Science.gov

Sample records for records management modernization

  1. Records management modernization study

    SciTech Connect

    Kadec, S.; Hill, L.G.; Riemer, C.A.

    1989-12-01

    The Department of Veterans Affairs (VA) has a single purpose or mission: to provide benefits to the veterans of the nation. Most of these benefits are provided through its medical and health facilities located around the country: the hospitals, nursing homes, and clinics that give medical examinations and provide long-term care or hospitalization. A second sizeable program managed by the Veterans Benefit Administration (VBA) gives pensions, benefits for disability and education, insurance, and home loans to those veterans eligible under law and specific service conditions. In support of the benefits programs, VA staff in the regional offices (ROs) receive and create a large amount of documentation. This documentation supports the award or disallowance of benefits by providing the information necessary to determine eligibility and the amount of the award. This paperwork, which is necessary to document actions and support the appeals process, creates a huge record-keeping problem for the ROs. 6 tabs.

  2. Records Management

    EPA Pesticide Factsheets

    All Federal Agencies are required to prescribe an appropriate records maintenance program so that complete records are filed or otherwise preserved, records can be found when needed, the identification and retention of permanent records are facilitated, and permanent and temporary records are physically segregated, or for electronic records, segregable.

  3. 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…

  4. Theories of Modern Management.

    ERIC Educational Resources Information Center

    Knight, W. Hal

    This chapter of "Principles of School Business Management" identifies management theories that provide a fundamental conceptual knowledge base that school business officials can use to understand the school organizational setting and its influences on the day-to-day operation of the educational process. Particular attention is paid to…

  5. 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:

  6. Pest Management Records Modernization Act

    THOMAS, 113th Congress

    Rep. Schrader, Kurt [D-OR-5

    2014-11-14

    Senate - 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:

  7. 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:

  8. Certified records manager exam

    SciTech Connect

    Not Available

    1990-01-01

    The Institute of Certified Records Managers (ICRM) is a non-profit, certifying organization of professional records managers and administrators. ICRM members are experienced in information requirements, records and information systems, and the related office systems and technologies. All members have met certification requirements and have received the Certified Records Manager (CRM) designation. As the field of information and records management moves toward standardization, and as the application of new technologies and technicalities complicate the measurement and demonstration of professional competence, the need for a means of identifying persons who have basic competency increases. The ICRM is providing such a means by testing and certifying basic knowledge. More and more job announcements are requiring this evidence of competency. Unfortunately, as an organization, NIRMA has a relatively small number of CRMs. The goal of the ICRM Development Group is two-fold; (1) to encourage NIRMA members to obtain their certification by providing basic information and support and; (2) to develop the Nuclear Specialist test module which will demonstrate that bearers have demonstrated expertise in nuclear records management as well as basic competencies. This report covers the examination process.

  9. 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.

  10. Managing electronic records: A guideline

    SciTech Connect

    Stewart, J.

    1995-07-01

    A committee at Martin Marietta Energy Systems (MMES) has drafted a guideline to assist offices in the management of electronic records. This paper will address the activities surrounding its creating. The guideline is for use by creators, users, and custodians of any type of electronic information. The guideline supports and supplements requirements from DOE and the National Archives and Records Administration (NARA), other internal processes such as system reviews, and the comprehensive records management program. While an in-house publication, it could prove useful to other organizations implementing an electronic records management program.

  11. Managing electronic records: A guideline

    SciTech Connect

    Stewart, J.G.

    1994-10-25

    A committee at Martin Marietta Energy Systems (MMES) has drafted a guideline to assist offices in the management of electronic records. This paper will address the activities surrounding its creating. The guideline is for use by creators, users, and custodians of any type of electronic information. The guideline supports and supplements requirements from DOE and the National Archives and Records Administration (NARA), other internal processes such as system reviews, and the comprehensive records management program. While an in-house publication, it could prove useful to other organizations implementing an electronic records management program.

  12. Modern management of tetanus neonatorum.

    PubMed

    Adams, J M; Kenny, J D; Rudolph, A J

    1979-10-01

    Five infants with neonatal tetanus were managed with neuromuscular blockade and positive pressure ventilation. All survived. Tetanus was frequently confused with neonatal seizures at time of presentation. All infants were delivered at home. Mean age of onset of symptoms of poor suck, hypertonicity, and generalized spasms was 5.4 days with hospital admission at 6.4 days. Mean duration of mechanical ventilation was 34 days. Although hospital management of tetanus neonatorum may be expected to have a satisfactory outcome, it represents a costly and complex approach to a preventable disease.

  13. 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.

  14. Modern management of thoracic empyema.

    PubMed

    Bender, Matthew T; Ferraris, Victor A; Saha, Sibu P

    2015-01-01

    Historically, surgical management of empyema was performed predominantly via open thoracotomy; however, during the past decade the use of video-assisted thoracoscopic surgery (VATS) as an alternative has increased. This study retrospectively compared the outcomes and management of patients with empyema at the University of Kentucky Medical Center who had undergone VATS versus those receiving open thoracotomy to determine whether VATS decortication provided comparable results. Adult patients who had undergone open thoracotomy or VATS decortication for empyema between 2005 and 2009 at the University of Kentucky were identified by querying the hospital's cardiothoracic surgery database. Patients were sorted by procedure on an intent-to-treat basis. Comorbid conditions, preoperative course, operative outcomes, and postoperative outcomes were compared. Quantitative data were analyzed with either an unpaired t test or the Mann-Whitney U test. Qualitative data were analyzed using the Fisher exact test. Fifty-three patients were identified, 18 of whom underwent VATS and 35 underwent open thoracotomy. Eight of the 18 VATS procedures (44.4%) were converted to open thoracotomy. Patients undergoing VATS had a significantly shorter median length of stay (11 vs 18 days, respectively; P = 0.044), chest tube duration (6 vs 12 days, respectively; P < 0.001), operative blood loss (55.6 vs 344 mL, respectively; P = 0.003), and fewer postoperative respiratory failures (0% vs 22.9%, respectively; P = 0.0451). The two groups did not differ significantly in overall morbidity, reoperation, mortality, or preoperative comorbidities. In adults, VATS offers results comparable to those of open thoracotomy, and lengths of stay, chest tube durations, and postoperative outcomes are superior. Although the conversion rate of VATS to open thoracotomy at our institution was high (38.1%) compared with studies at other institutions, the data still indicate that VATS is both a safe and reliable

  15. 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...

  16. 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...

  17. 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.

  18. The New Zealand Tsunami Database: historical and modern records

    NASA Astrophysics Data System (ADS)

    Barberopoulou, A.; Downes, G. L.; Cochran, U. A.; Clark, K.; Scheele, F.

    2016-12-01

    A database of historical (pre-instrumental) and modern (instrumentally recorded)tsunamis that have impacted or been observed in New Zealand has been compiled andpublished online. New Zealand's tectonic setting, astride an obliquely convergenttectonic boundary on the Pacific Rim, means that it is vulnerable to local, regional andcircum-Pacific tsunamis. Despite New Zealand's comparatively short written historicalrecord of c. 200 years there is a wealth of information about the impact of past tsunamis.The New Zealand Tsunami Database currently has 800+ entries that describe >50 highvaliditytsunamis. Sources of historical information include witness reports recorded indiaries, notes, newspapers, books, and photographs. Information on recent events comesfrom tide gauges and other instrumental recordings such as DART® buoys, and media ofgreater variety, for example, video and online surveys. The New Zealand TsunamiDatabase is an ongoing project with information added as further historical records cometo light. Modern tsunamis are also added to the database once the relevant data for anevent has been collated and edited. This paper briefly overviews the procedures and toolsused in the recording and analysis of New Zealand's historical tsunamis, with emphasison database content.

  19. 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.

  20. Modern management of juvenile recurrent parotitis.

    PubMed

    Capaccio, P; Sigismund, P E; Luca, N; Marchisio, P; Pignataro, L

    2012-12-01

    To evaluate modern diagnostic and therapeutic management of juvenile recurrent parotitis, and to show the benefits of operative sialoendoscopy on the basis of our experience in 14 patients and the results of others. Ultrasonography is sensitive in detecting the pathological features of juvenile recurrent parotitis. Interventional sialoendoscopy is a safe and effective method of treating the disease. In our case series, after a mean follow-up time of 30 months only 5 patients experienced recurrence of symptoms, with a mean symptom-free period of 20 months. The use of modern, minimally invasive diagnostic tools such as colour Doppler ultrasonography, magnetic resonance sialography and sialoendoscopy represents a new frontier in the management of juvenile recurrent parotitis. Operative sialoendoscopy also has the important therapeutic benefit of reducing the number of recurrences of acute episodes of parotitis, thus giving patients a better quality of life until puberty.

  1. 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...

  2. Safety management of a modern tritium facility

    SciTech Connect

    Grief, D.

    1995-10-01

    This paper sets out some of the important elements of the Safety Management system in place for the Tritium Facility at AWE. It does not intend to cover all aspects; it gives some brief background information on the overall safety objectives, but concentrates more on local management issues and systems used to control the operation at the Facility level. Any modern Safety system for a Facility using a potentially hazardous and mobile species such as tritium must be designed to minimise its impact on the environment and to provide a safe working regime for its staff. 7 refs., 1 fig.

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

    DTIC Science & Technology

    2016-03-01

    2016 Major Automated Information System Annual Report Department of Defense Healthcare Management System Modernization (DHMSM) Defense...DSN Fax: Date Assigned: November 16, 2015 Program Information Program Name Department of Defense Healthcare Management System Modernization...Healthcare Management System Modernization (DHMSM) is a tailored Major Automated Information System (MAIS) program established to acquire and field a

  4. 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.

  5. Modern medical management of acute ischemic stroke.

    PubMed

    Goldstein, Larry B

    2014-01-01

    The modern management of patients with ischemic stroke begins by having a system in place that organizes the provision of preventive, acute treatment, and rehabilitative services. In the acute setting, initial evaluation is aimed at rapidly establishing a diagnosis by excluding stroke mimics, distinguishing between ischemic and hemorrhagic strokes, and determining if the patient is a candidate for treatment with intravenous tissue plasminogen activator (IV-tPA, alteplase). In some centers, select patients who do not qualify for administration of IV-tPA may be considered for endovascular intervention. General measures include the use of platelet antiaggregants, treatment of fever, blood pressure management, and continuation of statins if the patient has already been taking them. Post-acute evaluation and management is aimed at secondary prevention and optimizing recovery, including recognition and treatment of post-stroke depression.

  6. [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.

  7. 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…

  8. [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.

  9. 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

  10. 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…

  11. 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…

  12. 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)

  13. 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.

  14. 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.

  15. 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.

  16. Information Management: Challenges in Managing and Preserving Electronic Records

    DTIC Science & Technology

    2002-06-01

    GAO United States General Accounting OfficeReport to Congressional RequestersJune 2002 INFORMATION MANAGEMENT Challenges in Managing and... INFORMATION MANAGEMENT : Challenges in Managing and Preserving Electronic Records Contract Number Grant Number Program Element Number Author(s...archiving system, which will be based on new technologies that are still the subject of research. June 2002 INFORMATION MANAGEMENT Challenges in Managing

  17. 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…

  18. 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…

  19. 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…

  20. [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.

  1. Modernizing Authority: Management Studies and the Grammaticalization of Controlling Interests.

    ERIC Educational Resources Information Center

    Giltrow, Janet

    1998-01-01

    Focuses on the nominal expressions in the discourse on management. Finds that these nominals recursively delete not only agent roles but also those of experiencer, object, and goal, and at the same time conflate the interests of researchers and managers. Suggests that management nominals are a particularly intense expression of modernity itself.…

  2. 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.

  3. 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.

  4. 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.

  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. 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…

  7. 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

  8. 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…

  9. 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…

  10. 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

  11. 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)...

  12. 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)...

  13. 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)...

  14. 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)...

  15. 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)...

  16. 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…

  17. 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.

  18. 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

  19. Management guide to modern industrial lighting

    SciTech Connect

    Lyons, S.L.

    1983-01-01

    Good lighting in factories is necessary for optimal production rates, satisfactory work quality and high profitability. A manager who desires a safe work place with satisfied employees must understand how lighting affects the processes of vision, visual perception, and the mood of workers. This second edition is necessary since there have been so many changes in the field of industrial lighting over the last 10 years.

  20. Facilitating Stroke Management using Modern Information Technology.

    PubMed

    Nam, Hyo Suk; Park, Eunjeong; Heo, Ji Hoe

    2013-09-01

    Information technology and mobile devices may be beneficial and useful in many aspects of stroke management, including recognition of stroke, transport and triage of patients, emergent stroke evaluation at the hospital, and rehabilitation. In this review, we address the contributions of information technology and mobile health to stroke management. Rapid detection and triage are essential for effective thrombolytic treatment. Awareness of stroke warning signs and responses to stroke could be enhanced by using mobile applications. Furthermore, prehospital assessment and notification could be streamlined for use in telemedicine and teleradiology. A mobile telemedicine system for assessing the National Institutes of Health Stroke Scale scores has shown higher correlation and fast assessment comparing with face-to-face method. Because the benefits of thrombolytic treatment are time-dependent, treatment should be initiated as quickly as possible. In-hospital communication between multidisciplinary team members can be enhanced using information technology. A computerized in-hospital alert system using computerized physician-order entry was shown to be effective in reducing the time intervals from hospital arrival to medical evaluations and thrombolytic treatment. Mobile devices can also be used as supplementary tools for neurologic examination and clinical decision-making. In post-stroke rehabilitation, virtual reality and telerehabilitation are helpful. Mobile applications might be useful for public awareness, lifestyle modification, and education/training of healthcare professionals. Information technology and mobile health are useful tools for management of stroke patients from the acute period to rehabilitation. Further improvement of technology will change and enhance stroke prevention and treatment.

  1. 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.

  2. 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...

  3. 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.

  4. Comparability of modern recording devices for speech analysis: smartphone, landline, laptop, and hard disc recorder.

    PubMed

    Vogel, Adam P; Rosen, Kristin M; Morgan, Angela T; Reilly, Sheena

    2014-01-01

    Large-scale multi-site experimental and clinical speech protocols require high-fidelity, easy-to-use speech recording technologies. However, little is known about the reliability and comparability of affordable, portable and commonly used technologies with traditional well-validated devices (e.g., a hard disc recorder with a high-quality microphone). To examine the comparability of speech and voice samples acquired from protocols involving high- and low-quality devices. Speech samples were acquired simultaneously from 15 healthy adults using four devices and analyzed acoustically for measures of timing and voice quality. For the purpose of making initial comparisons, methods were deemed comparable if the resultant acoustic data yielded root mean squared error values ≤10% and statistically significant Spearman's correlation coefficients. The data suggest that there is significant and widespread variability in the quality and reliability between different acquisition methods for voice and speech recording. Not one method provided statistically similar data to the protocol using the benchmark device (i.e., a high-quality recorder coupled with a condenser microphone). Acoustic analysis cannot be assumed to be comparable if different recording methods are used to record speech. Findings have implications for researchers and clinicians hoping to make comparisons between labs or, where lower-quality devices are suggested, to offer equal fidelity. © 2015 S. Karger AG, Basel.

  5. Leadership characteristics and business management in modern academic surgery.

    PubMed

    Büchler, Peter; Martin, David; Knaebel, Hanns-Peter; Büchler, Markus W

    2006-04-01

    Management skills are necessary to successfully lead a surgical department in future. This article focuses on practical aspects of surgical management, leadership and training. It demonstrates how the implementation of business management concepts changes workflow management and surgical training. A systematic Medline search was performed and business management publications were analysed. Neither management nor leadership skills are inborn but acquired. Management is about planning, controlling and putting appropriate structures in place. Leadership is anticipating and coping with change and people, and adopting a visionary stance. More change requires more leadership. Changes in surgery occur with unprecedented speed because of a growing demand for surgical procedures with limited financial resources. Modern leadership and management theories have to be tailored to surgery. It is clear that not all of them are applicable but some of them are essential for surgeons. In business management, common traits of successful leaders include team orientation and communication skills. As the most important character, however, appears to be the emotional intelligence. Novel training concepts for surgeons include on-the-job training and introduction of improved workflow management systems, e.g. the central case management. The need for surgeons with advanced skills in business, finance and organisational management is evident and will require systematic and tailored training.

  6. Total records management: the TMI example

    SciTech Connect

    Kocsis, F.J. III; Hegstrom, K.L.

    1981-08-01

    The TMI-2 accident of March 28, 1979 resulted in the asking of major questions about nuclear technology. The Technical Information and Examination Program (TI and EP) was established to collect the answers to these questions and to transfer the information to the nuclear community. This presentation discusses the development and implementation of a total records management system necessitated by the requirements for recovery of TMI-Unit 2.

  7. 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.

  8. 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.

  9. 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.

  10. Change management with the electronic health record.

    PubMed

    Schmucker, DeeAnn

    2009-01-01

    Many medical organizations have already changed to, are implementing, or are contemplating implementing an electronic health record (EHR) system. As in all change, some people accept the switch from paper to EHRs much easier and with more enthuiasm than others. It is common for organizations to overlook the importance of including change management properties as they create the overall plan for the change from paper to paperless. Often the result of this is anger, frustration, and lack of cooperation or even sabotage from physicians and office staff who are the recipients of the training on the EHR system. This article examines the steps for, opportunities for, and positive results from incorporating change management principles from the very beginning, and the benefits accrued by understanding and utilizing the concepts of good choices, relationships, planning, and feedback.

  11. 25 CFR 515.6 - Review of request for amendment of record by the Records Manager.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Manager. 515.6 Section 515.6 Indians NATIONAL INDIAN GAMING COMMISSION, DEPARTMENT OF THE INTERIOR GENERAL PROVISIONS PRIVACY ACT PROCEDURES § 515.6 Review of request for amendment of record by the Records Manager. (a) The Records Manager shall, not later than ten (10) days (excluding Saturdays, Sundays and Federal...

  12. 25 CFR 515.6 - Review of request for amendment of record by the Records Manager.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... Manager. 515.6 Section 515.6 Indians NATIONAL INDIAN GAMING COMMISSION, DEPARTMENT OF THE INTERIOR GENERAL PROVISIONS PRIVACY ACT PROCEDURES § 515.6 Review of request for amendment of record by the Records Manager. (a) The Records Manager shall, not later than ten (10) days (excluding Saturdays, Sundays and Federal...

  13. 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.

  14. YI Kwang Su's Love and history records of modern hospital under the japanese colonial period.

    PubMed

    Lee, Byoung Hoon

    2016-12-01

    This article aims to evaluate and analyze the description of the modern hospital as history record, which appeared in YI Kwang Su's novel Love. This novel has mentioned in detail western style clinic, Bukgando Catholic hospital, tuberculosis sanitarium as its main space. Modern hospitals are depicted in the novel has a great significance in historical aspect as well as in literary aspect. The most data on modern hospital is laws, statistics and newspaper archives. These materials are a great help to understand the history and status of the modern hospital. Literary description here is important materials, that specific to reconstruct the appearance of the modern hospital at that time. Literary representations infuse life into the history record. In this regard, Love has special meaning in the history of Korean modern literature. Before anything else, doctor AN Bin's clinic as a first space of the novel vividly shows the reality of the Western style clinic and a general practitioner under the colonial period. The establishment of the hospital was based on 「Rules on private hospital」 declared by the Japanese Government General of Korea in 1919. According to this Rules, a private clinic's founder had to submit the documents to the director of police affairs, in which all the details were written. It included name of hospital, site location and size, floor plan of a nearby building, each size of patient's rooms, number of steps and emergency exit, bath, toilet, disinfecting room. AN Bin's clinic was a private hospital with the requirements in the rules. The descriptions of this clinic re-created real situation of private hospitals, specifically scale of hospital, interior space, conditions of patient's room at the time. The second modern hospital in the novel is Bukgando Catholic hospital. There is a lot more materials on medical activity and hospital of protestant churches than we thought. But we do not have a lot of information on catholic church's medical

  15. 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.

