Science.gov

Sample records for remote consultation

  1. [Remote Slit Lamp Microscope Consultation System Based on Web].

    PubMed

    Chen, Junfa; Zhuo, Yong; Liu, Zuguo; Chen, Yanping

    2015-11-01

    To realize the remote operation of the slit lamp microscope for department of ophthalmology consultation, and visual display the real-time status of remote slit lamp microscope, a remote slit lamp microscope consultation system based on B/S structure is designed and implemented. Through framing the slit lamp microscope on the website system, the realtime acquisition and transmission of remote control and image data is realized. The three dimensional model of the slit lamp microscope is established and rendered on the web by using WebGL technology. The practical application results can well show the real-time interactive of the remote consultation system.

  2. Development of a Remote Consultation System Using Avatar Technology

    NASA Astrophysics Data System (ADS)

    Ohnishi, Tatsuya; Yajima, Hiroshi; Sawamoto, Jun

    The chance to use the Internet as a communications tool has been increasing, and the consultation businesses for customers at remote places are diversifying in their communication media and forms. In the remote consultation, the lack of non-verbal information is reported as one of the reasons for inefficiency and customer's dissatisfaction compared with the face-to-face consultation. The technique for supplementing non-verbal information with a TV telephone is proposed, and helps to confirm understanding degree or the utterance timing by watching the movement of the face. But the displayed face of the partner causes strong feeling of strain between strangers and the participants also care about background scene displayed on the monitor producing risks in the consultation tasks. In this paper, we propose a remote consultation method that uses avatar technology in the virtual space in order to provide non-verbal information and also avoiding the problem of TV telephone at the same time. The effectiveness of the proposed remote consultation method is confirmed by experiments.

  3. Computer system for remote consultations in the diagnosis of urological malignancies

    NASA Astrophysics Data System (ADS)

    Zaytsev, S. M.; Nikitaev, V. G.; Pronichev, A. N.; Onykiy, B. N.; Polyakov, E. V.; Kurdin, A. A.; Pushkar, D. Y.; Prilepskaya, E. A.; Kovilina, M. V.; Govorov, A. V.; Glotov, A. V.; Vasilyev, A. O.; Kolontarev, K. V.

    2017-01-01

    The complex for the decision support in diagnosis of prostate diseases with using expert knowledge and remote consultations in the process of urologic diseases diagnosis with using prostate preparation images was proposed. The complex allows to ensure consistency in the actions of doctors for remote consultation (areas of interest, marking, and search for informative objects in the preparation images) and to use experts knowledge in cases that are difficult to diagnose.

  4. Remote consulting based on ultrasonic digital immages and dynamic ultrasonic sequences

    NASA Astrophysics Data System (ADS)

    Margan, Anamarija; Rustemović, Nadan

    2006-03-01

    Telematic ultrasonic diagnostics is a relatively new tool in providing health care to patients in remote, islolated communities. Our project facility, "The Virtual Polyclinic - A Specialists' Consulting Network for the Islands", is located on the island of Cres in the Adriatic Sea in Croatia and has been extending telemedical services to the archipelago population since 2000. Telemedicine applications include consulting services by specialists at the University Clinical Hospital Center Rebro in Zagreb and at "Magdalena", a leading cardiology clinic in Croatia. After several years of experience with static high resolution ultrasonic digital immages for referral consulting diagnostics purposes, we now also use dynamic ultrasonic sequences in a project with the Department of Emmergency Gastroenterology at Rebro in Zagreb. The aim of the ongoing project is to compare the advantages and shortcomings in transmitting static ultrasonic digital immages and live sequences of ultrasonic examination in telematic diagnostics. Ultrasonic examination is a dynamic process in which the diagnostic accuracy is highly dependent on the dynamic moment of an ultrasound probe and signal. Our first results indicate that in diffuse parenchymal organ pathology the progression and the follow up of a disease is better presented to a remote consulting specialist by dynamic ultrasound sequences. However, the changes that involve only one part of a parenchymal organ can be suitably presented by static ultrasonic digital images alone. Furthermore, we need less time for digital imaging and such tele-consultations overall are more economical. Our previous telemedicine research and practice proved that we can greatly improve the level of medical care in remote healthcare facilities and cut healthcare costs considerably. The experience in the ongoing project points to a conclusion that we can further optimize remote diagnostics benefits by a right choice of telematic application thus reaching a

