved mobile internet and affordability have led to a significant increase in smartphone use within medicine. The capability of instant messaging, photography, videography, word processing, drawing and internet access allow significant potential in this small portable device. Smartphone use within medicine has grown tremendously worldwide given its affordability, improved internet and capabilities. Methods We have searched for apps specifically helpful in the perioperative care of microsurgical breast reconstructive patients. Results The useful apps have been subdivided: (I) communication apps—multimedia messaging, WhatsApp, PicSafeMedi: allow efficient communication via text, picture and video messages leading to earlier assessment and definitive management of free flaps; (II) storage apps—Notability, Elogbook: electronic storage of patient notes and logbooks of case which can be shared with others if required; (III) educational apps—FlapApp, Touch Surgery, PubMed on tap: step by step guides to surgical procedures to aid learning and medical journal database; (IV) flap monitoring app—SilpaRamanitor: free flap monitoring app based on photographic analysis for earlier detection of compromised flaps. Conclusions There has been remarkable growth in smartphones use among surgeons. Apps are being developed for every conceivable use. The future will be in wearable smart devices that allow continuous monitoring with the potential to instigate change should deviations from the norm occur. The smart watch is the start of this digital revolution. PMID:27047783

  11. The Air Force Records Management Program: A Paradigm Shift from Compliance to Guiding Principles in an Ever-Changing Information Environment

    DTIC Science & Technology

    2014-06-22

    AFRO, Command and Agency Records Managers ( CRM /ARM), Base Records Managers (BRM), Unit Commanders/Directors, and Unit Record Managers (URM)” (Air Force... management is implemented in the USAF environment, it is important to recognize the customer , whom RM is designed to serve and receives the final benefit...how much power these managers wield. In this case, a close working relationship with their leadership and understanding of the charge at hand is

  12. Electrolyte management considerations in modern nickel hydrogen and nickel cadmium cell and battery designs

    NASA Technical Reports Server (NTRS)

    Thaller, L. H.; Zimmerman, A. H.

    1995-01-01

    In the early 1980's the NASA Lewis group addressed the topic of designing nickel hydrogen cells for LEO applications. As published in 1984, the design addressed the topics of gas management, liquid management, plate expansion, and the recombination of oxygen during overcharge. This design effort followed principles set forth in an earlier Lewis paper that addressed the topic of pore size engineering. At about that same time, the beneficial effect on cycle life of lower electrolyte concentrations was verified by Hughes Aircraft as part of a Lewis funded study. A succession of life cycle tests of these concepts have been carried out that essentially verified all of this earlier work. During these past two decades, some of the mysteries involved in the active material of the nickel electrode have been resolved by careful research efforts carried out at several laboratories. At The Aerospace Corporation, Dr. Zimmerman has been developing a sophisticated model of an operating nickel hydrogen cell which will be used to model certain mechanisms that have contributed to premature failures in nickel hydrogen and nickel cadmium cells. During the course of trying to understand and model abnormal nickel hydrogen cell behaviors, we have noted that not enough attention has been paid to the potassium ion content in these cells, and more recently batteries. Several of these phenomenon have been well known in the area of alkaline fuel cells, but only recently have they been examined as they might impact alkaline cell designs. This paper will review three general areas where the potassium ion content can impact the performance and life of nickel hydrogen and nickel cadmium devices, Once these phenomenon are understood conceptually, the impact of potassium content on a potential cell design can be evaluated with the aid of an accurate model of an operating cell or battery. All three of these areas are directly related to the volume tolerance and pore size engineering aspects of the

  13. Electrolyte management considerations in modern nickel hydrogen and nickel cadmium cell and battery designs

    NASA Astrophysics Data System (ADS)

    Thaller, L. H.; Zimmerman, A. H.

    1995-04-01

    In the early 1980's the NASA Lewis group addressed the topic of designing nickel hydrogen cells for LEO applications. As published in 1984, the design addressed the topics of gas management, liquid management, plate expansion, and the recombination of oxygen during overcharge. This design effort followed principles set forth in an earlier Lewis paper that addressed the topic of pore size engineering. At about that same time, the beneficial effect on cycle life of lower electrolyte concentrations was verified by Hughes Aircraft as part of a Lewis funded study. A succession of life cycle tests of these concepts have been carried out that essentially verified all of this earlier work. During these past two decades, some of the mysteries involved in the active material of the nickel electrode have been resolved by careful research efforts carried out at several laboratories. At The Aerospace Corporation, Dr. Zimmerman has been developing a sophisticated model of an operating nickel hydrogen cell which will be used to model certain mechanisms that have contributed to premature failures in nickel hydrogen and nickel cadmium cells. During the course of trying to understand and model abnormal nickel hydrogen cell behaviors, we have noted that not enough attention has been paid to the potassium ion content in these cells, and more recently batteries. Several of these phenomenon have been well known in the area of alkaline fuel cells, but only recently have they been examined as they might impact alkaline cell designs. This paper will review three general areas where the potassium ion content can impact the performance and life of nickel hydrogen and nickel cadmium devices, Once these phenomenon are understood conceptually, the impact of potassium content on a potential cell design can be evaluated with the aid of an accurate model of an operating cell or battery. All three of these areas are directly related to the volume tolerance and pore size engineering aspects of the

  14. Electrolyte management considerations in modern nickel/hydrogen and nickel/cadmium cell and battery designs

    NASA Astrophysics Data System (ADS)

    Thaller, Lawrence H.; Zimmerman, Albert H.

    In the early 1980s, the battery group at the NASA Lewis Research Center (LeRC) reviewed the design issues associated with nickel/hydrogen cells for low-earth orbit applications. In 1984, these issues included gas management, liquid management, plate expansion, and the recombination of oxygen during overcharge. The design effort by that group followed principles set forth in an earlier LeRC paper that introduced the topic of pore size engineering. Also in 1984, the beneficial effect of lower electrolyte concentrations on cycle life was verified by Hughes Aircraft as part of a LeRC-funded study. Subsequent life cycle tests of these concepts have been carried out that essentially have verified all of this earlier work. During the past decade, some of the mysteries involved in the active material of the nickel electrode have been resolved by careful research done at several laboratories. While attention has been paid to understanding and modeling abnormal nickel/hydrogen cell behaviors, not enough attention has been paid to the potassium ion content in these cells, and more recently, in batteries. Examining the potassium ion content of different portions of the cell or battery is a convenient way of following the conductivity, mass transport properties, and electrolyte volume in each of the cell or battery portions under consideration. Several of the consequences of solvent and solute changes within fuel cells have been well known for some time. However, only recently have these consequences been applied to nickel/hydrogen and nickel/cadmium cell designs. As a result of these studies, several unusual cell performance signatures can now be satisfactorily explained in terms of movement of the solvent and solute components in the electrolyte. This paper will review three general areas where the potassium ion content can impact the performance and life of nickel/hydrogen and nickel/cadmium cells. Sample calculations of the concentration or volume changes that can take

  15. Impact of decision support in electronic medical records on lipid management in primary care.

    PubMed

    Gill, James M; Chen, Ying Xia; Glutting, Joseph J; Diamond, James J; Lieberman, Michael I

    2009-10-01

    Electronic decision-support tools may help to improve management of hyperlipidemia and other chronic diseases. This study examined the impact of lipid management tools integrated into an electronic medical record (EMR) in primary care practices. This randomized controlled trial was conducted in a national network of physicians who use an outpatient EMR. Adult primary care physicians were randomized by office to receive an electronic form that was embedded in the EMR. The form contained prompts regarding suboptimal care based on Adult Treatment Panel-III (ATP-III) guidelines, as well as reporting tools to identify patients outside of office visits whose lipid management was suboptimal. All active patients, ages 20-79 years, whose physicians participated in the study, were categorized as high, moderate, or low cardiovascular risk, and the proportion who were tested for hyperlipidemia, at lipid goal, and on lipid-lowering medications if not at goal were measured according to ATP-III guidelines. A total of 105 physicians from 25 offices and 64,150 patients were included in the study. Outcomes improved for most measures from before to 1 year after the intervention (November 1, 2005 to October 31, 2006). However, after controlling for confounding variables and for clustering in multilevel modeling, only up-to-date lipid testing for high-risk patients was statistically better in the intervention group as compared to the control group (adjusted odds ratio 15.0, P < 0.05). This study showed few differences in quality of lipid management after implementing an EMR-based disease management intervention in primary care settings. Future studies may need to examine more comprehensive interventions that include office staff in a team approach to care.

  16. SMART Plan. Statewide Management of Automated Record Transfer: A Plan To Automate and Transfer Student Records Statewide.

    ERIC Educational Resources Information Center

    Nevada State Dept. of Education, Carson City. Planning, Research and Evaluation Branch.

    As of 1993, Nevada had no systems for statewide automation and transfer of student records. This guide book presents findings of a collaborative study, conducted by the Nevada Department of Education and local school districts, that explored the need for and feasibility of developing a statewide system for automating and transferring student…

  17. 77 FR 66865 - Record of Decision for the Oil and Gas Management Plan, Big South Fork National River and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-07

    ... National Park Service Record of Decision for the Oil and Gas Management Plan, Big South Fork National River... (ROD) for the Oil and Gas Management Plan (Plan) for Big South Fork National River and Recreation Area and Obed Wild and Scenic River. On September 5, 2012, the Southeast Regional Director, approved...

  18. 41 CFR 102-193.25 - What type of records management business process improvements should my agency strive to achieve?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25...-193.25 What type of records management business process improvements should my agency strive to... correspondence; (b) Design forms that are easy to fill-in, read, transmit, process, and retrieve, and...

  19. 75 FR 38116 - Notice of Availability of Record of Decision for the Approved Pony Express Resource Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-01

    ... Bureau of Land Management Notice of Availability of Record of Decision for the Approved Pony Express... the Pony Express Resource Management Plan (RMP). The Utah State Director signed the ROD on June 25, 2010, which constitutes the final decision of the BLM and renders the Pony Express Resource...

  20. A budget impact analysis comparing use of a modern fecal management system to traditional fecal management methods in two canadian hospitals.

    PubMed

    Langill, Mike; Yan, Songkai; Kommala, Dheerendra; Michenko, Michael

    2012-12-01

    Research suggests that fecal management systems (FMS) offer advantages, including potential cost savings, over traditional methods of caring for patients with little or no bowel control and liquid or semi-liquid stool. A budget impact model accounting for material costs of managing fecal incontinence was developed, and 1 year of experiential data from two hospitals' ICUs were applied to it. Material costs were estimated for traditional methods (ie, use of absorbent briefs/pads, skin cleansers, moisturizers) and compared with material costs of using a modern FMS for both average (normal-range weight) and complex (bariatric with wounds) ICU patients at hospital 1 and any ICU patient at hospital 2. Reductions in daily material costs per ICU patient using FMS versus traditional methods were reported by hospital 1 ($93.74 versus $143.89, average patient; $150.55 versus $476.41, complex patient) and by hospital 2 ($61.15 versus $104.85 per patient). When extrapolated to the total number of patients expected to use FMS at each institution, substantial annual cost savings were projected (hospital 1: $57,216; hospital 2: $627,095). In addition, total nursing time per day for managing fecal incontinence (ie, changing, cleaning, repositioning patients, changing pads, linens, and the like) was estimated at hospital 1, showing substantial reductions with FMS (120 minutes versus 348 minutes for average patients; 240 minutes versus 760 minutes for complex). Nursing time was not included in cost calculations to keep the analysis conservative. Results of this study suggest the materials cost of using the FMS in ICU patients was substantially lower than the cost of traditional fecal incontinence management protocols of care in both hospitals. Comparative studies using patient level data, materials, and nursing time costs, as well as complication rates, are warranted.

  1. Stormwater run-off and pollutant transport related to the activities carried out in a modern waste management park.

    PubMed

    Marques, M; Hogland, W

    2001-02-01

    Stormwater run-off from twelve different areas and roads has been characterized in a modern waste disposal site, where several waste management activities are carried out. Using nonparametric statistics, medians and confidence intervals of the medians, 22 stormwater quality parameters were calculated. Suspended solids, chemical oxygen demand, biochemical oxygen demand, total nitrogen and total phosphorus, as well as run-off from several areas, showed measured values above standard limits for discharge into recipient waters--even higher than those of leachate from covered landfill cells. Of the heavy metals analyzed, copper, zinc and nickel were the most prevalent, being detected in every sample. Higher concentrations of metals such as zinc, nickel, cobalt, iron and cadmium were found in run-off from composting areas, compared to areas containing stored and exposed scrap metal. This suggests that factors other than the total amount of exposed material affect the concentration of metals in run-off, such as binding to organic compounds and hydrological transport efficiency. The pollutants transported by stormwater represent a significant environmental threat, comparable to leachate. Careful design, monitoring and maintenance of stormwater run-off drainage systems and infiltration elements are needed if infiltration is to be used as an on-site treatment strategy.

  2. Management evaluation about introduction of electric medical record in the national hospital organization.

    PubMed

    Nakagawa, Yoshiaki; Tomita, Naoko; Irisa, Kaoru; Yoshihara, Hiroyuki; Nakagawa, Yoshinobu

    2013-01-01

    Introduction of Electronic Medical Record (EMR) into a hospital was started from 1999 in Japan. Then, most of all EMR company said that EMR improved efficacy of the management of the hospital. National Hospital Organization (NHO) has been promoting the project and introduced EMR since 2004. NHO has 143 hospitals, 51 hospitals offer acute-phase medical care services, the other 92 hospitals offer medical services mainly for chronic patients. We conducted three kinds of investigations, questionnaire survey, checking the homepage information of the hospitals and analyzing the financial statements of each NHO hospital. In this financial analysis, we applied new indicators which have been developed based on personnel costs. In 2011, there are 44 hospitals which have introduced EMR. In our result, the hospital with EMR performed more investment of equipment/capital than personnel expenses. So, there is no advantage of EMR on the financial efficacy.

  3. The Role of Personal Health Record Systems in Chronic Disease Management.

    PubMed

    Prashad, Reshma

    2017-01-01

    Chronic illnesses account for the largest portion of healthcare spending in Canada; they are the leading cause of premature death. As a result, healthcare organizations are focused on improving both health and financial outcomes. Addressing chronic illnesses involves more frequent and impactful interactions with both current patients and those at risk of developing a chronic condition. This transformation requires that healthcare organizations shift from a system based solely on in-person interactions to one that leverages digital solutions that support interactions regardless of the patients' location. Personal health record systems (PHRS) can facilitate patients' access to their health data at any time of the day, anywhere in the world. PHRS also offers a myriad of features to help providers' engage, educate and empower patients to make proactive and preventive care a reality. Discussed in this paper are the ways in which PHRS can support the optimal management of chronic conditions and the current barriers to widespread adoption.

  4. Traceability of patient records usage: barriers and opportunities for improving user interface design and data management.

    PubMed

    Cruz-Correia, Ricardo; Lapão, Luís; Rodrigues, Pedro Pereira

    2011-01-01

    Although IT governance practices (like ITIL, which recommends on the use of audit logs for proper service level management) are being introduced in many Hospitals to cope with increasing levels of information quality and safety requirements, the standard maturity levels of hospital IT departments is still not enough to reach the level of frequent use of audit logs. This paper aims to address the issues related to the existence of AT in patient records, describe the Hospitals scenario and to produce recommendations. Representatives from four hospitals were interviewed regarding the use of AT in their Hospital IS. Very few AT are known to exist in these hospitals (average of 1 per hospital in an estimate of 21 existing IS). CIOs should to be much more concerned with the existence and maintenance of AT. Recommendations include server clock synchronization and using advanced log visualization tools.

  5. Managing the quality of health information using electronic medical records: an exploratory study among clinical physicians.

    PubMed

    Smith, Alan D

    2008-01-01

    As technology is advancing in the healthcare field, ways of reducing costs and improving quality are key initiatives in the tedious processes of operations planning. There are several ways of reducing costs and improving quality management. One such way is the implementation of Electronic Health Records (HERs). A personally interviewed sample from a relatively large healthcare facility located in Pittsburgh, Pennsylvania, which is associated with the University of Pittsburgh Medical Center, netted a total of 44 physicians. There were no statistically significant relationships found based on 'clinicians' willingness to accept Electronic Medical Record (EMR)-embedded systems with gender', 'benefits outweigh risks for EMR-embedded implementation', 'EMR-embedded systems should be mandated', 'EMR-embedded systems should be administered by the federal government', 'EMR-embedded systems should be administered by regional systems', 'EMR applications are an invasion of privacy' and 'IT-related technologies pose an added threat to the healthcare environment'. It was only for the independent variable 'improves quality of care by EMR-embedded implementation' that most physicians felt that such a technology does positively impact patient care.

  6. 36 CFR 1236.22 - What are the additional requirements for managing electronic mail records?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... must be preserved as part of the electronic mail record or linked to the electronic mail record with... electronic mail records with the related transmission and receipt data specified by the agency's...

  7. Management, breeding, and health records from a captive colony of pekin robins (Leiothrix lutea), 2001 - 2010.

    PubMed

    da Cruz, Cláudio E F; de Oliveira, Luiz G S; Boabaid, Fabiana M; Zimermann, Francielli C; Stein, Gisele; Marks, Fernanda; Cerva, Cristine; Lieberknecht, Carlos; Canal, Claudio W; Driemeier, David

    2011-09-01

    Pekin robins (Leiothrix lutea) were once the most widely kept softbills in captivity. As a result of the Convention on the International Trade of Endangered Species of Fauna and Flora (CITES-1997), the worldwide trade of wild-caught pekin robins has been prohibited due to the depletion of native populations of this species. In Brazil, as in other countries, pekin robins imported prior to the enactment of the CITES have disappeared from aviaries because the end of the birds' natural life span has passed, and only very few captive-bred pekin robins now exist. While captive propagation fails to address the primary causes of wild bird population decline, it might help the recovery of populations of this species. This article presents records made over a 10-yr period of a captive colony of pekin robins. Emphasis is placed on the management of the flock, the ailments affecting the birds, and the findings associated with bird losses. The main causes of bird losses included rearing management failures and age-related disorders.

  8. Using the Deming quality improvement method to manage medical record department product lines.

    PubMed

    Postal, S N

    1990-06-01

    The above application of the quality improvement cycle provides insight into the use of the Deming method to address one of several identified customer needs and expectations obtained during the managing phase of product-line administration. Implementation of the quality improvement method requires a major commitment from all team members. Process improvement requires a willingness to be detail oriented. Gathering of statistics--such as analysis turn-around time--and evaluation are critical. This objective view of processes requires accountability and a commitment to change. Improvements focus on long-term problem resolution, not the quick fixes that result from addressing symptoms of problems. True problem resolution occurs by solving the root causes of variations. Medical record departments must move from being outcome oriented to being process focused. It is no longer feasible to be constantly putting out fires in an environment that demands well-planned and well-designed products that meet customers' expectations. The long-term management of product lines requires a systematic method of planning, doing, checking, and acting. The Deming quality improvement method provides a framework for positive change that focuses on quality processes resulting in a quality product that meets consumers' needs.

  9. Pilot of the Modern Army Record-Keeping System (MARKS) at 5th Battalion, 73rd Armored Regiment, 194th Armored Brigade, Fort Knox, Kentucky

    DTIC Science & Technology

    1984-08-01

    as blood donations and contributions. A-43 p1 ~ . . . . . . . . . . . . . . . . . . . . . . . . . . .. ,. AR 340-XX (Test) Number Description...examinations, cable. Tests and exams : Destroy after re- cording on quali- fication record. 385-10d SAFETY AWARENESS FILES. Destroy after 2 KEYWORDS... exams : Destroy A1207.08a tests, and exams . after recording on qualifi- DAPE Ication record. A-64

  10. Improving management of gout in primary care using a customised electronic records template.

    PubMed

    Moffat, Keith; McNab, Duncan

    2015-01-01

    It is known that the management of chronic gout in relation to serum uric acid (SUA) monitoring, allopurinol dosing, and lifestyle advice is often sub-optimal in primary care.[1] A quality improvement project in the form of a criterion based audit was carried out in an urban general practice to improve the care of patients being treated for gout. Baseline searching of EMIS confirmed that management of patients with gout who were taking allopurinol was not in line with current guidance. 51(40%) had a SUA checked in the past 12 months, 88(25%) had a SUA below target level, and gout lifestyle advice was not being recorded. An audit was performed to measure and improve the following criteria: Monitoring of SUA levels in the past 12 monthsTitration of urate lowering therapy to bring the SUA below target levelLifestyle advice in the past 12 months An audit standard of 60% achievement at 2 months and 80% achievement at 4 months was set. The intervention consisted of a custom electronic template within EMIS which allowed guidance of gout management to be displayed and for data to be entered. All members of the team including GPs and administrative staff were educated regarding the intervention. This resulted in a sustained improvement over a 6 month period in all 3 components of the audit with 112(84%) having a SUA level checked, 79(51%) having a SUA below target level and 76(57%) receiving lifestyle advice. Although the improvement did not reach the audit standard in 2 of the criteria it would be expected that outcomes would continue given the systems changes which have been made.

  11. Progress in the reconstruction of Quaternary climate dynamics in the Northwest Pacific: A new modern analogue reference dataset and its application to the 430-kyr pollen record from Lake Biwa

    NASA Astrophysics Data System (ADS)

    Tarasov, Pavel E.; Nakagawa, Takeshi; Demske, Dieter; Österle, Hermann; Igarashi, Yaeko; Kitagawa, Junko; Mokhova, Lyudmila; Bazarova, Valentina; Okuda, Masaaki; Gotanda, Katsuya; Miyoshi, Norio; Fujiki, Toshiyuki; Takemura, Keiji; Yonenobu, Hitoshi; Fleck, Andreas

    2011-09-01

    This study presents a newly compiled dataset of modern pollen and climate data from 798 sites across Japan and the Russian Far East. This comprehensive reference dataset combined with the modern analogue technique (MAT) provides a powerful tool for pollen-based reconstruction of the Quaternary Northwest Pacific climate. Pollen-derived reconstruction of the modern climate at the reference pollen-sampling sites matches well with the estimated modern climate values ( R2 values vary between 0.79 and 0.95, and RMSEP values vary between 5.8 and 9.7% of the modern climatic range for all nine tested variables). The successful testing of the method encourages its application to the fossil pollen records. We used a coarse-resolution pollen record from Lake Biwa to reconstruct glacial-interglacial climate dynamics in central Japan since ~ 438 kyr and compared it to the earlier reconstruction based on a less representative reference dataset. The current and earlier results consistently demonstrate that the coldest glacial intervals experienced pronounced cooling in winter and moderate cooling in summer, supporting the growth of cool mixed forest (COMX) where warm mixed forest (WAMX) predominates today. During the last glacial, maximum (~ 24 kyr BP) mean temperatures of the coldest (MTCO) and warmest (MTWA) month were about - 13 °C (RMSEP = 2.34 °C) and 21 °C (RMSEP = 1.66 °C) respectively, and annual precipitation (PANN) was about 800 mm (RMSEP = 158.06 mm). During the thermal optimums of the interglacial intervals, the temperatures of the coldest and warmest month were above 0 °C and 25 °C respectively, leading to the reconstruction of WAMX and temperate conifer forest (TECO). Although both these vegetation types grow in the southern part of Japan today, WAMX requires warmer space. The presence of WAMX during marine isotope stages (MIS) 11 and 1, and its absence during MIS 9 and MIS 5 contradict the marine isotope and Antarctic ice records, suggesting that the latter

  12. Golden eagle records from the Midwinter Bald Eagle Survey: information for wind energy management and planning

    USGS Publications Warehouse

    Eakle, Wade; Haggerty, Patti; Fuller, Mark; Phillips, Susan L.