  16. Riparian Meadow Response to Modern Conservation Grazing Management.

    PubMed

    Oles, Kristin M; Weixelman, Dave A; Lile, David F; Tate, Kenneth W; Snell, Laura K; Roche, Leslie M

    2017-09-01

    Riparian meadows occupy a small proportion of the public lands in the western United States but they provide numerous ecosystem services, including the production of high-quality forage for livestock grazing. Modern conservation management strategies (e.g., reductions in livestock stocking rates and adoption of new riparian grazing standards) have been implemented to better balance riparian conservation and livestock production objectives on publicly managed lands. We examined potential relationships between long-term changes in plant community, livestock grazing pressure and environmental conditions at two spatial scales in meadows grazed under conservation management strategies. Changes in plant community were not associated with either livestock stocking rate or precipitation at the grazing allotment (i.e., administrative) scale. Alternatively, both grazing pressure and precipitation had significant, albeit modest, associations with changes in plant community at the meadow (i.e., ecological site) scale. These results suggest that reductions in stocking rate have improved the balance between riparian conservation and livestock production goals. However, associations between elevation, site wetness, precipitation, and changes in plant community suggest that changing climate conditions (e.g., reduced snowpack and changes in timing of snowmelt) could trigger shifts in plant communities, potentially impacting both conservation and agricultural services (e.g., livestock and forage production). Therefore, adaptive, site-specific management strategies are required to meet grazing pressure limits and safeguard ecosystem services within individual meadows, especially under more variable climate conditions.

  17. Riparian Meadow Response to Modern Conservation Grazing Management

    NASA Astrophysics Data System (ADS)

    Oles, Kristin M.; Weixelman, Dave A.; Lile, David F.; Tate, Kenneth W.; Snell, Laura K.; Roche, Leslie M.

    2017-09-01

    Riparian meadows occupy a small proportion of the public lands in the western United States but they provide numerous ecosystem services, including the production of high-quality forage for livestock grazing. Modern conservation management strategies (e.g., reductions in livestock stocking rates and adoption of new riparian grazing standards) have been implemented to better balance riparian conservation and livestock production objectives on publicly managed lands. We examined potential relationships between long-term changes in plant community, livestock grazing pressure and environmental conditions at two spatial scales in meadows grazed under conservation management strategies. Changes in plant community were not associated with either livestock stocking rate or precipitation at the grazing allotment (i.e., administrative) scale. Alternatively, both grazing pressure and precipitation had significant, albeit modest, associations with changes in plant community at the meadow (i.e., ecological site) scale. These results suggest that reductions in stocking rate have improved the balance between riparian conservation and livestock production goals. However, associations between elevation, site wetness, precipitation, and changes in plant community suggest that changing climate conditions (e.g., reduced snowpack and changes in timing of snowmelt) could trigger shifts in plant communities, potentially impacting both conservation and agricultural services (e.g., livestock and forage production). Therefore, adaptive, site-specific management strategies are required to meet grazing pressure limits and safeguard ecosystem services within individual meadows, especially under more variable climate conditions.

  18. 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.

  19. Sustainable urban built environment: Modern management concepts and evaluation methods

    NASA Astrophysics Data System (ADS)

    Ovsiannikova, Tatiana; Nikolaenko, Mariya

    2017-01-01

    The paper is focused on the analysis of modern concepts in urban development management. It is established that they are based on the principles of ecocentrism and anthropocentrism. The purpose of this research is to develop a system of quality indicators of urban built environment and justification of their application in management of city development. The need for observing the indicators characterizing the urban built environment in the planning of the territory development was proved. Based on the data and reports of the Russian and international organizations the analysis of the existing systems of urban development indicators is made. The suggested solution is to extend the existing indicators systems with that related to urban built environment quality which are recommended for planning urban areas development. The proposed system of indicators includes private, aggregate, normalized, and integrated urban built environment quality indicators using methods of economic-statistical and comparative analysis and index method. Application of these methods allowed calculating the indicators for urban areas of Tomsk Region. The results of calculations are presented in the paper. According to normalized indicators the priority areas for investment and development of urban areas were determined. The scenario conditions allowed estimating changes of quality indicators for urban built environment. Finally, the paper suggests recommendations for making management decisions when creating sustainable environment of life in urban areas.

  20. 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, statistical...

  1. 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.

  2. CUSTOMS SERVICE MODERNIZATION: Management Improvements Needed on High-Risk Automated Commercial Environment Project

    DTIC Science & Technology

    2002-05-01

    GAO United States General Accounting OfficeReport to Congressional CommitteesMay 2002 CUSTOMS SERVICE MODERNIZATION Management Improvements Needed...from... to) - Title and Subtitle CUSTOMS SERVICE MODERNIZATION: Management Improvements Needed on High-Risk Automated Commercial Environment... Customs management of ACE. Subject Terms Report Classification unclassified Classification of this page unclassified Classification of Abstract

  3. 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…

  4. 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

  5. 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.

  6. Familiarity with modern health management trends by West African surgeons.

    PubMed

    Mahmoud, A O; Nkanga, D; Onakoya, A O

    2010-09-01

    To collate the self-reported assessment of familiarity with some aspects of managerial competencies on the part of some surgeons and their observations on the managerial environment of their health institutions and draw appropriate policy implications. Cross-sectional study using a structured questionnaire. The study was conducted during the 50th Annual Scientific Conference of the West African College of Surgeons, which was held in Calabar, Nigeria, from 6th to It 12th February 2010. One hundred and ten out of 150 surgeons who were attending the conference returned their filled questionnaires. Their familiarity with business and financial concepts was lacking on crucial ones related to marketing strategies. Respondent largely found the listed objections to advertisement of medical services as very appropriate. They preferred largely to interact with themselves in professional associations rather than with others in cross-cultural groupings. Funding (66.4%) and political/ethnic influences (43.9%) were rated as impacting very negatively on their health institutions, while the deployment of information communication technology to institutional processes was adjudged to be unsatisfactory. Most of the indices of core competencies in modern health leadership and management appeared deficient among our study participants and their health institutions managerial environments were equally deficient. We recommend for a well-focussed short time duration health management course for all physicians particularly specialists.

  7. 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…

  8. Design of modern dispersion-managed lightwave systems

    NASA Astrophysics Data System (ADS)

    Poutrina, Ekaterina

    Dispersion management has proven to be an important technique for designing lightwave communication systems as it can be used to lower the average dispersion of a fiber link even though the group-velocity dispersion is kept relatively large locally for suppressing four-wave mixing. The performance of modern dispersion-managed lightwave systems depends on a large number of factors. Gordon-Haus timing jitter, arising from the presence of amplified spontaneous emission noise, happens to be one of the major limiting factors for long-haul systems, especially at high bit rates exceeding 10 Gb/s. In this thesis, we analyze the role of distributed amplification in controlling timing jitter in dispersion-managed systems. We derive analytical expressions for the timing jitter at any position within the fiber link in the cases of ideal distributed and lumped amplifications and show the possibility of reducing timing jitter by up to 40% using Raman or erbium-based distributed amplification. It has become apparent in recent years that the dispersion of an optical fiber, designed to have a fixed value, can vary over a considerable range because of unavoidable variations in the core diameter along the fiber length. Even though such axial variations are static, they can impact the system performance because of the nonlinear nature of the pulse propagation problem. Although dispersion fluctuations rarely impact a 10-Gb/s system, their role on the system performance must be considered for 40-Gb/s lightwave systems for which dispersion tolerance is relatively tight. In this thesis, we present the results of extensive numerical simulations performed to identify the impact of dispersion fluctuations on the performance of 40-Gb/s dispersion-managed lightwave systems, designed using either the chirped-return-to-zero or the soliton format and employing distributed Raman amplification. We consider also the design of dispersion-managed soliton systems. We use the variational approach to

  9. 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

  10. [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.

  11. Russian geomagnetic recordings in 1850-1862 compared to modern observations

    NASA Astrophysics Data System (ADS)

    Viljanen, Ari; Myllys, Minna; Nevanlinna, Heikki

    2014-04-01

    We analyse geomagnetic recordings at four subauroral and midlatitude Russian observatories in 1850-1862. The data consist of spot readings made once in hour of the north and east components of the magnetic field. We use the hourly change of the horizontal field vector as the measure of activity. We compare these values to data from modern observatories at corresponding magnetic latitudes (Nurmijärvi, Finland, magnetic latitude ~57 N; Tartu, Estonia, ~54.5 N; Dourbes, Belgium, ~46 N) by reducing their data to the 1-h format. The largest variations at the Russian observatories occurred during the Carrington storm in September 1859 and they reached about 1000 nT/h, which was the instrumental off-scale limit. When the time stamp for the spot readings happens to be optimal, the top variation in the Nurmijärvi data is about 3700 nT/h (July 1982), and at Tartu the maximum is about 1600 nT/h (November 2004). At a midlatitude site Nertchinsk in Russia (magnetic latitude ~45 N), the variation during the Carrington storm was at the off-scale limit, and exceeded the value observed at Dourbes during the Halloween storm in October 2003. At Nertchinsk, the Carrington event was at least four times larger than any other storm in 1850-1862. Despite the limitations of the old recordings and in using only hourly spot readings, the Carrington storm was definitely a very large event at midlatitudes. At higher latitudes, it remains somewhat unclear whether it exceeds the largest modern storms, especially the one in July 1982.

  12. 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

  13. Symbiotic Solid State Drives: Management of Modern NAND Flash Memory

    NASA Astrophysics Data System (ADS)

    Caulfield, Laura Marie

    As our society becomes more information-driven, we have begun to amass data at an astounding and accelerating rate. At the same time, power concerns have made it difficult to bring the necessary processing power to bear on querying, processing and understanding this data. In light of this, system designers have begun to adopt high density NAND flash memory as the solution for storing data at low power. However, our knowledge about the trade-offs in managing the technology is in its infancy. In this work, we empirically characterize a representative selection of NAND flash memory technology by directly measuring its performance, power and reliability. We show these properties vary significantly from publicly available information, that most metrics are failing as density increases and that symbiotic coordination between device and application variations holds the key to designing modern storage systems. We demonstrate how to improve the following properties of flash-based solid state drives: decreased latency of critical IO requests by 44%, decreased energy consumption by 13%, increased lifetime by up to 5.2x, decreased latency of single-file erasure by more than 95%, increased performance of bursts by 36% and increased steady state performance by 95%.

  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. 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…

  16. 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…

  17. Record and Document Management System (RMS) Guidelines: Issue A

    SciTech Connect

    EATON, SHELLEY M.; NORTHROP-SALAZAR, CHRISTINE L.

    2002-12-01

    RMS Guidelines defines the processes and conventions to manage both records and documents for the ASCI Verification and Validation Program at Sandia National Laboratories, employing the ASCI V&V RMS application. It is the definitive source for all information regarding the creation, submittal, use, maintenance, and disposition of records and documents. This document is also used as evidence of meeting records management requirements as stated in DOE Order 414.1A, Quality Assurance, and Sandia National Laboratories Corporate Technical Business Practice TBP-500, Records Management.

  18. 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…

  19. 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…

  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. Record of modern-style plate tectonics in the Palaeoproterozoic Trans-Hudson orogen

    NASA Astrophysics Data System (ADS)

    Weller, O. M.; St-Onge, M. R.

    2017-03-01

    The Trans-Hudson orogen of North America is a circa 1,800 million year old, middle Palaeoproterozoic continental collisional belt. The orogen may represent an ancient analogue to the Himalayan orogen, which began forming 50 million years ago and remains active today. Both mountain belts exhibit similar length scales of deformation and timescales of magmatism and metamorphism. A notable divergence in this correlation has been the absence of high-pressure, low-temperature metamorphic rocks in the Trans-Hudson compared with the Himalaya. It has been debated whether this absence reflects a secular tectonic change, with the requisite cool thermal gradients precluded by warmer ambient mantle temperatures during the Palaeoproterozoic, or a lack of preservation. Here we identify eclogite rocks within the Trans-Hudson orogen. These rocks, which typically form at high pressures and cool temperatures during subduction, fill the gap in the comparative geologic record between the Trans-Hudson and Himalayan orogens. Through the application of phase equilibria modelling and in situ U-Pb monazite dating we show that the pressure-temperature conditions and relative timing of eclogite-facies metamorphism are comparable in both orogenies. The results imply that modern-day plate tectonic processes featuring deep continental subduction occurred at least 1,830 million years ago. This study highlights that the global metamorphic rock record (particularly in older terrains) is skewed by overprinting and erosion.

  2. 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.

  3. 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).

  4. 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

  5. Electronic document imaging can improve land records management

    SciTech Connect

    Cisco, S.L. )

    1995-02-13

    Electronic document imaging can streamline land records management, giving oil companies faster, more accurate, and more reliable access to millions of records. These imaging systems can preserve deteriorating files and facilitate recovery from disasters like flooding or fire. Other benefits include the elimination of unnecessary records, easier duplication of necessary records, and reduced storage costs. Land records are a large volume of a company's overall collection of documents, and storing paper records takes up much of a company's premises or requires off-site storage at commercial facilities. Cisco and Associates surveyed 15 upstream petroleum companies to investigate how they manage active and inactive land records. The companies surveyed are either considering or in the process of redesigning their land administration departments. This paper discusses advantages and disadvantages of electronic imaging systems and results from the survey.

  6. 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.

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

    SciTech Connect

    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.

    2016-12-15

    Nacre, the iridescent outer lining of pearls and inner lining of many mollusk shells, is made 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. Nacre tablet thickness records formation temperature in modern and fossil shells

    DOE PAGES

    Gilbert, Pupa U. P. A.; Bergmann, Kristin D.; Myers, Corinne E.; ...

    2016-12-15

    Nacre, the iridescent outer lining of pearls and inner lining of many mollusk shells, is made 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 extensivelymore » 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.« less

  9. 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...) (48 CFR parts 200-299). (2) Records management oversight of contract records is necessary to ensure...

  10. 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...) (48 CFR parts 200-299). (2) Records management oversight of contract records is necessary to ensure...

  11. 36 CFR § 1222.32 - How do agencies manage records created or received by contractors?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT CREATION AND MAINTENANCE OF FEDERAL RECORDS...) (48 CFR parts 200-299). (2) Records management oversight of contract records is necessary to ensure...

  12. 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...) (48 CFR parts 200-299). (2) Records management oversight of contract records is necessary to ensure...

  13. Records of Backcountry Use Can Assist Trail Managers

    Treesearch

    H.J. Plumley; H.T. Peet; R.E. Leonard

    1978-01-01

    Records of recreational use of Eastern backcountry areas have not been systematically kept by many trail management groups in the past. Decisions on backcountry site designs and facilities should not be made without information on visitor use and behavior. An analysis of sample data from records of overnight shelter use on the Long Trail, Vermont, indicates how such...

  14. 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....

  15. 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....

  16. 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....

  17. Management of urinary tract infections: historical perspective and current strategies: Part 2--Modern management.

    PubMed

    Nickel, J Curtis

    2005-01-01

    An understanding of the microbial origin of infectious diseases and the introduction of antimicrobial therapy stimulated more advances in the management of urinary tract infections (UTIs) in the 20th century than had occurred in the previous 5 centuries. Numerous resources were used to collect the information described in this review. Medical texts from the 19th and 20th century contain information regarding the traditional contemporary treatment of UTI during those eras. Early volumes of the Journal of Urology from the beginning of the 20th century describe the first attempts at chemotherapy for UTI. MEDLINE searches were used to collect appropriate information after 1969. Modern medical journals and modern medical texts were used to collect information on antimicrobial therapy since the late 1960s through today. Numerous advances in the diagnosis and management of UTI were made during the 20th century. Advances in microbiological and chemical assays have facilitated the development of historical uroscopy into modern day urinalysis and culture techniques, which are the cornerstone of UTI diagnosis. Imaging technologies, including x-ray, ultrasound, nuclear imaging, magnetic resonance and computerized tomography, have been particularly helpful in the diagnosis of complicated or recurrent UTIs. Major innovations in nonpharmacological therapy include noninvasive shock wave lithotripsy and percutaneous drainage of kidney abscesses. The most profound advance in UTI management during the 20th century was the discovery of antimicrobial agents. Nitrofurantoin was the first truly effective and safe antimicrobial therapy for UTI but its spectrum of activity is limited. Broad use of amoxicillin (and other beta-lactams) after its introduction in the 1970s led to the development of resistance to this antimicrobial, prompting a gradual change to trimethoprim/sulfamethoxazole (TMP/SMX) as first line therapy for UTI. However, wide use of TMP/SMX also resulted in the progressive

  18. 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…

  19. 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…

  20. 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…

  1. 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…

  2. 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

  3. [Online infection recording within the scope of total quality management].

    PubMed

    Ehlebracht, M; Birth, M; Hilbert, M; Weiser, H F

    1998-01-01

    The continuous and exact recording of infections is a condition sine qua non for total quality management. Therefore, at the Diakoniekrankenhaus Rotenburg (Wümme) a program which offers the possibility of online recording of data was integrated into the hospital intranet. The recording is done with network clients. The recording of data is supported by a series of plausibility controls. The advantage consists in immediate evaluation of up to date and extensive statistics of infections. By integration into the existing system, relevant influences and consequences such as the prolongation of hospitalisation, use of material, and frequency of reoperation can by recognized and immediately considered with high validity.

  4. 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…

  5. 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…

  6. 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.

  7. Health record completion guidelines. American Health Information Management Association.

    PubMed

    DeVitt, M P; Haenke, B M; Picukaric, J M; Kerwin, J M; Hettel, S; Cameron, M; Testa, F A; Fainter, J; Feste, L

    1991-11-01

    It is a pleasure to introduce this important project report to the American Health Information Management Association (AHIMA) membership. Analyzing records for omissions, notifying physicians of needed information, counting delinquent records, and pursuing late documentation are some of the biggest chores in today's health information management departments. And they are chores that take time away from other priorities--managing, analyzing, and presenting health data, planning and implementing computerization, assessing and meeting customer needs. The heart of this statement is simple: it points out that there are other options to the traditional, detailed, record-by-record analysis. And those options may give us the results we need--timely and complete health records--while freeing up valuable staff time for other priorities. Take a serious look at the statement. If you are eager to make a change in your department's practices in records analysis and completion, it will back you up. If you are comparing the value of your department's records completion work to its benefit, this statement will give you ideas for change. And if you don't think you'd ever challenge tradition, this statement will give you food for thought. An added value to this statement is the fact that the ideas in it, and the very statement itself, are the product of our own profession. We are fortunate that leading-edge practitioners gave their expertise to the entire profession. The members of the strategy group for this project are listed above, we thank them for their wisdom.

  8. 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...

  9. 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...

  10. 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...

  11. 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...

  12. 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

    ... 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 are... controls must agencies establish for records in electronic information systems? 1236.10 Section...

  13. 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

  14. 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

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

    DTIC Science & Technology

    2010-05-31

    bakery products . US Foods, with concurrence from the Navy, has sub-contracted with smaller companies in the region to provide delivery for these...including management, production , service of food, sanitation, training, and accounting; Management awareness in progressive cookery, proper...serving techniques, food service safety precautions, operating procedures, fire prevention, sanitation and personal hygiene; Use of facilities

  16. Data base management, feedback control, and the Regenstrief Medical Record.

    PubMed

    McDonald, C; Blevins, L; Glazener, T; Haas, J; Lemmon, L; Meeks-Johnson, J

    1983-04-01

    Because of the differences in informational needs among medical practices, medical record systems should be flexible. The use of data base management and use-oriented command languages helps to achieve flexibility. The Regenstrief Medical Record System is based upon a data base management system and two user-oriented command languages (the RDB Command Language and CARE). Most batch reports, file maintenance procedures, and ad hoc retrievals can be specified by the user by means of these two languages. This means that the user can specify which reports he wants and how they should look. Daily on-line activities are performed by application programs. The data base system also provides flexibility to these programs since the content and format of many of the display screens are defined by statements that are similar to the command language statements and are stored within a text file. The Regenstrief Medical Record System now carries records for 60,000 patients.

  17. 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:...

  18. 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:...