  5. Management of infectious diseases in remote northwestern Ontario with telemedicine videoconference consultations.

    PubMed

    Mashru, Jai; Kirlew, Michael; Saginur, Raphael; Schreiber, Yoko S

    2017-01-01

    Northwestern Ontario in Canada provides a unique clinical challenge for providing optimal medical care. It is a large geographic area (385,000 km(2)) and is home to 32 remote First Nations communities, most without road access. These communities suffer a heavy burden of infectious disease and specialist consultations are difficult to obtain. The Division of Infectious Diseases at the Ottawa Hospital and the Sioux Lookout Meno Ya Win Health Centre established a telemedicine-based infectious disease consultation service in July 2014. We describe the implementation of this service, types of cases seen and patient satisfaction, as well as some of the challenges encountered. Information on visits was prospectively collected through an administrative database, and patient satisfaction surveys were administered after each initial consultation. During our first year of operation, 191 teleconsultations occurred: 76 initial consultations, 82 follow-up appointments and 33 case conferences. The scope of cases has been broad, mostly involving musculoskeletal infections (26%), followed by skin and soft tissue infections (23%). HCV, acute rheumatic fever, and respiratory infections (including pulmonary tuberculosis) were other diagnoses. Patient satisfaction has been very high and 28 telemedicine patient visits have occurred in their remote home communities, minimizing travel. The infectious disease consulting service and local clinicians have succeeded in addressing needs for care in infectious diseases in northwestern Ontario, where important gaps in service to First Nations' communities continue to exist. Regular scheduled available access to an infectious disease specialist is a well-received advancement of care in this remote region of Canada.

  6. Remote consultation and diagnosis in medical imaging using a global PACS backbone network

    NASA Astrophysics Data System (ADS)

    Martinez, Ralph; Sutaria, Bijal N.; Kim, Jinman; Nam, Jiseung

    1993-10-01

    A Global PACS is a national network which interconnects several PACS networks at medical and hospital complexes using a national backbone network. A Global PACS environment enables new and beneficial operations between radiologists and physicians, when they are located in different geographical locations. One operation allows the radiologist to view the same image folder at both Local and Remote sites so that a diagnosis can be performed. The paper describes the user interface, database management, and network communication software which has been developed in the Computer Engineering Research Laboratory and Radiology Research Laboratory. Specifically, a design for a file management system in a distributed environment is presented. In the remote consultation and diagnosis operation, a set of images is requested from the database archive system and sent to the Local and Remote workstation sites on the Global PACS network. Viewing the same images, the radiologists use pointing overlay commands, or frames to point out features on the images. Each workstation transfers these frames, to the other workstation, so that an interactive session for diagnosis takes place. In this phase, we use fixed frames and variable size frames, used to outline an object. The data pockets for these frames traverses the national backbone in real-time. We accomplish this feature by using TCP/IP protocol sockets for communications. The remote consultation and diagnosis operation has been tested in real-time between the University Medical Center and the Bowman Gray School of Medicine at Wake Forest University, over the Internet. In this paper, we show the feasibility of the operation in a Global PACS environment. Future improvements to the system will include real-time voice and interactive compressed video scenarios.

  7. Impact of a Telehealth Program That Delivers Remote Consultation and Longitudinal Mentorship to Community HIV Providers

    PubMed Central

    Wood, Brian R.; Unruh, Kenton T.; Martinez-Paz, Natalia; Annese, Mary; Ramers, Christian B.; Harrington, Robert D.; Dhanireddy, Shireesha; Kimmerly, Lisa; Scott, John D.; Spach, David H.

    2016-01-01

    Background. To increase human immunodeficiency virus (HIV) care capacity in our region, we designed a distance mentorship and consultation program based on the Project ECHO (Extension for Community Healthcare Outcomes) model, which uses real-time interactive video to regularly connect community providers with a multidisciplinary team of academic specialists. This analysis will (1) describe key components of our program, (2) report types of clinical problems for which providers requested remote consultation over the first 3.5 years of the program, and (3) evaluate changes in participants′ self-assessed HIV care confidence and knowledge over the study period. Methods. We prospectively tracked types of clinical problems for which providers sought consultation. At baseline and regular intervals, providers completed self-efficacy assessments. We compared means using paired-samples t test and examined the statistical relationship between each survey item and level of participation using analysis of variance. Results. Providers most frequently sought consultation for changing antiretroviral therapy, evaluating acute symptomatology, and managing mental health issues. Forty-five clinicians completed a baseline and at least 1 repeat assessment. Results demonstrated significant increase (P < .05) in participants' self-reported confidence to provide a number of essential elements of HIV care. Significant increases were also reported in feeling part of an HIV community of practice and feeling professionally connected to academic faculty, which correlated with level of program engagement. Conclusions. Community HIV practitioners frequently sought support on clinical issues for which no strict guidelines exist. Telehealth innovation increased providers' self-efficacy and knowledge while decreasing professional isolation. The ECHO model creates a virtual network for peer-to-peer support and longitudinal mentorship, thus strengthening capacity of the HIV workforce. PMID

  8. PC-based workstation for global PACS remote consultation and diagnosis in rural clinics

    NASA Astrophysics Data System (ADS)