    2013-01-01

    The purpose of this Data Series report is to provide the occasions, locations, and counts when golden eagles were recorded during the annual Midwinter Bald Eagle Surveys. Golden eagles (Aquila chrysaetos) are protected by Federal statutes including the Bald and Golden Eagle Protection Act (BGEPA) (16 USC 668-668c) and the Migratory Bird Treaty Act (MBTA) (16 USC 703-12). The U.S. Fish and Wildlife Service (Service) manages golden eagles with the goal of maintaining stable or increasing breeding populations (U.S. Fish and Wildlife Service, 2009). Development for the generation of electricity from wind turbines is occurring in much of the range of the golden eagle in the western United States. Development could threaten population stability because golden eagles might be disturbed by construction and operation of facilities and they are vulnerable to mortality from collisions with wind turbines (Smallwood and Thelander, 2008). Therefore, the Service has proposed a process by which wind energy developers can collect information that could lead to Eagle Conservation Plans (ECP), mitigation, and permitting that allow for golden eagle management in areas of wind energy development (U.S. Fish and Wildlife Service, 2011). The Service recommends that ECP be developed in stages, and the first stage is to learn if golden eagles occur at the landscape level where potential wind facilities might be located. Information about where eagles occur can be obtained from technical literature, agency files, and other sources of information including on-line biological databases. The broad North American distribution of golden eagles is known, but there is a paucity of readily available information about intermediate geographic scales and site-specific scales, especially during the winter season (Kochert and others, 2002).

  13. Interconnection of electronic medical record with clinical data management system by CDISC ODM.

    PubMed

    Matsumura, Yasushi; Hattori, Atsushi; Manabe, Shiro; Takeda, Toshihiro; Takahashi, Daiyo; Yamamoto, Yuichiro; Murata, Taizo; Mihara, Naoki

    2014-01-01

    EDC system has been used in the field of clinical research. The current EDC system does not connect with electronic medical record system (EMR), thus a medical staff has to transcribe the data in EMR to EDC system manually. This redundant process causes not only inefficiency but also human error. We developed an EDC system cooperating with EMR, in which the data required for a clinical research form (CRF) is transcribed automatically from EMR to electronic CRF (eCRF) and is sent via network. We call this system as "eCRF reporter". The interface module of eCRF reporter can retrieves the data in EMR database including patient biography data, laboratory test data, prescription data and data entered by template in progress notes. The eCRF reporter also enables users to enter data directly to eCRF. The eCRF reporter generates CDISC ODM file and PDF which is a translated form of Clinical data in ODM. After storing eCRF in EMR, it is transferred via VPN to a clinical data management system (CDMS) which can receive the eCRF files and parse ODM. We started some clinical research by using this system. This system is expected to promote clinical research efficiency and strictness.

  14. Archetype-based knowledge management for semantic interoperability of electronic health records.

    PubMed

    Garde, Sebastian; Chen, Rong; Leslie, Heather; Beale, Thomas; McNicoll, Ian; Heard, Sam

    2009-01-01

    Formal modeling of clinical content that can be made available internationally is one of the most promising pathways to semantic interoperability of health information. Drawing on the extensive experience from openEHR archetype research and implementation work, we present the latest research and development in this area to improve semantic interoperability of Electronic Health Records (EHRs) using openEHR (ISO 13606) archetypes. Archetypes as the formal definition of clinical content need to be of high technical and clinical quality. We will start with a brief introduction of the openEHR architecture followed by presentations on specific topics related to the management of a wide range of clinical knowledge artefacts. We will describe a web-based review process for archetypes that enables international involvement and ensures that released archetypes are technically and clinically correct. Tools for validation of archetypes will be presented, along with templates and compliance templates. All this in combination enables the openEHR computing platform to be the foundation for safely sharing the information clinicians need, using this information within computerized clinical guidelines, for decision support as well as migrating legacy data.

  15. 78 FR 32442 - Record of Decision for the General Management Plan, Blue Ridge Parkway, Virginia and North Carolina

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-30

    ... National Park Service Record of Decision for the General Management Plan, Blue Ridge Parkway, Virginia and...) for Blue Ridge Parkway (parkway). On April 13, 2013, the Regional Director, Southeast Region, approved the ROD for the project. FOR FURTHER INFORMATION CONTACT: Superintendent Phil Francis, Blue...

  16. 78 FR 76855 - Record of Decision for the General Management Plan/Wilderness Study, Fort Pulaski National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-19

    ...Pursuant to the National Environmental Policy Act of 1969, 42 U.S.C. 4332(2)(C), the National Park Service (NPS) announces the availability of the Record of Decision (ROD) for the General Management Plan/Wilderness Study (GMP/WS) for Fort Pulaski National Monument (national monument). On September 30, 2013, the Regional Director, Southeast Region, approved the ROD for the...

  17. 12 CFR 1500.6 - What risk management, record keeping and reporting policies are required to make merchant banking...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... reporting requirements for merchant banking investments are set forth in the Board's Regulation Y, 12 CFR... 12 Banks and Banking 9 2013-01-01 2013-01-01 false What risk management, record keeping and reporting policies are required to make merchant banking investments? 1500.6 Section 1500.6 Banks...

  18. 12 CFR 1500.6 - What risk management, record keeping and reporting policies are required to make merchant banking...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... investments; (iii) Identify, monitor and assess the terms, amounts and risks arising from transactions and... 12 Banks and Banking 7 2011-01-01 2011-01-01 false What risk management, record keeping and... Banking DEPARTMENT OF THE TREASURY GENERAL PROVISIONS MERCHANT BANKING INVESTMENTS § 1500.6 What...

  19. 12 CFR 1500.6 - What risk management, record keeping and reporting policies are required to make merchant banking...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... investments; (iii) Identify, monitor and assess the terms, amounts and risks arising from transactions and... 12 Banks and Banking 10 2014-01-01 2014-01-01 false What risk management, record keeping and... Banking DEPARTMENT OF THE TREASURY GENERAL PROVISIONS MERCHANT BANKING INVESTMENTS § 1500.6 What...

  20. 12 CFR 1500.6 - What risk management, record keeping and reporting policies are required to make merchant banking...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... investments; (iii) Identify, monitor and assess the terms, amounts and risks arising from transactions and... 12 Banks and Banking 9 2012-01-01 2012-01-01 false What risk management, record keeping and... Banking DEPARTMENT OF THE TREASURY GENERAL PROVISIONS MERCHANT BANKING INVESTMENTS § 1500.6 What...

  1. Recording and Evaluating the Role of Volunteers Regarding Natural Hazards Prevention and Disaster Management in Greece

    NASA Astrophysics Data System (ADS)

    Papanikolaou, Ioannis; Papanikolaou, Dimitrios; Diakakis, Michalis; Deligiannakis, Georgios

    2013-04-01

    The role of volunteers in disaster management is of decisive importance, particularly for major catastrophes. In Northern Europe, volunteers are the main group that responds even in regular low impact incidents. On the other hand, in Southern Europe, state professionals hold the primary role. This is partly cultural, but it is also defined by the different types of hazards involved. For example, Southern Europe suffers from earthquakes and wildfires that can cause severe and widespread damage. This implies that there is a need for highly trained and skilled personnel, not only for efficiency purposes, but also in order to avoid casualties among the operating staff. However, the need of volunteers' involvement is well recognised both for prevention measures (mainly regarding forest fires) and for disaster management purposes particularly during major catastrophes whereas the professional personnel are outsourced. Moreover, the economic crisis stretches the public sector, decreasing the capability and resources of the state mechanism. The latter increases the need for the volunteers' active participation, which is also regarded as cost effective. Greece has a short tradition regarding volunteers and their official involvement with natural hazards. This is also due to the fact that civil protection has a short history in Greece, since it was established in 1995, whereas its legal framework was only shaped in 2002. The act 3013/2002 introduces officially the role of volunteers within the legal framework. In particular, the act N3013/2002 offers a detailed description of the role of voluntary organizations within the civil protection system, the interagency cooperation, and the financial instruments through which the various bodies secure their funding along with the establishment of an inventory from the General Secretariat of Civil Protection. However, several provisions described in the 2002 Act have not been applied yet. For instance voluntary organizations are not

  2. The Impact of Electronic Health Records on Risk Management of Information Systems in Australian Residential Aged Care Homes.

    PubMed

    Jiang, Tao; Yu, Ping; Hailey, David; Ma, Jun; Yang, Jie

    2016-09-01

    To obtain indications of the influence of electronic health records (EHR) in managing risks and meeting information system accreditation standard in Australian residential aged care (RAC) homes. The hypothesis to be tested is that the RAC homes using EHR have better performance in meeting information system standards in aged care accreditation than their counterparts only using paper records for information management. Content analysis of aged care accreditation reports from the Aged Care Standards and Accreditation Agency produced between April 2011 and December 2013. Items identified included types of information systems, compliance with accreditation standards, and indicators of failure to meet an expected outcome for information systems. The Chi-square test was used to identify difference between the RAC homes that used EHR systems and those that used paper records in not meeting aged care accreditation standards. 1,031 (37.4%) of 2,754 RAC homes had adopted EHR systems. Although the proportion of homes that met all accreditation standards was significantly higher for those with EHR than for homes with paper records, only 13 RAC homes did not meet one or more expected outcomes. 12 used paper records and nine of these failed the expected outcome for information systems. The overall contribution of EHR to meeting aged care accreditation standard in Australia was very small. Risk indicators for not meeting information system standard were no access to accurate and appropriate information, failure in monitoring mechanisms, not reporting clinical incidents, insufficient recording of residents' clinical changes, not providing accurate care plans, and communication processes failure. The study has provided indications that use of EHR provides small, yet significant advantages for RAC homes in Australia in managing risks for information management and in meeting accreditation requirements. The implication of the study for introducing technology innovation in RAC in

  3. Testing the Electronic Personal Health Record Acceptance Model by Nurses for Managing Their Own Health

    PubMed Central

    Trinkoff, A.M.; Storr, C.L.; Wilson, M.L.; Gurses, A.P.

    2015-01-01

    Summary Background To our knowledge, no evidence is available on health care professionals’ use of electronic personal health records (ePHRs) for their health management. We therefore focused on nurses’ personal use of ePHRs using a modified technology acceptance model. Objectives To examine (1) the psychometric properties of the ePHR acceptance model, (2) the associations of perceived usefulness, ease of use, data privacy and security protection, and perception of self as health-promoting role models to nurses’ own ePHR use, and (3) the moderating influences of age, chronic illness and medication use, and providers’ use of electronic health record (EHRs) on the associations between the ePHR acceptance constructs and ePHR use. Methods A convenience sample of registered nurses, those working in one of 12 hospitals in the Maryland and Washington, DC areas and members of the nursing informatics community (AMIA and HIMSS), were invited to respond to an anonymous online survey; 847 responded. Multiple logistic regression identified associations between the model constructs and ePHR use, and the moderating effect. Results Overall, ePHRs were used by 47%. Sufficient reliability for all scales was found. Three constructs were significantly related to nurses’ own ePHR use after adjusting for covariates: usefulness, data privacy and security protection, and health-promoting role model. Nurses with providers that used EHRs who perceived a higher level of data privacy and security protection had greater odds of ePHR use than those whose providers did not use EHRs. Older nurses with a higher self-perception as health-promoting role models had greater odds of ePHR use than younger nurses. Conclusions Nurses who use ePHRs for their personal health might promote adoption by the general public by serving as health-promoting role models. They can contribute to improvements in patient education and ePHR design, and serve as crucial resources when working with their

  4. The altered ecology of Lake Christina: a record of regime shifts, land-use change, and management from a temperate shallow lake.

    PubMed

    Theissen, Kevin M; Hobbs, William O; Hobbs, Joy M Ramstack; Zimmer, Kyle D; Domine, Leah M; Cotner, James B; Sugita, Shinya

    2012-09-01

    We collected two sediment cores and modern submerged aquatic plants and phytoplankton from two sub-basins of Lake Christina, a large shallow lake in west-central Minnesota, and used stable isotopic and elemental proxies from sedimentary organic matter to explore questions about the pre- and post-settlement ecology of the lake. The two morphologically distinct sub-basins vary in their sensitivities to internal and external perturbations offering different paleoecological information. The record from the shallower and much larger western sub-basin reflects its strong response to internal processes, while the smaller and deeper eastern sub-basin record primarily reflects external processes including important post-settlement land-use changes in the area. A significant increase in organic carbon accumulation (3-4 times pre-settlement rates) and long-term trends in δ(13)C, organic carbon to nitrogen ratios (C/N), and biogenic silica concentrations shows that primary production has increased and the lake has become increasingly phytoplankton-dominated in the post-settlement period. Significant shifts in δ(15)N values reflect land-clearing and agricultural practices in the region and support the idea that nutrient inputs have played an important role in triggering changes in the trophic status of the lake. Our examination of hydroclimatic data for the region over the last century suggests that natural forcings on lake ecology have diminished in their importance as human management of the lake increased in the mid-1900s. In the last 50 years, three chemical biomanipulations have temporarily shifted the lake from the turbid, algal-dominated condition into a desired clear water regime. Two of our proxies (δ(13)C and BSi) measured from the higher resolution eastern basin record responded significantly to these known regime shifts.

  5. Comparison of minute distribution frequency for anesthesia start and end times from an anesthesia information management system and paper records.

    PubMed

    Phelps, Michael; Latif, Asad; Thomsen, Robert; Slodzinski, Martin; Raghavan, Rahul; Paul, Sharon Leigh; Stonemetz, Jerry

    2016-06-07

    Use of an anesthesia information management system (AIMS) has been reported to improve accuracy of recorded information. We tested the hypothesis that analyzing the distribution of times charted on paper and computerized records could reveal possible rounding errors, and that this effect could be modulated by differences in the user interface for documenting certain event times with an AIMS. We compared the frequency distribution of start and end times for anesthesia cases completed with paper records and an AIMS. Paper anesthesia records had significantly more times ending with "0" and "5" compared to those from the AIMS (p < 0.001). For case start times, AIMS still exhibited end-digit preference, with times whose last digits had significantly higher frequencies of "0" and "5" than other integers. This effect, however, was attenuated compared to that for paper anesthesia records. For case end times, the distribution of minutes recorded with AIMS was almost evenly distributed, unlike those from paper records that still showed significant end-digit preference. The accuracy of anesthesia case start times and case end times, as inferred by statistical analysis of the distribution of the times, is enhanced with the use of an AIMS. Furthermore, the differences in AIMS user interface for documenting case start and case end times likely affects the degree of end-digit preference, and likely accuracy, of those times.

  6. Embedded-structure template for electronic records affects patient note quality and management for emergency head injury patients

    PubMed Central

    Sonoo, Tomohiro; Iwai, Satoshi; Inokuchi, Ryota; Gunshin, Masataka; Kitsuta, Yoichi; Nakajima, Susumu

    2016-01-01

    Abstract Along with article-based checklists, structured template recording systems have been reported as useful to create more accurate clinical recording, but their contributions to the improvement of the quality of patient care have been controversial. An emergency department (ED) must manage many patients in a short time. Therefore, such a template might be especially useful, but few ED-based studies have examined such systems. A structured template produced according to widely used head injury guidelines was used by ED residents for head injury patients. The study was conducted by comparing each 6-month period before and after launching the system. The quality of the patient notes and factors recorded in the patient notes to support the head computed tomography (CT) performance were evaluated by medical students blinded to patient information. The subject patients were 188 and 177 in respective periods. The numbers of patient notes categorized as “CT indication cannot be determined” were significantly lower in the postintervention term (18% → 9.0%), which represents the patient note quality improvement. No difference was found in the rates of CT performance or CT skip without clearly recorded CT indication in the patient notes. The structured template functioned as a checklist to support residents in writing more appropriately recorded patient notes in the ED head injury patients. Such a template customized to each clinical condition can facilitate standardized patient management and can improve patient safety in the ED. PMID:27749590

  7. 36 CFR 1222.32 - How do agencies manage records created or received by contractors?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Agencies must ensure that contractors performing Federal government agency functions create and maintain records that document these activities. Agencies must specify in the contract Government ownership and the delivery to the Government of all records necessary for the adequate and proper documentation of...

  8. High-Rate Communications Outage Recorder Operations for Optimal Payload and Science Telemetry Management Onboard the International Space Station

    NASA Technical Reports Server (NTRS)

    Shell, Michael T.; McElyea, Richard M. (Technical Monitor)

    2002-01-01

    All International Space Station (ISS) Ku-band telemetry transmits through the High-Rate Communications Outage Recorder (HCOR). The HCOR provides the recording and playback capability for all payload, science, and International Partner data streams transmitting through NASA's Ku-band antenna system. The HCOR is a solid-state memory recorder that provides recording capability to record all eight ISS high-rate data during ISS Loss-of-Signal periods. NASA payloads in the Destiny module are prime users of the HCOR; however, NASDA and ESA will also utilize the HCOR for data capture and playback of their high data rate links from the Kibo and Columbus modules. Marshall Space Flight Center's Payload Operations Integration Center manages the HCOR for nominal functions, including system configurations and playback operations. The purpose of this paper is to present the nominal operations plan for the HCOR and the plans for handling contingency operations affecting payload operations. In addition, the paper will address HCOR operation limitations and the expected effects on payload operations. The HCOR is manifested for ISS delivery on flight 9A with the HCOR backup manifested on flight 11A. The HCOR replaces the Medium-Rate Communications Outage Recorder (MCOR), which has supported payloads since flight 5A.1.

  9. The coronary artery disease quality dashboard: a chronic care disease management tool in an electronic health record.

    PubMed

    Jung, Eunice; Schnipper, Jeffrey L; Li, Qi; Linder, Jeffrey A; Rose, Alan F; Li, Ruzhuo; Eskin, Michael S; Housman, Dan; Middleton, Blackford; Einbinder, Jonathan S

    2007-10-11

    Quality reporting tools, integrated with ambulatory electronic health records (EHRs), may help clinicians understand performance, manage populations, and improve quality. The Coronary Artery Disease Quality Dash board (CAD QD) is a secure web report for performance measurement of a chronic care condition delivered through a central data warehouse and custom-built reporting tool. Pilot evaluation of the CAD Quality Dash board indicates that clinicians prefer a quality report that combines not only structured data from EHRs but one that facilitates actions to be taken on individual patients or on a population, i.e., for case management.

  10. Managing the Security of Nursing Data in the Electronic Health Record

    PubMed Central

    Samadbeik, Mahnaz; Gorzin, Zahra; Khoshkam, Masomeh; Roudbari, Masoud

    2015-01-01

    Background: The Electronic Health Record (EHR) is a patient care information resource for clinicians and nursing documentation is an essential part of comprehensive patient care. Ensuring privacy and the security of health information is a key component to building the trust required to realize the potential benefits of electronic health information exchange. This study was aimed to manage nursing data security in the EHR and also discover the viewpoints of hospital information system vendors (computer companies) and hospital information technology specialists about nursing data security. Methods: This research is a cross sectional analytic-descriptive study. The study populations were IT experts at the academic hospitals and computer companies of Tehran city in Iran. Data was collected by a self-developed questionnaire whose validity and reliability were confirmed using the experts’ opinions and Cronbach’s alpha coefficient respectively. Data was analyzed through Spss Version 18 and by descriptive and analytic statistics. Results: The findings of the study revealed that user name and password were the most important methods to authenticate the nurses, with mean percent of 95% and 80%, respectively, and also the most significant level of information security protection were assigned to administrative and logical controls. There was no significant difference between opinions of both groups studied about the levels of information security protection and security requirements (p>0.05). Moreover the access to servers by authorized people, periodic security update, and the application of authentication and authorization were defined as the most basic security requirements from the viewpoint of more than 88 percent of recently-mentioned participants. Conclusions: Computer companies as system designers and hospitals information technology specialists as systems users and stakeholders present many important views about security requirements for EHR systems and nursing

  11. Modern thermoelectrochemistry.

    PubMed

    Gründler, Peter; Kirbs, Andreas; Dunsch, Lothar

    2009-08-03

    Thermoelectrochemistry as a branch of electrochemistry like photoelectrochemistry is reviewed in an integral treatment of the subject. Especially modern thermoelectrochemistry is focused on new techniques to vary the temperature as an independent variable. This review based on a definition of modern thermoelectrochemistry includes all the classical work which contributes to the formation of modern thermoelectrochemistry, among them high-temperature electrochemistry, subcritical- and supercritical electrochemistry and in-situ electrochemical calorimetry. The main focus is on modern techniques like fast electrode heating by lasers or by alternating current as well as on heating of solution spots by microwaves and related methods. Here the state of the art in modern thermoelectrochemistry is critically reviewed for the first time.

  12. Aeolian sedimentary processes at the Bagnold Dunes, Mars: Implications for modern dune dynamics and sedimentary structures in the aeolian stratigraphic record of Mars

    NASA Astrophysics Data System (ADS)

    Ewing, Ryan C.; Bridges, Nathan T.; Sullivan, Rob; Lapotre, Mathieu G. A.; Fischer, Woodward W.; Lamb, Mike P.; Rubin, David M.; Lewis, Kevin W.; Gupta, Sanjeev

    2016-04-01

    Wind-blown sand dunes are ubiquitous on the surface of Mars and are a recognized component of the martian stratigraphic record. Our current knowledge of the aeolian sedimentary processes that determine dune morphology, drive dune dynamics, and create aeolian cross-stratification are based upon orbital studies of ripple and dune morphodynamics, rover observations of stratification on Mars, Earth analogs, and experimental and theoretical studies of sand movement under Martian conditions. In-situ observations of sand dunes (informally called the Bagnold Dunes) by Curiosity Rover in Gale Crater, Mars provide the first opportunity to make observations of dunes from the grain-to-dune scale thereby filling the gap in knowledge between theory and orbital observations and refining our understanding of the martian aeolian stratigraphic record. We use the suite of cameras on Curiosity, including Navigation Camera (Navcam), Mast Camera (Mastcam) and Mars Hand Lens Imager (MAHLI), to make observations of the Bagnold Dunes. Measurements of sedimentary structures are made where stereo images are available. Observations indicate that structures generated by gravity-driven processes on the dune lee slopes, such as grainflow and grainfall, are similar to the suite of aeolian sedimentary structures observed on Earth and should be present and recognizable in Mars' aeolian stratigraphic record. Structures formed by traction-driven processes deviate significantly from those found on Earth. The dune hosts centimeter-scale wind ripples and large, meter-scale ripples, which are not found on Earth. The large ripples migrate across the depositional, lee slopes of the dune, which implies that these structures should be present in Mars' stratigraphic record and may appear similar to compound-dune stratification.The Mars Science Laboratory Curiosity Rover Team is acknowledged for their support of this work.

  13. Evaluating the effects of alternative forest management plans under various physiographic settings using historical records as a reference.