  19. Update on Modern Management of Pheochromocytoma and Paraganglioma

    PubMed Central

    Eisenhofer, Graeme

    2017-01-01

    Despite all technical progress in modern diagnostic methods and treatment modalities of pheochromocytoma/paraganglioma, early consideration of the presence of these tumors remains the pivotal link towards the best possible outcome for patients. A timely diagnosis and proper treatment can prevent the wide variety of potentially catastrophic cardiovascular complications. Modern biochemical testing should include tests that offer the best available diagnostic performance, measurements of metanephrines and 3-methoxytyramine in plasma or urine. To minimize false-positive test results particular attention should be paid to pre-analytical sampling conditions. In addition to anatomical imaging by computed tomography (CT) or magnetic resonance imaging, new promising functional imaging modalities of photon emission tomography/CT using with somatostatin analogues such as 68Ga-DOTATATE (68Ga-labeled DOTA(0)-Tyr(3)-octreotide) will probably replace 123I-MIBG (iodine-123-metaiodobenzylguanidine) in the near future. As nearly half of all pheochromocytoma patients harbor a mutation in one of the 14 tumor susceptibility genes, genetic testing and counseling should at least be considered in all patients with a proven tumor. Post-surgical annual follow-up of patients by measurements of plasma or urinary metanephrines should last for at least 10 years for timely detection of recurrent or metastatic disease. Patients with a high risk for recurrence or metastatic disease (paraganglioma, young age, multiple or large tumors, genetic background) should be followed up lifelong. PMID:28685506

  20. Thermochronology of the modern Indus River bedload: New insight into the controls on the marine stratigraphic record

    NASA Astrophysics Data System (ADS)

    Clift, Peter D.; Campbell, Ian H.; Pringle, Malcolm S.; Carter, Andrew; Zhang, Xifan; Hodges, Kip V.; Khan, Ali Athar; Allen, Charlotte M.

    2004-10-01

    The Indus River is the only major drainage in the western Himalaya and delivers a long geological record of continental erosion to the Arabian Sea, which may be deciphered and used to reconstruct orogenic growth if the modern bedload can be related to the mountains. In this study we collected thermochronologic data from river sediment collected near the modern delta. U-Pb ages of zircons spanning 3 Gyr show that only ˜5% of the eroding crust has been generated since India-Asia collision. The Greater Himalaya are the major source of zircons, with additional contributions from the Karakoram and Lesser Himalaya. The 39Ar/40Ar dating of muscovites gives ages that cluster between 10 and 25 Ma, differing from those recorded in the Bengal Fan. Biotite ages are generally younger, ranging 0-15 Ma. Modern average exhumation rates are estimated at ˜0.6 km/m.y. or less, and have slowed progressively since the early Miocene (˜20 Ma), although fission track (FT) dating of apatites may indicate a recent moderate acceleration in rates since the Pliocene (˜1.0 km/m.y.) driven by climate change. The 39Ar/40Ar and FT techniques emphasize the dominance of high topography in controlling the erosional flux to the ocean. Localized regions of tectonically driven, very rapid exhumation (e.g., Nanga Parbat, S. Karakoram metamorphic domes) do not dominate the erosional record.

  1. 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.

  2. 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.

  3. Image-based document management systems for medical records.

    PubMed

    Massengill, S P

    1992-03-01

    Using image scanning as a document capture mechanism at time of treatment or on day of discharge automates the medical record to achieve the larger objectives of simultaneous concurrent access to an electronic chart. This form of keyless document capture, although appearing labor intensive, is justified for improving business management and quality of care. Coupled with optical character recognition or barcode recognition for keyless data capture, medical information may be more easily made available for clinical research. Not merely a microfilm alternative, a medical record management system accelerates chart completion. Labor reduction is realized by eliminating filing and retrieval of active charts, loose sheet handling, photocopying, chart assembly, and chart location control. By reducing the reasons for chart completion delays, accelerated billing of Medicare accounts will occur, resulting in a reduction in receivables. Image-based document management systems accomplish the three things required of a senior manager in health care: (1) solve problems, (2) save money, and (3) make money.

  4. 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

  5. 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

  6. 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.

  7. 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,…

  8. 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…

  9. Records Management. Instructor's Guide. Student Activity Packet. Office Occupations.

    ERIC Educational Resources Information Center

    Clark, Sue A.; Johnson, Diane E.

    This training package, one in a series of instructional modules consisting of an instructor's guide and a student activity packet, deals with records management. Included in the instructor's guide are general directions for implementing the presentation; a detailed guide for teaching the lesson that includes performance objectives, suggestions for…

  10. Data Recording in Performance Management: Trouble With the Logics

    ERIC Educational Resources Information Center

    Groth Andersson, Signe; Denvall, Verner

    2017-01-01

    In recent years, performance management (PM) has become a buzzword in public sector organizations. Well-functioning PM systems rely on valid performance data, but critics point out that conflicting rationale or logic among professional staff in recording information can undermine the quality of the data. Based on a case study of social service…

  11. 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…

  12. 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…

  13. 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…

  14. 37 CFR 42.7 - Management of the record.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2013-07-01 2013-07-01 false Management of the record. 42.7 Section 42.7 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE TRIAL PRACTICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Trial Practice and Procedure...

  15. 37 CFR 42.7 - Management of the record.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2014-07-01 2014-07-01 false Management of the record. 42.7 Section 42.7 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE TRIAL PRACTICE BEFORE THE PATENT TRIAL AND APPEAL BOARD Trial Practice and Procedure...

  16. 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…

  17. 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.

  18. 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…

  19. 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.

  20. 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…

  1. 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.

  2. Colonic trauma: modern civilian management and military surgical doctrine.

    PubMed Central

    Royle, C A

    1995-01-01

    Colonic trauma, traditionally the domain of the military surgeon, has become commonplace in many parts of the world, where civilian surgeons have developed considerable experience with this complex type of injury. The author highlights the differences between military and civilian management concluding with an overview of current military research into battlefield colonic trauma. This paper reviews military surgical doctrine and summarizes the evolution in civilian surgical practice since the Second World War. South African management is discussed with reference to the author's travelling fellowship visit in 1993. Colonic trauma has been the subject of a military surgical research project, since 1992, with preliminary studies establishing an anastomotic technique suitable for use in the field. This work is summarized with an outline of the research programme. PMID:8537949

  3. 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.

  4. Modern Endodontic Principles. Part 6: Managing Complex Situations.

    PubMed

    Taylor, Carly; Roudsari, Reza Vahid; Jawad, Sarra; Darcey, James; Qualtrough, Alison

    2016-04-01

    Clinicians are often faced with endodontic cases that are significantly more challenging than the primary root canal treatment of mature adult teeth. This paper outlines some of the common treatment modalities which can be employed in situations in which either primary treatment has failed, or there is iatrogenic damage or unusual anatomy. CPD/Clinical Relevance: This paper will provide the reader with advice and techniques for undertaking orthograde endodontic retreatment, hemisection, endodontic surgery and management of teeth with incompletely formed roots.

  5. [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.

  6. 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.

  7. Modern management of acute non-variceal upper gastrointestinal bleeding.

    PubMed

    Hegade, Vinod S; Sood, Ruchit; Mohammed, Noor; Moreea, Sulleman

    2013-10-01

    An acute upper gastrointestinal bleed (AUGIB) often represents a life-threatening event and is recognised universally as a common cause of emergency hospitalisation. Large observational studies have improved our understanding of the disease characteristics and its impact on mortality but despite significant advancement in endoscopic management, mortality remains high, particularly in elderly patients and those with multiple comorbidities. Skilled assessment, risk stratification and prompt resuscitation are essential parts of patient care, with endoscopy playing a key role in the definitive management. A successful outcome partly relies on the clinician's familiarity with current guidelines and recommendations, including the National Institute for Clinical Excellence guidelines published in 2012. Validated risk stratification scores, such as the Blatchford and Rockall score, facilitate early discharge of low-risk patients as well as help in identifying those needing early endoscopic intervention. Major advances in therapeutic endoscopy, including more recently, the development of non-toxic proprietary powders (Hemospray and EndoClot), have resulted in the development of effective treatments of bleeding lesions, reduction in rebleeding rates and the need for emergency surgery. The role of proton-pump inhibitor therapy prior to endoscopy and the level of optimum red cell transfusion in the setting of AUGIB remain fields that require further research.

  8. 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. © London School of Economics and Political Science 2012.

  9. 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.

  10. 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

  11. Change management - recommendations for successful electronic medical records implementation.

    PubMed

    Shoolin, J S

    2010-01-01

    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.

  12. A review of modern management of lateral epicondylitis.

    PubMed

    Behrens, Steve B; Deren, Matthew E; Matson, Andrew P; Bruce, Benjamin; Green, Andrew

    2012-05-01

    Lateral epicondylitis, or tennis elbow, is the most common cause of elbow pain. This degenerative condition can manifest as an acute process lasting < 3 months or a chronic process often refractory to treatment. Symptom resolution occurs in 70% to 80% of patients within the first year. A "watch-and-wait" approach can be an appropriate treatment option, although physical therapy has been shown to be an effective first-line therapy. Corticosteroids, while providing relief of pain in the acute setting, may be detrimental to recovery in the long term. Platelet-rich plasma injections, although recently well publicized, have not been proven by well-controlled clinical trials to be effective therapy. For patients with symptoms refractory to conservative management, surgical intervention has shown to be a successful treatment modality.

  13. Modern Radiology in the Management of Head and Neck Cancer.

    PubMed

    Burkill, G J C; Evans, R M; Raman, V V; Connor, S E J

    2016-07-01

    The accurate staging of head and neck cancer is vital to direct appropriate management strategies and to deliver the best radiation therapy and surgery. Initial challenges in head and neck cancer imaging include determination of T- and N-stage, stage migration with detection of metastatic disease and identification of primary disease in the patient presenting with nodal metastases. In follow-up, imaging has an important role in assessing patients who may require salvage surgery after radiotherapy and assessing clinical change that may represent either residual/recurrent disease or radiation effects. This overview gathers recent evidence on the optimal use of currently readily available imaging modalities (ultrasound, computed tomography, magnetic resonance imaging and positron emission tomography-computed tomography) in the context of head and neck squamous cell cancers. Copyright © 2016 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

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

    PubMed

    Gamzatov, T H; 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.

  15. Initiation of modern-style plate tectonics recorded in Mesoarchean marine chemical sediments

    NASA Astrophysics Data System (ADS)

    Satkoski, Aaron M.; Fralick, Philip; Beard, Brian L.; Johnson, Clark M.

    2017-07-01

    The chemistry of the oceans in part reflects a balance between inputs from the continents and mantle. Traditionally, it has been thought that Archean ocean chemistry was dominated by mantle sources, but recent work has suggested that continental weathering during the Archean provided a much higher flux to the oceans than previously recognized. Here, we present new Rb-Sr and Sm-Nd isotope compositions on carbonate (dolomite and limestone) from the 2.94 Ga Red Lake and 2.80 Ga Steep Rock groups in the Superior Province, Canada to assess the potential impact continental weathering had on ocean chemistry during the Mesoarchean, a time when initiation of modern-style plate tectonics has been proposed to have occurred. The low Rb contents of all carbonate samples suggest that clastic contamination does not affect the Sr isotope compositions. Using O and Sr isotope modeling, we identified unaltered samples and estimate a 87Sr/86Sr ratio of 0.70173 for seawater at 2.94 Ga and 0.70182 at 2.80 Ga. Strontium isotope compositions from both Red Lake and Steep Rock indicate that seawater was significantly more radiogenic than contemporaneous mantle, and suggests that weathering of evolved continental crust was an important input to seawater. Continental weathering likely affected seawater chemistry through uplift of continental lithosphere during the initiation of modern-style plate tectonics at 3.2 Ga, a model that is contrary to those that suggest the Archean continents were small in extent and largely submerged. Initiation of modern-style plate tectonics and associated continental weathering had an important effect on the biosphere, including increased nutrient delivery, as well as creation of ecological niches that allowed development of the first biologically produced shallow marine redox gradients.

  16. 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.

  17. 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

  18. 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

  19. Modern surgical techniques for management of soft tissue sarcomas involving the spine: outcomes and complications.

    PubMed

    Mattei, Tobias A; Teles, Alisson R; Mendel, Ehud

    2015-04-01

    Several types of soft tissue sarcomas may locally extend to the spine. The best therapeutic strategy for such lesions strongly depends on the histological diagnosis. In this article the authors provide an up-to-date review of current guidelines regarding the management of soft tissue sarcomas involving the spine. Special attention is given to outcomes and complications of modern surgical series in order to highlight current challenges in the management of such lesions. © 2014 Wiley Periodicals, Inc.

  20. 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.

  1. Olive fruit fly: managing an ancient pest in modern times.

    PubMed

    Daane, Kent M; Johnson, Marshall W

    2010-01-01

    Olive fruit fly, Bactrocera oleae (Rossi) (Diptera: Tephritidae), is the major pest of commercial olives worldwide. Various aspects of its biology, ecology, management, and impact on olive production are highlighted. With the discovery of insecticidal resistance in some populations frequently treated with organophosphates, old and new control options are being investigated. The potential of biological control is examined. Surveys suggest that a small group of braconids in the Opiinae subfamily best represent the primary parasitoids attacking olive fruit fly in its native range. These species include Psyttalia lounsburyi, P. dacicida, P. concolor, P. ponerophaga, and Utetes africanus. Bracon celer, another braconid but in the Braconinae subfamily, is also reared from the fruit fly in its native range. The potential of these and other natural enemies is discussed with respect to olive fruit fly biology, commercial olive production, and biological constraints that may limit their success. We suggest that numerous species exist that should be further investigated as control agents for olive fruit fly in the many climatic regimes where the pest is found.

  2. High resolution climate records from modern and last interglacial period derived from giant clam shells (Tridacnidae) from Sulawesi, Indonesia.

    NASA Astrophysics Data System (ADS)

    Arias Ruiz, Camilo; Elliot, Mary; Bezos, Antoine; Padoja, Kevin; Husson, Laurent; Michel, Elisabeth; La, Carole

    2017-04-01

    We studied Tridacnidae giant clams as environmental archives to reconstruct climate evolution in a region characterized by major ocean-atmosphere exchange on seasonal and inter-annual timescales: the Sulawesi archipelago. Using environmental proxies (18O and trace elements) we present reconstructions of inter-annual climate change derived from modern and past interglacial period (MIS 5). For fossil archive, U-Th ages were obtained from fossil coral samples from the same paleo-reef of Tridacna samples, because these bivalves exhibit an open system behavior in U-Th series. Comparison of a 18O profile derived from a 6 year old modern T. squamosa (2006-2012) and a predicted 18O profile derived from local temperature and salinity records confirms the isotopic equilibrium in shell deposition. The strong sea surface temperature (SST) anomaly of 2010 related to a strong La Niña was also recorded in the shell 18O signal. The modern 18O record presents a mean seasonal range of 0.5 ± 0.1 ‰. Additional trace element analyses show that Mg/Ca and Sr/Ca are also temperature dependent in this species and appear less affected by changes in salinity/rainfall. Finally, Ba/Ca ratio appears to reflect both primary production related to coastal up-welling during the dry season, and continental run-off during the wet season. Trace element profiles also exhibit strong anomalies reflecting changes in local hydrography related to the 2010 La Niña. The ages of the Tridacna fossils derived from U-Th dating are around last interglacial MIS-5 period. 18O records derived from a fossil Tridacna gigas specimen provide a time-window of 14 years. The record shows a reduced mean seasonal range of 18O of around 0.4±0.2 ‰. Absence of Ba/Ca peaks during the wet season suggest a weakened monsoon rainfall activity, but the presence during the dry season suggests a persistent seasonal up-welling at this time. Our study illustrates the usefulness of Tridacnidae fossils in

  3. PCSK9 Inhibition With Monoclonal Antibodies: Modern Management of Hypercholesterolemia

    PubMed Central

    Santos, Raul D.

    2016-01-01

    Abstract Current guidelines for hypercholesterolemia treatment emphasize lifestyle modification and lipid‐modifying therapy to reduce the risk for cardiovascular disease. Statins are the primary class of agents used for the treatment of hypercholesterolemia. Although statins are effective for many patients, they fail to achieve optimal reduction in lipids for some patients, including those who have or are at high risk for cardiovascular disease. The PCSK9 gene was identified in the past decade as a potential therapeutic target for the management of patients with hypercholesterolemia. Pharmacologic interventions to decrease PCSK9 levels are in development, with the most promising approach using monoclonal antibodies that bind to PCSK9 in the plasma. Two monoclonal antibodies, alirocumab and evolocumab, have recently been approved for the treatment of hypercholesterolemia, and a third one, bococizumab, is in phase 3 clinical development. All 3 agents achieve significant reductions in levels of low‐density lipoprotein cholesterol, as well as reductions in non‐high‐density lipoprotein cholesterol, apolipoprotein B, and lipoprotein(a). Long‐term outcome trials are under way to determine the sustained efficacy, safety, and tolerability of PCSK9 inhibitors and whether this novel class of agents decreases the risk for major cardiovascular events in patients on lipid‐modifying therapy. Available data suggest that PCSK9 inhibitors provide a robust reduction in atherogenic cholesterol levels with a good safety profile, especially for patients who fail to obtain an optimal clinical response to statin therapy, those who are statin intolerant or have contraindications to statin therapy, and those with familial hypercholesterolemia. PMID:27195910

  4. PCSK9 Inhibition With Monoclonal Antibodies: Modern Management of Hypercholesterolemia.

    PubMed

    Ito, Matthew K; Santos, Raul D

    2017-01-01

    Current guidelines for hypercholesterolemia treatment emphasize lifestyle modification and lipid-modifying therapy to reduce the risk for cardiovascular disease. Statins are the primary class of agents used for the treatment of hypercholesterolemia. Although statins are effective for many patients, they fail to achieve optimal reduction in lipids for some patients, including those who have or are at high risk for cardiovascular disease. The PCSK9 gene was identified in the past decade as a potential therapeutic target for the management of patients with hypercholesterolemia. Pharmacologic interventions to decrease PCSK9 levels are in development, with the most promising approach using monoclonal antibodies that bind to PCSK9 in the plasma. Two monoclonal antibodies, alirocumab and evolocumab, have recently been approved for the treatment of hypercholesterolemia, and a third one, bococizumab, is in phase 3 clinical development. All 3 agents achieve significant reductions in levels of low-density lipoprotein cholesterol, as well as reductions in non-high-density lipoprotein cholesterol, apolipoprotein B, and lipoprotein(a). Long-term outcome trials are under way to determine the sustained efficacy, safety, and tolerability of PCSK9 inhibitors and whether this novel class of agents decreases the risk for major cardiovascular events in patients on lipid-modifying therapy. Available data suggest that PCSK9 inhibitors provide a robust reduction in atherogenic cholesterol levels with a good safety profile, especially for patients who fail to obtain an optimal clinical response to statin therapy, those who are statin intolerant or have contraindications to statin therapy, and those with familial hypercholesterolemia. © 2016, The Authors. The Journal of Clinical Pharmacology Published by Wiley Periodicals, Inc. on behalf of American College of Clinical Pharmacology.

  5. Detrital Zircon Record of a Dammed River in Texas - Implications for Modern River Provenance Stories and Sediment Budgets

    NASA Astrophysics Data System (ADS)

    Dafov, L. N.; Stockli, D. F.; Mohrig, D. C.; Olariu, C.

    2016-12-01

    rivers and coastal processes after dam construction. Importantly, this study is a cautionary tale for the use of DZ U-Pb provenance studies of modern rivers and the impact of dams and anthropogenic perturbations, as the downstream DZ record does not appear to reflect the pre-dam provenance signature of the Colorado River of Texas.

  6. 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

  7. 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.

  8. 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.

  9. Open source electronic health records and chronic disease management

    PubMed Central

    Goldwater, Jason C; Kwon, Nancy J; Nathanson, Ashley; Muckle, Alison E; Brown, Alexa; Cornejo, Kerri

    2014-01-01

    Objective To study and report on the use of open source electronic health records (EHR) to assist with chronic care management within safety net medical settings, such as community health centers (CHC). Methods and Materials The study was conducted by NORC at the University of Chicago from April to September 2010. The NORC team undertook a comprehensive environmental scan, including a literature review, a dozen key informant interviews using a semistructured protocol, and a series of site visits to CHC that currently use an open source EHR. Results Two of the sites chosen by NORC were actively using an open source EHR to assist in the redesign of their care delivery system to support more effective chronic disease management. This included incorporating the chronic care model into an CHC and using the EHR to help facilitate its elements, such as care teams for patients, in addition to maintaining health records on indigent populations, such as tuberculosis status on homeless patients. Discussion The ability to modify the open-source EHR to adapt to the CHC environment and leverage the ecosystem of providers and users to assist in this process provided significant advantages in chronic care management. Improvements in diabetes management, controlled hypertension and increases in tuberculosis vaccinations were assisted through the use of these open source systems. Conclusions The flexibility and adaptability of open source EHR demonstrated its utility and viability in the provision of necessary and needed chronic disease care among populations served by CHC. PMID:23813566

  10. Open source electronic health records and chronic disease management.

    PubMed

    Goldwater, Jason C; Kwon, Nancy J; Nathanson, Ashley; Muckle, Alison E; Brown, Alexa; Cornejo, Kerri

    2014-02-01

    To study and report on the use of open source electronic health records (EHR) to assist with chronic care management within safety net medical settings, such as community health centers (CHC). The study was conducted by NORC at the University of Chicago from April to September 2010. The NORC team undertook a comprehensive environmental scan, including a literature review, a dozen key informant interviews using a semistructured protocol, and a series of site visits to CHC that currently use an open source EHR. Two of the sites chosen by NORC were actively using an open source EHR to assist in the redesign of their care delivery system to support more effective chronic disease management. This included incorporating the chronic care model into an CHC and using the EHR to help facilitate its elements, such as care teams for patients, in addition to maintaining health records on indigent populations, such as tuberculosis status on homeless patients. The ability to modify the open-source EHR to adapt to the CHC environment and leverage the ecosystem of providers and users to assist in this process provided significant advantages in chronic care management. Improvements in diabetes management, controlled hypertension and increases in tuberculosis vaccinations were assisted through the use of these open source systems. The flexibility and adaptability of open source EHR demonstrated its utility and viability in the provision of necessary and needed chronic disease care among populations served by CHC.