    Martinez, Ralph; Robles, Saul; Kim, Jinman

    1995-05-01

    Most rural clinics across the country have limited facilities to provide state-of-the-art medical services. The availability of enabling technologies, such as telecommunication networks, multimedia workstations, and telemedicine systems which provide medical services to patients without requiring them to travel from their cities represents a great step in patient care. In previous work, we have developed a distributed software for remote consultation and diagnosis (RCD) in a Global PACS environment over the Internet. The RCD system has been designed and tested on DEC and SUN workstations. In this paper, we present a Unix-PC based platform to implement the RCD over a standard telephone line and Serial Line Internet Protocol (SLIP). The Unix-PC platform offers an inexpensive option for telemedicine workstations in rural clinics, where no Internet is available. If an Internet connection is available at the rural clinic, full RCD multimedia services are possible. The Unix-PC platform has been developed by using Linux, a Unix-like operating system available from several public sites over the Internet. We call the system PC-PACS. The PC-PACS workstation has been tested from different rural sites by connecting the Unix-PC system to the Internet through SLIP. Once the system is connected, RCD sessions have been performed between the Unix- PC platform and SUN workstations. The tests have included diagnosis on radiology and pathology images. A separate telephone line for voice communications during the RCD session is required. This paper describes performance tests for the PC-based workstation and the RCD system over SLIP and Ethernet interfaces. Results show acceptable performance of the workstation and the RCD software.

  9. Critical consulting

    SciTech Connect

    Hocker, C.

    1993-02-01

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

  10. Teleradiology for remote consultation using iPad improves the use of health system human resources for paediatric fractures: prospective controlled study in a tertiary care hospital in Italy

    PubMed Central

    2014-01-01

    Background The growing cost of health care and lack of specialised staff have set e-Health high on the European political agenda. In a prospective study we evaluated the effect of providing images for remote consultation through an iPad on the number of in-hospital orthopaedic consultations for children with bone fractures. Methods Children from 0 to 18 years diagnosed with a bone fracture by the radiologist during the hours when an orthopaedic service is provided only on-call were eligible for enrollment. Cases were enrolled prospectively during September and October 2013. A standard approach (verbal information only, no X-Ray provided remotely) was compared to an experimental approach (standard approach plus the provision of X-ray for remote consultation through an iPad). The primary outcome was the number of orthopaedic in-hospital consultations that occurred. Other outcomes included: immediate activation of other services; time needed for decision-making; technical difficulties; quality of images and diagnostic confidence (on a likert scale of 1 to 10). Results Forty-two children were enrolled in the study. Number of in-hospital consultancies dropped from 32/42 (76.1%) when no X-ray was provided to 16/42 (38%) when the X-rays was provided (p < 0.001). With remote X-ray consultation in 14/42 (33.3%) cases services such as surgery and plaster room could be immediately activated, compared to no service activated without teleradiology (p < 0.001). Average time for decision making was 23.4 ± 21.8 minutes with remote X-ray consultation, compared to 56.2 ± 16.1 when the X-ray was not provided (p < 0.001). The comparison between images on the iPad and on the standard system for X- Ray visualisation resulted in a non statistically significant difference in the quality of images (average score 9.89 ± 0.37 vs 9.91 ± 0.30; p =0.79), and in non statistically significant difference in diagnostic confidence (average score 9.91 ± 0.32 vs

  11. Lactation Consultant

    MedlinePlus

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

  12. [Teledermatological consultation].

    PubMed

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

    2004-02-14

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

  13. Consulting in Collection Development.

    ERIC Educational Resources Information Center

    Ash, Lee

    1980-01-01

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

  14. Skills for Effective Consultation.

    ERIC Educational Resources Information Center

    Dustin, Dick; Ehly, Stewart

    1984-01-01

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

  15. 3 CFR - Tribal Consultation

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  16. Managing the Consultation.

    ERIC Educational Resources Information Center

    Enteman, Willard F.

    1991-01-01

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

  17. Inpatient Consultative Dermatology.

    PubMed

    Biesbroeck, Lauren K; Shinohara, Michi M

    2015-11-01

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

  18. Modeling the Teaching Consultant.

    ERIC Educational Resources Information Center

    Johnson, Brian L.; And Others

    1990-01-01

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

  19. Optimizing Consulting Delivery Systems.

    ERIC Educational Resources Information Center

    Spottswood, Curran

    1980-01-01

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

  20. The art of consultation

    PubMed Central

    Bhangoo, Kulwant S.

    2014-01-01

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

  1. The Search Consultant's Obligations.

    ERIC Educational Resources Information Center

    Underwood, Kenneth

    1994-01-01

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

  2. Bring in the Consultants!

    ERIC Educational Resources Information Center

    Haviland, Joseph E.