    PubMed

    Zhang, Yangjian; He, Hong S; Shifley, Stephen R; Yang, Jian; Palik, Brian J

    2011-06-01

    Using historical General Land Office record as a reference, this study employed a landscape-scale disturbance and succession model to estimate the future cumulative effects of six alternative management plans on the tree species composition for various physiographic settings for the Mark Twain National Forest in Missouri. The results indicate that over a 200-year horizon, the relative abundance of black oak and pine species groups will decrease and the relative abundance of the white oak species group will increase, regardless of management strategy. General Land Office witness tree records provide a measure of tree species composition in the period from 1800 to 1850, prior to the large-scale influx of European settlers. Compared to the tree species composition described in the General Land Office records, the six contemporary management alternatives considered all would lead to a lower abundance of pine species, a higher abundance of red/black oak species, and a slightly higher abundance of white oak species after 200 years. Impacts of management on tree species composition varied with physiographic settings. The projected relative abundance of pine differed significantly across the five physiographic classes over the first 40 years of the simulation. In the medium term (simulation years 41-100) the projected relative pine abundance differed significantly among only four physiographic classes. In the long term (simulation years 100-200) the projected relative pine abundance differed for only one physiographic class. In contrast, differences among physiographic classes in the relative abundance of black oaks and white oaks increased over time. In general, the expected long-term differences in relative tree species abundance among six proposed alternative management plans are small compared to shifts in tree species composition that have occurred from 1850 to the present.

  14. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.20 What are the..., irrespective of the medium (e.g., paper, electronic, or other). (e) Control the creation, maintenance, and...

  15. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.20 What are the..., irrespective of the medium (e.g., paper, electronic, or other). (e) Control the creation, maintenance, and...

  16. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.20 What are the..., irrespective of the medium (e.g., paper, electronic, or other). (e) Control the creation, maintenance, and...

  17. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.20 What are the..., irrespective of the medium (e.g., paper, electronic, or other). (e) Control the creation, maintenance, and...

  18. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102-193.20 What are the..., irrespective of the medium (e.g., paper, electronic, or other). (e) Control the creation, maintenance, and...

  19. 76 FR 76103 - Privacy Act; Notice of Proposed Rulemaking: State-78, Risk Analysis and Management Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-06

    ... records may do so by writing to the Director; Office of Information Programs and Services, A/GIS/IPS...: Director; Office of Information Programs and Services, A/GIS/IPS; Department of State, SA-2; 515...

  20. Assessing the Cost-Effectiveness of Modernizing the KC-10 to Meet Global Air Traffic Management Mandates

    DTIC Science & Technology

    2009-01-01

    Effectiveness of Modernizing the KC-10 Figure S.1 CNS Upgrade Cost Versus Cost Avoidance Due to CNS Upgrade RAND MG901-S.1 N PV p er T A I ( FY 2 00 9...m ill io n s) Fl ee tw id e N PV ( FY 2 00 9 $ b ill io n s) NOTE: TAI = total aircraft inventory. 10 0 20 30 40 50 60 70 80 Real nonfuel cost...in a specified airspace based on a given required accuracy (RNP value). The basic accu - racy requirement for RNP X airspace is for the aircraft to

  1. Modernity's Prometheus.

    ERIC Educational Resources Information Center

    Morris, Richard

    1993-01-01

    Argues for reframing and reforging the relationship between text and context. Argues that the silences that modernity's tribute to text invites are grotesque, untenable, and fundamentally anti-intellectual. (SR)

  2. A simple system for recording lamb mortality used to improve flock management.

    PubMed

    Eales, F A; Small, J; Gilmour, J S; Armstrong, R H; Gittus, G D

    1986-03-01

    Many commercial sheep farmers do not record either the extent or the causes of their lamb losses but this information is essential if losses are to be reduced in the future. The major causes of death in newborn lambs are reviewed together with the common predisposing factors. The development and practical application of a simple system for recording lamb deaths is described. It is concluded that the application of this type of system, initiated, supervised and interpreted by the farmer's own veterinary surgeon, would indicate how to reduce the losses of lambs and would be a useful component of any flock health scheme.

  3. Soft authority: ecologies of infection management in the working lives of modern matrons and infection control staff.

    PubMed

    Crawford, Paul; Brown, Brian

    2008-07-01

    This paper discusses the role of modern matrons and their work in the reduction of health care acquired infections. Based on in-depth interviews with 10 matrons in a health care trust in the UK Midlands region, we explore how they construe their working lives and their view of the powers they have to enhance cleanliness and reduce infection. Despite claims in policy documents that modern matrons would have considerable authority, participants felt their control over the environment was limited, and could be accomplished only through reflecting, communicating and liaising. The lack of formal structures of accountability and personal authority meant that participants could be characterised as working in what Courpasson calls a 'soft bureaucracy'. Moreover, in the light of limited power to command cleanliness, participants described their role in terms of reflexive work upon themselves and their interpersonal environment, involving self-scrutiny of their activity, channelling information, empowering, facilitating and remodelling the emotional environment of care delivery. This aligns with accounts of the self in the workplace from Anthony Giddens and Nikolas Rose where it is seen as a reflexive project. We explore why the project of the self seems to have eclipsed the managerial role as the major focus of matrons' work.

  4. A multi-proxy approach to tracing a regressive event at Ferguson's Gulf, Lake Turkana, Kenya: Implications for modern analogues to assist in interpretations of the Plio-Pleistocene record

    NASA Astrophysics Data System (ADS)

    Beck, Catherine; Feibel, Craig; Wright, James; Mortlock, Richard

    2014-05-01

    Located in the East African Rift Valley, the Turkana Basin has long been central to our understanding of how early hominins evolved. In particular, there is great curiosity as to the relationship between the paleoenvironment/paleoclimate conditions and evolution. Historical records aid in the interpretation of Plio-Pleistocene sediments by creating the opportunity to ground truth assumptions through the use of modern analogues. This project uses high-resolution, multi-proxy records from a series of short cores spanning the Little Ice Age to the modern, to suggest one possible model for how regressive events are recorded in lacustrine sequences. Because Lake Turkana is hydrologically closed, changes in lake level affect the water chemistry and thereby the ecosystems that depend upon it. Ferguson's Gulf is a 13 km2, shallow embayment located on the western shore of Lake Turkana. The gulf is connected to the rest of the lake by a narrow mouth on its northern end which is ~1 m deep. Therefore, relatively minor drops in lake level have the potential to restrict flow from Lake Turkana into Ferguson's Gulf, creating localized evaporative water chemistry which effects the suitability of this area for sustaining various benthic populations. Six short cores collected in 2011 and 2012 were picked for ostracods at 1-5 cm intervals to study the changes in assemblages and total abundances through time. An age model, generated using radiocarbon dating of ostracods, demonstrated that the record extending into the Little Ice Age (1550-1850 AD), a period when wetter conditions prevailed within the Turkana Basin. The ostracod faunal results were compared with sedimentology/stratigraphy, XRF data, and stable isotope analysis on ostracod shells for a multiproxy approach to reconstructing hydrologic conditions during the past ~500 years. The Ferguson's Gulf record can be subdivided into three bins based on the ostracod assemblages. The lowest third of the core shows high ostracod total

  5. Modernizing Mechanical Services.

    ERIC Educational Resources Information Center

    Rutgers, Norman L.

    Some of the problems of renovating school buildings and in particular the modernization of mechanical services in existing facilities are discussed. According to school management publications, approximately 42 per cent of our elementary and 59 per cent of our secondary schools are 15 years old or older. School plants, which were built 12 to 15…

  6. 36 CFR 1236.24 - What are the additional requirements for managing unstructured electronic records?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., except that transitory e-mail may be managed in accordance with § 1236.22(c). (b) Agencies that maintain... text (such as comment fields) or structural relationships (e.g., among worksheets in spreadsheets...

  7. 78 FR 42149 - Privacy Act; System of Records: State-53, Office of Inspector General Investigation Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-15

    ...: Office of Inspector General Investigation Management System. SECURITY CLASSIFICATION: Unclassified... numbers, Social Security numbers, account numbers and other personal identifiers. AUTHORITY FOR... Federal, state, local, tribal, territorial, foreign or international agency, or other public authority...

  8. How to manage future groundwater resource of China under climate change and urbanization: An optimal stage investment design from modern portfolio theory.

    PubMed

    Hua, Shanshan; Liang, Jie; Zeng, Guangming; Xu, Min; Zhang, Chang; Yuan, Yujie; Li, Xiaodong; Li, Ping; Liu, Jiayu; Huang, Lu

    2015-11-15

    Groundwater management in China has been facing challenges from both climate change and urbanization and is considered as a national priority nowadays. However, unprecedented uncertainty exists in future scenarios making it difficult to formulate management planning paradigms. In this paper, we apply modern portfolio theory (MPT) to formulate an optimal stage investment of groundwater contamination remediation in China. This approach generates optimal weights of investment to each stage of the groundwater management and helps maximize expected return while minimizing overall risk in the future. We find that the efficient frontier of investment displays an upward-sloping shape in risk-return space. The expected value of groundwater vulnerability index increases from 0.6118 to 0.6230 following with the risk of uncertainty increased from 0.0118 to 0.0297. If management investment is constrained not to exceed certain total cost until 2050 year, the efficient frontier could help decision makers make the most appropriate choice on the trade-off between risk and return.

  9. Electronic Systems and Records Management in the Information Age: An Introduction.

    ERIC Educational Resources Information Center

    Cox, Richard J.

    1997-01-01

    Presents a statement of requirements developed by the University of Pittsburgh School of Information Science ensuring the preservation of evidence in electronic form. Although specifically addressing electronic record-keeping systems, the requirements are also applicable to manual or hybrid systems. (PEN)

  10. Examining the Relationship between Electronic Health Record Interoperability and Quality Management

    ERIC Educational Resources Information Center

    Purcell, Bernice M.

    2013-01-01

    A lack of interoperability impairs data quality among health care providers' electronic health record (EHR) systems. The problem is whether the International Organization for Standardization (ISO) 9000 principles relate to the problem of interoperability in implementation of EHR systems. The purpose of the nonexperimental quantitative research…

  11. 75 FR 75546 - Financial Management Service; Privacy Act of 1974, as Amended; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-03

    ... potential Federal payment recipients about the benefits of electronic payments and types of accounts available for the receipt of Federal electronic payments. Commercial database providers obtain information from publicly available records or through means that we understand to be compliant with...

  12. Marine and terrigenous origin of organic matter in modern sediments of the equatorial East Atlantic: the σ 13C and molecular record

    NASA Astrophysics Data System (ADS)

    Westerhausen, L.; Poynter, J.; Eglinton, G.; Erlenkeuser, H.; Sarnthein, M.

    1993-05-01

    The contributions of marine and terrigenous organic carbon in modern organic sediments from the equatorial East Atlantic was quantified, based on the stable carbon isotope composition standardized for sea surface temperature and water depth. In our binary σ 13C mixing model, the marine end member -26 ∞ is redefined at 23°C and 0 m water depth and the terrigenous end member, independent of SST and water depth, at - 26 ∞. Terrigenous carbon fractions account for more than 60% of total organic carbon (TOC) on the shelf off East Liberia and the Ivory Coast and off Gabon. On the upper slope the land-derived fraction decreases in general to less than 20% of the high TOC concentrations, which can reach 3.5 wt%. The distribution of plant wax n-alkanes (C 27, C 29, C 31) and C:N ratios do not parallel those of land-derived organic carbon, but may be controlled largely by carbon degradation and aeolian/aquatic sorting. The ratio of n-alkanols vs n-alkanes (HPA index) varies with water depth in a nonlinear mode. Since both groups of compounds stem from the same source, plant waxes, it is proposed that the HPA index is controlled mainly by degradation and to a lesser extent by sorting prior to degradation. Enhanced n-alkane concentrations (up to 580 μg/gTOC) in the Gambia Basin and in the central Guinea Basin clearly reflect the influx of aeolian organic matter from northeasterly trades near and below the Inter Tropical Convergence Zone (ITCZ). The particle flux from marine plankton is traced by high concentrations of both dinosterol, long-chain unsaturated methyl and ethyl ketones (C 37-C 39), and alkandiols in marine organic matter. Whereas alkenones, synthetized by prymnesiophyte algae generally, reflect upwelling-related productivity off-shore, dinosterol, synthetized by dinoflagellates, is enriched in near-shore areas of high marine productivity linked to fluvial fertilization. All marine biomarker groups show a surprisingly low concentration below the equatorial

  13. 78 FR 2363 - Notification of Deletion of a System of Records; Automated Trust Funds Database

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-11

    ... Trust Funds Database AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Notice of... of records notice establishing the Automated Trust Funds (ATF) database system of records. The.... The ATF database has been replaced by USDA's Financial Management Modernization Initiative (FMMI)...

  14. Managing integration work in an NHS electronic patient record (EPR) project.

    PubMed

    Martin, David; Mariani, John; Rouncefield, Mark

    2007-03-01

    This article uses an ethnographic study of the design and deployment of an electronic patient record (EPR) system in the UK NHS to document some of the difficulties of integrating new IT systems with existing and developing practices, technologies and regulatory requirements. It highlights that 'integration' in this situation produces a variety of different but connected and potentially competing requirements that create difficulties in achieving artful and successful system deployment.

  15. Electronic Records: Clinton Administration’s Management of Executive Office of the President’s E-Mail System

    DTIC Science & Technology

    2001-04-01

    from Virginia M. Apuzzo to John D. Podesta , former Deputy Chief of Staff, entitled Technical Anomaly in Automated E-Mail Records Management System...John Podesta . E0567 through E0569, E0573 through E0578, E0589 through E0594 07/09/98 Draft plan dated July 1998 and the undated finalized versions of...Mail2 and Letter D Events Page 40 GAO-01-446 EOP E-mail System John Podesta , Chief of Staff Ada Posey, former Director, OA Charles Ruff, former

  16. [Marketing aspects of managing of health care delivery to patients with sexually transmitted infections in modern practice].

    PubMed

    Martynenko, O V

    2003-01-01

    The article is devoted to the study of scientific-and-practical researches carried out in the field of management, organization, and marketing of medical care provided to patients presenting with infections transmitted through sexual contacts. The conducted investigations proved to be of current concern as evidenced by the analysis of the relevant literature now available, based on which analysis major lines of further research have been outlined, that include problems of marketing, process, strategic management and planning of activities of the health system in the face of the impact of the external conditions and within the framework of the market economy existing in the country.

  17. Expansion of electronic health record-based screening, prevention, and management of diabetes in New York City.

    PubMed

    Albu, Jeanine; Sohler, Nancy; Matti-Orozco, Brenda; Sill, Jordan; Baxter, Daniel; Burke, Gary; Young, Edwin

    2013-01-01

    To address the increasing burden of diabetes in New York City, we designed 2 electronic health records (EHRs)-facilitated diabetes management systems to be implemented in 6 primary care practices on the West Side of Manhattan, a standard system and an enhanced system. The standard system includes screening for diabetes. The enhanced system includes screening and ensures close patient follow-up; it applies principles of the chronic care model, including community-clinic linkages, to the management of patients newly diagnosed with diabetes and prediabetes through screening. We will stagger implementation of the enhanced system across the 6 clinics allowing comparison, through a quasi-experimental design (pre-post difference with a control group), of patients treated in the enhanced system with similar patients treated in the standard system. The findings could inform health system practices at multiple levels and influence the integration of community resources into routine diabetes care.

  18. Exploring Healthcare Consumer Acceptance of Personal Health Information Management Technology through Personal Health Record Systems

    ERIC Educational Resources Information Center

    Wu, Huijuan

    2013-01-01

    Healthcare technologies are evolving from a practitioner-centric model to a patient-centric model due to the increasing need for technology that directly serves healthcare consumers, including healthy people and patients. Personal health information management (PHIM) technology is one of the technologies designed to enhance an individual's ability…

  19. DOD Business Systems Modernization: Important Management Controls Being Implemented on Major Navy Program, but Improvements Needed in Key Areas

    DTIC Science & Technology

    2008-09-01

    47American National Standards Institute (ANSI)/Electronic Industries Alliance ( EIA ) Standard, EVM Systems Standard, ANSI/ EIA - 748 -A-1998 (R2002...ANSI/ EIA - 748 -A-1998 (R2002), approved May 19, 1998; revised January 2002. 6GAO-07-1134SP. 7Department of Defense, Risk Management Guide for DOD...5American National Standards Institute (ANSI) /Electronic Industries Alliance ( EIA ) EVM Systems Standard

  20. Temperature development in a modern municipal solid waste incineration (MSWI) bottom ash landfill with regard to sustainable waste management.

    PubMed

    Klein, R; Baumann, T; Kahapka, E; Niessner, R

    2001-05-30

    Municipal solid waste is treated in incineration plants to reduce the volume, the toxicity and the reactivity of the waste. The final product, municipal solid waste incineration (MSWI) bottom ash, was considered as a material with a low reactivity, which can safely be deposited in a MSWI bottom ash landfill, or which can be used, e.g. in road construction after further treatment. However, temperature measurements in MSWI bottom ash landfills showed temperatures up to 90 degrees C, caused by exothermic reactions within the landfill. Such high temperatures may affect the stability of the flexible polymer membrane liner (FML) and may also lead to an accelerated desiccation of the clay barrier. At the beginning of this study it was uncertain whether those reported results would be applicable to modern landfills, because the treatment techniques in MSWI and landfills have changed, bottom and fly ash are stored separately, and the composition of the incinerated waste has changed significantly since the publication of those results. The aim of this study was to gain detailed knowledge of temperature development under standard disposal conditions in relation to the rate of ash disposal, the variation of layer thickness, and the environmental conditions in a modern landfill. Temperatures were measured at nine levels within the body of a landfill for a period of nearly 3 years. Within 7 months of the start of the disposal, a temperature increase of up to 70 degrees C within the vertical centre of the disposal was observed. In the upper and central part of the landfill this initial temperature increase was succeeded by a decrease in temperature. The maximum temperature at the time of writing (May 2000) is about 55 degrees C in the central part of the landfill. The maximum temperature (45.9 degrees C) at the FML was reached 17 months after the start of the deposition. Since then the temperatures decreased at a rate of 0.6 degrees C per month. Temperature variation within each

  1. Digitizing the Administrative Records of the U.S. Department of Energy Office of Environmental Management (Em) and Office of Legacy Management (LM) Ohio Sites

    SciTech Connect

    Powell, J.; Williams, K.; Walpole, S.; McKinney, R.

    2007-07-01

    As former weapons sites close and are transitioned to the U.S. Department of Energy (DOE) Office of Legacy Management (LM), continued public involvement is essential for the successful turnover of long-term surveillance and maintenance (LTS and M) activities. During the environmental remediation process, public participation was a key factor in cleanup completion. The same level of commitment to encourage active public participation is true for the LTS and M activities at the LM sites, such as the Miamisburg Closure Project and the Fernald Closure Project. Community members participate in the transition and the decision-making processes for LTS and M as they did for the selection of response actions under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) cleanup process. [1] A key part of the post-closure activities for the Ohio Sites transitioning to LM from the DOE Office of Environmental Management (EM) is the preservation of site history and stakeholder involvement in the LTS and M activities that will continue during post-closure. In meeting the regulatory requirements of providing the CERCLA Administrative Record Reading Room for public access and to ensure that appropriate records are retrievable and available for all stakeholders, a decision was made to digitize the Miamisburg Closure Project and the Fernald Closure Project Administrative Records. This decision was, in part, based on the information and lessons learned from the digitization of the Rocky Flats Environmental Technology Site (RFETS) CERCLA Administrative Records (AR). The Ohio Sites effort was expanded to include the Living History Project from the Fernald Closure Project. In most cases, the CERCLA AR maintained by EM closure sites and transitioned to LM will provide adequate baselines for identifying and capturing the information required by LM for post-closure stewardship of the sites. The AR established under Section 113(k) [2] of CERCLA serves two primary

  2. The History of the Establishment and Management Philosophies of the Portuguese Protected Areas: Combining Written Records and Oral History

    NASA Astrophysics Data System (ADS)

    Pinto, Bruno; Partidário, Maria

    2012-04-01

    The history of the establishment and management philosophies of the mainland Portuguese Protected Areas was reconstructed through the use of written records and oral history interviews. The objectives were to review the main philosophies in the creation and management of these areas, to assess the influence of international PA models, to compare the Portuguese case with other European and international literature concerning PAs and to discuss the value of the oral history in this research. As main results, it was found that the initial management model of "Wilderness (or Yellowstone)" was replaced by the "new paradigm" of PAs when the democracy was re-established. Changes in the management philosophies within this "new paradigm" were also identified, which resulted in the transition of a "Landscape" to a "Nature conservation" model. After the establishment of the Natura 2000 network, the "Biodiversity conservation" model prevailed. It was also found that the initiative for the establishment of most PAs came from the government, although there were few cases of creation due to the action of NGOs and municipalities. Finally, oral history interviews enabled the addition of information to the literature review, but also provided more insight and detail to this history.

  3. The politics of healthcare informatics: knowledge management using an electronic medical record system.

    PubMed

    Bar-Lev, Shirly

    2015-03-01

    The design and implementation of an electronic medical record system pose significant epistemological and practical complexities. Despite optimistic assessments of their potential contribution to the quality of care, their implementation has been problematic, and their actual employment in various clinical settings remains controversial. Little is known about how their use actually mediates knowing. Employing a variety of qualitative research methods, this article attempts an answer by illustrating how omitting, editing and excessive reporting were employed as part of nurses' and physicians' political efforts to shape knowledge production and knowledge sharing in a technologically mediated healthcare setting.

  4. [Clinical study using activity-based costing to assess cost-effectiveness of a wound management system utilizing modern dressings in comparison with traditional wound care].

    PubMed

    Ohura, Takehiko; Sanada, Hiromi; Mino, Yoshio

    2004-01-01

    In recent years, the concept of cost-effectiveness, including medical delivery and health service fee systems, has become widespread in Japanese health care. In the field of pressure ulcer management, the recent introduction of penalty subtraction in the care fee system emphasizes the need for prevention and cost-effective care of pressure ulcer. Previous cost-effectiveness research on pressure ulcer management tended to focus only on "hardware" costs such as those for pharmaceuticals and medical supplies, while neglecting other cost aspects, particularly those involving the cost of labor. Thus, cost-effectiveness in pressure ulcer care has not yet been fully established. To provide true cost effectiveness data, a comparative prospective study was initiated in patients with stage II and III pressure ulcers. Considering the potential impact of the pressure reduction mattress on clinical outcome, in particular, the same type of pressure reduction mattresses are utilized in all the cases in the study. The cost analysis method used was Activity-Based Costing, which measures material and labor cost aspects on a daily basis. A reduction in the Pressure Sore Status Tool (PSST) score was used to measure clinical effectiveness. Patients were divided into three groups based on the treatment method and on the use of a consistent algorithm of wound care: 1. MC/A group, modern dressings with a treatment algorithm (control cohort). 2. TC/A group, traditional care (ointment and gauze) with a treatment algorithm. 3. TC/NA group, traditional care (ointment and gauze) without a treatment algorithm. The results revealed that MC/A is more cost-effective than both TC/A and TC/NA. This suggests that appropriate utilization of modern dressing materials and a pressure ulcer care algorithm would contribute to reducing health care costs, improved clinical results, and, ultimately, greater cost-effectiveness.

  5. 5 CFR 850.301 - Electronic records; other acceptable records.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Electronic records; other acceptable... SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Records § 850.301 Electronic records; other acceptable records. (a) Acceptable electronic records for processing by the electronic...