  11. 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.

  12. 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

    ... system, Risk Analysis and Management (RAM) Records, State-78, will support the vetting of directors... of the Risk Analysis and Management Records system of records from subsections (c)(3) and (4), (d... Part 171 Privacy Act; Notice of Proposed Rulemaking: State-78, Risk Analysis and Management Records...

  13. 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.

  14. 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.

  15. 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.

  16. Decadal climate variation recorded in modern global carbonate archives (brachiopods, molluscs)

    NASA Astrophysics Data System (ADS)

    Romanin, Marco; Zaki, Amir H.; Davis, Alyssa; Shaver, Kristen; Wang, Lisha; Aleksandra Bitner, Maria; Capraro, Luca; Preto, Nereo; Brand, Uwe

    2017-04-01

    The progress of the Earth's warming trend has rapidly accelerated in the last few decades due to the increase in emission of anthropogenic greenhouse gases. The exchange of heat between the atmosphere and seawater has consequently elevated the rate of temperature buildup in the low and high latitude ocean. Records of the variation in seawater temperature in response to local and global changes in climate are preserved within the carbonate structures of marine biogenic archives. Investigating the isotopic composition of the archives' growth increments documents the magnitude of sea surface temperature (SST) change. A long-term (1956-2012) record of temperature change in sub-tropical seawater was acquired from the giant clam Tridacna maxima collected from the Red Sea in conjunction with published results of the oyster Hyotissa hyotis (Titschack et al., 2010). Variation in polar-subpolar SST was obtained from the brachiopod Magellania venosa recovered from the coastal area of southern Chile, and from the proxy record of Hemithiris psittacea of Hudson Bay (Brand et al., 2014). The former reveals a long-term (1961-2012) time-series of Antarctic-induced oceanographic change in the southern hemisphere, while the latter represents a trend of Hudson Bay seawater SST in the northern hemisphere. Evaluation of the isotopic compositions confirms the equilibrium incorporation of oxygen isotopes with respect to ambient seawater in brachiopods and some bivalves. A general trend of decreasing δ18O values in the Red Sea molluscs is observed, indicating an increase in tropical seawater temperature of about 0.79°C since 1988. The δ18O values of the polar-subpolar brachiopods display similar depletion slopes but of larger magnitudes than that of the Red Sea archives. This signifies a rise in seawater temperature of about 1.47°C in Hudson Bay since 1991, and about 2.08°C in southern Chile since 1988. The 2013 IPCC report suggests an increase in SST of +0.094°C per decade (average

  17. 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.

  18. Earthquake Signatures in the Modern Sediment Record of Prince William Sound, Alaska

    NASA Astrophysics Data System (ADS)

    Marshall, N. R.; Kuehl, S. A.; Dellapenna, T. M.; Miller, E. J.

    2016-02-01

    Geochemical signatures of earthquake-generated sediment gravity flows are investigated using X-ray fluorescence core scanning on a suite of sediment cores from Prince William Sound, Alaska. This study focused on the development of geochemical proxies for earthquake deposits with an emphasis on interpreting deposits initiated from large subduction earthquakes. A north-south transect of sediment cores from Prince William Sound, between Hinchinbrook Island and the Columbia Glacier, was used to examine a record of earthquakes in this tectonically active region for the past century. The sediments in Prince William Sound are sourced from two geologically distinct regions: the metamorphosed turbidites of coastal Prince William Sound, and the Copper River Basin that contains a significant amount of volcanic rocks. Geochemical studies of sediment cores and end-member sediment samples using X-ray fluorescence and inductively coupled plasma mass spectrometry allowed for the development of geochemical proxies for sediment provenance during the past 100 years. Downcore peaks in Sr/Pb are indicative of Copper River Basin sediments, whereas peaks in K/Ca are indicative of inputs of Prince William Sound sediments. Large subduction earthquakes in northern Prince William Sound initiate gravity flows of Prince William Sound provenance into the deep channel. Particularly robust provenance signatures are seen in the northernmost cores in the core transect, which are closer to the earthquake epicenters and the Columbia Glacier source region. The ages of the deposits, from core-averaged 210Pb sediment accumulation rates, correspond to large earthquakes that occurred in 1912, 1964, and 1983. A similar deposit from 1895 in northern Prince William Sound, prior to historical earthquake records, may have also been initiated from a large earthquake in the 1890's.

  19. 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.

  20. Lead User Design: Medication Management in Electronic Medical Records.

    PubMed

    Price, Morgan; Weber, Jens H; Davies, Iryna; Bellwood, Paule

    2015-01-01

    Improvements in medication management may lead to a reduction of preventable errors. Usability and user experience issues are common and related to achieving benefits of Electronic Medical Records (EMRs). This paper reports on a novel study that combines the lead user method with a safety engineering review to discover an innovative design for the medication management module in EMRs in primary care. Eight lead users were recruited that represented prescribers and clinical pharmacists with expertise in EMR design, evidence-based medicine, medication safety and medication research. Eight separate medication management module designs were prototyped and validated, one with each lead user. A parallel safety review of medicaiton management was completed. The findings were synthesized into a single common set of goals, activities and one interactive, visual prototype. The lead user method with safety review proved to be an effective way to elicit diverse user goals and synthesize them into a common design. The resulting design ideas focus on meeting the goals of quality, efficiency, safety, reducing the cognitive load on the user, and improving communication wih the patient and the care team. Design ideas are being adapted to an existing EMR product, providing areas for further work.

  1. 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

  2. Improving the medical records department processes by lean management.

    PubMed

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

    2015-01-01

    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. 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. 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. 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. 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. 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. The study represents one of the few attempts trying to eliminate wastes in the MRD.

  3. The Modern Marine Ca-isotope Budget and its Application to the Phanerozoic Ca-isotope Record

    NASA Astrophysics Data System (ADS)

    Blattler, C. L.; Jenkyns, H. C.; Henderson, G. M.

    2011-12-01

    Variations in the calcium-isotope ratio (δ44/40Ca) of ancient seawater have been recorded in several studies using marine carbonate, barite, or apatite, but the causes of these variations have not been explored quantitatively. Seawater Ca-isotope ratios are affected by the average fractionation factor between seawater and the carbonate that precipitates from it, which is defined by the composition of the marine carbonate sink. To investigate possible changes in the fractionation factor of marine carbonate over the Phanerozoic, a Ca-isotope budget has been constructed for the modern oceans. Over 250 Ca-isotope measurements have been compiled from a wide variety of carbonate sources to describe the modern marine Ca-isotope budget. This dataset includes over 50 new measurements to characterize several components of the carbonate system, such as coral reefs, which are quantitatively important but have been undersampled, for example, relative to planktic foraminifera. δ44/40Ca values have been temperature-normalized using the relationship of +0.02% per °C, which permits observations and comparisons based on mineralogy, taxonomy, and locus of carbonate precipitation. A general offset of ~0.25%, increasing up to ~0.8% for certain taxa, is observed between subsets of aragonite and calcite samples; no statistical difference is observed between high-Mg calcite and low-Mg calcite. Additionally, within the data for calcite skeletons, two broad groups appear based on taxonomic patterns. Taxa with generally weak control over their biomineralization, such as sclerosponges, brachiopods, and calcareous red algae, are 0.4-0.5% heavier than organisms with more controlled calcification mechanisms, such as coccolithophores and planktic foraminifera. The patterns that emerge from this dataset for different clades demonstrate the usefulness of fossil carbonate for reconstructing the Ca-isotope ratio of ancient seawater. The composition of the modern Ca-isotope budget provides a basis

  4. Acquisition of bipedalism: the Miocene hominoid record and modern analogues for bipedal protohominids

    PubMed Central

    Nakatsukasa, Masato

    2004-01-01

    The well-known fossil hominoid Proconsul from the Early Miocene of Kenya was a non-specialized arboreal quadruped with strong pollicial/hallucial assisted grasping capability. It lacked most of the suspensory specializations acquired in living hominoids. Nacholapithecus, however, from the Middle Miocene of Kenya, although in part sharing with Proconsul the common primitive anatomical body design, was more specialized for orthograde climbing, ‘hoisting’ and bridging, with the glenoid fossae of the scapula probably being cranially orientated, the forelimbs proportionally large, and very long toes. Its tail loss suggests relatively slow movement, although tail loss may already have occurred in Proconsul. Nacholapithecus-like positional behaviour might thus have been a basis for development of more suspensory specialized positional behaviour in later hominoids. Unfortunately, after 13 Ma, there is a gap in the hominoid postcranial record in Africa until 6 Ma. Due to this gap, a scenario for later locomotor evolution prior to the divergence of Homo and Pan cannot be determined with certainty. The time gap also causes difficulties when we seek to determine polarities of morphological traits in very early hominids. Interpretation of the form–function relationships of postcranial features in incipient hominids will be difficult because it is predicted that they had incorporated bipedalism only moderately into their total positional repertoires. However, Japanese macaques, which are trained in traditional bipedal performance, may provide useful hints about bipedal adaptation in the protohominids. Kinematic analyses revealed that these macaques walked bipedally with a longer stride and lower stride frequency than used by ordinary macaques, owing to a more extended posture of the hindlimb joints. The body centre of gravity rises during the single-support phase of stance. Energetic studies of locomotion in these bipedal macaques revealed that energetic expenditure was 20

  5. 77 FR 12877 - Record of Decision for the General Management Plan/Abbreviated Final Environmental Impact...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-02

    ... National Park Service Record of Decision for the General Management Plan/Abbreviated Final Environmental... Management Plan for New River Gorge National River, West Virginia. The Record of Decision selects the... the Record of Decision selecting Alternative 5 as the approved General Management Plan for New River...

  6. EDRMS for Academic Records Management: A Design Study in a Malaysian University

    ERIC Educational Resources Information Center

    Miah, Shah Jahan; Samsudin, Ahmad Zam Hariro

    2017-01-01

    Higher education institutes such as universities suffer from a range of issues in managing their academic records and relevant digital contents. Many universities nowadays use specific software applications for their effective mechanism in records management. The effective provision of enterprises records management (ERM) software for managing…

  7. 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.

  8. 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.

  9. Scandinavian systems monitoring the oral health in children and adolescents; an evaluation of their quality and utility in the light of modern perspectives of caries management.

    PubMed

    Skeie, Marit S; Klock, Kristin S

    2014-04-30

    Recording reliable oral health data is a challenge. The aims were a) to outline different Scandinavian systems of oral health monitoring, b) to evaluate the quality and utility of the collected data in the light of modern concepts of disease management and to suggest improvements. The information for in this study was related to (a) children and adolescents, (b) oral health data and (c) routines for monitoring such data. This meant information available in the official web sites of the "KOSTRA-data" (Municipality-State-Report) in Norway, the Swedish National Board of Health and Welfare ("Socialstyrelsen") and Oral Health Register (the SCOR system, National Board of Health) in Denmark. A potential for increasing the reliability and validity of the data existed. Routines for monitoring other oral diseases than caries were limited. Compared with the other Scandinavian countries, the data collection system in Denmark appeared more functional and had adopted more modern concepts of disease management than other systems. In the light of modern concepts of caries management, data collected elsewhere had limited utility. The Scandinavian systems of health reporting had much in common, but some essential differences existed. If the quality of epidemiological data were enhanced, it would be possible to use the data for planning oral health care. Routines and procedures should be improved and updated in accordance with the modern ideas about caries prevention and therapy. For appropriate oral health planning in an organised dental service, reporting of enamel caries is essential.

  10. [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.

  11. 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.

  12. 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.

  13. 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.

  14. 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

  15. 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

    ... planning and systems development life cycle processes, agencies must ensure: (a) That records management... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What other records management... NATIONAL ARCHIVES AND RECORDS ADMINISTRATION RECORDS MANAGEMENT ELECTRONIC RECORDS MANAGEMENT...

  16. Investigation of the Origins of Modern Firmgrounds in Walker Lake, Nevada: Implications for Lacustrine Climate Records and Hardgrounds in the Rock Record

    NASA Astrophysics Data System (ADS)

    Beckerman, L. G.; Lau, K. V.; Stewart, L. C.; Loyd, S. J.; Ibarra, Y.; Corsetti, F. A.; Stevenson, B. S.; Stamps, B. W.; Spear, J. R.

    2014-12-01

    Walker Lake, Nevada, contains locally abundant Pleistocene and Holocene carbonate structures, including tufas, stromatolites, and lithified carbonate hardgrounds. Hardgrounds are classically interpreted as forming via geobiological processes in shallow sediments. To better understand the origins of ancient hardgrounds, we investigated modern firmgrounds which we hypothesized to be incipient hardgrounds. The studied firmgrounds were brown, 1-2 cm thick with a mm-scale white or brown crust, cohesive enough to retain sharp erosional features, and were located on the western shoreline where alluvial fans enter the lake. We analyzed the elemental composition of the lakewater and porewaters in order to model mineral saturation states under lake conditions. In addition, we analyzed 16S rRNA gene diversity of the firmgrounds, porewater of adjacent sediments, and lakewater to investigate potential biological involvement. This, combined with SEM imaging, XRD analyses, and EDS analyses indicate that the firmgrounds are likely dominated by clays and granitic minerals rather than carbonate like the ancient hardgrounds. We suggest that Walker Lake firmgrounds are formed by weathering of unstable granitic minerals with no clear biological influence, likely resulting from physio-chemical processes related to groundwater-lake water mixing. Such firmgrounds may undergo subsequent replacement by calcium carbonate to form hardgrounds, resulting in carbonates with δ13C and δ18O compositions that do not reflect the lake water in which they formed. Given the apparent influence of groundwater on their formation, our work suggests that caution should be used when interpreting lacustrine hardground isotopic records as indicators of lakewater chemistry and climate.

  17. 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...

  18. 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...

  19. 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...

  20. 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

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

    PubMed

    Mukherjee, Sudeshna Basu; Ray, Anjali

    2009-07-01

    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. 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. 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.

  2. 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

  3. 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

  4. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false What are the specific agency responsibilities for records management? 102-193.20 Section 102-193.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT...

  5. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What are the specific agency responsibilities for records management? 102-193.20 Section 102-193.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT...

  6. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false What are the specific agency responsibilities for records management? 102-193.20 Section 102-193.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT...

  7. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What are the specific agency responsibilities for records management? 102-193.20 Section 102-193.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT...

  8. 41 CFR 102-193.20 - What are the specific agency responsibilities for records management?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false What are the specific agency responsibilities for records management? 102-193.20 Section 102-193.20 Public Contracts and Property Management Federal Property Management Regulations System (Continued) FEDERAL MANAGEMENT...

  9. 41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What are the goals of the Federal Records Management Program? 102-193.10 Section 102-193.10 Public Contracts and Property...

  10. 41 CFR 102-193.10 - What are the goals of the Federal Records Management Program?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false What are the goals of the Federal Records Management Program? 102-193.10 Section 102-193.10 Public Contracts and Property...

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

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false What are the goals of the Federal Records Management Program? 102-193.10 Section 102-193.10 Public Contracts and Property...

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

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false What are the goals of the Federal Records Management Program? 102-193.10 Section 102-193.10 Public Contracts and Property...

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

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... maintenance of management controls that prevent the creation of unnecessary records and promote effective and... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What are the goals of the Federal Records Management Program? 102-193.10 Section 102-193.10 Public Contracts and Property...

  14. 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.

  15. 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...

  16. A Critical Evaluation of Phrónêsis as a Key Tool for Professional Excellence for Modern Managers

    ERIC Educational Resources Information Center

    Thomas, Shinto

    2017-01-01

    Phrónêsis or practical wisdom is an important element of Aristotelian virtue ethics. This paper is an attempt to study what is meant by Phrónêsis, how it might be understood, reinterpreted, applied, and extended in contemporary professional management practice and its role in enhancing professional excellence in modern managers. Phrónêsis can…

  17. The Howling Prescribed Natural Fire - long-term effects on the modernization of planning and implementation of wildland fire management

    Treesearch

    Tom Zimmerman; Laurie Kurth; Mitchell Burgard

    2011-01-01

    Wildland fire management policy and practices have long been driven by the occurrence of significant events. The Howling Prescribed Natural Fire in Glacier National Park in 1994 is a prime example of a significant historical fire event that provided the impetus for program changes and modifications that modernized wildland fire management at the local, regional, and...

  18. Holocene environmental changes in the Alashan Gobi, NW China: Evidence from a pollen record in comparison to modern pollen spectra

    NASA Astrophysics Data System (ADS)

    Herzschuh, U.; Tarasov, P.; Hartmann, K.; Wuennemann, B.

    2003-04-01

    Pollen data of an early to mid-Holocene sediment record from the centre of the present dry Eastern Juyan lake, Alashan Gobi, northwestern China and comparisons with modern pollen spectra provide information about vegetation and climatic changes in a desert dominated region. The arid Alashan Plateau receives less than 80 mm annual precipitation and is covered by a typical desert vegetation comprising Calligonum mongolicum, Nitraria sphaerocarpa, Zygophyllum xanthoxylon, Ephedra przewalskii, Reaumuria soogorica, Artemisia tschernerviana, Haloxylon ammodendron and some other Chenopodiaceae being the main plant taxa. An 8.25 m long sediment core taken from the northwestern part of Juyan lake covers the the early and the mid-Holocene (11.0 to 2.0 cal. ka BP). Altogether 64 samples with a total of ca. 400 grains per sample were analysed. The most abundant taxa and their probable origin are the following: Betula (far transport from the adjacent mountains), Ulmus (riparian vegetation), Artemisia, Poaceae, Ephedra distachya-type, Ephedra fragilis-type (steppe vegetation or indefinable), Chenopodiaceae, Nitraria, Calligonum, Reaumuria (desert vegetation). According to 5 AMS datings and pollen spectra the record can be subdivided into two parts: 11.0 to 5.5 cal. ka BP with higher abundances of Chenopodiaceae and Ephedra and 5.5 to 2.0 cal. ka BP with more Artemisia and less Ephedra. Due to the varying Artemisia/Chenopodiaceae ratio and the similarly changing abundance of some desert taxa (Nitraria, Calligonum, Reaumuria) a division in periods with steppe vegetation mainly indicate wetter conditions while the abundance of desert vegetation may reflect somewhat drier conditions. According to the age model wetter conditions prevailed between about 8.2 7.5, 6.6 - 6.2, 5.6 4.8, 4.3 4.0 and 3.2 2.8 cal. ka BP. Many pollen surface samples from the Alashan Gobi and the adjacent areas (the Qilian Mountains in the south and Mongolia in the north) supply this investigation with Recent

  19. 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...

  20. 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.

  1. Making electronic health records support quality management: A narrative review.

    PubMed

    Triantafillou, Peter

    2017-08-01

    Since the 1990s many hospitals in the OECD countries have introduced electronic health record (EHR) systems. A number of studies have examined the factors impinging on EHR implementation. Others have studied the clinical efficacy of EHR. However, only few studies have explored the (intermediary) factors that make EHR systems conducive to quality management (QM). Undertake a narrative review of existing studies in order to identify and discuss the factors conducive to making EHR support three dimensions of QM: clinical outcomes, managerial monitoring and cost-effectiveness. A narrative review of Web of Science, Cochrane, EBSCO, ProQuest, Scopus and three Nordic research databases. most studies do not specify the type of EHR examined. 39 studies were identified for analysis. 10 factors were found to be conducive to make EHR support QM. However, the contribution of EHR to the three specific dimensions of QM varied substantially. Most studies (29) included clinical outcomes. However, only half of these reported EHR to have a positive impact. Almost all the studies (36) dealt with the ability of EHR to enhance managerial monitoring of clinical activities, the far majority of which showed a positive relationship. Finally, only five dealt with cost-effectiveness of which two found positive effects. The findings resonates well with previous reviews, though two factors making EHR support QM seem new, namely: political goals and strategies, and integration of guidelines for clinical conduct. Lacking EHR type specification and diversity in study method imply that there is a strong need for further research on the factors that may make EHR may support QM. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. 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…

  3. 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.

  4. 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.

  5. 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.

  6. [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. © Georg Thieme Verlag Stuttgart · New York.

  7. High potential for using DNA from ancient herring bones to inform modern fisheries management and conservation.

    PubMed

    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

  8. 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

  9. Scandinavian systems monitoring the oral health in children and adolescents; an evaluation of their quality and utility in the light of modern perspectives of caries management

    PubMed Central

    2014-01-01

    Background Recording reliable oral health data is a challenge. The aims were a) to outline different Scandinavian systems of oral health monitoring, b) to evaluate the quality and utility of the collected data in the light of modern concepts of disease management and to suggest improvements. Material and methods The information for in this study was related to (a) children and adolescents, (b) oral health data and (c) routines for monitoring such data. This meant information available in the official web sites of the “KOSTRA-data” (Municipality-State-Report) in Norway, the Swedish National Board of Health and Welfare (“Socialstyrelsen”) and Oral Health Register (the SCOR system, National Board of Health) in Denmark. Results A potential for increasing the reliability and validity of the data existed. Routines for monitoring other oral diseases than caries were limited. Compared with the other Scandinavian countries, the data collection system in Denmark appeared more functional and had adopted more modern concepts of disease management than other systems. In the light of modern concepts of caries management, data collected elsewhere had limited utility. Conclusions The Scandinavian systems of health reporting had much in common, but some essential differences existed. If the quality of epidemiological data were enhanced, it would be possible to use the data for planning oral health care. Routines and procedures should be improved and updated in accordance with the modern ideas about caries prevention and therapy. For appropriate oral health planning in an organised dental service, reporting of enamel caries is essential. PMID:24885243

  10. 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

    ... Act; System of Records: State-53, Office of Inspector General Investigation Management System SUMMARY: Notice is hereby given that the Department of State proposes to amend an existing system of records, Office of Inspector General Investigation Management System, State-53, pursuant to the provisions of the...

  11. 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 Financial...

  12. 78 FR 60245 - Privacy Act Systems of Records; LabWare Laboratory Information Management System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... Office of the Secretary Privacy Act Systems of Records; LabWare Laboratory Information Management System... is the LabWare Laboratory Information Management System, USDA-APHIS-19. This notice is necessary to... (USDA) is proposing to add a new system of records, entitled LabWare Laboratory Information...

  13. 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 systems—management and control. (a) The Director, Office of Administrative Services, shall have overall...

  14. 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 systems—management and control. (a) The Director, Office of Administrative Services, shall have overall...

  15. Roles, Functions, Training, and Proficiency Tests for Medical Record Personnel: A Guide to Curriculum Management.

    ERIC Educational Resources Information Center

    Clark, Fredric A.

    The curriculum management guide serves as an aid to medical record teachers and other medical record educators. It is designed to provide them with a useful tool to improve student performances by improved administration and management of programs. The guide documents one possible systematic approach to professional and vocational curriculum…

  16. 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 systems—management and control. (a) The Director, Office of Administrative Services, shall have overall...

  17. 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 systems—management and control. (a) The Director, Office of Administrative Services, shall have overall...

  18. 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)...

  19. 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)...

  20. 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)...

  1. 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)...

  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, 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...

  4. 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... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What records management principles must agencies implement? 1220.32 Section 1220.32 Parks, Forests, and Public Property NATIONAL...

  5. Risk management considerations and the pregnancy handheld record. An audit of the return rate of the pregnancy handheld record.

    PubMed

    Toohill, Jocelyn; Soong, Barbara; Meldrum, Melissa

    2006-12-01

    Risk management is integral to the provision of contemporary health care. As maternity practices change and with a commitment on women being at the centre of care, one strategy has been for women to retain their records during the antenatal period. This paper explores the return rate of the pregnancy handheld record in a major tertiary facility and discusses the risk management implications when the record is not available upon presentation to the treating practitioner. Four audits were conducted over a 2 year period to determine the return rate of the pregnancy handheld record at time of admission for labour and birth. A total of 1096 records were returned out of a possible 1256 during the study. A 6.6% increase in the return rate was achieved over the 4 audit periods (82-88.5%) with an overall return rate of 85%. Our audit highlights the need for consumers, clinicians and heath care facilities to consider the advantages and disadvantages of the pregnancy handheld record, as well as the medico-legal responsibilities that ultimately fall back on the health facility.

  6. 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

  7. The management of risk. Part 3: Recording your way out of trouble.

    PubMed

    Collier, Andrew

    2014-05-01

    Clinical and ethical risk management requires not only the correct treatment being provided, and appropriate consent obtained, but also good records of that treatment. This third article of the series describes the characteristics of good records and their role in helping to prevent the progression of complaints, General Dental Council (GDC) cases and legal claims. Good records are of fundamental importance in managing risk and preventing and resolving complaints and legal claims.

  8. 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.

  9. 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.

  10. 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. Copyright © 2016 Elsevier Ltd. All rights reserved.

  11. 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…

  12. VomsSnooper - a tool for managing VOMS records

    NASA Astrophysics Data System (ADS)

    Jones, S.

    2014-06-01

    VomsSnooper is a tool to keep documents and sites up to date with the newest VOMS records, removing the need for manual edits to security configuration files. The input data is administered centrally at the Operations Portal, and it is made available in XML format. Prior to VomsSnooper, it was necessary at each site to manually convert the XML data. VomsSnooper automates this process by checking and creating new VOMS records directly from the portal, providing a bridge between the Operations Portal and the site configuration. The tool is also used to publish online the VOMS data of thirty Approved VOs in the GridPP wiki.

  13. Data management in the modern structural biology and biomedical research environment.

    PubMed

    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 diverse

  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. Modern management of pyogenic hepatic abscess: a case series and review of the literature

    PubMed Central

    2011-01-01

    Background Pyogenic hepatic abscesses are relatively rare, though untreated are uniformly fatal. A recent paradigm shift in the management of liver abscesses, facilitated by advances in diagnostic and interventional radiology, has decreased mortality rates. The aim of this study was to review our experience in managing pyogenic liver abscess, review the literature in this field, and propose guidelines to aid in the current management of this complex disease. Methods Demographic and clinical details of all patients admitted to a single institution with liver abscess over a 5 year period were reviewed. Clinical presentation, aetiology, diagnostic work-up, treatment, morbidity and mortality data were collated. Results Over a 5 year period 11 patients presented to a single institution with pyogenic hepatic abscess (55% males, mean age 60.3 years). Common clinical features at presentation were non-specific constitutional symptoms and signs. Aetiology was predominantly gallstones (45%) or diverticular disease (27%). In addition to empiric antimicrobial therapy, all patients underwent radiologically guided percutaneous drainage of the liver abscess at diagnosis and only 2 patients required surgical intervention, including one 16-year old female who underwent hemi-hepatectomy for a complex and rare Actinomycotic abscess. There were no mortalities after minimum follow-up of one year. Conclusions Pyogenic liver abscesses are uncommon, and mortality has decreased over the last two decades. Antimicrobial therapy and radiological intervention form the mainstay of modern treatment. Surgical intervention should be considered for patients with large, complex, septated or multiple abscesses, underlying disease or in whom percutaneous drainage has failed. PMID:21435221

  16. 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…

  17. 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…

  18. 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....

  19. Orchard Business Management. Unit I. Establishing an Orchard Record Keeping System.

    ERIC Educational Resources Information Center

    Mullinix, Shauna K.

    This guide is intended for use in providing in-depth formal classroom and on-site instruction in the principles of business and financial management as they apply to operating and managing orchards. Designed to be used with an accompanying Orchard Business Management Record Book, this unit (i.e., the first year) of the course deals with…

  20. 25 CFR 900.53 - What kind of records shall the property management system maintain?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false What kind of records shall the property management system... HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES CONTRACTS UNDER THE INDIAN SELF-DETERMINATION AND EDUCATION ASSISTANCE ACT Standards for Tribal or Tribal Organization Management Systems Property Management...

  1. 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...

  2. 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...

  3. 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...

  4. 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...

  5. 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...

  6. 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.

  7. 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...

  8. 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.

  9. A Guide to Computer-Managed IEP Record Systems

    ERIC Educational Resources Information Center

    Serfass, Cindy; Peterson, Reece L.

    2007-01-01

    The computer-managed IEP systems described in this article provide a good sample of what is currently available. After previewing several of them and reviewing the rest, the authors believe that these types of systems have the potential to benefit teachers, administrators, and parents as well as students. They create reports in a more timely and…

  10. 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.

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

    PubMed

    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.

  12. 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

  13. 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.

  14. 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

  15. Convergence in Information Studies (Archival Studies, Librarianship, and Records Management): Implications for Educational Programs.

    ERIC Educational Resources Information Center

    Casey, Barbara J.; Carroll, Carman V.; MacDonald, Bertrum H.

    1997-01-01

    Discusses the convergence of educational programs for the information profession as information professionals handle more varied job responsibilities, including archival work, librarianship, and records management. Highlights include historical developments, partnerships, resource sharing, curriculum design, continuing education, research agendas,…

  16. 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…

  17. 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...

  18. 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....

  19. 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…

  20. Supervised Occupational Experience Record Book for Agricultural Resources Conservation, Environmental Management and Forestry: Teacher's Guide.

    ERIC Educational Resources Information Center

    Nickles, Tom

    The guide is designed to aid the instructor in implementing the student guide entitled "Supervised Occupational Experience Record Book For Agricultural Resource Conservation, Environmental Management and Forestry". Intended for use in the secondary level vocational agriculture curriculum, general concepts, student record-keeping skills,…

  1. A Process for Evaluating Student Records Management Software. ERIC/AE Digest.

    ERIC Educational Resources Information Center

    Vecchioli, Lisa

    This digest provides practical advice on evaluating software for managing student records. An evaluation of record-keeping software should start with a process to identify all of the individual needs the software produce must meet in order to be considered for purchase. The first step toward establishing an administrative computing system is…

  2. Testing the Hypothesis of Fire Use for Ecosystem Management by Neanderthal and Upper Palaeolithic Modern Human Populations

    PubMed Central

    Daniau, Anne-Laure; d'Errico, Francesco; Sánchez Goñi, Maria Fernanda

    2010-01-01

    Background It has been proposed that a greater control and more extensive use of fire was one of the behavioral innovations that emerged in Africa among early Modern Humans, favouring their spread throughout the world and determining their eventual evolutionary success. We would expect, if extensive fire use for ecosystem management were a component of the modern human technical and cognitive package, as suggested for Australia, to find major disturbances in the natural biomass burning variability associated with the colonisation of Europe by Modern Humans. Methodology/Principal Findings Analyses of microcharcoal preserved in two deep-sea cores located off Iberia and France were used to reconstruct changes in biomass burning between 70 and 10 kyr cal BP. Results indicate that fire regime follows the Dansgaard-Oeschger climatic variability and its impacts on fuel load. No major disturbance in natural fire regime variability is observed at the time of the arrival of Modern Humans in Europe or during the remainder of the Upper Palaeolithic (40–10 kyr cal BP). Conclusions/Significance Results indicate that either Neanderthals and Modern humans did not influence fire regime or that, if they did, their respective influence was comparable at a regional scale, and not as pronounced as that observed in the biomass burning history of Southeast Asia. PMID:20161786

  3. 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.

  4. Cave Monitoring to Determine the Controls on δ18O From a Modern Speleothem Record in Semi-arid SE Australia.

    NASA Astrophysics Data System (ADS)

    Markowska, M.; Baker, A.; Andersen, M. S.; Jex, C.; Cuthbert, M. O.; Rau, G. C.; Graham, P. W.; Rutlidge, H.; Marjo, C.; Treble, P. C.

    2015-12-01

    Cave monitoring provides a crucial link between hydrological and climate processes and how they may in turn effect speleothem δ18O calcite composition. This is particularly important in arid environments where potential evapotranspiration (PET) exceeds precipitation (P) and may dominate the δ18O signature. In this study we investigate climate-karst-cave interactions driving the δ18O variability in modern drip water samples from Cathedral Cave in semi-arid SE Australia and use this information to interpret a modern sub-annually resolved speleothem record. Over a two-year monitoring campaign we established that mean composition of δ18O in modern drip waters was enriched by up to 2.9‰, relative to the weighted mean annual rainfall. Furthermore, fluctuations in δ18O over time were controlled by two processes (1) evaporation in the unsaturated zone, resulting in heavier values, and (2) recharge during infiltration events, resulting in isotopically lighter values. Large soil moisture deficits in the soil zone must therefore be surpassed to initiate infiltration, resulting in relatively infrequent (0-3 per year) infiltration events. A series of infiltration experiments were conducted to elucidate water flow delivery mechanisms and water residence times. We found that the hydrological pathways and resulting mixing processes that occurred in the unsaturated zone determined the isotopic variability in the drip water δ18O between individual drip sites, and that potential storage in the unsaturated zone is generally greater than 6 months. We establish that the δ18O record in speleothems from this cave do not exclusively record rainfall composition or amount but are overlaid with an evaporative signal that is strongly affected by the time since the last infiltration event, local hydrogeology, cave climate and disequilibrium during calcite deposition. This hypothesis was tested by reconstructing the δ18O proxy record in a speleothem growing for ~50 years in the

  5. 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…

  6. The value of personal health records for chronic disease management: what do we know?

    PubMed

    Tenforde, Mark; Jain, Anil; Hickner, John

    2011-05-01

    Electronic personal health records (PHRs) allow patients access to their medical records, self-management tools, and new avenues of communication with their health care providers. They will likely become a valuable component of the primary care Patient-centered Medical Home model. Primary care physicians, who manage the majority of chronic disease, will use PHRs to help patients manage their diabetes and other chronic diseases requiring continuity of care and enhanced information flow between patient and physician. In this brief report, we explore the evidence for the value of PHRs in chronic disease management. We used a comprehensive review of MEDLINE articles published in English between January 2000 and September 2010 on personal health records and related search terms. Few published articles have described PHR programs designed for use in chronic disease management or PHR adoption and attitudes in the context of chronic disease management. Only three prospective randomized trials have evaluated the benefit of PHR use in chronic disease management, all in diabetes care. These trials showed small improvements in some but not all diabetes care measures. All three trials involved additional interventions, making it difficult to determine the influence of patient PHR use in improved outcomes. The evidence remains sparse to support the value of PHR use for chronic disease management. With the current policy focus on meaningful use of electronic and personal health records, it is crucial to investigate and learn from new PHR products so as to maximize the clinical value of this tool.

  7. Farm Management Education Record Analysis Systems Research and Development Project. Final Report. Research Series No. 5.

    ERIC Educational Resources Information Center

    Priebe, Donald

    To extend the opportunity for increasing the management efficiency of North Dakota farmers, this program for aiding farm managers and operators was undertaken in July 1971. Objectives, activities, current status of the program, summary, and conclusions are outlined here. Objectives included designing and implementing a records system, providing…

  8. 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…

  9. Modern Technologies aspects for Oceanographic Data Management and Dissemination : The HNODC Implementation

    NASA Astrophysics Data System (ADS)

    Lykiardopoulos, A.; Iona, A.; Lakes, V.; Batis, A.; Balopoulos, E.

    2009-04-01

    The development of new technologies for the aim of enhancing Web Applications with Dynamically data access was the starting point for Geospatial Web Applications to developed at the same time as well. By the means of these technologies the Web Applications embed the capability of presenting Geographical representations of the Geo Information. The induction in nowadays, of the state of the art technologies known as Web Services, enforce the Web Applications to have interoperability among them i.e. to be able to process requests from each other via a network. In particular throughout the Oceanographic Community, modern Geographical Information systems based on Geospatial Web Services are now developed or will be developed shortly in the near future, with capabilities of managing the information itself fully through Web Based Geographical Interfaces. The exploitation of HNODC Data Base, through a Web Based Application enhanced with Web Services by the use of open source tolls may be consider as an ideal case of such implementation. Hellenic National Oceanographic Data Center (HNODC) as a National Public Oceanographic Data provider and at the same time a member of the International Net of Oceanographic Data Centers( IOC/IODE), owns a very big volume of Data and Relevant information about the Marine Ecosystem. For the efficient management and exploitation of these Data, a relational Data Base has been constructed with a storage of over 300.000 station data concerning, physical, chemical and biological Oceanographic information. The development of a modern Web Application for the End User worldwide to be able to explore and navigate throughout HNODC data via the use of an interface with the capability of presenting Geographical representations of the Geo Information, is today a fact. The application is constituted with State of the art software components and tools such as: • Geospatial and no Spatial Web Services mechanisms • Geospatial open source tools for the

  10. 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

  11. 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.

  12. 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

  13. 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.

  14. The Modern Detrital Record of Northern and Central California: Assessing the Propagation of Geochronological and Geochemical Provenance Signals

    NASA Astrophysics Data System (ADS)

    Malkowski, M. A.; Sharman, G. R.; Grove, M.; Kimbrough, D. L.; Graham, S. A.

    2016-12-01

    We couple U-Pb detrital zircon geochronology (n=30) and bulk sediment geochemistry (n=41) from modern Sacramento and San Joaquin Rivers, the Sacramento-San Joaquin Delta, San Francisco Bay, and offshore sediments to assess the propagation of provenance signals across the sediment dispersal system. Detrital zircon U-Pb ages show pronounced down-system variations that progressively become homogenized within the Delta. La/Yb ratios show a systematic north to south increase along the Central Valley reflecting the variability of more primitive arc and ophiolitic rocks within the Klamath Mountains and northern Sierra Nevada to more fractionated arc rocks and plutons in the central and southern Sierra Nevada batholith. Proximal to the Klamath Mountains, the Sacramento River contains abundant Early Paleozoic zircon that is rapidly diluted downstream. Similarly, sands from west-flowing Battle Creek carry almost 100% 500 ka zircon from the Mount Lassen area while none is recovered in the downstream Sacramento River. Samples are initially enriched in Jurassic and then 100-85 Ma zircon down the Sacramento River, particularly south of the American River. Similarly, in the north-flowing San Joaquin River, upstream samples are dominated by Early Cretaceous and Jurassic zircon, while downstream samples become progressively enriched in 100-85 Ma grains from major tributaries. The Delta samples most resemble the Sierra Nevada batholith. Sediment deposited downstream in San Francisco Bay and offshore is further modified by sediment eroded from Cretaceous-Cenozoic Franciscan Coast Range strata. Overall, our results highlight the ability of large detrital zircon data sets to discriminate smaller-scale point sources, demonstrate how geochronological and geochemical provenance proxies are propagated down-stream, and reveal how bulk geochemical tracers can effectively highlight larger-scale trends in the composition of source regions.

  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. The role of records management professionals in optical disk-based document imaging systems in the petroleum industry

    SciTech Connect

    Cisco, S.L.

    1992-01-01

    Analyses of the data indicated that nearly one third of the 83 companies in this study had implemented one or more document imaging systems. Companies with imaging systems mostly were large (more than 1,001 employees), and mostly were international in scope. Although records management professionals traditionally were delegated responsibility for acquiring, designing, implementing, and maintaining paper-based information systems and the records therein, when records were converted to optical disks, responsibility for acquiring, designing, implementing, and maintaining optical disk-based information systems and the records therein, was delegated more frequently to end user departments and IS/MIS/DP professionals than to records professionals. Records management professionals assert that the need of an organization for a comprehensive records management program is not served best when individuals who are not professional records managers are responsible for the records stored in optical disk-based information systems.