  6. 5 CFR 850.301 - Electronic records; other acceptable records.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Electronic records; other acceptable... SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Records § 850.301 Electronic records; other acceptable records. (a) Acceptable electronic records for processing by the electronic...

  7. Guidelines for management of HIV infection with computer-based patient's record.

    PubMed

    Safran, C; Rind, D M; Davis, R B; Ives, D; Sands, D Z; Currier, J; Slack, W V; Makadon, H J; Cotton, D J

    1995-08-05

    Computers are steadily being incorporated in clinical practice. We conducted a nonrandomised, controlled, prospective trial of electronic messages designed to enhance adherence to clinical practice guidelines. We studied 126 physicians and nurse practitioners who used electronic medical records when caring for 349 patients with HIV infection in a primary care practice. We analysed the response times of clinicians to the situations that triggered alerts and reminders, the number of ambulatory visits, and hospitalisation. The median response times to 303 alerts in the intervention group and 388 alerts in the control group were 11 and 52 days (p < 0.0001), respectively. The median response time to 432 reminders in the intervention group was 114 days and that for 360 reminders in the control group was over 500 days (p < 0.0001). There was no effect on visits to the primary care practice. There was, however, a significant increase in the rate of visits outside the primary care practice (p = 0.02), which is explained by the increased frequency of visits to ophthalmologists. There were no differences in admission rates (p = 0.47), in admissions for pneumocystosis (p = 0.09), in visits to the emergency ward (p = 0.24), or in survival (p = 0.19). We conclude that the electronic medical record was effective in helping clinicians adhere to practice guidelines.

  8. Access control and privilege management in electronic health record: a systematic literature review.

    PubMed

    Jayabalan, Manoj; O'Daniel, Thomas

    2016-12-01

    This study presents a systematic literature review of access control for electronic health record systems to protect patient's privacy. Articles from 2006 to 2016 were extracted from the ACM Digital Library, IEEE Xplore Digital Library, Science Direct, MEDLINE, and MetaPress using broad eligibility criteria, and chosen for inclusion based on analysis of ISO22600. Cryptographic standards and methods were left outside the scope of this review. Three broad classes of models are being actively investigated and developed: access control for electronic health records, access control for interoperability, and access control for risk analysis. Traditional role-based access control models are extended with spatial, temporal, probabilistic, dynamic, and semantic aspects to capture contextual information and provide granular access control. Maintenance of audit trails and facilities for overriding normal roles to allow full access in emergency cases are common features. Access privilege frameworks utilizing ontology-based knowledge representation for defining the rules have attracted considerable interest, due to the higher level of abstraction that makes it possible to model domain knowledge and validate access requests efficiently.

  9. The modern role of androgen deprivation therapy in the management of localised and locally advanced prostate cancer

    PubMed Central

    Gunner, Charlotte; Gulamhusein, Aziz; Rosario, Derek J

    2016-01-01

    Introduction: Approximately 50% of men diagnosed with prostate cancer will be exposed to androgen deprivation therapy (ADT) at some stage. The role of ADT in the management of metastatic disease has long been recognised, and its place in the management of localised and locally advanced disease has become clearer in the past few years. Nevertheless, concerns remain that some men might not benefit from ADT in earlier-stage disease. The purpose of the current article is to provide a brief narrative review of the role of ADT as part of a strategy of treatment with curative intent, concentrating mainly on key recent developments in the area. Methods: Narrative literature review of key publications in the English language relating to ADT in the management of localised and locally advanced prostate cancer. Results: In locally advanced and high-risk localised prostate cancer, the use of ADT in combination with radiotherapy improves disease-specific and overall survival. There is no evidence to support the use of ADT in the treatment of low-risk localised prostate cancer. There appears to be an increased risk of cardiovascular morbidity and mortality associated with luteinizing hormone-releasing hormone agonists, particularly in men with pre-existing cardiovascular disease, but the relevance of this in the adjuvant/neoadjuvant setting is currently unclear. Conclusions: Future studies should focus on identification of men who are at risk from cardiovascular complications associated with ADT and on the comparison of radiotherapy with ADT versus surgery in the management of localised and locally advanced prostate cancer, particularly with regards to men with pre-existing comorbidities.

  10. Modern Spectroscopy

    ERIC Educational Resources Information Center

    Barrow, Gordon M.

    1970-01-01

    Presents the basic ideas of modern spectroscopy. Both the angular momenta and wave-nature approaches to the determination of energy level patterns for atomic and molecular systems are discussed. The interpretation of spectra, based on atomic and molecular models, is considered. (LC)

  11. Phytotracker, an information management system for easy recording and tracking of plants, seeds and plasmids

    PubMed Central

    2012-01-01

    Background A large number of different plant lines are produced and maintained in a typical plant research laboratory, both as seed stocks and in active growth. These collections need careful and consistent management to track and maintain them properly, and this is a particularly pressing issue in laboratories undertaking research involving genetic manipulation due to regulatory requirements. Researchers and PIs need to access these data and collections, and therefore an easy-to-use plant-oriented laboratory information management system that implements, maintains and displays the information in a simple and visual format would be of great help in both the daily work in the lab and in ensuring regulatory compliance. Results Here, we introduce ‘Phytotracker’, a laboratory management system designed specifically to organise and track plasmids, seeds and growing plants that can be used in mixed platform environments. Phytotracker is designed with simplicity of user operation and ease of installation and management as the major factor, whilst providing tracking tools that cover the full range of activities in molecular genetics labs. It utilises the cross-platform Filemaker relational database, which allows it to be run as a stand-alone or as a server-based networked solution available across all workstations in a lab that can be internet accessible if desired. It can also be readily modified or customised further. Phytotracker provides cataloguing and search functions for plasmids, seed batches, seed stocks and plants growing in pots or trays, and allows tracking of each plant from seed sowing, through harvest to the new seed batch and can print appropriate labels at each stage. The system enters seed information as it is transferred from the previous harvest data, and allows both selfing and hybridization (crossing) to be defined and tracked. Transgenic lines can be linked to their plasmid DNA source. This ease of use and flexibility helps users to reduce their

  12. The Cost of Information Systems Modernization: A Comparison of Options for Life-Cycle Project Management Systems

    DTIC Science & Technology

    1990-08-01

    PC, minicomputer, or mainframe computer), off-the-shelf project management/scheduling software (e.g., Open Plan, Primavera , etc.); and database for...linked to * CETAL * Screens, reports division 0 CWS 0 Open Plan e Open Plan functions Mobile * Sperry 0 Primavera 0 INFORMIX- e COEMIS F&A 0 INFORMIX...cost 5000/95 SQL o CETAL, PMRS query system * Harris * CWS 0 Data interfaces * Primavera o COBOL Sacramento 0 PC network 0 Custom C 0 COEMIS F&A

  13. Barriers to Electronic Records Management (ERM): An Exploratory Case Study Investigating ERM in the Deployed Environment During Operations Enduring Freedom and Iraqi Freedom

    DTIC Science & Technology

    2005-03-01

    Patterson, G., & Sprehe, J. T. (2002). Principal challenges facing electronic records management in federal agencies today. Government Information Quarterly , 19...factors in managing U.S. federal recordkeeping. Government Information Quarterly , 19(3), 289-305. Stake, R. E. (1995). The art of case study

  14. Understanding the Impact of Electronic Medical Record Use on Practice-Based Population Health Management: A Mixed-Method Study

    PubMed Central

    Hughes, John B; Law, Susan; Lortie, Michel; Leaver, Chad; Lapointe, Liette

    2016-01-01

    Background Practice-based population health (PBPH) management is the proactive management of patients by their primary care clinical team. The ability of clinics to engage in PBPH and the means by which they incorporate it in a clinical setting remain unknown. Objective We conducted the Canadian Population Health Management Challenge to determine the capacity and preparedness of primary care settings to engage in PBPH using their existing medical record systems and to understand the complexities that may exist in PBPH implementation. Methods We recruited a sample of electronic medical record (EMR) -enabled and paper-based clinics from across Canada to participate in the challenge. The challenge required clinic staff and physicians to complete time-controlled, evidence-based practice reviews of their patients who may benefit from evidence-informed care, treatment, or interventions across five different areas (immunization, postmyocardial infarction care, cancer screening, diabetes management, and medication recall). We formulated a preparedness index to measure the capacity of clinics to engage in PBPH management. Finally, we conducted follow-up qualitative interviews to provide richer understanding of PBPH implementation and related issues (ie, challenges and facilitators). Results A total of 11 primary care clinics participated, representing 21 clinician practices. EMR-enabled clinics completed a full review of charts in an average of 1.37 hours. On the contrary, paper-based clinics reviewed nearly 10% of their charts in an average of 3.9 hours, hinting that they would have required an estimated 40 hours to complete a review of charts in their practice. Furthermore, the index revealed a major gap in preparedness between the EMR and paper-based clinics (0.86–3.78 vs 0.05–0.12), as well as a broad range among the EMR clinics. Finally, building on the results of the qualitative analysis, we identified factors facilitating the integration of PBPH. Conclusions Our

  15. Cognitive Style as Environmentally Sensitive Individual Differences in Cognition: A Modern Synthesis and Applications in Education, Business, and Management.

    PubMed

    Kozhevnikov, Maria; Evans, Carol; Kosslyn, Stephen M

    2014-05-01

    The key aims of this article are to relate the construct of cognitive style to current theories in cognitive psychology and neuroscience and to outline a framework that integrates the findings on individual differences in cognition across different disciplines. First, we characterize cognitive style as patterns of adaptation to the external world that develop on the basis of innate predispositions, the interactions among which are shaped by changing environmental demands. Second, we show that research on cognitive style in psychology and cross-cultural neuroscience, on learning styles in education, and on decision-making styles in business and management all address the same phenomena. Third, we review cognitive-psychology and neuroscience research that supports the validity of the concept of cognitive style. Fourth, we show that various styles from disparate disciplines can be organized into a single taxonomy. This taxonomy allows us to integrate all the well-documented cognitive, learning, and decision-making styles; all of these style types correspond to adaptive systems that draw on different levels of information processing. Finally, we discuss how the proposed approach might promote greater coherence in research and application in education, in business and management, and in other disciplines.

  16. CKD screening and management in the Veterans Health Administration: the impact of system organization and an innovative electronic record.

    PubMed

    Patel, Thakor G; Pogach, Leonard M; Barth, Robert H

    2009-03-01

    At the beginning of this decade, Healthy People 2010 issued a series of objectives to "reduce the incidence, morbidity, mortality and health care costs of chronic kidney disease." A necessary feature of any program to reduce the burden of kidney disease in the US population must include mechanisms to screen populations at risk and institute early the aspects of management, such as control of blood pressure, management of diabetes, and, in patients with advanced chronic kidney disease (CKD), preparation for dialysis therapy and proper vascular access management, that can retard CKD progression and improve long-term outcome. The Department of Veterans Affairs and the Veterans Health Administration is a broad-based national health care system that is almost uniquely situated to address these issues and has developed a number of effective approaches using evidence-based clinical practice guidelines, performance measures, innovative use of a robust electronic medical record system, and system oversight during the past decade. In this report, we describe the application of this systems approach to the prevention of CKD in veterans through the treatment of risk factors, identification of CKD in veterans, and oversight of predialysis and dialysis care. The lessons learned and applicability to the private sector are discussed.

  17. Electronic medical records in humanitarian emergencies – the development of an Ebola clinical information and patient management system

    PubMed Central

    Jobanputra, Kiran; Greig, Jane; Shankar, Ganesh; Perakslis, Eric; Kremer, Ronald; Achar, Jay; Gayton, Ivan

    2017-01-01

    By November 2015, the West Africa Ebola epidemic had caused 28598 infections and 11299 deaths in the three countries most affected. The outbreak required rapid innovation and adaptation. Médecins sans Frontières (MSF) scaled up its usual 20-30 bed Ebola management centres (EMCs) to 100-300 beds with over 300 workers in some settings. This brought challenges in patient and clinical data management resulting from the difficulties of working safely with high numbers of Ebola patients. We describe a project MSF established with software developers and the Google Social Impact Team to develop context-adapted tools to address the challenges of recording Ebola clinical information. We share the outcomes and key lessons learned in innovating rapidly under pressure in difficult environmental conditions. Information on adoption, maintenance, and data quality was gathered through review of project documentation, discussions with field staff and key project stakeholders, and analysis of tablet data. In March 2015, a full prototype was deployed in Magburaka EMC, Sierra Leone. Inpatient data were captured on 204 clinical interactions with 34 patients from 5 March until 10 April 2015. Data continued to also be recorded on paper charts, creating theoretically identical record “pairs” on paper and tablet. 83 record pairs for 33 patients with 22 data items (temperature and symptoms) per pair were analysed. The overall Kappa coefficient for agreement between sources was 0.62, but reduced to 0.59 when rare bleeding symptoms were excluded, indicating moderate to good agreement. The time taken to deliver the product was more than that anticipated by MSF (7 months versus 6 weeks). Deployment of the tablet coincided with a dramatic drop in patient numbers and thus had little impact on patient care. We have identified lessons specific to humanitarian-technology collaborative projects and propose a framework for emergency humanitarian innovation. Time and effort is required to bridge

  18. International Atomic Energy Agency (IAEA) initiatives: Records management for deep and near surface geologic repositories

    SciTech Connect

    Warner, P.J.

    1996-09-01

    The international scientific community has long had an interest in determining methods by which information regarding nuclear waste repositories, and the inherent danger to humanity, could be passed from generation to generation and society to society. Because nuclear waste will remain radioactive for thousands of years future generations must be warned of the dangers thus eliminating intentional or inadvertent intrusion. Member States of the IAEA have determined that the principle safety of such sites must not rely solely on long term institutional arrangements for the retention of information. It is believed that repository siting, design, operation and postoperation information should be gathered, managed and retained so that this information remains accessible to future societies over a very long period of time. The radionuclide life is 10,000 years; thus the retention of information continues beyond current societies, cultures and languages, and must be continually migrated to new retrieval technologies to assure access.

  19. Protecting Unesco World Heritage PROPERTIES'S Integrity: the Role of Recording and Documentation in Risk Management for PETRA

    NASA Astrophysics Data System (ADS)

    Santana Quintero, M.; Cesaro, G.; Ishakat, F.; Vandesande, A.; Vileikis, O.; Vadafari, A.; Paolini, A.; Van Balen, K.; Fakhoury, L.

    2012-07-01

    Risk management - as it has been defined - involves the decision-making process following a risk assessment (Ball, Watt, 2003). It is the process that involves managing to minimize losses and impacts on the significant of historic structures and to reach the balance between gaining and losing opportunities. This contribution explains the "heritage information" platform developed using low-cost recording, documentation and information management tools to serve as container for assessments resulting from the application of a risk methodology at a pilot area of the Petra Archaeological Park, in particular those that permit digitally and cost effective to prepare an adequate baseline record to identify disturbances and threats. Furthermore, this paper will reflect on the issue of mapping the World Heritage property's boundaries by illustrating a methodology developed during the project and further research to overcome the lack of boundaries and buffer zone for the protection of the Petra World Heritage site, as identified in this project. This paper is based on on-going field project from a multidisciplinary team of experts from the Raymond Lemaire International Centre for Conservation (University of Leuven), UNESCO Amman, Petra Development Tourism and Region Authority (PDTRA), and Jordan's Department of Antiquities (DoA), as well as, experts from Jordan. The recording and documentation approach included in this contribution is part of an on-going effort to develop a methodology for mitigating (active and preventive) risks on the Petra Archaeological Park (Jordan). The risk assessment has been performed using non-intrusive techniques, which involve simple global navigation satellite system (GNSS), photography, and structured visual inspection, as well as, a heritage information framework based on Geographic Information Systems. The approach takes into consideration the comparison of vulnerability to sites with the value assessment to prioritize monuments at risk based

  20. [Modern concepts of medical care--what has been achieved by the implementation of disease management programs?].

    PubMed

    Kirchner, H

    2005-01-01

    Since 2003, structured treatment programs for chronically ill patients (disease management programs; DMPs) have been under development in Germany. Virtually nationwide, programs in which physicians and patients can register are being offered for diabetes mellitus types 1 and 2, breast cancer, coronary heart disease and asthma/COPD. The medical content of the programs is determined on the basis of evidence-based medicine. Even though the effectiveness of structured treatment programs is documented for diabetes, adequate studies confirming the overall transferability of results to the German health care system are as yet lacking. Physicians above all strongly criticise the coupling of DMPs with the risk adjustment scheme of the statutory health insurance funds, as well as the large amount of paperwork involved.

  1. The EuroNet paediatric hodgkin network - modern imaging data management for real time central review in multicentre trials.

    PubMed

    Kurch, L; Mauz-Körholz, C; Bertling, S; Wallinder, M; Kaminska, M; Marwede, D; Tchavdarova, L; Georgi, T W; Elsner, A; Barthel, A; Stoevesandt, D; Hasenclever, D; Sattler, B; Sabri, O; Körholz, D; Kluge, R

    2013-11-01

    Since 2007, children and adolescents with Hodgkin lymphomas are treated in the Europe-wide EuroNet-PHL trials. A real time central review process for stratification of the patients enhances quality control and efficient therapy management. This process includes reading of all cross-sectional-images. Since reference evaluation is time critical, a fast, easy to handle and safe data transfer is important. In addition, immediate and constant access to all the data has to be guaranteed in case of queries and for regulatory reasons. To meet the mentioned requirements the EuroNet Paediatric Hodgkin Data Network (funded by the European Union - Project Number: 2007108) was established between 2008 and 2011. A respective tailored data protection plan was formulated. The aim of this article is to describe the networks' mode of operation and the advantages for multi-centre trials that include centralized image review.

  2. Foundational Report Series: Advanced Distribution Management Systems for Grid Modernization, High-Level Use Cases for DMS

    SciTech Connect

    Wang, Jianhui; Lu, Xiaonan; Martino, Sal; Reilly, James T.

    2016-02-01

    Many distribution management systems (DMS) projects have achieved limited success because the electric utility did not sufficiently plan for actual use of the DMS functions in the control room environment. As a result, end users were not clear on how to use the new application software in actual production environments with existing, well-established business processes. An important first step in the DMS implementation process is development and refinement of the “to be” business processes. Development of use cases for the required DMS application functions is a key activity that leads to the formulation of the “to be” requirements. It is also an important activity that is needed to develop specifications that are used to procure a new DMS.

  3. Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS

    PubMed Central

    Hansen, Matthew; Meckler, Garth; Lambert, William; Dickinson, Caitlin; Dickinson, Kathryn; Van Otterloo, Joshua

    2016-01-01

    Objective To describe the frequency and characterise the nature of patient safety events in paediatric out-of-hospital airway management. Methods We conducted a retrospective cross-sectional medical record review of all ‘lights and sirens’ emergency medicine services transports from 2008 to 2011 in patients <18 years of age in the Portland Oregon metropolitan area. A chart review tool (see online supplementary appendix) was adapted from landmark patient safety studies and revised after pilot testing. Expert panels of physicians and paramedics performed blinded reviews of each chart, identified safety events and described their nature. The primary outcomes were presence and severity of patient safety events related to airway management including oxygen administration, bag-valve-mask ventilation (BVM), airway adjuncts and endotracheal intubation (ETI). 10.1136/bmjopen-2016-012259.supp1 supplementary appendix Results From the 11 328 paediatric transports during the study period, there were 497 ‘lights and sirens’ (code 3) transports (4.4%). 7 transports were excluded due to missing data. Of the 490 transports included in the analysis, 329 had a total of 338 airway management procedures (some had more than 1 procedure): 61.6% were treated with oxygen, 15.3% with BVM, 8.6% with ETI and 2% with airway adjuncts. The frequency of errors was: 21% (71/338) related to oxygen use, 9.8% (33/338) related to BVM, 9.5% (32/338) related to intubation and 0.9% (3/338) related to airway adjunct use. 58% of intubations required 3 or more attempts or failed altogether. Cardiac arrest was associated with higher odds of a severe error. Conclusions Errors in paediatric out-of-hospital airway management are common, especially in the context of intubations and during cardiac arrest. PMID:27836871

  4. Application of δ13c Values Recorded in Neoproterozoic Marine Dolomite As a Marker for Global Correlations: Significance of Major δ13c Variations for the Carbon Cycle Based on Studies of Modern Dolomite Precipitating Environments

    NASA Astrophysics Data System (ADS)

    McKenzie, J. A.; Bontognali, T. R. R.; Bahniuk, A.; Vasconcelos, C.

    2014-12-01

    Since the early Paleozoic, the average bulk δ13C value of marine carbonates has remained relatively positive varying between 0 and +4‰ with distinctive positive excursions that are associated with global changes in the carbon cycle. Unlike the Phanerozoic δ13C data for marine limestones, a major δ13C excursion has been recorded in a globally deposited Neoproterozoic marine dolomite formation, known as the cap dolostone. This excursion with δ13C values ranging systematically between -3 and -5‰ represents a global chronstratigraphic marker used to correlate the end of the major Marinoan glaciation at 636 Ma1. Does this excursion signify a primary seawater value and how might it be interpreted as a primary carbon cycle signal, considering the widespread distribution of the cap dolostone? Studies of modern dolomite precipitating environments, such as supratidal sabkhas of Abu Dhabi, U.A.E. and Qatar and coastal hypersaline lagoons of Rio de Janiero State, Brazil, indicate that microbial activity or the biological products, thereof, influence or mediate mineral formation. The precipitating solutions are sourced from normal seawater, which has experienced variable stages of concentration through evaporative processes. Comparison of δ13C values of sabkha dolomite with that formed in the hypersaline lagoons reveals that the former are always rather positive (approx. +2 to +7 ‰), whereas the latter are always negative (approx. -5‰ to -11‰). During very early diagenesis, the original δ13C value of the initial precipitate is not necessarily retained, indicating that synsedimentary processes can alter the carbon signal prior to burial and later diagenesis. However, the potential for very early lithification of microbial dolomite promotes the preservation of original δ13C values, which, thus, can be useful for evaluation of the ancient carbon cycle. 1Halverson, G.P. et al., 2005. Toward a Neoproterozoic composite carbon-isotope record, GSA Bulletin, v. 117, p

  5. New drugs, new toxicities: severe side effects of modern targeted and immunotherapy of cancer and their management.

    PubMed

    Kroschinsky, Frank; Stölzel, Friedrich; von Bonin, Simone; Beutel, Gernot; Kochanek, Matthias; Kiehl, Michael; Schellongowski, Peter

    2017-04-14

    Pharmacological and cellular treatment of cancer is changing dramatically with benefits for patient outcome and comfort, but also with new toxicity profiles. The majority of adverse events can be classified as mild or moderate, but severe and life-threatening complications requiring ICU admission also occur. This review will focus on pathophysiology, symptoms, and management of these events based on the available literature.While standard antineoplastic therapy is associated with immunosuppression and infections, some of the recent approaches induce overwhelming inflammation and autoimmunity. Cytokine-release syndrome (CRS) describes a complex of symptoms including fever, hypotension, and skin reactions as well as lab abnormalities. CRS may occur after the infusion of monoclonal or bispecific antibodies (MABs, BABs) targeting immune effectors and tumor cells and is a major concern in recipients of chimeric antigen receptor (CAR) modified T lymphocytes as well. BAB and CAR T-cell treatment may also be compromised by central nervous system (CNS) toxicities such as encephalopathy, cerebellar alteration, disturbed consciousness, or seizures. While CRS is known to be induced by exceedingly high levels of inflammatory cytokines, the pathophysiology of CNS events is still unclear. Treatment with antibodies against inhibiting immune checkpoints can lead to immune-related adverse events (IRAEs); colitis, diarrhea, and endocrine disorders are often the cause for ICU admissions.Respiratory distress is the main reason for ICU treatment in cancer patients and is attributable to infectious agents in most cases. In addition, some of the new drugs are reported to cause non-infectious lung complications. While drug-induced interstitial pneumonitis was observed in a substantial number of patients treated with phosphoinositol-3-kinase inhibitors, IRAEs may also affect the lungs.Inhibitors of angiogenetic pathways have increased the antineoplastic portfolio. However, vessel formation

  6. Gastric antral webs in adults: A case series characterizing their clinical presentation and management in the modern endoscopic era

    PubMed Central

    Morales, Shannon J; Nigam, Neha; Chalhoub, Walid M; Abdelaziz, Dalia I; Lewis, James H; Benjamin, Stanley B

    2017-01-01

    AIM To investigate the current management of gastric antral webs (GAWs) among adults and identify optimal endoscopic and/or surgical management for these patients. METHODS We reviewed our endoscopy database seeking to identify patients in whom a GAW was visualized among 24640 esophagogastroduodenoscopies (EGD) over a seven-year period (2006-2013) at a single tertiary care center. The diagnosis of GAW was suspected during EGD if aperture size of the antrum did not vary with peristalsis or if a “double bulb” sign was present on upper gastrointestinal series. Confirmation of the diagnosis was made by demonstrating a normal pylorus distal to the GAW. RESULTS We identified 34 patients who met our inclusion criteria (incidence 0.14%). Of these, five patients presented with gastric outlet obstruction (GOO), four of whom underwent repeated sequential balloon dilations and/or needle-knife incisions with steroid injection for alleviation of GOO. The other 29 patients were incidentally found to have a non-obstructing GAW. Age at diagnosis ranged from 30-87 years. Non-obstructing GAWs are mostly incidental findings. The most frequently observed symptom prompting endoscopic work-up was refractory gastroesophageal reflux (n = 24, 70.6%) followed by abdominal pain (n = 11, 33.4%), nausea and vomiting (n = 9, 26.5%), dysphagia (n = 6, 17.6%), unexplained weight loss, (n = 4, 11.8%), early satiety (n = 4, 11.8%), and melena of unclear etiology (n = 3, 8.82%). Four of five GOO patients were treated with balloon dilation (n = 4), four-quadrant needle-knife incision (n = 3), and triamcinolone injection (n = 2). Three of these patients required repeat intervention. One patient had a significant complication of perforation after needle-knife incision. CONCLUSION Endoscopic intervention for GAW using balloon dilation or needle-knife incision is generally safe and effective in relieving symptoms, however repeat treatment may be needed and a risk of perforation exists with thermal

  7. Patient empowerment by the means of citizen-managed Electronic Health Records: web 2.0 health digital identity scenarios.

    PubMed

    Falcão-Reis, Filipa; Correia, Manuel E

    2010-01-01

    With the advent of more sophisticated and comprehensive healthcare information systems, system builders are becoming more interested in patient interaction and what he can do to help to improve his own health care. Information systems play nowadays a crucial and fundamental role in hospital work-flows, thus providing great opportunities to introduce and improve upon "patient empowerment" processes for the personalization and management of Electronic Health Records (EHRs). In this paper, we present a patient's privacy generic control mechanisms scenarios based on the Extended OpenID (eOID), a user centric digital identity provider previously developed by our group, which leverages a secured OpenID 2.0 infrastructure with the recently released Portuguese Citizen Card (CC) for secure authentication in a distributed health information environment. eOID also takes advantage of Oauth assertion based mechanisms to implement patient controlled secure qualified role based access to his EHR, by third parties.

  8. Implementation of electronic medical records requires more than new software: Lessons on integrating and managing health technologies from Mbarara, Uganda.

    PubMed

    Madore, Amy; Rosenberg, Julie; Muyindike, Winnie R; Bangsberg, David R; Bwana, Mwebesa B; Martin, Jeffrey N; Kanyesigye, Michael; Weintraub, Rebecca

    2015-12-01

    Implementation lessons: • Technology alone does not necessarily lead to improvement in health service delivery, in contrast to the common assumption that advanced technology goes hand in hand with progress. • Implementation of electronic medical record (EMR) systems is a complex, resource-intensive process that, in addition to software, hardware, and human resource investments, requires careful planning, change management skills, adaptability, and continuous engagement of stakeholders. • Research requirements and goals must be balanced with service delivery needs when determining how much information is essential to collect and who should be interfacing with the EMR system. • EMR systems require ongoing monitoring and regular updates to ensure they are responsive to evolving clinical use cases and research questions. • High-quality data and analyses are essential for EMRs to deliver value to providers, researchers, and patients.

  9. Examining Agencies' Satisfaction with Electronic Record Management Systems in e-Government: A Large-Scale Survey Study

    NASA Astrophysics Data System (ADS)

    Hsu, Fang-Ming; Hu, Paul Jen-Hwa; Chen, Hsinchun; Hu, Han-Fen

    While e-government is propelling and maturing steadily, advanced technological capabilities alone cannot guarantee agencies’ realizing the full benefits of the enabling computer-based systems. This study analyzes information systems in e-government settings by examining agencies’ satisfaction with an electronic record management system (ERMS). Specifically, we investigate key satisfaction determinants that include regulatory compliance, job relevance, and satisfaction with support services for using the ERMS. We test our model and the hypotheses in it, using a large-scale survey that involves a total of 1,652 government agencies in Taiwan. Our results show significant effects of regulatory compliance on job relevance and satisfaction with support services, which in turn determine government agencies’ satisfaction with an ERMS. Our data exhibit a reasonably good fit to our model, which can explain a significant portion of the variance in agencies’ satisfaction with an ERMS. Our findings have several important implications to research and practice, which are also discussed.

  10. Improved mortality rate for congenital diaphragmatic hernia in the modern era of management: 15 year experience in a single institution

    PubMed Central

    Zalla, Jennifer M.; Stoddard, Gregory J.; Yoder, Bradley A.

    2014-01-01

    Background/Purpose Mortality rates with congenital diaphragmatic hernia (CDH) have remained at approximately 30% for the last 2 decades. Therapies targeting pulmonary hypertension (PHTN) have not been systematically studied in this population, but are increasingly used. We hypothesized that incremental changes in treatments for PHTN have improved mortality for CDH infants. Methods Prospective data from 1998–2013 on all liveborn CDH patients treated at our institution were retrospectively analyzed. Based on management of PHTN, 4 Eras were identified for comparison. Logistic and linear regression were used to compare characteristics. The primary outcome of death prior to discharge was analyzed by multivariable Cox regression modeling. Results The study included 192 infants who met inclusion criteria. Length of stay increased, while rates of primary repair decreased, suggesting a sicker cohort in the most recent Eras. Analysis of mortality across 4 Era’s showed no difference. By post-hoc analysis, ECMO availability was associated with mortality reduction for Era’s 3–4 versus 1–2 (HR=0.27, p < 0.001). Conclusions Improved survival at our institution may be related to recent introduction of ECMO and more aggressive approaches to pulmonary hypertension. Further systematic studies of these PHTN therapies in this specific population are warranted. PMID:25840055

  11. Event Recording Data Acquisition System and Experiment Data Management System for Neutron Experiments at MLF, J-PARC

    NASA Astrophysics Data System (ADS)

    Nakatani, T.; Inamura, Y.; Moriyama, K.; Ito, T.; Muto, S.; Otomo, T.

    Neutron scattering can be a powerful probe in the investigation of many phenomena in the materials and life sciences. The Materials and Life Science Experimental Facility (MLF) at the Japan Proton Accelerator Research Complex (J-PARC) is a leading center of experimental neutron science and boasts one of the most intense pulsed neutron sources in the world. The MLF currently has 18 experimental instruments in operation that support a wide variety of users from across a range of research fields. The instruments include optical elements, sample environment apparatus and detector systems that are controlled and monitored electronically throughout an experiment. Signals from these components and those from the neutron source are converted into a digital format by the data acquisition (DAQ) electronics and recorded as time-tagged event data in the DAQ computers using "DAQ-Middleware". Operating in event mode, the DAQ system produces extremely large data files (˜GB) under various measurement conditions. Simultaneously, the measurement meta-data indicating each measurement condition is recorded in XML format by the MLF control software framework "IROHA". These measurement event data and meta-data are collected in the MLF common storage and cataloged by the MLF Experimental Database (MLF EXP-DB) based on a commercial XML database. The system provides a web interface for users to manage and remotely analyze experimental data.

  12. Perceptions of factors influencing use of an electronic record for case management of persons living with HIV.

    PubMed

    Schnall, Rebecca; Gordon, Peter; Camhi, Eli; Bakken, Suzanne

    2011-03-01

    Case managers (CMs) facilitate continuity of care for persons living with HIV (PLWH) by coordination of resources and referrals to social services and medical care. The complexity of the management of HIV drives the need for more coordination, which can be achieved through the use of health information technology (HIT). However, HIT has not been well studied in the context of HIV services. The primary aim of this qualitative study was to assess CMs' perceptions regarding factors that influence acceptance and use of an electronic continuity of care record (CCR) for PLWH. Focus group methodology was used to gather perceptions from 37 CMs. Major themes related to factors for CCR adoption and use included: predisposing (system functionality and confidentiality), enabling (user training and computer access), reinforcing (work efficiency, continuity of care, information quality, and communication). Electronic CCRs have the potential to improve coordination of services and information sharing for PLWH. Careful attention must be paid to factors that predispose, enable, and reinforce use of HIT such as CCRs so that potential benefits in terms of quality and efficiency can be realized.

  13. Perceptions of Factors Influencing Use of an Electronic Record for Case Management of Persons Living with HIV

    PubMed Central

    Schnall, Rebecca; Gordon, Peter; Camhi, Eli; Bakken, Suzanne

    2011-01-01

    Case managers (CMs) facilitate continuity of care for persons living with HIV (PLWH) by coordination of resources and referrals to social services and medical care. The complexity of the management of HIV drives the need for more coordination, which can be achieved through the use of health information technology (HIT). However, HIT has not been well studied in the context of HIV services. The primary aim of this qualitative study was to assess CMs’ perceptions regarding factors that influence acceptance and use of an electronic continuity of care record (CCR) for PLWH. Focus group methodology was used to gather perceptions from 37 CMs. Major themes related to factors for CCR adoption and use included: predisposing (system functionality and confidentiality), enabling (user training and computer access), reinforcing (work efficiency, continuity of care, information quality, and communication). Electronic CCRs have the potential to improve coordination of services and information sharing for PLWH. Careful attention must be paid to factors that predispose, enable, and reinforce use of HIT such as CCRs so that potential benefits in terms of quality and efficiency can be realized. PMID:21347899

  14. The Qatar National Historic Environment Record: a Platform for the Development of a Fully-Integrated Cultural Heritage Management Application

    NASA Astrophysics Data System (ADS)

    Cuttler, R. T. H.; Tonner, T. W. W.; Al-Naimi, F. A.; Dingwall, L. M.; Al-Hemaidi, N.

    2013-07-01

    The development of the Qatar National Historic Environment Record (QNHER) by the Qatar Museums Authority and the University of Birmingham in 2008 was based on a customised, bilingual Access database and ArcGIS. While both platforms are stable and well supported, neither was designed for the documentation and retrieval of cultural heritage data. As a result it was decided to develop a custom application using Open Source code. The core module of this application is now completed and is orientated towards the storage and retrieval of geospatial heritage data for the curation of heritage assets. Based on MIDAS Heritage data standards and regionally relevant thesauri, it is a truly bilingual system. Significant attention has been paid to the user interface, which is userfriendly and intuitive. Based on a suite of web services and accessed through a web browser, the system makes full use of internet resources such as Google Maps and Bing Maps. The application avoids long term vendor ''tie-ins'' and as a fully integrated data management system, is now an important tool for both cultural resource managers and heritage researchers in Qatar.

  15. 39 CFR 262.4 - Records.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RECORDS AND INFORMATION MANAGEMENT DEFINITIONS § 262.4 Records. Recorded information, regardless of media, format, or physical characteristics...) Corporate records. Those records series that are designated by the Records Office as containing...

  16. 39 CFR 262.4 - Records.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... STATES POSTAL SERVICE ORGANIZATION AND ADMINISTRATION RECORDS AND INFORMATION MANAGEMENT DEFINITIONS § 262.4 Records. Recorded information, regardless of media, format, or physical characteristics...) Corporate records. Those records series that are designated by the Records Office as containing...

  17. Uptake and Effects of the e-Vita Personal Health Record with Self-Management Support and Coaching, for Type 2 Diabetes Patients Treated in Primary Care

    PubMed Central

    van Vugt, M.; de Wit, M.; Sieverink, F.; Roelofsen, Y.; Hendriks, S. H.; Bilo, H. J. G.; Snoek, F. J.

    2016-01-01

    We studied the use, uptake, and effects of e-Vita, a personal health record, with self-management support and personalized asynchronized coaching, for type 2 diabetes patients treated in primary care. Patients were invited by their practice nurse to join the study aimed at testing use and effects of a personal health record. Patients were followed up for 6 months. Uptake and usage were monitored using log data. Outcomes were self-reported diabetes self-care, diabetes-related distress, and emotional wellbeing. Patients' health status was collected from their medical chart. 132 patients agreed to participate in the study of which less than half (46.1%) did not return to the personal health record after 1st login. Only 5 patients used the self-management support program within the personal health record, 3 of whom asked a coach for feedback. Low use of the personal health record was registered. No statistical significant differences on any of the outcome measures were found between baseline and 6 month follow-up. This study showed minimal impact of implementing a personal health record including self-management support in primary diabetes care. Successful adoption of web-based platforms, as ongoing patient centered care, is hard to achieve without additional strategies aimed at enhancing patient motivation and engaging professionals. PMID:26955640

  18. Uptake and Effects of the e-Vita Personal Health Record with Self-Management Support and Coaching, for Type 2 Diabetes Patients Treated in Primary Care.

    PubMed

    van Vugt, M; de Wit, M; Sieverink, F; Roelofsen, Y; Hendriks, S H; Bilo, H J G; Snoek, F J

    2016-01-01

    We studied the use, uptake, and effects of e-Vita, a personal health record, with self-management support and personalized asynchronized coaching, for type 2 diabetes patients treated in primary care. Patients were invited by their practice nurse to join the study aimed at testing use and effects of a personal health record. Patients were followed up for 6 months. Uptake and usage were monitored using log data. Outcomes were self-reported diabetes self-care, diabetes-related distress, and emotional wellbeing. Patients' health status was collected from their medical chart. 132 patients agreed to participate in the study of which less than half (46.1%) did not return to the personal health record after 1st login. Only 5 patients used the self-management support program within the personal health record, 3 of whom asked a coach for feedback. Low use of the personal health record was registered. No statistical significant differences on any of the outcome measures were found between baseline and 6 month follow-up. This study showed minimal impact of implementing a personal health record including self-management support in primary diabetes care. Successful adoption of web-based platforms, as ongoing patient centered care, is hard to achieve without additional strategies aimed at enhancing patient motivation and engaging professionals.

  19. Business Process Re-Engineering Applied to the Air Force Institute of Technology Office of the Registrar, Records Management.

    DTIC Science & Technology

    1994-12-01

    Forms or letters that become part of the RECORD or generate actions on the RECORD. Includes: AFIT Form 68, AFIT Form 95, official transcript(s), GMAT or... GMAT test results. TRANSCRIPT - A type of OFFICIAL CORRESPONDENCE. TRANSCRIPT UPDATE RECORD - An EXISTING RECORD that requires correction due to the...transcript(s), GMAT or GRE test scores, request for evaluation letter(s), and other official correspondence. ESTABLISH OPTICAL RECORD - A child or

  20. Comparison of clinical knowledge management capabilities of commercially-available and leading internally-developed electronic health records

    PubMed Central

    2011-01-01

    Background We have carried out an extensive qualitative research program focused on the barriers and facilitators to successful adoption and use of various features of advanced, state-of-the-art electronic health records (EHRs) within large, academic, teaching facilities with long-standing EHR research and development programs. We have recently begun investigating smaller, community hospitals and out-patient clinics that rely on commercially-available EHRs. We sought to assess whether the current generation of commercially-available EHRs are capable of providing the clinical knowledge management features, functions, tools, and techniques required to deliver and maintain the clinical decision support (CDS) interventions required to support the recently defined "meaningful use" criteria. Methods We developed and fielded a 17-question survey to representatives from nine commercially available EHR vendors and four leading internally developed EHRs. The first part of the survey asked basic questions about the vendor's EHR. The second part asked specifically about the CDS-related system tools and capabilities that each vendor provides. The final section asked about clinical content. Results All of the vendors and institutions have multiple modules capable of providing clinical decision support interventions to clinicians. The majority of the systems were capable of performing almost all of the key knowledge management functions we identified. Conclusion If these well-designed commercially-available systems are coupled with the other key socio-technical concepts required for safe and effective EHR implementation and use, and organizations have access to implementable clinical knowledge, we expect that the transformation of the healthcare enterprise that so many have predicted, is achievable using commercially-available, state-of-the-art EHRs. PMID:21329520

  1. Modern Written Arabic, Volume 1.

    ERIC Educational Resources Information Center

    Smith, Harlie L., Jr., Ed.

    This text was prepared for use in the Foreign Service Institute programs of instruction for members of the United States Foreign Service and is intended to be used with the help of a native-speaking Arabic instructor and with tape recordings. Instruction in modern written Arabic is planned in three stages: (1) prepared materials allow the student…

  2. Modern management of secondary amenorrhoea.

    PubMed

    Banerjee, S

    1989-01-01

    Nonpregnant/nonlactating women who do not menstruate for at least 6 months have secondary amenorrhea. Stress can induce it. Physical changes can also cause it. Oral contraceptives and other drugs can also bring about secondary amenorrhea. Genital tuberculosis (TB) destroys the endometrium thereby causing secondary amenorrhea. Physicians should initiate antibiotic treatment in women with TB. Further, high levels of prolactin stimulated by an overactive anterior pituitary gland or by a pituitary tumor can produce secondary amenorrhea. Physicians should routinely ask these women if they have hot flashes. These may indicate early climacteric indicated by high levels of follicle stimulating hormone (FSH) and luteinizing hormone (LH). Prognosis for a return to menstruation is poor if it is indeed responsible. Further, they should also note changes in hair growth. Any such changes may mean an ovarian tumor, polycystic ovaries, or adrenal disease. If adrenal disease is the cause, the level of serum prolactin should be determined. If a high level of prolactin is found, an X-ray should be taken of the pituitary fossa. If it reveals that the clinoid process had eroded or the floor has doubled, a pituitary tumor may exist. If ovarian cancer is responsible, physicians should begin thyroxine treatment. They should prescribe bromocryptine if a pituitary tumor does not exist yet hyperprolactinemia does. Menstruation should return in about 6 weeks. Low or normal levels of FSH and/or LH may indicate that the hypothalamus does secrete gonadotropic releasing factor. Then physicians should administer clomiphene. Menstruation should return in 1-3 months. Women should continue taking clomiphene until they conceive or withdraw from treatment. Physicians should routinely conduct a examination between treatment courses because enlarged ovaries occur in 7% of the treatment cycles. If clomiphene fails, physicians may try gonadotropin treatment. Some surgical procedures may also treat secondary amenorrhea when other treatment fails.

  3. Modern management of anal fistula.

    PubMed

    Limura, Elsa; Giordano, Pasquale

    2015-01-07

    Ideal surgical treatment for anal fistula should aim to eradicate sepsis and promote healing of the tract, whilst preserving the sphincters and the mechanism of continence. For the simple and most distal fistulae, conventional surgical options such as laying open of the fistula tract seem to be relatively safe and therefore, well accepted in clinical practise. However, for the more complex fistulae where a significant proportion of the anal sphincter is involved, great concern remains about damaging the sphincter and subsequent poor functional outcome, which is quite inevitable following conventional surgical treatment. For this reason, over the last two decades, many sphincter-preserving procedures for the treatment of anal fistula have been introduced with the common goal of minimising the injury to the anal sphincters and preserving optimal function. Among them, the ligation of intersphincteric fistula tract procedure appears to be safe and effective and may be routinely considered for complex anal fistula. Another technique, the anal fistula plug, derived from porcine small intestinal submucosa, is safe but modestly effective in long-term follow-up, with success rates varying from 24%-88%. The failure rate may be due to its extrusion from the fistula tract. To obviate that, a new designed plug (GORE BioA®) was introduced, but long term data regarding its efficacy are scant. Fibrin glue showed poor and variable healing rate (14%-74%). FiLaC and video-assisted anal fistula treatment procedures, respectively using laser and electrode energy, are expensive and yet to be thoroughly assessed in clinical practise. Recently, a therapy using autologous adipose-derived stem cells has been described. Their properties of regenerating tissues and suppressing inflammatory response must be better investigated on anal fistulae, and studies remain in progress. The aim of this present article is to review the pertinent literature, describing the advantages and limitations of new sphincter-preserving techniques.

  4. “Smart Forms” in an Electronic Medical Record: Documentation-based Clinical Decision Support to Improve Disease Management

    PubMed Central

    Schnipper, Jeffrey L.; Linder, Jeffrey A.; Palchuk, Matvey B.; Einbinder, Jonathan S.; Li, Qi; Postilnik, Anatoly; Middleton, Blackford

    2008-01-01

    Clinical decision support systems (CDSS) integrated within Electronic Medical Records (EMR) hold the promise of improving healthcare quality. To date the effectiveness of CDSS has been less than expected, especially concerning the ambulatory management of chronic diseases. This is due, in part, to the fact that clinicians do not use CDSS fully. Barriers to clinicians' use of CDSS have included lack of integration into workflow, software usability issues, and relevance of the content to the patient at hand. At Partners HealthCare, we are developing “Smart Forms” to facilitate documentation-based clinical decision support. Rather than being interruptive in nature, the Smart Form enables writing a multi-problem visit note while capturing coded information and providing sophisticated decision support in the form of tailored recommendations for care. The current version of the Smart Form is designed around two chronic diseases: coronary artery disease and diabetes mellitus. The Smart Form has potential to improve the care of patients with both acute and chronic conditions. PMID:18436911

  5. "Smart Forms" in an Electronic Medical Record: documentation-based clinical decision support to improve disease management.

    PubMed

    Schnipper, Jeffrey L; Linder, Jeffrey A; Palchuk, Matvey B; Einbinder, Jonathan S; Li, Qi; Postilnik, Anatoly; Middleton, Blackford

    2008-01-01

    Clinical decision support systems (CDSS) integrated within Electronic Medical Records (EMR) hold the promise of improving healthcare quality. To date the effectiveness of CDSS has been less than expected, especially concerning the ambulatory management of chronic diseases. This is due, in part, to the fact that clinicians do not use CDSS fully. Barriers to clinicians' use of CDSS have included lack of integration into workflow, software usability issues, and relevance of the content to the patient at hand. At Partners HealthCare, we are developing "Smart Forms" to facilitate documentation-based clinical decision support. Rather than being interruptive in nature, the Smart Form enables writing a multi-problem visit note while capturing coded information and providing sophisticated decision support in the form of tailored recommendations for care. The current version of the Smart Form is designed around two chronic diseases: coronary artery disease and diabetes mellitus. The Smart Form has potential to improve the care of patients with both acute and chronic conditions.