  17. Manual editing of automatically recorded data in an anesthesia information management system.

    PubMed

    Wax, David B; Beilin, Yaakov; Hossain, Sabera; Lin, Hung-Mo; Reich, David L

    2008-11-01

    Anesthesia information management systems allow automatic recording of physiologic and anesthetic data. The authors investigated the prevalence of such data modification in an academic medical center. The authors queried their anesthesia information management system database of anesthetics performed in 2006 and tabulated the counts of data points for automatically recorded physiologic and anesthetic parameters as well as the subset of those data that were manually invalidated by clinicians (both with and without alternate values manually appended). Patient, practitioner, data source, and timing characteristics of recorded values were also extracted to determine their associations with editing of various parameters in the anesthesia information management system record. A total of 29,491 cases were analyzed, 19% of which had one or more data points manually invalidated. Among 58 attending anesthesiologists, each invalidated data in a median of 7% of their cases when working as a sole practitioner. A minority of invalidated values were manually appended with alternate values. Pulse rate, blood pressure, and pulse oximetry were the most commonly invalidated parameters. Data invalidation usually resulted in a decrease in parameter variance. Factors independently associated with invalidation included extreme physiologic values, American Society of Anesthesiologists physical status classification, emergency status, timing (phase of the procedure/anesthetic), presence of an intraarterial catheter, resident or certified registered nurse anesthetist involvement, and procedure duration. Editing of physiologic data automatically recorded in an anesthesia information management system is a common practice and results in decreased variability of intraoperative data. Further investigation may clarify the reasons for and consequences of this behavior.

  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

    2017-09-01

    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. 76 FR 5820 - Record of Decision for the General Management Plan for the Cumberland Gap National Historical...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-02

    ... National Park Service Record of Decision for the General Management Plan for the Cumberland Gap National... the Record of Decision for the General Management Plan Environmental Impact Statement for the..., the National Park Service (NPS) announces the availability of the Record of Decision (ROD) for the...

  20. Self-Monitoring, Cueing, Recording, and Managing: Teaching Students To Manage Their Own Behavior.

    ERIC Educational Resources Information Center

    McConnell, Mary E.

    1999-01-01

    This article describes the following processes for encouraging self-management in middle-school students in inclusive classrooms: identify a problem behavior, define the target, collect baseline data, schedule a conference with the student, select self-management procedures, teach the student to use self-management procedures, implement…

  1. 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

  2. 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.

  3. 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.

  4. 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…

  5. Organic molecular records of topography and climate: Modern biomarker isotope and soil tetraether calibrations and applications to the paleoenvironmental history of the SE margin of Tibet

    NASA Astrophysics Data System (ADS)

    Hren, M. T.; Hoke, G. D.; Garzione, C. N.; Liu, J.; Wang, C.

    2013-12-01

    The timing of surface uplift of the SE margin of the Tibetan Plateau is presently debated, however constraints on this history significantly impact interpretations of the mechanisms of plateau formation. Recent studies suggest that high topography in the SE margin of the plateau is a relict feature of early Cenozoic uplift. Specifically, stable isotopic records from soil carbonates indicate that high elevations were generated preceding or simultaneous with major Paleogene right-lateral strike slip faulting along the Alio Shan - Red River shear zone. These results imply that late Miocene lower crustal flow was not the main mechanism by which the high elevation portion of the SE margin of the Plateau was generated, but may have contributed to raising the southernmost portion of the Tibetan margin. Despite growing evidence for early Cenozoic uplift in this region, processes such as soil water evaporation can result in enriched δ18O values that could bias some soil carbonate paleoelevation estimates to lower elevation. Organic molecular proxies provide a powerful complement for understanding past changes to a landscape because they provide an independent record of environmental change. We evaluate modern relationships between plant wax biomarker hydrogen isotopes and soil tetraether temperatures and elevation in modern soils from China's Yunnan province. These data are used to calibrate these organic molecular paleoelevation proxies and are coupled with biomarker hydrogen isotope and soil tetraether temperature data from Paleogene and Neogene terrestrial sediments along a NW-SE oriented trend in the Yunnan Province. Our results provide new insight into paleotopographic and paleoenvironmental change in this region. Biomarker data support carbonate oxygen isotope paleoelevation reconstructions that show high elevations in the early Cenozoic, however isotopically-depleted plant-wax hydrogen isotopes and cool paleotemperature estimates from some Paleogene sediments

  6. 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. Copyright © 2016 Elsevier B.V. All rights reserved.

  7. 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...-193.25 What type of records management business process improvements should my agency strive...

  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. 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)...

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  14. 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...

  15. 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

    ...) FEDERAL MANAGEMENT REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What are the records management responsibilities of the Administrator of General Services (the Administrator), the Archivist of...

  16. 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

    ...) FEDERAL MANAGEMENT REGULATION ADMINISTRATIVE PROGRAMS 193-CREATION, MAINTENANCE, AND USE OF RECORDS § 102... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What are the records management responsibilities of the Administrator of General Services (the Administrator), the Archivist of...

  17. 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

    ...) 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 type of records management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25...

  18. 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

    ...) 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 type of records management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25...

  19. 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

    ...) 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 type of records management business process improvements should my agency strive to achieve? 102-193.25 Section 102-193.25...

  20. 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.

  1. 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.

  2. Radioactive waste management information for 1993 and record-to-date

    SciTech Connect

    Taylor, K.A.

    1994-07-01

    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 1993. It also summarizes the radioactive 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.

  3. Systems Engineering Plan and project record Configuration Management Plan for the Mixed Waste Disposal Initiative

    SciTech Connect

    Bryan, W.E.; Oakley, L.B.

    1993-04-01

    This document summarizes the systems engineering assessment that was performed for the Mixed Waste Disposal Initiative (MWDI) Project to determine what types of documentation are required for the success of the project. The report also identifies the documents that will make up the MWDI Project Record and describes the Configuration Management Plan describes the responsibilities and process for making changes to project documentation.

  4. 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.

  5. 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.

  6. 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.

  7. 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...

  8. 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…

  9. An Assessment of Methods, Procedures, and Equipment Used for Information Records Management.

    ERIC Educational Resources Information Center

    Burford, Anna M.; Northcutt, Helen A.

    This report presents the results of a survey conducted to analyze the factors constituting information records management in business offices located in Kentucky, Ohio, and West Virginia. Seventy-one percent of 142 randomly selected companies of various sizes responded to mailed questionnaires, and two companies were selected for on-site visits.…

  10. 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…

  11. 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…

  12. 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…

  13. 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...

  14. 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.

  15. 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…

  16. 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…

  17. 36 CFR 1236.22 - What are the additional requirements for managing electronic mail records?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What are the additional requirements for managing electronic mail records? 1236.22 Section 1236.22 Parks, Forests, and Public Property... identifies addressees only by the name of a distribution list, retain the intelligent or full names...

  18. 36 CFR 1236.22 - What are the additional requirements for managing electronic mail records?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 3 2011-07-01 2011-07-01 false What are the additional requirements for managing electronic mail records? 1236.22 Section 1236.22 Parks, Forests, and Public Property... identifies addressees only by the name of a distribution list, retain the intelligent or full names...

  19. 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…

  20. 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.

  1. 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

  2. [Quality assurance of hospital medical records as a risk management tool].

    PubMed

    Terranova, Giuseppina; Cortesi, Elisabetta; Briani, Silvia; Giannini, Raffaella

    2006-01-01

    A retrospective analysis of hospital medical records was performed jointly by the Medicolegal department of the Pistoia Local Health Unit N. 3 and by the management of the SS. Cosma and Damiano di Pescia Hospital. Evaluation was based on ANDEM criteria, JCAHO standards, and the 1992 discharge abstract guidelines of the Italian Health Ministry. In the first phase of the study, data were collected and processed for each hospital ward and then discussed with clinicians and audited. After auditing, appropriate actions were agreed upon for correcting identified problems. Approximately one year later a second smaller sample of medical records was evaluated and a higher compliance rate with the established corrective actions was found in all wards for all data categories. In this study the evaluation of medical records can be considered in the wider context of risk management, a multidisciplinary process directed towards identifying and monitoring risk through the use of appropriate quality indicators.

  3. 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

  4. 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.

  5. Anesthesia information management systems: past, present, and future of anesthesia records.

    PubMed

    Kadry, Bassam; Feaster, William W; Macario, Alex; Ehrenfeld, Jesse M

    2012-01-01

    Documenting a patient's anesthetic in the medical record is quite different from summarizing an office visit, writing a surgical procedure note, or recording other clinical encounters. Some of the biggest differences are the frequent sampling of physiologic data, volume of data, and diversity of data collected. The goal of the anesthesia record is to accurately and comprehensively capture a patient's anesthetic experience in a succinct format. Having ready access to physiologic trends is essential to allowing anesthesiologists to make proper diagnoses and treatment decisions. Although the value provided by anesthesia information management systems and their functions may be different than other electronic health records, the real benefits of an anesthesia information management system depend on having it fully integrated with the other health information technologies. An anesthesia information management system is built around the electronic anesthesia record and incorporates anesthesia-relevant data pulled from disparate systems such as laboratory, billing, imaging, communication, pharmacy, and scheduling. The ability of an anesthesia information management system to collect data automatically enables anesthesiologists to reliably create an accurate record at all times, regardless of other concurrent demands. These systems also have the potential to convert large volumes of data into actionable information for outcomes research and quality-improvement initiatives. Developing a system to validate the data is crucial in conducting outcomes research using large datasets. Technology innovations outside of healthcare, such as multitouch interfaces, near-instant software response times, powerful but simple search capabilities, and intuitive designs, have raised the bar for users' expectations of health information technology. © 2012 Mount Sinai School of Medicine.

  6. 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

  7. 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

  8. Medical student database development: a model for record management in a multi-departmental setting.

    PubMed Central

    Vercillo, D. M.; Holmes, K. C.; Pingree, M. J.; Bray, B. E.; Lincoln, M. J.

    1999-01-01

    Student records flow through medical school offices at a rapid rate. Much of this data is often tracked on paper, spread across multiple departments. The Medical Student Informatics Group at the University of Utah School of Medicine identified offices and organizations documenting student information. We assessed departmental needs, identified records, and researched database software available within the private sector and academic community. Although a host of database applications exist, few publications discuss database models for storage and retrieval of student records. We developed and deployed an Internet based application to meet current requirements, and allow for future expandability. During a test period, users were polled regarding utility, security, stability, ease of use, data accuracy, and potential project expansion. Feedback demonstrated widespread approval, and considerable interest in additional feature development. This experience suggests that many medical schools would benefit from centralized database management of student records. Images Figure 3 Figure 4 Figure 5 PMID:10566507

  9. 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.

  10. Effective information management and assurance for a modern organisation during a crisis.

    PubMed

    MacLeod, Andrew

    2015-01-01

    During a crisis, organisations face a major unpredictable event with potentially negative consequences. Effective information management and assurance can assist the organisation in making sure that they have the correct information in a secure format to make decisions to recover their operations. The main elements of effective information management and assurance are confidentiality, integrity and availability, combined with non-repudiation. Should an element of effective information management or assurance be removed it can have a detrimental effect on the other elements and render the information management and assurance practices of the organisation ineffectual.

  11. 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

  12. 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

  13. 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…

  14. 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…

  15. 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…

  16. The Nature and Use of Management Information Systems in Modern Language Administration.

    ERIC Educational Resources Information Center

    Garrott, Carl L.

    The use of management information systems (MIS) in the department fiscal system is described in this paper, with a focus on development of a planning model prior to MIS implementation. Planning stages involve a task force to evaluate the situation prior to implementation. Applicability of simple and advanced management information systems are…

  17. 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. Copyright © 2011 Elsevier Inc. All rights reserved.

  18. 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

  19. A Study of the Use of Office Technology and the Changing Role of the Management Support Staff in the Modern Office. Final Report.

    ERIC Educational Resources Information Center

    Moon, Harry R.

    A study examined the use of office technology and the changing role of the management supportive staff in the modern office. During the study, the researcher conducted prearranged, one-hour personal interviews with individuals responsible for supervising day-to-day activities of management supportive staff at 50 companies in 16 sites. The…

  20. 36 CFR 1233.20 - How are disposal clearances managed for records in NARA Federal Records Centers?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... NARA Federal Records Centers Program Web site (http://www.archives.gov/frc/toolkit.html#disposition...) or individual NARA Federal Records Centers (http://www.archives.gov/frc/locations.html), individual...

  1. 36 CFR 1233.20 - How are disposal clearances managed for records in NARA Federal Records Centers?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... NARA Federal Records Centers Program Web site (http://www.archives.gov/frc/toolkit.html#disposition...) or individual NARA Federal Records Centers (http://www.archives.gov/frc/locations.html), individual...

  2. 36 CFR 1233.20 - How are disposal clearances managed for records in NARA Federal Records Centers?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... NARA Federal Records Centers Program Web site (http://www.archives.gov/frc/toolkit.html#disposition...) or individual NARA Federal Records Centers (http://www.archives.gov/frc/locations.html), individual...

  3. 36 CFR 1233.20 - How are disposal clearances managed for records in NARA Federal Records Centers?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... NARA Federal Records Centers Program Web site (http://www.archives.gov/frc/toolkit.html#disposition...) or individual NARA Federal Records Centers (http://www.archives.gov/frc/locations.html), individual...

  4. [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.

  5. Blueprinting the Army’s Modernized Environmental Enterprise Management System HQAES

    DTIC Science & Technology

    2011-05-01

    Related Cleanup (incl. overseas)  Environmental Program Support – Environmental Management Systems (EMS) – Environmental Regulatory Monitoring...development requirements (WRICEF) • Create the Business Blueprint • Establish technical system environment, such as Sandbox or Development Major

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

    DTIC Science & Technology

    2010-06-01

    The only items they do not directly deliver are fresh fruits and vegetables (FFV), dairy, and bakery products . U.S. Foods has, with concurrence...assistance in the form of on-the-job training in the following areas: • Proper food service techniques, including management, production , service of food...sanitation, training, and accounting; • Management awareness in progressive cookery, proper serving techniques, food service safety precautions

  7. 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.

  8. 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

  9. 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...

  10. 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…

  11. 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....C. 4332(2)(C), the National Park Service (NPS) announces the availability of the Record of Decision (ROD) for the Oil and Gas Management Plan (Plan) for Big South Fork National River and Recreation Area...

  12. 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...

  13. 25 CFR 900.41 - How long must an Indian tribe or tribal organization keep management system records?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... management records of real and personal property transactions must be retained for three years from the date... 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 SELF...

  14. 25 CFR 900.41 - How long must an Indian tribe or tribal organization keep management system records?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... management records of real and personal property transactions must be retained for three years from the date... 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 SELF...

  15. [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.

  16. 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

  17. 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.

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

    PubMed

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

    2016-06-03

    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.

  19. Informal waste management system in Nigeria and barriers to an inclusive modern waste management system: a review.

    PubMed

    Oguntoyinbo, O O

    2012-05-01

    To explore the activities of the informal waste management sector in Nigeria, and barriers to integrating them in an inclusive waste management system. Literature review. A literature review was undertaken to evaluate the informal waste management system and formal waste management system in Nigeria and other developing countries with similar settings. Nine databases were searched and 34 studies met the following inclusion criteria: evaluation of the role of informal waste collectors, recycling and solid waste management in developing countries. Most of the evaluated studies (97%, n = 33) acknowledged the significant environmental and socio-economic roles played by the informal waste collectors and scavengers in developing countries. The studies identified the following as barriers to inclusive waste management in Nigeria: repressive policy, unhygienic waste collection methods, lack of evidence to support activity, and low quality and quantity of secondary materials. Scavengers and other groups of informal recyclers see waste as a source of income and livelihood, whilst the general public see it as an aesthetic problem and see the people engaged in resource recovery as a social nuisance. Integrating their informal services with the formal waste management system is a potential tool to empower these people to increase their skills in resource recovery and improve their working and living conditions. Inclusive waste management is a process, and observable changes are taking place in some developing countries where waste pickers and informal waste collectors have become environmental agents. A major limitation to the integration of informal waste collectors and scavengers is the social acceptance of their activity as a viable source of income, and of themselves as environmental agents in the sustainability of virgin resources. Copyright © 2012 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  20. 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.

  1. Rediscovering a history of nursing management: from Nightingale to the modern matron.

    PubMed

    Wildman, Stuart; Hewison, Alistair

    2009-12-01

    This paper presents an examination of distinct periods in the development of nursing in order to rediscover a history of nursing management in England. The overall purpose is to demonstrate that uncritical accounts written in the past have not adequately explained the complex factors that have shaped nursing management in England. It is also suggested that the approach taken may be usefully applied to other national contexts. This is a review article which first establishes the value of historical perspectives in increasing understanding of nursing and then goes on to analyse the professional, social and political forces that contributed to the development of nursing management. A range of historical and contemporary sources is accessed to support the review. The review is informed by an historical approach which also seeks recourse to current literature to develop a critical narrative analysis which has an international dimension. The history of nursing management has been 'lost' in celebratory and uncritical accounts of nursing as a whole. The important influence of key figures other than Nightingale has been overlooked and it emerges that nursing management has a longer and more complex history than is generally accepted.

  2. Case Mix Management Systems: An Opportunity to Integrate Medical Records and Financial Management System Data Bases

    PubMed Central

    Rusnak, James E.

    1987-01-01

    Due to previous systems selections, many hospitals (health care facilities) are faced with the problem of fragmented data bases containing clinical, demographic and financial information. Projects to select and implement a Case Mix Management System (CMMS) provide an opportunity to reduce the number of separate physical files and to migrate towards systems with an integrated data base. The number of CMMS candidate systems is often restricted due to data base and system interface issues. The hospital must insure the CMMS project provides a means to implement an integrated on-line hospital information data base for use by departments in operating under a DRG-based Prospective Payment System. This paper presents guidelines for use in selecting a Case Mix Mangement System to meet the hospital's financial and operations planning, budgeting, marketing, and other management needs, while considering the data base implications of the implementation.

  3. Factors affecting usage of a personal health record (PHR) to manage health.

    PubMed

    Taha, Jessica; Czaja, Sara J; Sharit, Joseph; Morrow, Daniel G

    2013-12-01

    As the health care industry shifts into the digital age, patients are increasingly being provided with access to electronic personal health records (PHRs) that are tethered to their provider-maintained electronic health records. This unprecedented access to personal health information can enable patients to more effectively manage their health, but little is actually known about patients' ability to successfully use a PHR to perform health management tasks or the individual factors that influence task performance. This study evaluated the ability of 56 middle-aged adults (40-59 years) and 51 older adults (60-85 years) to use a simulated PHR to perform 15 common health management tasks encompassing medication management, review/interpretation of lab/test results, and health maintenance activities. Results indicated that participants in both age groups experienced significant difficulties in using the PHR to complete routine health management tasks. Data also showed that older adults, particularly those with lower numeracy and technology experience, encountered greater problems using the system. Furthermore, data revealed that the cognitive abilities predicting one's task performance varied according to the complexity of the task. Results from this study identify important factors to consider in the design of PHRs so that they meet the needs of middle-aged and older adults. As deployment of PHRs is on the rise, knowledge of the individual factors that impact effective PHR use is critical to preventing an increase in health care disparities between those who are able to use a PHR and those who are not. PsycINFO Database Record (c) 2013 APA, all rights reserved.

  4. [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.

  5. 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.