  6. Slit-lamp management in contact lenses laboratory classes: learning upgrade with monitor visualization of webcam video recordings

    NASA Astrophysics Data System (ADS)

    Arines, Justo; Gargallo, Ana

    2014-07-01

    The training in the use of the slit lamp has always been difficult for students of the degree in Optics and Optometry. Instruments with associated cameras helps a lot in this task, they allow teachers to observe and control if the students evaluate the eye health appropriately, correct use errors and show them how to do it with a visual demonstration. However, these devices are more expensive than those that do not have an integrated camera connected to a display unit. With the aim to improve students' skills in the management of slit lamp, we have adapted USB HD webcams (Microsoft Lifecam HD-5000) to the objectives of the slit lamps available in our contact lenses laboratory room. The webcams are connected to a PC running Linux Ubuntu 11.0; therefore that is a low-cost device. Our experience shows that single method has several advantages. It allows us to take pictures with a good quality of different conditions of the eye health; we can record videos of eye evaluation and make demonstrations of the instrument. Besides it increases the interactions between students because they could see what their colleagues are doing and take conscious of the mistakes, helping and correcting each others. It is a useful tool in the practical exam too. We think that the method supports the training in optometry practice and increase the students' confidence without a huge outlay.

  7. 78 FR 55114 - Access to Employee Exposure and Medical Records; Extension of the Office of Management and Budget...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-09

    ... Occupational Safety and Health Administration Access to Employee Exposure and Medical Records; Extension of the... Exposure and Medical Records Standard (29 CFR 1910.1020). DATES: Comments must be submitted (postmarked... to employee exposure monitoring data and medical records. This regulation does not require...

  8. [Medical record management and risk management processes. State of the art and new normative guidelines about the organization and the management of the sanitary documentation in the National Health System or Hospital Trusts].

    PubMed

    Spolaore, P; Murolo, G; Sommavilla, M

    2003-01-01

    Recent health care reforms, the start of accreditation processes of health institutions, and the introduction also in the health system of risk management concepts and instruments, borrowed from the enterprise culture and the emphasis put on the protection of privacy, render evident the need and the urgency to define and to implement improvement processes of the organization and management of the medical documentation in the hospital with the aim of facilitation in fulfilment of regional and local health authorities policies about protection of the safety and improvement of quality of care. Currently the normative context that disciplines the management of medical records inside the hospital appears somewhat fragmentary, incomplete and however not able to clearly orientate health operators with the aim of a correct application of the enforced norms in the respect of the interests of the user and of local health authority. In this job we individuate the critical steps in the various phases of management process of the clinical folder and propose a new model of regulations, with the purpose to improve and to simplify the management processes and the modalities of compilation, conservation and release to entitled people of all clinical documentation.

  9. The use of regional platforms for managing electronic health records for the production of regional public health indicators in France

    PubMed Central

    2012-01-01

    Background In France, recent developments in healthcare system organization have aimed at strengthening decision-making and action in public health at the regional level. Firstly, the 2004 Public Health Act, by setting 100 national and regional public health targets, introduced an evaluative approach to public health programs at the national and regional levels. Meanwhile, the implementation of regional platforms for managing electronic health records (EHRs) has also been under assessment to coordinate the deployment of this important instrument of care within each geographic area. In this context, the development and implementation of a regional approach to epidemiological data extracted from EHRs are an opportunity that must be seized as soon as possible. Our article addresses certain design and organizational aspects so that the technical requirements for such use are integrated into regional platforms in France. The article will base itself on organization of the Rhône-Alpes regional health platform. Discussion Different tools being deployed in France allow us to consider the potential of these regional platforms for epidemiology and public health (implementation of a national health identification number and a national information system interoperability framework). The deployment of the Rhône-Alpes regional health platform began in the 2000s in France. By August 2011, 2.6 million patients were identified in this platform. A new development step is emerging because regional decision-makers need to measure healthcare efficiency. To pool heterogeneous information contained in various independent databases, the format, norm and content of the metadata have been defined. Two types of databases will be created according to the nature of the data processed, one for extracting structured data, and the second for extracting non-structured and de-identified free-text documents. Summary Regional platforms for managing EHRs could constitute an important data source for

  10. Embedded-structure template for electronic records affects patient note quality and management for emergency head injury patients: An observational pre and post comparison quality improvement study.

    PubMed

    Sonoo, Tomohiro; Iwai, Satoshi; Inokuchi, Ryota; Gunshin, Masataka; Kitsuta, Yoichi; Nakajima, Susumu

    2016-10-01

    Along with article-based checklists, structured template recording systems have been reported as useful to create more accurate clinical recording, but their contributions to the improvement of the quality of patient care have been controversial. An emergency department (ED) must manage many patients in a short time. Therefore, such a template might be especially useful, but few ED-based studies have examined such systems.A structured template produced according to widely used head injury guidelines was used by ED residents for head injury patients. The study was conducted by comparing each 6-month period before and after launching the system. The quality of the patient notes and factors recorded in the patient notes to support the head computed tomography (CT) performance were evaluated by medical students blinded to patient information.The subject patients were 188 and 177 in respective periods. The numbers of patient notes categorized as "CT indication cannot be determined" were significantly lower in the postintervention term (18% → 9.0%), which represents the patient note quality improvement. No difference was found in the rates of CT performance or CT skip without clearly recorded CT indication in the patient notes.The structured template functioned as a checklist to support residents in writing more appropriately recorded patient notes in the ED head injury patients. Such a template customized to each clinical condition can facilitate standardized patient management and can improve patient safety in the ED.

  11. Applications Of Modern Systems Analysis

    NASA Technical Reports Server (NTRS)

    Wagner, Robert C.; Biernacki, John V.; Bodi, Robert F.; Juhasz, John E.

    1994-01-01

    cour papers discuss applications of interdisciplinary methodologies incorporating elaborate mathematical models and computer programs as paradigms of modern systems analysis. Unifying concept underlying presentations is need for more sophisticated methods of systems analysis to manage increasingly complex engineering and socioeconomic systems.

  12. Data Stewardship: Managing Personally Identifiable Information in Electronic Student Education Records. SLDS Technical Brief 2. NCES 2011-602

    ERIC Educational Resources Information Center

    National Center for Education Statistics, 2010

    2010-01-01

    The growth of electronic student data in America's education system has focused attention on the ways these data are collected, processed, stored, and used. The use of records in Statewide Longitudinal Data Systems to follow the progress of individual students over time requires maintaining student education records that include information that…

  13. Network technology for depot modernization

    SciTech Connect

    Hostick, C.J.

    1990-12-01

    This report was prepared by the Pacific Northwest Laboratory to summarize existing and emerging information system technology and standards applicable to Depot System Command (DESCOM) modernization efforts. The intent of this summarization is to provide the Revitalization of Army Depots for the Year 2000 (READY 2000) team a clear understanding of the enabling information system technologies required to support effective modernization activities. Much of the information contained in this report was acquired during the last year in support of the US Army Armament, Munitions, and Chemical Command (AMCCOM) Facility Integrated Manufacturing Management System (FIMMS) project at PNL, which is targeting the modernization of plant-wide information systems at Army Ammunition Plants. The objective of information system modernization is to improve the effectiveness of an organization in performing its mission. Information system modernization strives to meet this objective by creating an environment where data is electronically captured near the source and readily available to all areas of the organization. Advanced networks, together with related information system technology, are the enabling mechanisms that make modern information system infrastructures possible. The intent of this paper is to present an overview of advanced information system network technology to support depot modernization planners in making technology management decisions. Existing and emerging Open System Interconnection (OSI) and Government Open System Interconnection Profile (GOSIP) standards are explained, as well as a brief assessment of existing products compliant with these standards. Finally, recommendations for achieving plant-wide integration using existing products are presented, and migration strategies for full OSI compliance are introduced. 5 refs., 16 figs. (JF)

  14. 36 CFR 1223.16 - How are vital records identified?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... informational content of records series and electronic records systems determines which are vital records. Only... ADMINISTRATION RECORDS MANAGEMENT MANAGING VITAL RECORDS § 1223.16 How are vital records identified? Agencies identify vital records in the context of the emergency management function. Vital records are those...

  15. 36 CFR 1223.16 - How are vital records identified?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... informational content of records series and electronic records systems determines which are vital records. Only... ADMINISTRATION RECORDS MANAGEMENT MANAGING VITAL RECORDS § 1223.16 How are vital records identified? Agencies identify vital records in the context of the emergency management function. Vital records are those...

  16. MyAgRecord: An Online Career Portfolio Management Tool for High School Students Conducting Supervised Agricultural Experience Programs.

    ERIC Educational Resources Information Center

    Emis, Larry; Dillingham, John

    Texas's online career portfolio management tool for high school students participating in supervised agricultural experience programs (SAEPs) was developed in 1998 by a committee of Texas high school teachers of agriscience and Texas Education Agency personnel. The career portfolio management tool reflects General Accepted Accounting Principles…

  17. 7 CFR 1484.11 - Has the Office of Management and Budget reviewed the paperwork and record keeping requirements...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 10 2011-01-01 2011-01-01 false Has the Office of Management and Budget reviewed the... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS PROGRAMS TO HELP DEVELOP FOREIGN MARKETS FOR AGRICULTURAL COMMODITIES General Information § 1484.11 Has the Office of Management and Budget reviewed the paperwork...

  18. 7 CFR 1484.11 - Has the Office of Management and Budget reviewed the paperwork and record keeping requirements...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 10 2010-01-01 2010-01-01 false Has the Office of Management and Budget reviewed the... AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS PROGRAMS TO HELP DEVELOP FOREIGN MARKETS FOR AGRICULTURAL COMMODITIES General Information § 1484.11 Has the Office of Management and Budget reviewed the paperwork...

  19. 75 FR 55345 - Notice of Availability of Record of Decision for the Socorro Field Office Resource Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-10

    ... Resource Management Plan/Environmental Impact Statement, New Mexico AGENCY: Bureau of Land Management... planning was used throughout the development of the RMP, which included public meetings, mailings, and...) Fluid and solid mineral development; (4) Travel and transportation (e.g., off-highway vehicle...

  20. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems... design, development, and implementation of electronic information systems? As part of the...

  1. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems... design, development, and implementation of electronic information systems? As part of the...

  2. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems... design, development, and implementation of electronic information systems? As part of the...

  3. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems... design, development, and implementation of electronic information systems? As part of the...

  4. 36 CFR 1236.12 - What other records management and preservation considerations must be incorporated into the...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of electronic information systems? 1236.12 Section 1236.12 Parks, Forests, and Public Property... Management and Preservation Considerations for Designing and Implementing Electronic Information Systems... design, development, and implementation of electronic information systems? As part of the...

  5. 75 FR 21662 - Access to Employee Exposure and Medical Records; Extension of the Office of Management and Budget...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-26

    ..., reporting burden (time and cost) is minimal, collection instruments are clearly understood, and OSHA's... record transfer. Accordingly, the Agency attributes the burden hours and costs associated with exposure monitoring and measurement, medical surveillance, and the other activities required to generate the...

  6. 78 FR 9721 - Privacy Act of 1974; New System of Records, Office of General Counsel E-Discovery Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ... require the preservation, collection and analysis of massive emails, word processing documents, PDF files, spreadsheets, presentations, database entries, and other documents in a variety of electronic file formats, as... efficiency of OGC's processing of records during the preservation, discovery, and processing of...

  7. Casebooks in Early Modern England:

    PubMed Central

    Kassell, Lauren

    2014-01-01

    summary Casebooks are the richest sources that we have for encounters between early modern medical practitioners and their patients. This article compares astrological and medical records across two centuries, focused on England, and charts developments in the ways in which practitioners kept records and reflected on their practices. Astrologers had a long history of working from particular moments, stellar configurations, and events to general rules. These practices required systematic notation. Physicians increasingly modeled themselves on Hippocrates, recording details of cases as the basis for reasoned expositions of the histories of disease. Medical records, as other scholars have demonstrated, shaped the production of medical knowledge. Instead, this article focuses on the nature of casebooks as artifacts of the medical encounter. It establishes that casebooks were serial records of practice, akin to diaries, testimonials, and registers; identifies extant English casebooks and the practices that led to their production and preservation; and concludes that the processes of writing, ordering, and preserving medical records are as important for understanding the medical encounter as the records themselves. PMID:25557513

  8. The impact of ancestral heath management on soils and landscapes. A reconstruction based on paleoecological analyses of soil records in the middle and southeast Netherlands.

    NASA Astrophysics Data System (ADS)

    van Mourik, Jan; Doorenbosch, Marieke

    2016-04-01

    The evolution of heath lands during the Holocene has been registered in various soil records . Paleoecological analyses of these records enable to reconstruct the changing economic and cultural management of heaths and the consequences for landscape and soils. Heaths are characteristic components of cultural landscape mosaics on sandy soils in the Netherlands. The natural habitat of heather species was moorland. At first, natural events like forest fires and storms caused small-scale forest degradation, in addition on the forest degradation accelerated due to cultural activities like forest grazing, wood cutting and shifting cultivation. Heather plants invaded on degraded forest soils and heaths developed. People learned to use the heaths for economic and cultural purposes. The impact of the heath management on landscape and soils was registered in soil records of barrows, drift sand sequences and plaggic Anthrosols. Based on pollen diagrams of such records we could reconstruct that heaths were developed and used for cattle grazing before the Bronze Age. During the Late Neolithic, the Bronze Age and Iron Age, people created the barrow landscape on the ancestral heaths. After the Iron Age people probably continued with cattle grazing on the heaths and plaggic agriculture until the Early Middle Ages. After 1000 AD two events affected the heaths. At first deforestation for the sale of wood resulted in the first regional extension of sand drifting and heath degradation. After that the introduction of the deep stable economy and heath sods digging resulted in acceleration of the rise of plaggic horizons, severe heath degradation and the second extension of sand drifting. At the end of the 19th century the heath lost its economic value due to the introduction of chemical fertilizers. The heaths were transformed into 'new' arable fields and forests and due to deep ploughing most soil archives were destroyed. Since 1980 AD, the remaining relicts of the ancestral heaths are

  9. 24 CFR 901.15 - Indicator #2, modernization.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Indicator #2, modernization. 901.15... DEVELOPMENT PUBLIC HOUSING MANAGEMENT ASSESSMENT PROGRAM § 901.15 Indicator #2, modernization. This indicator is automatically excluded if a PHA does not have a modernization program. This indicator examines...

  10. 5 CFR 850.302 - Record maintenance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Record maintenance. 850.302 Section 850... (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Records § 850.302 Record maintenance. (a) The retirement and..., for the initiation and maintenance of records, evidence, or other information described in this...

  11. 5 CFR 850.302 - Record maintenance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Record maintenance. 850.302 Section 850... (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Records § 850.302 Record maintenance. (a) The retirement and..., for the initiation and maintenance of records, evidence, or other information described in this...

  12. Information Technology Management: Review of the Information Security Operational Controls of the Defense Logistics Agency’s Business Systems Modernization-Energy

    DTIC Science & Technology

    2006-04-24

    Information Technology Management Department of Defense Office of Inspector General April 24, 2006 AccountabilityIntegrityQuality Review of the...3. DATES COVERED 00-00-2006 to 00-00-2006 4. TITLE AND SUBTITLE Information Technology Management : Review of the Information Security

  13. Legal aspects of orthodontic practice: risk management concepts. Excellent diagnostic informed consent practice and record keeping make a difference.

    PubMed

    Machen, D E

    1990-10-01

    In this and succeeding issues of the American Journal of Orthodontics and Dentofacial Orthopedics, factual risk management scenarios will be presented. These scenarios are based on composites of actual court cases that have been tried to verdict or decision. Valuable risk management lessons may be learned from careful analysis of the course of the events described. Please be advised that the standard of care determined in any case is specific for that jurisdiction and that set of facts as established by expert testimony for the prevailing party. Readers' comments may be addressed to Dr. Donald E. Machen, 5801 Beacon St., Pittsburgh, PA 15217.

  14. [No exchange of information without technology : modern infrastructure in radiology].

    PubMed

    Hupperts, H; Hermann, K-G A

    2014-01-01

    Modern radiology cannot accomplish the daily numbers of examinations without supportive technology. Even though technology seems to be becoming increasingly more indispensable, business continuity should be ensured at any time and if necessary even with a limited technical infrastructure by business continuity management. An efficient information security management system forms the basis. The early radiology information systems were islands of information processing. A modern radiology department must be able to be modularly integrated into an informational network of a bigger organization. The secondary use of stored data for clinical decision-making support poses new challenges for the integrity of the data or systems because medical knowledge is displayed and provided in a context of treatment. In terms of imaging the creation and distribution radiology services work in a fully digital manner which is often different for radiology reports. Legally secure electronic diagnostic reports require a complex technical infrastructure; therefore, diagnostic findings still need to be filed as a paper document. The internal exchange and an improved dose management can be simplified by systems which continuously and automatically record the doses and thus provide the possibility of permanent analysis and reporting. Communication between patient and radiologist will gain ongoing importance. Intelligent use of technology will convey this to the radiologist and it will facilitate the understanding of the information by the patient.

  15. Documentation of sexual partner gender is low in electronic health records: observations, predictors, and recommendations to improve population health management in primary care.

    PubMed

    Nguyen, Giang T; Yehia, Baligh R

    2015-06-01

    The 2011 Institute of Medicine report on LGBT health recommended that sexual orientation and gender identity (SO/GI) be documented in electronic health records (EHRs). Most EHRs cannot document all aspects of SO/GI, but some can record gender of sexual partners. This study sought to determine the proportion of patients who have the gender of sexual partners recorded in the EHR and to identify factors associated with documentation. A retrospective analysis was done of EHR data for 40 family medicine (FM) and general internal medicine (IM) practices, comprising 170,570 adult patients seen in 2012. The primary outcome was EHR documentation of sexual partner gender. Multivariate logistic regression assessed the impact of patient, provider, and practice factors on documentation. In all, 76,767 patients (45%) had the gender of sexual partners recorded, 4.3% of whom had same-gender partners (3.5% of females, 5.6% of males). Likelihood of documentation was independently higher for women; blacks; those with a preventive visit; those with a physician assistant, nurse practitioner, or resident primary care provider (vs. attending); those at urban practices; those at smaller practices; and those at a residency FM practice. Older age and Medicare insurance were associated with lower documentation. Sexual partner gender documentation is important to identify patients for targeted prevention and support, and holds great potential for population health management, yet documentation in the EHR currently is low. Primary care practices should routinely record the gender of sexual partners, and additional work is needed to identify best practices for collecting and using SO/GI data in this setting.

  16. 78 FR 24232 - Record of Decision for the Denali Park Road Final Vehicle Management Plan and Environmental...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-24

    ... Alternative), which offers visitors the opportunity to have a high-quality experience using a transportation... public involvement in the decision making process. ADDRESSES: Copies of the ROD will be available in an... manage vehicle use on the Park Road in order to provide visitors with an opportunity for a...

  17. 41 CFR 102-193.15 - What are the records management responsibilities of the Administrator of General Services (the...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... management responsibilities of the Administrator of General Services (the Administrator), the Archivist of the United States (the Archivist), and the Heads of Federal agencies? 102-193.15 Section 102-193.15... Administrator), the Archivist of the United States (the Archivist), and the Heads of Federal agencies? (a)...

  18. 41 CFR 102-193.15 - What are the records management responsibilities of the Administrator of General Services (the...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... management responsibilities of the Administrator of General Services (the Administrator), the Archivist of the United States (the Archivist), and the Heads of Federal agencies? 102-193.15 Section 102-193.15... Administrator), the Archivist of the United States (the Archivist), and the Heads of Federal agencies? (a)...

  19. 77 FR 31036 - Notice of Availability of the Record of Decision for the Taos Resource Management Plan...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-24

    ..., for a public protest period and a Governor's consistency review period. The BLM received 27 letters... protective management of the Old Spanish National Historic Trail. While the Governor's consistency review... comment period on June 10, 2010, and identified Alternative A as the BLM's preferred alternative. Based...

  20. A VIRTUAL TECHNICAL SYSTEMS AUDIT OF RESEARCH QUALITY ASSURANCE AND RECORD MANAGEMENT SYSTEMS IN ORD, U.S EPA

    EPA Science Inventory

    NHEERL conducts technical systems audits (TSAs) on its research projects. The findings are reported by the QA Manager (QAM) to the Director of QA (DQA) as Exemplary Findings (things the QA Team liked); Corrective Actions (things that must be corrected immediately); and Areas for...

  1. 77 FR 49016 - Notice of Availability of Record of Decision for the Pocatello Field Office Resource Management...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-15

    ... of Land Management, 4350 Cliffs Drive, Pocatello, Idaho 83204 or at the following Web site: http... Director's Protest Resolution Report which can be reviewed at the following Web site: http://www.blm.gov/wo.../Approved RMP. The Approved RMP can be accessed at the following Web site:...

  2. Make or Buy: Cost Impacts of Additive Manufacturing, 3D Laser Scanning Technology, and Collaborative Product Lifecycle Management on Ship Maintenance and Modernization

    DTIC Science & Technology

    2015-05-01

    1 Make or Buy: Cost Impacts of Additive Manufacturing , 3D Laser Scanning Technology, and Collaborative Product Lifecycle Management on Ship...DATES COVERED 00-00-2015 to 00-00-2015 4. TITLE AND SUBTITLE Make or Buy: Cost Impacts of Additive Manufacturing , 3D Laser Scanning Technology...management during operations 4 Potential Technology 3: Additive Manufacturing (“3D Printing”) 5 • 3D design/image (e.g. from 3D LS) of final part

  3. Retrieval and management of medical information from heterogeneous sources, for its integration in a medical record visualisation tool.

    PubMed

    Cabarcos, Alba; Sanchez, Tamara; Seoane, Jose A; Aguiar-Pulido, Vanessa; Freire, Ana; Dorado, Julian; Pazos, Alejandro

    2010-01-01

    Nowadays, medical practice needs, at the patient Point-of-Care (POC), personalised knowledge adjustable in each moment to the clinical needs of each patient, in order to provide support to decision-making processes, taking into account personalised information. To achieve this, adapting the hospital information systems is necessary. Thus, there is a need of computational developments capable of retrieving and integrating the large amount of biomedical information available today, managing the complexity and diversity of these systems. Hence, this paper describes a prototype which retrieves biomedical information from different sources, manages it to improve the results obtained and to reduce response time and, finally, integrates it so that it is useful for the clinician, providing all the information available about the patient at the POC. Moreover, it also uses tools which allow medical staff to communicate and share knowledge.

  4. Usability of implementing a tablet-based decision support and integrated record- keeping (DESIRE) tool in the nurse management of hypertension in rural Kenya.

    PubMed

    Blank, Evan; Tuikong, Nelly; Misoi, Lawrence; Kamano, Jemima; Hutchinson, Claire; Kimaiyo, Sylvester; Fustera, Valentin; Were, Martin; Vedanthan, Rajesh

    2013-01-01

    In sub-Saharan Africa (SSA), cardiovascular disease (CVD) is the leading cause of death among individuals over the age of 30. Hypertension, a major risk factor for CVD, contributes significantly to the CVD burden in SSA. In order to address the human resource challenge of managing hypertension in low- and middle-income countries (LMICs), task-shifting hypertension care from physicians to nurses has been proposed. To support this task-shifting strategy, the Academic Partnership Providing Access to Healthcare (AMPATH) has developed an Android tablet-based electronic Decision Support and Integrated Record-Keeping (DESIRE) tool to record patient data and assist with clinical decision-making. We investigated the usability of the DESIRE tool in the setting of nurse management of hypertension in rural western Kenya through the use of "mock patient" encounters and "think aloud" exercises. Fiftyseven critical incidents were identified and twenty-three design changes were suggested. Optimization of the tool has the potential to broadly impact treatment of non-communicable diseases in LMICs by providing a model of electronic decision-support in task shifting.

  5. The Relationship Between Work-Disability Duration and Claimant's Expected Time to Return to Work as Recorded by Workers' Compensation Claims Managers.

    PubMed

    Young, Amanda E; Besen, Elyssa; Willetts, Joanna

    2016-07-26

    Purpose This research sought to determine whether there is a relationship between claimants' expected time to return to work (RTW) as recorded by claims managers and compensated days of work disability. Methods We utilized workers' compensation data from a large, United States-based insurance company. RTW expectations were collected within 30 days of the claim being reported and these were compared with the termination of total temporary indemnity payments. Bivariate and hierarchical regression analyses were conducted. Results A significant relationship between expected time to RTW and compensated disability duration was observed. The unadjusted correlation between work-disability duration and expected time to RTW was .25 (p < .001). Our multivariate model explained 29.8 % of the variance, with expected time to RTW explaining an additional 9.5 % of the variance in work-disability duration beyond what was explained by the covariates. Conclusion The current study's findings support the hypothesis that claimant RTW estimates as recorded by claims managers are significantly related to compensated-disability duration, and the relationship is maintained after controlling for variance that can be explained by other variables available within workers' compensation databases.

  6. 36 CFR 1236.14 - What must agencies do to protect records against technological obsolescence?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... protect records against technological obsolescence? 1236.14 Section 1236.14 Parks, Forests, and Public Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT ELECTRONIC RECORDS MANAGEMENT Records Management and Preservation Considerations for Designing and Implementing Electronic...

  7. Dual energy computed tomography for quantification of tissue urate deposits in tophaceous gout: help from modern physics in the management of an ancient disease.

    PubMed

    Bacani, A Kirstin; McCollough, Cynthia H; Glazebrook, Katrina N; Bond, Jeffrey R; Michet, Clement J; Milks, Jeffrey; Manek, Nisha J

    2012-01-01

    Gout has been recognized for centuries but is also a modern day scourge. It is the most common type of inflammatory arthritis in men and appears to be increasing in both incidence and prevalence (Arromdee et al. in J Rheumatol 29(11):2403-2406, 2002). Despite these facts, few advances have been made in the diagnosis and treatment of gout for over 50 years. Difficult cases of gout challenge available therapeutic options. It is only recently that the Food and Drug Administration has approved febuxostat as a treatment option for patients intolerant of allopurinol. We describe a difficult case of tophaceous gout notable for several reasons: utilization of rasburicase as uricolytic treatment to dramatically reduce tissue urate burden; treatment of gout flares with interleukin-1β inhibition; and quantification of tissue urate with novel dual energy computed tomography technology before and after uricolytic therapy.

  8. World Record Earned Value Management System Certification for Cleanup of the East Tennessee Technology Park, Oak Ridge, Tennessee, USA - 13181

    SciTech Connect

    Haynes, Ray; Hirschy, Anita

    2013-07-01

    On projects that require Earned Value Management (EVMS) Certification, it is critical to quickly prepare for and then successfully obtain certification. This is especially true for government contracts. Projects that do poorly during the review are subject to financial penalties to their company and they lose creditability with their customer creating problems with the project at the outset. At East Tennessee Technology Park (ETTP), we began preparing for Department of Energy (DOE) certification early during proposal development. Once the contract was awarded, while still in transition phase from the previous contractor to our new company, we immediately began reviewing the project controls systems that were in place on the project and determined if any replacements needed to be made immediately. The ETTP contract required the scheduling software to be upgraded to Primavera P6 and we determined that no other software changes would be done prior to certification. Next, preparation of the Project Controls System Description (PCSD) and associated procedures began using corporate standards as related to the project controls systems. During the transition phase, development was started on the Performance Measurement Baseline which is the resource loaded schedule used to measure our performance on the project and which is critical to good Earned Value Management of the project. Early on, and throughout the baseline review, there was positive feedback from the Department of Energy that the quality of the new baseline was good. Having this superior baseline also contributed to our success in EVMS certification. The combined companies of URS and CH2M Hill had recent experience with certifications at other Department of Energy sites and we were able to capitalize on that knowledge and experience. Generic PCSD and procedures consistent with our co-operations approach to Earned Value Management were available to us and were easily tailorable to the specifics of our contract

  9. Comparing the Performance of NoSQL Approaches for Managing Archetype-Based Electronic Health Record Data.

    PubMed

    Freire, Sergio Miranda; Teodoro, Douglas; Wei-Kleiner, Fang; Sundvall, Erik; Karlsson, Daniel; Lambrix, Patrick

    2016-01-01

    This study provides an experimental performance evaluation on population-based queries of NoSQL databases storing archetype-based Electronic Health Record (EHR) data. There are few published studies regarding the performance of persistence mechanisms for systems that use multilevel modelling approaches, especially when the focus is on population-based queries. A healthcare dataset with 4.2 million records stored in a relational database (MySQL) was used to generate XML and JSON documents based on the openEHR reference model. Six datasets with different sizes were created from these documents and imported into three single machine XML databases (BaseX, eXistdb and Berkeley DB XML) and into a distributed NoSQL database system based on the MapReduce approach, Couchbase, deployed in different cluster configurations of 1, 2, 4, 8 and 12 machines. Population-based queries were submitted to those databases and to the original relational database. Database size and query response times are presented. The XML databases were considerably slower and required much more space than Couchbase. Overall, Couchbase had better response times than MySQL, especially for larger datasets. However, Couchbase requires indexing for each differently formulated query and the indexing time increases with the size of the datasets. The performances of the clusters with 2, 4, 8 and 12 nodes were not better than the single node cluster in relation to the query response time, but the indexing time was reduced proportionally to the number of nodes. The tested XML databases had acceptable performance for openEHR-based data in some querying use cases and small datasets, but were generally much slower than Couchbase. Couchbase also outperformed the response times of the relational database, but required more disk space and had a much longer indexing time. Systems like Couchbase are thus interesting research targets for scalable storage and querying of archetype-based EHR data when population-based use

  10. Comparing the Performance of NoSQL Approaches for Managing Archetype-Based Electronic Health Record Data

    PubMed Central

    Freire, Sergio Miranda; Teodoro, Douglas; Wei-Kleiner, Fang; Sundvall, Erik; Karlsson, Daniel; Lambrix, Patrick

    2016-01-01

    This study provides an experimental performance evaluation on population-based queries of NoSQL databases storing archetype-based Electronic Health Record (EHR) data. There are few published studies regarding the performance of persistence mechanisms for systems that use multilevel modelling approaches, especially when the focus is on population-based queries. A healthcare dataset with 4.2 million records stored in a relational database (MySQL) was used to generate XML and JSON documents based on the openEHR reference model. Six datasets with different sizes were created from these documents and imported into three single machine XML databases (BaseX, eXistdb and Berkeley DB XML) and into a distributed NoSQL database system based on the MapReduce approach, Couchbase, deployed in different cluster configurations of 1, 2, 4, 8 and 12 machines. Population-based queries were submitted to those databases and to the original relational database. Database size and query response times are presented. The XML databases were considerably slower and required much more space than Couchbase. Overall, Couchbase had better response times than MySQL, especially for larger datasets. However, Couchbase requires indexing for each differently formulated query and the indexing time increases with the size of the datasets. The performances of the clusters with 2, 4, 8 and 12 nodes were not better than the single node cluster in relation to the query response time, but the indexing time was reduced proportionally to the number of nodes. The tested XML databases had acceptable performance for openEHR-based data in some querying use cases and small datasets, but were generally much slower than Couchbase. Couchbase also outperformed the response times of the relational database, but required more disk space and had a much longer indexing time. Systems like Couchbase are thus interesting research targets for scalable storage and querying of archetype-based EHR data when population-based use

  11. 41 CFR 109-28.5003 - Records.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... AND DISTRIBUTION 28.50-Management of Equipment Held for Future Projects § 109-28.5003 Records. Records... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Records. 109-28.5003 Section 109-28.5003 Public Contracts and Property Management Federal Property Management...

  12. Multimedia environmental management

    SciTech Connect

    Soesilo, J.A.; Wiley, W.D.

    1999-09-01

    This book explores and supports the argument that effective environmental management must be based on a multimedia approach, which focuses simultaneously on air, water, and waste and enables managers to assess the resulting financial, operation, and management benefits. The multimedia approach, which can be used to design an effective compliance program, includes proper waste and material handling management, systematic monitoring, and record keeping requirements. This approach integrates a wide array of environmental requirements and decision processes, which the authors examine in sixteen chapters, organized into four parts: the role of environmental management; environmental aspects of business operation, environmental processes; and environmental management trends. Within these parts, the authors highlight the development of modern environmental management and provide an overview of federal laws pertinent to multimedia environmental management. They examine such issues as chemical storage and transportation, tank system operations and requirements, waste determination, spill response procedures, and employee training. Environmental processes addressed in the book include the management of solid and hazardous waste, wastewater treatment systems, stormwater management, air emission control, and site remediation. The authors also briefly discuss significant initiatives in US environmental management and look toward corporate sustainable development.

  13. 2010 Army Modernization Strategy

    DTIC Science & Technology

    2010-01-01

    details outlined in Chapter 4 will describe the following modernization objectives: With night vision goggles our Soldiers “own the night .” 10 2010 ARMY...modern armor-capable truck versus a non-armor capable truck? What percentage of our Night Vision Devices must be the most modern variant? The Army...Soldier weapons sight and sensors so they operate within the GSS framework. Systems such as the Digital Enhanced Night Vision Goggle could allow

  14. A Push on Job Anxiety for Employees on Managing Recent Difficult to Understand Computing Equipment in the Modern Issues in Indian Banking Quarter.

    PubMed

    Gopalakrishnan, Ragunathan; Swarnalatha, Chellapa

    2015-01-01

    Stress management can be defined as intervention planned to decrease the force of stressors in the administrative center. These can have a human being focus, aimed at raising an individual's ability to cope with stressors and the implementation of the CRM is essential to establish a better performance of the banking sector. Since managing stress and customer relationship management are becoming crucial in the field of management the work has forecasted them in a wide range of dimensions. This paper organizes few preliminary concepts of stress and critically analyzes the CRM strategy implemented by banking sector. Hence the employees of the Banking Industry have been asked to give their opinion about the CRM strategy adopted by banks. In order to provide the background of the employees, the profile of the employees has been discussed initially. The profile of the employees along with their opinion on the CRM practices adopted at Banking Industries has been discussed. In our work progresses we have been taken of two main parameters for consideration and it detriment in which area stress are mainly responds, and also the paper envelopes certain valuable stress management tactics and techniques that are particularly compassionate for people who have been working in the banking sector. Also an attempt to diagnose the impact of underside stress of day to day life in mounting a bigger level stress upon the employees has been made. Further development has been made with a detailed parametric analysis of employee stress conducted with the wide range of key parameters and several rounds of experiments have been conducted with techniques as Kolmogorov-Smirnov test, Garrett ranking, and ANOVA; the work ensures to pave way for an accurate measure in customer handling. The questionnaire is planned to be distributed to 175 employees in the Madurai district banks.

  15. A Push on Job Anxiety for Employees on Managing Recent Difficult to Understand Computing Equipment in the Modern Issues in Indian Banking Quarter

    PubMed Central

    Gopalakrishnan, Ragunathan; Swarnalatha, Chellapa

    2015-01-01

    Stress management can be defined as intervention planned to decrease the force of stressors in the administrative center. These can have a human being focus, aimed at raising an individual's ability to cope with stressors and the implementation of the CRM is essential to establish a better performance of the banking sector. Since managing stress and customer relationship management are becoming crucial in the field of management the work has forecasted them in a wide range of dimensions. This paper organizes few preliminary concepts of stress and critically analyzes the CRM strategy implemented by banking sector. Hence the employees of the Banking Industry have been asked to give their opinion about the CRM strategy adopted by banks. In order to provide the background of the employees, the profile of the employees has been discussed initially. The profile of the employees along with their opinion on the CRM practices adopted at Banking Industries has been discussed. In our work progresses we have been taken of two main parameters for consideration and it detriment in which area stress are mainly responds, and also the paper envelopes certain valuable stress management tactics and techniques that are particularly compassionate for people who have been working in the banking sector. Also an attempt to diagnose the impact of underside stress of day to day life in mounting a bigger level stress upon the employees has been made. Further development has been made with a detailed parametric analysis of employee stress conducted with the wide range of key parameters and several rounds of experiments have been conducted with techniques as Kolmogorov-Smirnov test, Garrett ranking, and ANOVA; the work ensures to pave way for an accurate measure in customer handling. The questionnaire is planned to be distributed to 175 employees in the Madurai district banks. PMID:26558290

  16. The impact of ancestral heath management on soils and landscapes: a reconstruction based on paleoecological analyses of soil records in the central and southeastern Netherlands

    NASA Astrophysics Data System (ADS)

    Doorenbosch, Marieke; van Mourik, Jan M.

    2016-07-01

    The evolution of heathlands during the Holocene has been registered in various soil records. Paleoecological analyses of these records enable reconstruction of the changing economic and cultural management of heaths and the consequences for landscape and soils. Heaths are characteristic components of cultural landscape mosaics on sandy soils in the Netherlands. The natural habitat of heather species was moorland. At first, natural events like forest fires and storms caused small-scale forest degradation; in addition on that, the forest degradation accelerated due to cultural activities like forest grazing, wood cutting, and shifting cultivation. Heather plants invaded degraded forest soils, and heaths developed. People learned to use the heaths for economic and cultural purposes. The impact of the heath management on landscape and soils was registered in soil records of barrows, drift sand sequences, and plaggic Anthrosols. Based on pollen diagrams of such records we could reconstruct that heaths were developed and used for cattle grazing before the Bronze Age. During the late Neolithic, the Bronze Age, and Iron Age, people created the barrow landscape on the ancestral heaths. After the Iron Age, people probably continued with cattle grazing on the heaths and plaggic agriculture until the early Middle Ages. Severe forest degradation by the production of charcoal for melting iron during the Iron Age till the 6th-7th century and during the 11th-13th century for the trade of wood resulted in extensive sand drifting, a threat to the valuable heaths. The introduction of the deep, stable economy and heath sods digging in the course of the 18th century resulted in acceleration of the rise of plaggic horizons, severe heath degradation, and again extension of sand drifting. At the end of the 19th century heath lost its economic value due to the introduction of chemical fertilizers. The heaths were transformed into "new" arable fields and forests, and due to deep ploughing

  17. Phase I implementation of an academic medical record for integrating information management competencies into a nursing curriculum.

    PubMed

    Gassert, Carole A; Sward, Katherine A

    2007-01-01

    This paper is the report of the first phase of a case study from the University of Utah to help students and faculty integrate electronic information management into the nursing curriculum. Cerner AES, a live-production clinical information system with an academic overlay, has been implemented into the first semester of an undergraduate nursing program. A consortium of schools that use Cerner AES collaborate in the design and implementation of forms used by students. The consortium also allows members to share strategies for using the system. By using the system students are developing needed informatics competencies for beginning level nurses. The paper discusses the implementation strategies used and initial results of this project. Plans for expanding the project throughout the nursing curriculum are also presented.

  18. Nuclear weapons modernizations

    SciTech Connect

    Kristensen, Hans M.

    2014-05-09

    This article reviews the nuclear weapons modernization programs underway in the world's nine nuclear weapons states. It concludes that despite significant reductions in overall weapons inventories since the end of the Cold War, the pace of reductions is slowing - four of the nuclear weapons states are even increasing their arsenals, and all the nuclear weapons states are busy modernizing their remaining arsenals in what appears to be a dynamic and counterproductive nuclear competition. The author questions whether perpetual modernization combined with no specific plan for the elimination of nuclear weapons is consistent with the nuclear Non-Proliferation Treaty and concludes that new limits on nuclear modernizations are needed.

  19. Nuclear weapons modernizations

    NASA Astrophysics Data System (ADS)

    Kristensen, Hans M.

    2014-05-01

    This article reviews the nuclear weapons modernization programs underway in the world's nine nuclear weapons states. It concludes that despite significant reductions in overall weapons inventories since the end of the Cold War, the pace of reductions is slowing - four of the nuclear weapons states are even increasing their arsenals, and all the nuclear weapons states are busy modernizing their remaining arsenals in what appears to be a dynamic and counterproductive nuclear competition. The author questions whether perpetual modernization combined with no specific plan for the elimination of nuclear weapons is consistent with the nuclear Non-Proliferation Treaty and concludes that new limits on nuclear modernizations are needed.

  20. Acceptance of direct physician access to a computer-based patient record in a managed care setting.

    PubMed

    Dewey, J B; Manning, P; Brandt, S

    1993-01-01

    Kaiser Permanente Mid-Atlantic States has developed a fully integrated outpatient information system which currently runs on an IBM ES9000 on a VM platform written in MUMPS. The applications include Lab, Radiology, Transcription, Appointments. Pharmacy, Encounter tracking, Hospitalizations, Referrals, Phone Advice, Pap tracking, Problem list, Immunization tracking, and Patient demographics. They are department specific and require input and output from a dumb terminal. We have developed a physician's work station to access this information using PC compatible computers running Microsoft Windows and a custom Microsoft Visual Basic 2.0 environment which draws from these 14 applications giving the physician a comprehensive view of all electronic medical records. Through rapid prototyping, voluntary participation, formal training and gradual implementation we have created an enthusiastic response. 95% of our physician PC users access the system each month. The use ranges from 0.2 to 3.0 screens of data viewed per patient visit. This response continues to drive the process toward still greater user acceptance and further practice enhancement.

  1. Specific application for Oak Ridge National Laboratory dismantlement of Building 3004. Appendix A -- Quality assurance plan; Appendix B -- Records management plan

    SciTech Connect

    1997-03-01

    This quality assurance (QA) plan defines the QA requirements for the dismantlement and removal of Building 3004 at Oak Ridge National Laboratory (ORNL). The building is a four-story wooden trained structure with wooden siding, which resides approximately 150 ft west of the Bulk Shielding Reactor, and only several feet away from the visitors entrance to the Graphite Reactor museum. Complete descriptions and sketches are in the Performance Specification document for this project. This project is being conducted as a non-CERCLA maintenance action. This plan is an appendix to the QA plan for the ORNL Environmental Restoration (ER) Program. ORNL/ER-225, which is the source of the project QA requirements, tailors those QA requirements to the specific needs of this project as defined in ORNL/ER-225. Project-specific description and organization are also provided in this plan. Appendix B, Records Management Plan, is included.

  2. Magnetic Recording.

    ERIC Educational Resources Information Center

    Lowman, Charles E.

    A guide to the technology of magnetic recorders used in such fields as audio recording, broadcast and closed-circuit television, instrumentation recording, and computer data systems is presented. Included are discussions of applications, advantages, and limitations of magnetic recording, its basic principles and theory of operation, and its…

  3. United States of America activities relative to the International Atomic Energy Agency (IAEA) initiative: Records management for deep geologic repositories

    SciTech Connect

    Warner, P.J.

    1997-03-01

    The International Atomic Energy Agency (IAEA) has conducted consultant and advisory meetings to prepare a Technical Document which is intended to provide guidance to all IAEA Member States (otherwise known as countries) that are currently planning, designing, constructing or operating a deep or near surface geological repository for the storage and protection of vitrified high-level radioactive waste, spent fuel waste and TRU-waste (transuranic). Eleven countries of the international community are presently in various stages of siting, designing, or constructing deep geologic repositories. Member States of the IAEA have determined that the principle safety of such completed and operation sites must not rely solely on long term institutional arrangements for the retention of information. It is believed that repository siting, design, operation and postoperation information should be gathered, managed and retained in a manner that will provide information to future societies over a very long period of time. The radionuclide life is 10,000 years thus the retention of information must outlive current societies, languages, and be continually migrated to new technology to assure retrieval. This presentation will provide an overview of the status of consideration and implementation of these issues within the United States efforts relative to deep geologic repository projects.

  4. Predictors of Ips confusus Outbreaks During a Record Drought in Southwestern USA: Implications for Monitoring and Management

    NASA Astrophysics Data System (ADS)

    Santos, Maria J.; Whitham, Thomas G.

    2010-02-01

    In many ecosystems the effects of disturbance can be cryptic and disturbance may vary in subtle spatiotemporal ways. For instance, we know that bark beetle outbreaks are more frequent in temperate forests during droughts; however, we have little idea about why they occur in some locations and not others. Understanding biotic and abiotic factors promoting bark beetle outbreaks can be critical to predicting and responding to pest outbreaks. Here we address the environmental factors which are associated with Ips confusus outbreaks during the 2002 widespread drought within the distribution range of pinyon pine woodlands in Arizona. We used univariate statistics to test if whether tree characteristics, other herbivores, stand properties, soil type, wind, and topography were associated with I. confusus outbreak, and logistic regression to create a predictive model for the outbreaks. We found that I. confusus attacks occur in low elevation stands on steeper slopes, where favorable winds for I. confusus dispersion occur. I. confusus select larger trees, in high density stands with understory shrubs that exhibit phenotypic traits characteristic of resistance to stem-boring moths. The model was highly accurate, and explained 95% of the variability in occurrence (98% of the absences and 95% of the presences). Accurate prediction of the impacts of disturbance allow us to anticipate, minimize or mitigate for and eventually counteract its effects, especially those affecting diversity and ecosystem function. Identification of outbreak risk areas can guide regional and national management towards the reduction of infestation risk and enhancing conservation of pinyon-juniper woodlands.

  5. [Development of an magnetic resonance imaging safety management system for metallic biomedical products using an magnetic resonance compatibility database and inquiry-based patient records].

    PubMed

    Fujiwara, Yasuhiro; Kata, Tomomi; Fujimoto, Shinichi; Yachida, Takuya; Kanamoto, Masayuki; Nanbu, Yousuke; Seki, Kouichirou; Kosaka, Nobuyuki; Kimura, Hirohiko; Adachi, Toshiki

    2014-12-01

    Several incidents involving magnetic resonance imaging (MRI) examinations of patients with unchecked MR-unsafe metallic products have been reported. To improve patient safety, we developed a new MRI safety management system for metallic biomedical products and evaluated its efficiency in clinical practice. Our system was integrated into the picture archiving and communication system (PACS) and comprised an MR compatibility database and inquiry-based patient records of internal metallic biomedical products, enabling hospital staff to check MR compatibility by product name. A total of 6,637 biomedical implants and devices were listed in this system, including product names and their MR compatibilities. Furthermore, MRI histories for each patient at our hospital were also recorded. Using this system, it was possible to confirm the MR compatibility of the patients' metallic biomedical products effectively and to reduce the number of unchecked internal products through systematic patient inquiry. In conclusion, our new system enhanced metallic biomedical product checking procedures, and improved patient safety during clinical MRI examinations.