  6. Diabetes management using modern information and communication technologies and new care models.

    PubMed

    Spanakis, Emmanouil G; Chiarugi, Franco; Kouroubali, Angelina; Spat, Stephan; Beck, Peter; Asanin, Stefan; Rosengren, Peter; Gergely, Tamas; Thestrup, Jesper

    2012-10-04

    Diabetes, a metabolic disorder, has reached epidemic proportions in developed countries. The disease has two main forms: type 1 and type 2. Disease management entails administration of insulin in combination with careful blood glucose monitoring (type 1) or involves the adjustment of diet and exercise level, the use of oral anti-diabetic drugs, and insulin administration to control blood sugar (type 2). State-of-the-art technologies have the potential to assist healthcare professionals, patients, and informal carers to better manage diabetes insulin therapy, help patients understand their disease, support self-management, and provide a safe environment by monitoring adverse and potentially life-threatening situations with appropriate crisis management. New care models incorporating advanced information and communication technologies have the potential to provide service platforms able to improve health care, personalization, inclusion, and empowerment of the patient, and to support diverse user preferences and needs in different countries. The REACTION project proposes to create a service-oriented architectural platform based on numerous individual services and implementing novel care models that can be deployed in different settings to perform patient monitoring, distributed decision support, health care workflow management, and clinical feedback provision. This paper presents the work performed in the context of the REACTION project focusing on the development of a health care service platform able to support diabetes management in different healthcare regimes, through clinical applications, such as monitoring of vital signs, feedback provision to the point of care, integrative risk assessment, and event and alarm handling. While moving towards the full implementation of the platform, three major areas of research and development have been identified and consequently approached: the first one is related to the glucose sensor technology and wearability, the second

  7. Brief review: Adoption of electronic medical records to enhance acute pain management.

    PubMed

    Goldstein, David H; Phelan, Rachel; Wilson, Rosemary; Ross-White, Amanda; VanDenKerkhof, Elizabeth G; Penning, John P; Jaeger, Melanie

    2014-02-01

    The purpose of this paper is to examine physician barriers to adopting electronic medical records (EMRs) as well as anesthesiologists' experiences with the EMRs used by the acute pain management service at two tertiary care centres in Canada. We first review the recent literature to determine if physician barriers to adoption are changing given the exponential growth of information technology and the evolving healthcare environment. We next report on institutional experience from two academic health sciences centres regarding the challenges they encountered over the past ten years in developing and implementing an electronic medical record system for acute pain management. The key identified barriers to adoption of EMRs are financial, technological, and time constraints. These barriers are identical to those reported in a systematic review performed prior to 2009 and remain significant factors challenging implementation. These challenges were encountered during our institution's process of adopting EMRs specific to acute pain management. In addition, our findings emphasize the importance of physician participation in the development and implementation stages of EMRs in order to incorporate their feedback and ensure the EMR system is in keeping with their workflow. Use of EMRs will inevitably become the standard of care; however, many barriers persist to impede their implementation and adoption. These challenges to implementation can be facilitated by a corporate strategy for change that acknowledges the barriers and provides the resources for implementation. Adoption will facilitate benefits in communication, patient management, research, and improved patient safety.

  8. 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.…

  9. 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.…

  10. 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

  11. 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.

  12. Presurgical prosthetic management of the periodontal patient--a modern adhesive approach.

    PubMed

    Scharf, J

    1994-01-01

    The comprehensive management of the periodontal prosthetic patient requires that treatment be provided in a logical sequence; initial therapy, presurgical prosthetic management, surgical management of hard and soft tissue lesions, post-surgical prosthetics, followed by maintenance therapy. This article focuses on some of the most perplexing challenges encountered during the presurgical prosthetic management phase of periodontal diagnosis and therapy, including the stabilization of mobile teeth, the immediate replacement of teeth that require removal due to advanced attachment loss, and the correction of visual defects created by soft tissue loss. A number of creative treatment modalities are described that utilize silane-treated etched-glass fiber ropes and tapes (GlasSpan, GlasSpan, Inc.) for the internal reinforcement of periodontal splints and for the attachment of composite and natural tooth pontics as transitional tooth replacements. Gingival-colored composite (Gingiblend, Jeneric Pentron) and its importance as a diagnostic aid during the early stages of periodontal therapy and as an esthetic permanent restorative material are also examined.

  13. Threshold Assessment and Performance Management: Modernizing or Masculinizing Teaching in England?

    ERIC Educational Resources Information Center

    Mahony, Pat; Hextall, Ian; Menter, Ian

    2004-01-01

    The paper reports on aspects of an ESRC project, "The impact of Performance 'Threshold Assessment' on teachers' work" (ESRC R000239286). The paper begins by explaining the nature and technology of "Threshold Assessment," and its location nationally within the performance management system recently introduced into schools in England. We review the…

  14. 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…

  15. 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…

  16. Draft Supplemental Programmatic Environmental Impact Statement on Stockpile Stewardship and Management for a Modern Pit Facility

    SciTech Connect

    N /A

    2003-06-06

    The U.S. Department of Energy's (DOE) National Nuclear Security Administration (NNSA) is responsible for the safety and reliability of the U.S. nuclear weapons stockpile, including production readiness required to maintain that stockpile. Since 1989, DOE has been without the capability to produce stockpile certified plutonium pits, which are an essential component of nuclear weapons. NNSA, the Department of Defense (DOD), and Congress have highlighted the lack of long-term pit production capability as a national security issue requiring timely resolution. While a small interim capacity is currently being established at the Los Alamos National Laboratory (LANL), classified analyses indicate projected capacity requirements (number of pits to be produced over a period of time), and agility (ability to rapidly change from production of one pit type to another, ability to simultaneously produce multiple pit types, or the flexibility to produce pits of a new design in a timely manner) necessary for long-term support of the stockpile will require a long-term pit production capability. In particular, identification of a systemic problem associated with an existing pit type, class of pits, or aging phenomenon cannot be adequately responded to today, nor could it be with the small capability being established at LANL (see Section S.2 for a more detailed discussion regarding the purpose and need for a Modern Pit Facility [MPF]).

  17. Design of modern monitoring systems for efficient control and management of technological processes

    NASA Astrophysics Data System (ADS)

    Abitova, Gulnara; Beisenbi, Mamirbek; Nikulin, Vladimir

    2011-04-01

    Proliferation of new and upgrade of existing industrial technologies is impossible without the development of efficient systems and algorithms of automatic control of technological processes that rely on modern monitoring approaches. Typically, the monitoring tools, which include various sensors and other devices, have to be tightly integrated with automatic control systems of industrial processes to reduce service expenses and downtime, increase capacity and optimize production as a whole. While designing technological and automation lines, it is necessary to carefully select parameters to be monitored such that optimal operation is achieved. At the same time, every step of industrial production has to be monitored to assure that each particular process is properly executed and resources are utilized in an efficient manner. An example presented in this paper is based on an ac electric drive equipped with control and monitoring systems. The result of a properly designed monitoring system is a simplified architecture of the control devices. The overall method can be implemented on the basis of a microprocessor, which offers several advantages including the possibility of designing intelligent control loops, expanding the fault-tolerant range of operation, extending the resource of operation, and coordinating interaction between different systems.

  18. 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

  19. 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.

  20. 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…

  1. 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.

  2. [Comparison of data from registries of acute coronary syndromes RECORD and RECORD-2: management of patients and its results in noninvasive hospitals].

    PubMed

    Shevchenko, I I; Érlikh, A D; Islamov, R R; Budiak, V A; Provotorov, V M; Gratsianskiĭ, N A

    2013-01-01

    Positive changes are declared to occur during recent years in management of hospitalized patients with acute coronary syndromes (ACS) in Russia. Most of these changes are related to availability of invasive treatment. But considerable portion of patients (pts) are still treated in hospitals without facilities for invasive myocardial revascularization (noninvasive hospitals - NIHs). Aim of this study was to compare some characteristics of management of ACS in NIHs which participated in ACS registries RECORD (2007-2008, 8 NIHs from 6 cities; n=381) and RECORD-2 (2009-2011, 3 NIHs from 3 cities, n=680). Results. Groups of pts recruited in these NIHs had similar mean age and portion of women (67.6 and 66.5 years, 51.1 and 53.1 % in RECORD-2 and RECORD, respectively, p=0.64). Time from symptoms onset to hospitalization was shorter in RECORD-2 (3.2 vs 4.1 hours for ST-elevation [STE], =0.03; 4.0 vs 6.5 hours for non ST elevation [NSTE] ACS, <0.0001). Among RECORD-2 NSTEACS pts more had ST depressions (50.6 vs 28.7%, <0.0001), high risk of death according to GRACE score (39.1 vs 20.9 %, <0.0001), but less Killip class >II (15.0 vs 21.6%, p=0.025). No such differences existed among STEACS pts. Thrombolysis was more often used in RECORD-2 (62.6 vs 34.1%, <0.0001). Both STEACS and NSTEACS RECORD-2 pts more often received clopidogrel (63.5 vs 18.8%, p<0.0001, and 41.6 vs 11.1%, <0.0001, respectively). More NSTEACS RECORD-2 pts were given parenteral anticoagulants (93.4 vs 80.4%, <0.0001), low molecular weight heparins (23.4 vs. 3.4%, <0.0001) and fondaparinux (10.4 vs 0.7%, <0.0001), but still in 20% of NSTEACS RECORD-2 pts unfractionated heparin was given subcutaneously. Twenty RECORD-2 pts (2.9%) were transferred to invasive hospital but none during first 24 hours. There were no significant differences between registers in hospital mortality (20.0 vs 21.2%, =0.84; 4.2 vs 2.7%, =0.24 in STE and NSTE ACS pts of RECORD-2 and RECORD, respectively). Conclusions. Despite some

  3. 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

  4. Tardive dyskinesia (syndrome): Current concept and modern approaches to its management.

    PubMed

    Lerner, Paul P; Miodownik, Chanoch; Lerner, Vladimir

    2015-06-01

    Tardive dyskinesia is a serious, disabling and potentially permanent, neurological hyperkinetic movement disorder that occurs after months or years of taking psychotropic drugs. The pathophysiology of tardive dyskinesia is complex, multifactorial and still not fully understood. A number of drugs were tried for the management of this motor disturbance, yet until now no effective and standard treatment has been found. It is very disappointing to realize that the introduction of antipsychotics from the second generation has not significantly decreased the prevalence and incidence of tardive dyskinesia. Therefore, the management of this motor disturbance remains an actual topic as well as a challenge for clinicians. This review summarizes recent relevant publications concerning the treatment of tardive dyskinesia. © 2014 The Authors. Psychiatry and Clinical Neurosciences © 2014 Japanese Society of Psychiatry and Neurology.

  5. 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

  6. [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.

  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. Information Technology Portfolio Management Proof of Concept: Modern Portfolio Theory With KVA and ROI Analysis

    DTIC Science & Technology

    2010-09-01

    DoD decision makers to formalize their evaluation methods concerning IT portfolio investment diversification and management of risk. In order to...apply MPT correctly, key decision makers need to be able to compute mean values of the return for every stock in a portfolio as well as the correlation ...percentage (B5, 13 percent) multiplied by NWSC’s ROI (F5, negative 79 percent), asset ASW’s portfolio percentage (B6, 24 percent) multiplied by ASW’s ROI

  10. Management of combat-related urological trauma in the modern era.

    PubMed

    Williams, Molly; Jezior, James

    2013-09-01

    Complex genitourinary injuries--associated with lower-extremity amputation as well as pelvic and abdominal wounding--have emerged as common occurrences in current military combat operations. The nature of combat injuries of the genitourinary tract is varied, as are the strategies used in their management. For example, 5% of all combat injuries include wounds of the urinary system or genitalia. For injuries that are predominantly penetrating in nature, immediate care requires the judicious preservation of viable tissue. Once the patient is stable, urethral, corporal and testicular lacerations are closed primarily, whereas soft tissue injuries are re-approximated in a delayed fashion. Negative-pressure dressings have been a useful aid in wound management; wound coverage is most commonly completed with split-thickness skin grafts and local flaps. Complex penile and urethral reconstructions are often delayed so orthopaedic injuries can heal and the patient can manage activities of daily living. Final reconstruction requires a urologist with a full understanding of reconstructive techniques.

  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. Radiocarbon and Cd/Ca in Deep-sea Coral Desmophyllum cristagalli: A Modern Calibration of Cd/Ca and a Record From the Younger Dryas

    NASA Astrophysics Data System (ADS)

    Eltgroth, S. F.; Adkins, J. F.

    2004-12-01

    Here we report our latest radiocarbon and Cd/Ca results from a deep-sea coral that captures a very short event in the deep ocean during the Younger Dryas. Our Younger Dryas D. cristagalli sample was dredged from 1069-1235m near the Azores and previously U/Th dated using the method of Cheng et al. (2000) to 11,980+/-120 yr BP. Adkins et al. (2000) demonstrated that deep-sea coral radiocarbon reflects the radiocarbon of the seawater in which they grow. AMS radiocarbon ages in the Younger Dryas coral range from 10,900 to 10,400 14C yr. With a total span of 5cm and assuming an aragonite accumulation rate of 1mm/yr, this coral individual lived approximately 50yr. Thus, the range in 14C age must result from conditions other than coral growth. Along the direction of coral growth the radiocarbon age is oldest at the base, reaches its youngest age in the middle, and returns to an older age at the top. This age reversal reveals the competing influence of radiocarbon enriched and depleted water. Radiocarbon depleted water could be produced by slowing the rate of deep-water formation and/or by increasing the relative proportion of southern source water at the site. In order to resolve the deep-water formation rate from mixing, we measure Cd/Ca as a nutrient proxy by isotope dilution ICP-MS. Previous studies have shown that Cd/Ca in foraminifera and surface corals reflects the Cd/Ca of the water in which the organism grew. A straightforward Cd/Ca calibration has proven elusive in the case of D. cristagalli. Modern D. cristagalli Cd/Ca ratios may yet trend with water Cd/Ca, but several of our modern corals have unexplained high Cd/Ca and high variability. Our results show that Cd/Ca ratios do not vary with the coral banding structure but do vary systematically with coral growth, reaching a maximum value at or near the top of the coral. Cd/Ca in the Younger Dryas sample increases from about 0.25 to 0.65micromol/mol, significantly larger than the range of the modern samples

  13. 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

    ... Decision (ROD) for the Vehicle Management Plan and Environmental Impact Statement for Denali National Park... of the park's General Management Plan (GMP). The NPS will propose a modification to the current park... National Park Service Record of Decision for the Denali Park Road Final Vehicle Management Plan and...

  14. Outpatients flow management and ophthalmic electronic medical records system in university hospital using Yahgee Document View.

    PubMed

    Matsuo, Toshihiko; Gochi, Akira; Hirakawa, Tsuyoshi; Ito, Tadashi; Kohno, Yoshihisa

    2010-10-01

    General electronic medical records systems remain insufficient for ophthalmology outpatient clinics from the viewpoint of dealing with many ophthalmic examinations and images in a large number of patients. Filing systems for documents and images by Yahgee Document View (Yahgee, Inc.) were introduced on the platform of general electronic medical records system (Fujitsu, Inc.). Outpatients flow management system and electronic medical records system for ophthalmology were constructed. All images from ophthalmic appliances were transported to Yahgee Image by the MaxFile gateway system (P4 Medic, Inc.). The flow of outpatients going through examinations such as visual acuity testing were monitored by the list "Ophthalmology Outpatients List" by Yahgee Workflow in addition to the list "Patients Reception List" by Fujitsu. Patients' identification number was scanned with bar code readers attached to ophthalmic appliances. Dual monitors were placed in doctors' rooms to show Fujitsu Medical Records on the left-hand monitor and ophthalmic charts of Yahgee Document on the right-hand monitor. The data of manually-inputted visual acuity, automatically-exported autorefractometry and non-contact tonometry on a new template, MaxFile ED, were again automatically transported to designated boxes on ophthalmic charts of Yahgee Document. Images such as fundus photographs, fluorescein angiograms, optical coherence tomographic and ultrasound scans were viewed by Yahgee Image, and were copy-and-pasted to assigned boxes on the ophthalmic charts. Ordering such as appointments, drug prescription, fees and diagnoses input, central laboratory tests, surgical theater and ward room reservations were placed by functions of the Fujitsu electronic medical records system. The combination of the Fujitsu electronic medical records and Yahgee Document View systems enabled the University Hospital to examine the same number of outpatients as prior to the implementation of the computerized filing system.

  15. 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.

  16. 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

  17. 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

  18. 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.

  19. Effect of educational and electronic medical record interventions on food allergy management.

    PubMed

    Zelig, Ari; Harwayne-Gidansky, Ilana; Gault, Allison; Wang, Julie

    2016-09-01

    The growing prevalence of food allergies indicates a responsibility among primary care providers to ensure that their patients receive accurate diagnosis and management. To improve physician knowledge and management of food allergies by implementing educational and electronic medical record interventions. Pre- and posttest scores of pediatric residents and faculty were analyzed to assess the effectiveness of an educational session designed to improve knowledge of food allergy management. One year later, a best practice advisory was implemented in the electronic medical record to alert providers to consider allergy referral whenever a diagnosis code for food allergy or epinephrine autoinjector prescription was entered. A review of charts 6 months before and 6 months after each intervention was completed to determine the impact of both interventions. Outcome measurements included referrals to an allergy clinic, prescription of self-injectable epinephrine, and documentation that written emergency action plans were provided. There was a significant increase in test scores immediately after the educational intervention (mean, 56.2 versus 84.3%; p < 0.001). Posttest scores remained significantly higher than preintervention scores 6 months later (mean score, 68.0 versus 56.2%; p = 0.006). Although knowledge improved, there was no significant difference in the percentage of patients who were provided allergy referral, were prescribed an epinephrine autoinjector, or were given an emergency action plan before and after both interventions. Neither intervention resulted in improvements in the management of children with food allergies at our pediatrics clinic. Further studies are needed to identify effective strategies to improve management of food allergies by primary care physicians.

  20. 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.

  1. Leveraging electronic health records to support chronic disease management: the need for temporal data views.

    PubMed

    Samal, Lipika; Wright, Adam; Wong, Bang T; Linder, Jeffrey A; Bates, David W

    2011-01-01

    The ageing population worldwide is increasingly acquiring multiple chronic diseases. The complex management of chronic diseases could be improved with electronic health records (EHRs) tailored to chronic disease care, but most EHRs in use today do not adequately support longitudinal data management. A key aspect of chronic disease management is that it takes place over long periods, but the way that most EHRs display longitudinal data makes it difficult to trend changes over time and slows providers as they review each patient's unique course. We present five clinical scenarios illustrating longitudinal data needs in complex chronic disease management. These scenarios may function as example cases for software development. For each scenario, we describe and illustrate improvements in temporal data views. Two potential solutions are visualisation for numerical data and disease-oriented text summaries for non-numerical data. We believe that development and widespread implementation of improved temporal data views in EHRs will improve the efficiency and quality of chronic disease management in primary care.

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

    PubMed

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

    2015-01-01

    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. 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. 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. 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. 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.

  3. 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

  4. 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.

  5. Innovative health informatics as an effective modern strategy in diabetes management: a critical review.

    PubMed

    David, S K; Rafiullah, M R M

    2016-06-01

    Diabetes mellitus is the most common metabolic disorder in developing countries. Mobile health applications are helpful in improving the diabetes management. However, the effectiveness of these techniques needs to be assessed rigorously. Therefore, the authors have systematically reviewed the recent clinical studies using mobile health applications for diabetes management. Original articles that were published in ISI indexed journals listed in PubMed from the year 2007 till 2014 were searched using specific search key phrases. The intervention technology and study methodology were analysed to have a better understanding of the outcomes of each study. Twenty-one articles were selected for the review. Most studies (76%) reported positive outcomes after use of the mobile health applications. Smartphone apps significantly improved the clinical outcomes. User-friendliness of the systems often influence the patient compliance and the clinical outcomes. Smartphone/web applications offer significant benefits for patient care, education and behavioural modifications. Providing a continuous patient support using mobile may be a challenging task and would require adequate infrastructure and personnel. © 2016 John Wiley & Sons Ltd.

  6. [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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. Modern management of complex open abdominal wounds of war: a 5-year experience.

    PubMed

    Vertrees, Amy; Greer, Lauren; Pickett, Chris; Nelson, Jeffery; Wakefield, Matthew; Stojadinovic, Alexander; Shriver, Craig

    2008-12-01

    Optimal management of the open abdomen remains controversial. Retrospective review of patients injured during Operations Enduring Freedom and Iraqi Freedom returning to Walter Reed Army Medical Center (WRAMC) from January 2003 to October 2007 for treatment of open abdomen. Three hundred fifty-four patients were evacuated to WRAMC after laparotomy, including 86 patients (24%) with open abdomen. Three transferred patients were excluded. Eighty-three patients, mean age 26 years (range 18 to 54 years), sustaining injury from secondary blast (n = 47), gunshot (n = 29), and blunt trauma (n = 7) were studied. Surgical management included early definitive abdominal closure (EDAC, n = 56; 67%), primary fascial closure (n = 15; 18%), planned ventral hernia (PVH, n = 9; 11%) and vacuum-assisted closure with AlloDerm (n = 3; 4%). EDAC closure involves serial closure with Gore-Tex Dualmesh and final closure supplemented with polypropylene mesh (62%) or AlloDerm (31%). There was no substantial difference in injury mechanism, age, length of evacuation to WRAMC, or Injury Severity Score (average 30) according to closure type. Complications included removal of infected prosthetic mesh in 4 EDAC closure patients (5%). Overall morbidity was lowest (60%) in primary repair patients (p = 0.01). Rates of deep venous thrombosis, pulmonary embolism, abdominal wall hematoma, and infection did not differ between groups. Fistula rate was increased with PVH (20%). Two patients with PVH died. PVH and EDAC mesh complications have been minimized in the last 2 years of the study. Primary closure of fascia is ideal but not always possible. Early definitive closure has avoided PVH. Mesh-related complications have decreased with time.