  6. MATERIALS FOR MODERNIZATION.

    ERIC Educational Resources Information Center

    JACKSON, R. GRAHAM

    CHOICES AND ISSUES IN SELECTING MATERIALS FOR MODERNIZATION OF SCHOOL BUILDINGS ARE DISCUSSED IN THIS REPORT. BACKGROUND INFORMATION IS INTRODUCED IN TERMS OF REASONS FOR ABANDONMENT, THE CAUSES AND EFFECTS OF SCHOOL BUILDING OBSOLESCENCE, AND PROBLEMS IN THE MODERNIZATION PROCESS. INTERIOR PARTITIONS ARE DISCUSSED IN TERMS OF BUILDING MATERIALS,…

  7. Genetic and Fossil Evidence for the Origin of Modern Humans.

    ERIC Educational Resources Information Center

    Stringer, C. B.; Andrews, P.

    1988-01-01

    Discusses how genetic data on present human population relationships and data from the Pleistocene fossil hominid record are being used to compare two contrasting models for the origin of modern humans. (TW)

  8. Clinical and translational science sustainability: overcoming integration issues between electronic health records (EHR) and clinical research data management systems "separate but equal".

    PubMed

    DiLaura, Robert P

    2007-01-01

    The use of health information technology (HIT) is growing rapidly for patient care systems required to test, diagnose and treat patients, and to bill for these services. Today's Electronic Health Record (EHR) systems are a response to this pressure, enabling feature rich computer-assisted decisions and communication. And even though EHR benefits dramatically outweigh the costs, required investments are nonetheless significant. Continuing to invest in HIT at a revolutionary rate is unsustainable given institutional financial constraints and continuing reimbursement cuts. Future improvements must come from new treatments, test methods, drugs and devices - from research. But data management information systems for clinical research receive less funding than patient care systems, and in less coherent ways. It is easy to imagine using the high cost, patient-based EHRs for clinical research data management, and thus accelerate the speed of translating new medical discoveries into standard practice. But taking this step requires thoughtful planning to overcome significant technology, legal/regulatory, policy, process, and administrative issues.

  9. Automating The Work at The Skin and Allergy Private Clinic : A Case Study on Using an Imaging Database to Manage Patients Records

    NASA Astrophysics Data System (ADS)

    Alghalayini, Mohammad Abdulrahman

    Today, many institutions and organizations are facing serious problem due to the tremendously increasing size of documents, and this problem is further triggering the storage and retrieval problems due to the continuously growing space and efficiency requirements. This problem is becoming more complex with time and the increase in the size and number of documents in an organization; therefore, there is a world wide growing demand to address this problem. This demand and challenge can be met by converting the tremendous amount of paper documents to images using a process to enable specialized document imaging people to select the most suitable image type and scanning resolution to use when there is a need for storing documents images. This documents management process, if applied, attempts to solve the problem of the image storage type and size to some extent. In this paper, we present a case study resembling an applied process to manage the registration of new patients in a private clinic and to optimize following up the registered patients after having their information records stored in an imaging database system; therefore, through this automation approach, we optimize the work process and maximize the efficiency of the Skin and Allergy Clinic tasks.

  10. Bodily cleanliness in modern nursing.

    PubMed

    Boge, Jeanne; Kristoffersen, Kjell; Martinsen, Kari

    2013-04-01

    Why are bodily washing practices the way they are in nursing? Michel Foucault argues that modern democratic societies discipline human bodies in accordance with political interests. In the extension of that argumentation we will show that bodily cleanliness in modern nursing may have been used as a disciplining tool. The first part of our discussion takes as its point of departure the second half of the 19th/the beginning of the 20th centuries, the period in which modern nursing emerged. At that time scientific theories on hygiene seem to have legitimized the political effort to produce a clean, pleasant-smelling, decent, obedient, and productive population. Doctors, nurses and teachers played important roles in the implementation of hygienic bodily washing practices. The second part of the discussion focuses on the post-war period. At that time humanistic needs theories seem to have legitimized political argumentation for independent patients who washed themselves if possible. Those who could not manage on their own, should, as far as possible, be washed by cheaper staff, so that nurses could concentrate on medical treatment. Finally we argue that present day bodily washing practices in nursing are in accordance with the norms of appearance and smell that arose in the second half of the 19th and the first part of the 20th centuries. We further argue that staff with little or no education perform much of the bodily nursing work. Self-care seems to be of interest only when it reduces public expenses.

  11. Envisioning electronic health record systems as change management: the experience of an English hospital joining the National Programme for Information Technology.

    PubMed

    Takian, Amirhossein

    2012-01-01

    The historical National Programme for Information Technology (NPfIT) in England was the most expensive (~$20billion) and ambitious politically-driven IT-based transformations of public services ever undertaken. Nation-wide implementation of integrated electronic health record (EHR) systems in hospitals was at the heart of the NPfIT (~$10billion). We conducted the first longitudinal, prospective, and sociotechnical case study implementation and adoption of national EHRs implementations in 12 'early adopter' hospitals across England. This paper reports the arrival, implementation process, and stakeholders' experiences of one EHR software (Millennium) at a National Health Service's (NHS) general hospital participating in NPfIT, hereafter called Alpha. From the outset, Alpha envisioned the implementation of EHR as a practice of change management to improve its performance. This vision attributed to the establishment of a 'design authority' at Alpha, including users from various capacities and levels. The 'design authority' was perceived a key contributor to appropriate (compared to other hospitals we studied) clinical engagement and bottom-up approach to deploying EHR. Through conducting several hundreds of group and individual workflow familiarization, Alpha adopted a novel approach to training staff on EHR software. This led to greater local configuration and high sense of ownership among users, which transformed work practices towards overall better performance of the hospital. Contrary to painful and turbulent experiences of EHR implementation via NPfIT route in the English hospitals, this in-depth case study revealed the importance of vision (change management) and insightful leadership in 'working out' EHR. We advocate envisioning EHRs as change management endeavors to enhance their complex, multi-dimensional, and sociotechnical adoption in healthcare settings.

  12. Modern Physics Simulations

    NASA Astrophysics Data System (ADS)

    Lopez, Jorge; Correa, Jose

    1999-10-01

    Due to the lack of laboratories for introductory modern physics classes, Dr. Jorge A. Lopez and Mr. Jose Ricardo Correa from the UTEP Physics Department work in the development of computer simulations of important modern physics experiments for the aforementioned physics classes. The presentation will inform the audience about this resource in the instruction of introductory modern physics as well as the success it has had. Introductory modern physics classes expose students to radically new concepts that defy common sense. As if this was not hard enough, students encounter a lack of hands-on activities due to the lack of lab equipment for their modern physics class. This is to be understood since most of the experiments cannot be performed in the conditions university laboratories provide and at the undergraduate level organization. Therefore, much time and effort have been devoted to the development of computer simulations of key modern physics experiments. These virtual experiments are a great alternative that will alleviate the limitations physics professors face when teaching introductory modern physics courses in addition to enchance student understanding.

  13. 5 CFR 850.301 - Electronic records; other acceptable records.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... records. 850.301 Section 850.301 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL... Repository, the eIRR records storage database, or other OPM database. (2) Electronic Official Personnel... continue to be acceptable records for processing by the retirement and insurance processing system....

  14. 21 CFR 1271.270 - Records.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... particular HCT/P involved. (b) Records management system. You must establish and maintain a records management system relating to core CGTP requirements. Under this system, records pertaining to a particular... evaluation or investigation. Records pertinent to the manufacture of HCT/Ps (e.g., labeling and...

  15. GPS Status and Modernization

    DTIC Science & Technology

    2010-03-10

    11 GPS IIA • 12 GPS IIR • 7 GPS IIR-M • 4 additional satellites in residual status • 1 additional IIR-M waiting to be set healthy • Global GPS ...AEP) Next Generation Control Segment (OCX) Legacy Control System 7 GPS Modernization – Ground • Architecture Evolution Plan (AEP) • Transitioned in 2007...Modern distributed system replaced 1970’s mainframes • Increased capacity for monitoring of GPS signals • Increased worldwide commanding

  16. 36 CFR 1236.14 - What must agencies do to protect records against technological obsolescence?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Property NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT ELECTRONIC RECORDS MANAGEMENT Records Management and Preservation Considerations for Designing and Implementing Electronic Information... must design and implement migration strategies to counteract hardware and software dependencies...

  17. Decision support using anesthesia information management system records and accreditation council for graduate medical education case logs for resident operating room assignments.

    PubMed

    Wanderer, Jonathan P; Charnin, Jonathan; Driscoll, William D; Bailin, Michael T; Baker, Keith

    2013-08-01

    Our goal in this study was to develop decision support systems for resident operating room (OR) assignments using anesthesia information management system (AIMS) records and Accreditation Council for Graduate Medical Education (ACGME) case logs and evaluate the implementations. We developed 2 Web-based systems: an ACGME case-log visualization tool, and Residents Helping in Navigating OR Scheduling (Rhinos), an interactive system that solicits OR assignment requests from residents and creates resident profiles. Resident profiles are snapshots of the cases and procedures each resident has done and were derived from AIMS records and ACGME case logs. A Rhinos pilot was performed for 6 weeks on 2 clinical services. One hundred sixty-five requests were entered and used in OR assignment decisions by a single attending anesthesiologist. Each request consisted of a rank ordered list of up to 3 ORs. Residents had access to detailed information about these cases including surgeon and patient name, age, procedure type, and admission status. Success rates at matching resident requests were determined by comparing requests with AIMS records. Of the 165 requests, 87 first-choice matches (52.7%), 27 second-choice matches (16.4%), and 8 third-choice matches (4.8%) were made. Forty-three requests were unmatched (26.1%). Thirty-nine first-choice requests overlapped (23.6%). Full implementation followed on 8 clinical services for 8 weeks. Seven hundred fifty-four requests were reviewed by 15 attending anesthesiologists, with 339 first-choice matches (45.0%), 122 second-choice matches (16.2%), 55 third-choice matches (7.3%), and 238 unmatched (31.5%). There were 279 overlapping first-choice requests (37.0%). The overall combined match success rate was 69.4%. Separately, we developed an ACGME case-log visualization tool that allows individual resident experiences to be compared against case minimums as well as resident peer groups. We conclude that it is feasible to use ACGME case

  18. Electronic health record use to classify patients with newly diagnosed versus preexisting type 2 diabetes: infrastructure for comparative effectiveness research and population health management.

    PubMed

    Kudyakov, Rustam; Bowen, James; Ewen, Edward; West, Suzanne L; Daoud, Yahya; Fleming, Neil; Masica, Andrew

    2012-02-01

    Use of electronic health record (EHR) content for comparative effectiveness research (CER) and population health management requires significant data configuration. A retrospective cohort study was conducted using patients with diabetes followed longitudinally (N=36,353) in the EHR deployed at outpatient practice networks of 2 health care systems. A data extraction and classification algorithm targeting identification of patients with a new diagnosis of type 2 diabetes mellitus (T2DM) was applied, with the main criterion being a minimum 30-day window between the first visit documented in the EHR and the entry of T2DM on the EHR problem list. Chart reviews (N=144) validated the performance of refining this EHR classification algorithm with external administrative data. Extraction using EHR data alone designated 3205 patients as newly diagnosed with T2DM with classification accuracy of 70.1%. Use of external administrative data on that preselected population improved classification accuracy of cases identified as new T2DM diagnosis (positive predictive value was 91.9% with that step). Laboratory and medication data did not help case classification. The final cohort using this 2-stage classification process comprised 1972 patients with a new diagnosis of T2DM. Data use from current EHR systems for CER and disease management mandates substantial tailoring. Quality between EHR clinical data generated in daily care and that required for population health research varies. As evidenced by this process for classification of newly diagnosed T2DM cases, validation of EHR data with external sources can be a valuable step.

  19. Constraining Modern and Historic Mercury Emissions From Gold Mining

    NASA Astrophysics Data System (ADS)

    Strode, S. A.; Jaeglé, L.; Selin, N. E.; Sunderland, E.

    2007-12-01

    Mercury emissions from both historic gold and silver mining and modern small-scale gold mining are highly uncertain. Historic mercury emissions can affect the modern atmosphere through reemission from land and ocean, and quantifying mercury emissions from historic gold and silver mining can help constrain modern mining sources. While estimates of mercury emissions during historic gold rushes exceed modern anthropogenic mercury emissions in North America, sediment records in many regions do not show a strong gold rush signal. We use the GEOS-Chem chemical transport model to determine the spatial footprint of mercury emissions from mining and compare model runs from gold rush periods to sediment and ice core records of historic mercury deposition. Based on records of gold and silver production, we include mercury emissions from North and South American mining of 1900 Mg/year in 1880, compared to modern global anthropogenic emissions of 3400 Mg/year. Including this large mining source in GEOS-Chem leads to an overestimate of the modeled 1880 to preindustrial enhancement ratio compared to the sediment core record. We conduct sensitivity studies to constrain the level of mercury emissions from modern and historic mining that is consistent with the deposition records for different regions.

  20. 41 CFR 109-28.5003 - Records.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false Records. 109-28.5003 Section 109-28.5003 Public Contracts and Property Management Federal Property Management Regulations... AND DISTRIBUTION 28.50-Management of Equipment Held for Future Projects § 109-28.5003 Records....

  1. 41 CFR 109-28.5003 - Records.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false Records. 109-28.5003 Section 109-28.5003 Public Contracts and Property Management Federal Property Management Regulations... AND DISTRIBUTION 28.50-Management of Equipment Held for Future Projects § 109-28.5003 Records....

  2. 41 CFR 109-28.5003 - Records.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false Records. 109-28.5003 Section 109-28.5003 Public Contracts and Property Management Federal Property Management Regulations... AND DISTRIBUTION 28.50-Management of Equipment Held for Future Projects § 109-28.5003 Records....

  3. The Modernization of Russia and Base Centers for Teacher Training

    ERIC Educational Resources Information Center

    Riabov, V. V.; Rakitov, A. I.

    2011-01-01

    The modernization of Russia requires people to be trained for a modern economy, for technological development, and for the sphere of state, regional, and corporate management. Accomplishing this complex task has been assigned to the "New School" policy, approved in 2010. The present article examines ways of dealing with problems that…

  4. 78 FR 30733 - Modernizing Federal Infrastructure Review and Permitting Regulations, Policies, and Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-22

    ... best-management practices. These best-management practices include: integrating project reviews among... best-management practices, and by making additional improvements to enhance efficiencies in the... memorandum, the Steering Committee shall identify and prioritize opportunities to modernize key...

  5. The modern feedlot for finishing cattle.

    PubMed

    Wagner, John J; Archibeque, Shawn L; Feuz, Dillon M

    2014-02-01

    The modern beef feedlot has evolved into a complex system that is very dependent upon technology. Modern feedlots are organized into departments, often including the office, cattle, yard, feed milling, and feed departments, that allow for improvements in production efficiency through the specialization of management and labor. Regardless of size, feedlots must succeed at the following tasks: cattle procurement, cattle receiving, cattle processing, daily cattle observations, health treatments, cattle marketing, feed procurement, feed commodity receiving, feed commodity storage, diet formulation, diet delivery, bunk management, and environmental management. Apart from cattle ownership, feedlots create most of their gross income from feed sales, yardage, inventory gain on flaked grain, and combinations of these sources. The future of the industry is filled with economic and political challenges, including high grain prices owing to competition from the ethanol industry, environmental regulations, excess feedlot capacity, and a diminishing labor pool owing to declining rural populations.

  6. Telling Modernization: Three Voices. Life History, Gender and the Discourse of Modernization. Roskilde University Life History Project Paper.

    ERIC Educational Resources Information Center

    Anderson, Linda

    The relationship between life history, gender, and the discourse of modernization was examined from the perspective of a researcher with extensive experience performing evaluations about modernization within human services in Denmark. Three stories about site-based management in two human service institutionsa youth center and a boarding school…

  7. Concurrent Sr/Ca Ratios and Bomb Test 14C Records from a Porites evermanni Colony on Kure Atoll: SST, Climate Change, Ocean Circulation and Management Applications

    NASA Astrophysics Data System (ADS)

    Covarrubias, S.; Potts, D.; Siciliano, D.; Andrews, A.; Franks, R.

    2013-12-01

    timeline of when carbon isotope spikes appear in this region from large scale atomic testing. Changes in 14C along the length of our core have important implications for understanding regional oceanic circulation, and for the life history age validation of marine organisms, including long-lived fishes whose calcareous otoliths retain a 14C signal. These results have direct application for improved management of commercially important reef and bottom fishes of Hawaii. By tracing the bomb 14C signal in the otolith (ear bone) of regional fishes, important population parameters can be validated (e.g. age of maturity and longevity). At present, the bomb 14C record is incomplete for the Hawaiian Archipelago, but the work presented will fill the void.

  8. 75 FR 2821 - Personnel Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ...; ] OFFICE OF PERSONNEL MANAGEMENT 5 CFR Part 293 RIN 3206-AM05 Personnel Records AGENCY: U.S. Office of Personnel Management. ACTION: Proposed rule with request for comments. SUMMARY: The U.S. Office of Personnel Management (OPM) is proposing to amend the regulations governing disposition of Official Personnel Folders...

  9. Modern approaches in primary exstrophy closure.

    PubMed

    Purves, J Todd

    2011-05-01

    Until the 1970s, bladder exstrophy was a frequently fatal birth defect that, at the very least, conferred a shortened life span with devastating consequences for afflicted patients. Beginning with the modern era of surgical management, survival has become routine, and now the focus is on optimizing a near-normal return to function and cosmesis while limiting the frequency and morbidity of reconstructive procedures. Here we discuss the most frequently used strategies, their principles, and most recent outcomes for the management of exstrophy worldwide. Advantages and disadvantages of each approach are discussed in broad terms with the understanding that one universally accepted technique for managing bladder exstrophy has yet to be developed.

  10. Meta Modernism: An Introduction

    ERIC Educational Resources Information Center

    Snell, Joel

    2016-01-01

    The author introduces Hegel. From the triad (Hegelian Dialect), he briefly gives an overview of the history of philosophy. In true Hegelian form, it is now time to reform "Postmodernism" and replace it with "Meta modernism." Postmodern had a short life from 1950 to now and has left few adherents. It is confusing and…

  11. Modern aspects of electrochemistry

    SciTech Connect

    Bockris, J.M.; Conway, B.E.; White, R.E.

    1986-01-01

    This book presents information on the following topics: perspectives in electrochemical physics; modern state of double layer study of solid metals; photoelectrolysis and photoelectrochemical catalysis; electron transfer reactions on oxide-covered metal electrodes; and interfacial electrostatics and electrodynamics in disperse systems.

  12. A Modern Periodic Table.

    ERIC Educational Resources Information Center

    Herrenden-Harker, B. D.

    1997-01-01

    Presents a modern Periodic Table based on the electron distribution in the outermost shell and the order of filling of the sublevels within the shells. Enables a student to read off directly the electronic configuration of the element and the order in which filling occurs. (JRH)

  13. Deconstructing Modern Educational Technology.

    ERIC Educational Resources Information Center

    Yeaman, Andrew R. J.

    1994-01-01

    Discusses modern educational technology, including postmodernism; deconstruction; the Shannon-Weaver Model for telecommunication apparatus and the epistemology of educational technology; the systems approach; and possible demands of postmodern educational technology, including technoscience, instructional design issues, and cultural aspects.…

  14. Modern Biotechnology in China

    NASA Astrophysics Data System (ADS)

    Wang, Qing-Zhao; Zhao, Xue-Ming

    In recent years, with the booming economy, the Chinese government has increased its financial input to biotechnology research, which has led to remarkable achievements by China in modern biotechnology. As one of the key parts of modern biotechnology, industrial biotechnology will be crucial for China's sustainable development in this century. This review presents an overview of Chinese industrial biotechnology in last 10 years. Modern biotechnology had been classified into metabolic engineering and systems biology framework. Metabolic engineering is a field of broad fundamental and practical concept so we integrated the related technology achievements into the real practices of many metabolic engineering cases, such as biobased products production, environmental control and others. Now metabolic engineering is developing towards the systems level. Chinese researchers have also embraced this concept and have contributed invaluable things in genomics, transcriptomics, proteomics and related bioinformatics. A series of advanced laboratories or centers were established which will represent Chinese modern biotechnology development in the near future. At the end of this review, metabolic network research advances have also been mentioned.

  15. Modern NMR Spectroscopy.

    ERIC Educational Resources Information Center

    Jelinski, Lynn W.

    1984-01-01

    Discusses direct chemical information that can be obtained from modern nuclear magnetic resonance (NMR) methods, concentrating on the types of problems that can be solved. Shows how selected methods provide information about polymers, bipolymers, biochemistry, small organic molecules, inorganic compounds, and compounds oriented in a magnetic…

  16. Gnotobiology in modern medicine

    NASA Technical Reports Server (NTRS)

    Podoprigora, G. I.

    1980-01-01

    A review is given of currently accepted theories and applications of gnotobiology. A brief history of gnotobiology is supplied. Problems involved in creating germ-free gnotobiota and the use of these animals in experimental biology are cited. Examples of how gnotobiology is used in modern medical practice illustrate the future prospects for this area of science.

  17. Modern Regression Discontinuity Analysis

    ERIC Educational Resources Information Center

    Bloom, Howard S.

    2012-01-01

    This article provides a detailed discussion of the theory and practice of modern regression discontinuity (RD) analysis for estimating the effects of interventions or treatments. Part 1 briefly chronicles the history of RD analysis and summarizes its past applications. Part 2 explains how in theory an RD analysis can identify an average effect of…

  18. Modern programming language

    NASA Technical Reports Server (NTRS)

    Feldman, G. H.; Johnson, J. A.

    1980-01-01

    Structural-programming language is especially-tailored for producing assembly language programs for MODCOMP II and IV mini-computes. Modern programming language consists of set of simple and powerful control structures that include sequencing alternative selection, looping, sub-module linking, comment insertion, statement continuation, and compilation termination capabilities.

  19. Modern biotechnology in China.

    PubMed

    Wang, Qing-Zhao; Zhao, Xue-Ming

    2010-01-01

    In recent years, with the booming economy, the Chinese government has increased its financial input to biotechnology research, which has led to remarkable achievements by China in modern biotechnology. As one of the key parts of modern biotechnology, industrial biotechnology will be crucial for China's sustainable development in this century. This review presents an overview of Chinese industrial biotechnology in last 10 years. Modern biotechnology had been classified into metabolic engineering and systems biology framework. Metabolic engineering is a field of broad fundamental and practical concept so we integrated the related technology achievements into the real practices of many metabolic engineering cases, such as biobased products production, environmental control and others. Now metabolic engineering is developing towards the systems level. Chinese researchers have also embraced this concept and have contributed invaluable things in genomics, transcriptomics, proteomics and related bioinformatics. A series of advanced laboratories or centers were established which will represent Chinese modern biotechnology development in the near future. At the end of this review, metabolic network research advances have also been mentioned.

  20. Modern vs. Traditional.

    ERIC Educational Resources Information Center

    Zhenhui, Rao

    1999-01-01

    This article discusses traditional methods, such as the grammar-translation, and modern methods, the communicative approach, for teaching English-as-a-foreign-language in China. The relationship between linguistic accuracy and communicative competence, student-centered orientation, and the role of the teacher are highlighted. (Author/VWL)