  12. 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.

  13. 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.

  14. 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

  15. Recent trends of modern bacterial insecticides for pest control practice in integrated crop management system.

    PubMed

    Chattopadhyay, Pritam; Banerjee, Goutam; Mukherjee, Sayantan

    2017-05-01

    Food security and safety are the major concern in ever expanding human population on the planet earth. Each and every year insect pests cause a serious damage in agricultural field that cost billions of dollars annually to farmers. The loss in term of productivity and high cost of chemical pesticides enhance the production cost. Irrespective use of chemical pesticides (such as Benzene hexachloride, Endosulfan, Aldicarb, and Fenobucarb) in agricultural field raised several types of environmental issues. Furthermore, continuous use of chemical pesticides creates a selective pressure which helps in emerging of resistance pest. These excess chemical pesticide residues also contaminate the environment including the soil and water. Therefore, the biological control of insect pest in the agricultural field gains more importance due to food safety and environment friendly nature. In this regard, bacterial insecticides offer better alternative to chemical pesticides. It not only helps to establish food security through fighting against insect pests but also ensure the food safety. In this review, we have categorized insect pests and the corresponding bacterial insecticides, and critically analyzed the importance and mode of action of bacterial pesticides. We also have summarized the use of biopesticides in integrated pest management system. We have tried to focus the future research area in this field for the upcoming scientists.

  16. 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

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

    PubMed

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

    2016-04-01

    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. We have searched for apps specifically helpful in the perioperative care of microsurgical breast reconstructive patients. 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. 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.

  18. 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

  19. 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

  20. 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

  1. 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

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

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... records in the conduct of current business; and (2) Cooperation with the Archivist and the Administrator... records, promote the maintenance and security of records deemed appropriate for preservation,...

  3. Knowledge management and electronic care records: Incorporating social, legal and ethical issues.

    PubMed

    Bassinder, James; Bali, Rajeev K; Naguib, Raouf

    2006-01-01

    Many challenges face developers of secure computer-based clinical systems but the technical problems are overshadowed by many obstacles, key amongst them being social and ethical issues. A sound Knowledge Management (KM) structure within clinical environments can recognise the responsibility of healthcare professionals to keep patient clinical data (for example, electronic care record (ECR) systems) secure. An arrangement is proposed that gives the most senior clinician in a healthcare facility the ultimate responsibility for security of clinical data held in the organisation. Ideally, the senior clinician would possess training and experience in information systems and their security. Contracts should be developed between healthcare facilities and their patients, defining the limits to the use and disclosure of clinical health data. However, we are observing increasing confusion about the term 'Knowledge Management' which may be limited both its efficacy and effectiveness. Health organisations are referring to the term in various contexts and health informatics articles frequently use the term and interpret it in diverse ways. Given the divergence of views, this paper will attempt to establish KM's efficacy for the implementation of electronic care record systems.

  4. 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...

  5. 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

    ... Federal Reserve Act (12 U.S.C. 371c, 371c-1), if applicable). (2) Availability of records. A financial... Banking FEDERAL RESERVE SYSTEM (CONTINUED) BOARD OF GOVERNORS OF THE FEDERAL RESERVE SYSTEM BANK HOLDING... 12 Banks and Banking 3 2011-01-01 2011-01-01 false What risk management, record keeping and...

  6. 77 FR 54922 - Record of Decision for the General Management Plan/Final Environmental Impact Statement, Hampton...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... National Park Service Record of Decision for the General Management Plan/Final Environmental Impact Statement, Hampton National Historic Site, Maryland AGENCY: National Park Service, Interior. ACTION: Notice... (NEPA), the National Park Service (NPS) announces the availability of the Record of Decision for the...

  7. 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…

  8. 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...

  9. 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...

  10. 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…

  11. 45 CFR 2508.9 - What officials are responsible for the security, management and control of Corporation record...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Services shall have overall control and supervision of the security of all systems of records and shall be... 45 Public Welfare 4 2012-10-01 2012-10-01 false What officials are responsible for the security, management and control of Corporation record keeping systems? 2508.9 Section 2508.9 Public Welfare...

  12. 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

    ... Services shall have overall control and supervision of the security of all systems of records and shall be... 45 Public Welfare 4 2014-10-01 2014-10-01 false What officials are responsible for the security, management and control of Corporation record keeping systems? 2508.9 Section 2508.9 Public Welfare...

  13. 45 CFR 2508.9 - What officials are responsible for the security, management and control of Corporation record...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Services shall have overall control and supervision of the security of all systems of records and shall be... 45 Public Welfare 4 2013-10-01 2013-10-01 false What officials are responsible for the security, management and control of Corporation record keeping systems? 2508.9 Section 2508.9 Public Welfare...

  14. 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 SELF...

  15. 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…

  16. 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.

  17. 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.

  18. Modern management of traumatic subclavian artery injuries: a single institution's experience in the evolution of endovascular repair.

    PubMed

    Carrick, Matthew M; Morrison, C Anne; Pham, Hoang Q; Norman, Michael A; Marvin, Blake; Lee, Jeffery; Wall, Matthew J; Mattox, Kenneth L

    2010-01-01

    Subclavian artery injuries traditionally require morbid surgical procedures. Repair by way of an endovascular approach can potentially decrease the morbidity and mortality associated with these injuries. A 2-year retrospective review of trauma patients with subclavian artery injuries was performed at our institution. Relevant data were extracted from patient records and analyzed. These results were then used to develop an algorithm for the management of trauma patients with subclavian artery injuries. Fifteen patients with subclavian artery injuries were identified. Five patients died in the emergency room. Of the 10 surviving patients, 8 had their diagnosis made at arteriogram. Six patients underwent endovascular repair, and 4 of these repairs were successful. Three patients were managed by way of open repair. Two deaths occurred in the endovascular group, and 1 death occurred in the open group. Our findings suggest that endovascular management of subclavian artery injuries is an acceptable technique in appropriate candidates and compares favorably with open repair. However, as with open repair, the associated morbidity and mortality remains quite high. We propose an algorithm whereby hemodynamically stable patients with hard signs of vascular injury proceed directly to angiography, whereas open repair is reserved for those patients who are unstable or in whom a catheter-based approach has previously failed.

  19. Trends in the Northeast dairy industry: large-scale modern confinement feeding and management-intensive grazing.

    PubMed

    Winsten, J R; Kerchner, C D; Richardson, A; Lichau, A; Hyman, J M

    2010-04-01

    This paper provides a summary of results from a recent survey of 987 dairy farmers in 4 northeastern US states. The survey results provide descriptive characteristics of the current state of dairy farming in the region, as well as farmer satisfaction levels, concerns, and plans for the future of their farming operations. The paper analyses characteristics of two increasingly important dairy production systems used in the Northeast. Averages from across the survey states (Maryland, Pennsylvania, New York, and Vermont) show that approximately 13% of dairy producers use management-intensive or rotational grazing and 7% use large, modern confinement systems with more than 300 cows. These more specialized production systems show many significant differences in farm and farmer characteristics, satisfaction levels, and plans for the future compared with farms using more traditional production systems. The changing structure of the dairy industry has potentially important implications for environmental quality, rural communities, and the food system. Copyright (c) 2010 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  20. 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.

  1. Quality Requirements for Electronic Health Record Systems*. A Japanese-German Information Management Perspective.

    PubMed

    Winter, Alfred; Takabayashi, Katsuhiko; Jahn, Franziska; Kimura, Eizen; Engelbrecht, Rolf; Haux, Reinhold; Honda, Masayuki; Hübner, Ursula H; Inoue, Sozo; Kohl, Christian D; Matsumoto, Takehiro; Matsumura, Yasushi; Miyo, Kengo; Nakashima, Naoki; Prokosch, Hans-Ulrich; Staemmler, Martin

    2017-08-07

    For more than 30 years, there has been close cooperation between Japanese and German scientists with regard to information systems in health care. Collaboration has been formalized by an agreement between the respective scientific associations. Following this agreement, two joint workshops took place to explore the similarities and differences of electronic health record systems (EHRS) against the background of the two national healthcare systems that share many commonalities. To establish a framework and requirements for the quality of EHRS that may also serve as a basis for comparing different EHRS. Donabedian's three dimensions of quality of medical care were adapted to the outcome, process, and structural quality of EHRS and their management. These quality dimensions were proposed before the first workshop of EHRS experts and enriched during the discussions. The Quality Requirements Framework of EHRS (QRF-EHRS) was defined and complemented by requirements for high quality EHRS. The framework integrates three quality dimensions (outcome, process, and structural quality), three layers of information systems (processes and data, applications, and physical tools) and three dimensions of information management (strategic, tactical, and operational information management). Describing and comparing the quality of EHRS is in fact a multidimensional problem as given by the QRF-EHRS framework. This framework will be utilized to compare Japanese and German EHRS, notably those that were presented at the second workshop.

  2. Predicting changes in hypertension control using electronic health records from a chronic disease management program.

    PubMed

    Sun, Jimeng; McNaughton, Candace D; Zhang, Ping; Perer, Adam; Gkoulalas-Divanis, Aris; Denny, Joshua C; Kirby, Jacqueline; Lasko, Thomas; Saip, Alexander; Malin, Bradley A

    2014-01-01

    Common chronic diseases such as hypertension are costly and difficult to manage. Our ultimate goal is to use data from electronic health records to predict the risk and timing of deterioration in hypertension control. Towards this goal, this work predicts the transition points at which hypertension is brought into, as well as pushed out of, control. In a cohort of 1294 patients with hypertension enrolled in a chronic disease management program at the Vanderbilt University Medical Center, patients are modeled as an array of features derived from the clinical domain over time, which are distilled into a core set using an information gain criteria regarding their predictive performance. A model for transition point prediction was then computed using a random forest classifier. The most predictive features for transitions in hypertension control status included hypertension assessment patterns, comorbid diagnoses, procedures and medication history. The final random forest model achieved a c-statistic of 0.836 (95% CI 0.830 to 0.842) and an accuracy of 0.773 (95% CI 0.766 to 0.780). This study achieved accurate prediction of transition points of hypertension control status, an important first step in the long-term goal of developing personalized hypertension management plans.

  3. 77 FR 22337 - Privacy Act of 1974; Amendment to an Existing System of Records, Inventory Management System Also...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-13

    ... information contained in the system. The existing scope, objectives, and business processes in place for this... URBAN DEVELOPMENT Privacy Act of 1974; Amendment to an Existing System of Records, Inventory Management..., Inventory Management System (IMS), also known as the Public and Indian Housing (PIH) Information Center...

  4. 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...

  5. Does adoption of electronic health records improve the quality of care management in France? Results from the French e-SI (PREPS-SIPS) study.

    PubMed

    Plantier, Morgane; Havet, Nathalie; Durand, Thierry; Caquot, Nicolas; Amaz, Camille; Biron, Pierre; Philip, Irène; Perrier, Lionel

    2017-06-01

    Electronic health records (EHR) are increasingly being adopted by healthcare systems worldwide. In France, the "Hôpital numérique 2012-2017" program was implemented as part of a strategic plan to modernize health information technology (HIT), including the promotion of widespread EHR use. With significant upfront investment costs as well as ongoing operational expenses, it is important to assess this system in terms of its ability to result in improvements in hospital performances. The aim of this study was to evaluate the impact of EHR use on the quality of care management in acute care hospitals throughout France. This retrospective study was based on data derived from three national databases for the year 2011: IPAQSS (indicators of improvement in the quality and the management of healthcare, "IPAQSS"), Hospi-Diag (French hospital performance indicators), and the national accreditation database. Several multivariate models were used to examine the association between the use of EHRs and specific EHR features with four quality indicators: the quality of patient record, the delay in sending information at hospital discharge, the pain status evaluation, and the nutritional status evaluation, while also adjusting for hospital characteristics. The models revealed a significant positive impact of EHR use on the four quality indicators. Additionally, they showed a differential impact according to the functionality of the element of the health record that was computerized. All four quality indicators were also impacted by the type of hospital, the geographical region, and the severity of the pathology. These results suggest that, to improve the quality of care management in hospitals, EHR adoption represents an important lever. They complete previous work dealing with EHR and the organizational performance of hospital surgical units. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. e-Patients Perceptions of Using Personal Health Records for Self-management Support of Chronic Illness.

    PubMed

    Gee, Perry M; Paterniti, Debora A; Ward, Deborah; Soederberg Miller, Lisa M

    2015-06-01

    Chronic illness self-management is largely moving from healthcare professionals and into the hands of the patient. One tool that has been promoted to facilitate self-management support of chronic illness by policymakers, health advocates, providers, and consumers is the personal health record. Little is known about how consumers effectively use personal health records for self-management support and for productive patient-provider interactions. The purpose of this study was to learn from chronically ill engaged, experienced, and educated (e-patient) adults how and why they use personal health records for self-management support and productive patient-provider interactions. Eighteen purposively selected consumers were interviewed in two communities. Qualitative description methods were used, and we used a grounded theory approach to analyzing interview data, which was digitally recorded and transcribed verbatim. We identified four major thematic categories that capture the perceptions of the chronically ill using personal health records: (1) patient engagement and health self-management, (2) access to and control over personal health data, (3) promotion of productive communication, and (4) opportunities for training and education. Knowledge gained from the e-patient personal health record users suggest that making improvements to the portal system and providing education to consumers and providers will increase the utility among the experienced users and encourage new users to embrace adoption and use.

  7. Options for diabetes management in sub-Saharan Africa with an electronic medical record system.

    PubMed

    Kouematchoua Tchuitcheu, G; Rienhoff, O

    2011-01-01

    An increase of diabetes prevalence of up to 80% is predicted in sub-Saharan Africa (SSA) by 2025 exceeding the worldwide 55%. Mortality rates of diabetes and HIV/AIDS are similar. Diabetes shares several common factors with HIV/AIDS and multidrug-resistant tuberculosis (MDR-TB). The latter two health problems have been efficiently managed by an open source electronic medical record system (EMRS) in Latin America. Therefore a similar solution for diabetes in SSA could be extremely helpful. The aim was to design and validate a conceptual model for an EMRS to improve diabetes management in SSA making use of the HIV and TB experience. A review of the literature addressed diabetes care and management in SSA as well as existing examples of information and communication technology (ICT) use in SSA. Based on a need assessment conducted in SSA a conceptual model based on the traditionally structured healthcare system in SSA was mapped into a three-layer structure. Application modules were derived and a demonstrator programmed based on an open source EMRS. Then the approach was validated by SSA experts. A conceptual model could be specified and validated which enhances a problem-oriented approach to diabetes management processes. The prototyp EMRS demonstrates options for a patient portal and simulation tools for education of health professional and patients in SSA. It is possible to find IT solutions for diabetes care in SSA which follow the same efficiency concepts as HIV or TB modules in Latin America. The local efficiency and sustainability of the solution will, however, depend on training and changes in work behavior.

  8. Intraoperative non-record-keeping usage of anesthesia information management system workstations and associated hemodynamic variability and aberrancies.

    PubMed

    Wax, David B; Lin, Hung-Mo; Reich, David L

    2012-12-01

    Anesthesia information management system workstations in the anesthesia workspace that allow usage of non-record-keeping applications could lead to distraction from patient care. We evaluated whether non-record-keeping usage of the computer workstation was associated with hemodynamic variability and aberrancies. Auditing data were collected on eight anesthesia information management system workstations and linked to their corresponding electronic anesthesia records to identify which application was active at any given time during the case. For each case, the periods spent using the anesthesia information management system record-keeping module were separated from those spent using non-record-keeping applications. The variability of heart rate and blood pressure were also calculated, as were the incidence of hypotension, hypertension, and tachycardia. Analysis was performed to identify whether non-record-keeping activity was a significant predictor of these hemodynamic outcomes. Data were analyzed for 1,061 cases performed by 171 clinicians. Median (interquartile range) non-record-keeping activity time was 14 (1, 38) min, representing 16 (3, 33)% of a median 80 (39, 143) min of procedure time. Variables associated with greater non-record-keeping activity included attending anesthesiologists working unassisted, longer case duration, lower American Society of Anesthesiologists status, and general anesthesia. Overall, there was no independent association between non-record-keeping workstation use and hemodynamic variability or aberrancies during anesthesia either between cases or within cases. Anesthesia providers spent sizable portions of case time performing non-record-keeping applications on anesthesia information management system workstations. This use, however, was not independently associated with greater hemodynamic variability or aberrancies in patients during maintenance of general anesthesia for predominantly general surgical and gynecologic procedures.

  9. 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.

  10. 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.

  11. 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.

  12. 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

  13. 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.

  14. 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.

  15. 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.

  16. Microcomputer-assisted filing system of cardiac catheterization records using a relational database management system.

    PubMed

    Mohri, M; Kikuchi, Y; Sagara, T; Sugihara, M

    1988-03-01

    To efficiently store and retrieve cardiac catheterization records, we have developed a computer-assisted database, which comprises a 16-bit microcomputer with dual floppy disk drives, a 20 MB random-access memory, hard disk drive, and a line printer. All programmings were accomplished using a relational database management system (R:base 5000, Microrim, Inc.). Data inquiry procedures could be performed with direct operational commands of the system as well as with preprogrammed command files, and final results of searches were printed out with a line printer. The major advantages of the present system described in this report include: (1) the relatively easy and rapid creation of the database, (2) ease of modification of the database structures even after the system design is finished, (3) operational commands in combination with conditional operator(s) are flexible and powerful enough to allow the end user to retrieve data based on various kinds of criteria, (4) a high-level programming language provided by the R:base automates a series of database procedures with relative ease, (5) relational capabilities of the database management system can enhance the possibility of reconstruction of a new data file from a single or several preexisting data files, and (6) the system can be realized at reasonable cost.

  17. The Role of Military Plastic Surgeons in the Management of Modern Combat Trauma: An Analysis of 645 Cases.

    PubMed

    Maitland, Laura; Lawton, Graham; Baden, James; Cubison, Tania; Rickard, Rory; Kay, Alan; Hettiaratchy, Shehan

    2016-04-01

    Plastic surgery has historically been linked to war. Between 2008 and the end of combat operations in Afghanistan in 2014, British military plastic surgeons formed part of the multinational military surgical team at the Role 3 Medical Treatment Facility, Camp Bastion, Helmand Province. The present study aimed to analyze the activity of these surgeons objectively and to determine the utility of their deployment. Data were gathered prospectively from four periods (2009 to 2012). This coincided with different surgeons, types of combat activity, wounding patterns, and mission emphases for the hospital. Various metrics were employed. Plastic surgeons were involved in 40 percent of surgical cases (645 of 1654). This was consistent, despite changes in the predominant wounding mechanism and casualty population. One-third of cases involved the plastic surgeon as the lead or sole surgeon and two-thirds involved working with surgeons from other disciplines. Caseload by anatomical region was as follows: hand and upper limb, 64 percent; head and neck, 46 percent; lower limb, 40 percent; and trunk, 25 percent. A median of 1.75 body areas were operated on per patient. Involvement did not differ between patients wearing combat body armor when injured and those who were not. Plastic surgeons played a significant role in the management of modern military trauma. This reflects the types of injuries sustained and the expertise of military plastic surgeons complementing the skill set of the other surgical team members. The level of activity was independent of wounding patterns, suggesting that the specialty may be useful, irrespective of the nature of the conflict.

  18. 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.

  19. 75 FR 38832 - Record of Decision for the General Management Plan for the Chattahoochee River National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-06

    ... General Management Plan Environmental Impact Statement for the Chattahoochee River National Recreation...-- Continue Current Management; Alternative B, Focus on Solitude--implements management programs to minimize... General Management Plan for the Chattahoochee River National Recreation Area, GA AGENCY: National Park...

  20. 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

    ... paper and electronic media. Retrievability: Records are retrieved by name, address, or other alpha... doors with key entry. Retention and Disposal: Electronic and paper records for mail operations based on... policies regarding the retention and disposal of fiscal or financial agency records. Paper records are...