    1995-01-01

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

  3. Directory of Environmental Consultants.

    ERIC Educational Resources Information Center

    Cate, Bill, Ed.

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

  4. Architectural-acoustics consulting

    NASA Astrophysics Data System (ADS)

    Hoover, Anthony K.

    2004-05-01

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

  5. The Feasibility and Acceptability of Google Glass for Teletoxicology Consults.

    PubMed

    Chai, Peter R; Babu, Kavita M; Boyer, Edward W

    2015-09-01

    Teletoxicology offers the potential for toxicologists to assist in providing medical care at remote locations, via remote, interactive augmented audiovisual technology. This study examined the feasibility of using Google Glass, a head-mounted device that incorporates a webcam, viewing prism, and wireless connectivity, to assess the poisoned patient by a medical toxicology consult staff. Emergency medicine residents (resident toxicology consultants) rotating on the toxicology service wore Glass during bedside evaluation of poisoned patients; Glass transmitted real-time video of patients' physical examination findings to toxicology fellows and attendings (supervisory consultants), who reviewed these findings. We evaluated the usability (e.g., quality of connectivity and video feeds) of Glass by supervisory consultants, as well as attitudes towards use of Glass. Resident toxicology consultants and supervisory consultants completed 18 consults through Glass. Toxicologists viewing the video stream found the quality of audio and visual transmission usable in 89 % of cases. Toxicologists reported their management of the patient changed after viewing the patient through Glass in 56 % of cases. Based on findings obtained through Glass, toxicologists recommended specific antidotes in six cases. Head-mounted devices like Google Glass may be effective tools for real-time teletoxicology consultation.

  6. Multilocation teleradiology system for emergency triage consultation

    NASA Astrophysics Data System (ADS)

    Herron, John M.; Yonas, Howard

    1996-05-01

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

  7. From Cosmology to Consulting

    NASA Astrophysics Data System (ADS)

    Nelson, William

    2014-03-01

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

  8. Remote sensing program

    NASA Technical Reports Server (NTRS)

    Philipson, W. R. (Principal Investigator)

    1983-01-01

    Built on Cornell's thirty years of experience in aerial photographic studies, the NASA-sponsored remote sensing program strengthened instruction and research in remote sensing, established communication links within and beyond the university community, and conducted research projects for or with town, county, state, federal, and private organizations in New York State. The 43 completed applied research projects are listed as well as 13 spinoff grants/contracts. The curriculum offered, consultations provided, and data processing facilities available are described. Publications engendered are listed including the thesis of graduates in the remote sensing program.

  9. Consultancy pay for nurses.

    PubMed

    1998-01-01

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

  10. Community Consultation Kit.

    ERIC Educational Resources Information Center

    Boulder Area Growth Study Commission, CO.

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

  12. 77 FR 16120 - Tribal Consultations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-19

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

  13. The Process of Psychological Consultation

    ERIC Educational Resources Information Center

    Nolan, Anna; Moreland, Neil

    2014-01-01

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

  14. Management Consulting: Planning, Entry, Performance.

    ERIC Educational Resources Information Center

    Cosier, Richard A.; Dalton, Dan R.

    1993-01-01

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

  15. NATO Politico-Military Consultation

    DTIC Science & Technology

    1984-01-01

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

  16. The Consultant from Oz Syndrome.

    ERIC Educational Resources Information Center

    Smith, Garnett J.

    1998-01-01

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

  17. "Systematizing" ethics consultation services.

    PubMed

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

    2015-03-01

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

  18. Plastic surgery telehealth consultation expedites Emergency Department treatment.

    PubMed

    Paik, Angie M; Granick, Mark S; Scott, Sandra

    2017-02-01

    Plastic surgery is a field that is particularly amenable to a telehealth milieu, as visual exam and radiographs guide proper diagnosis and management. The goals of this study were to evaluate telehealth feedback executed through an iPad app for plastic surgery-related consultations. A Quality Assurance/Quality Improvement (QA/QI) study was conducted over a 1-month period during which patients with hand injuries, facial injuries, or acute wounds presenting to the Emergency Department (ED) of a level-one trauma centre and university hospital were monitored. The study utilized a commercial iPad application through which up to four images and a brief history could be sent to a remote Plastic Surgery Educator (PSE) for evaluation. The PSE would respond with best practice information, references and videos to assist ED point-of-care providers. During the 1-month period of this study, there were 42 ED consultations for plastic surgical conditions. There was a highly significant difference in overall mean response time between consultants and PSEs (48.3 minutes vs. 8.9 minutes respectively, p < 0.001). The agreement between PSEs and consultants regarding patient assessment and care was 85.7% for in-person consultations and 100% for phone consultations. In four cases of telephone consultations, the ED providers placed splints incorrectly on hand-injured patients. Our results show that telehealth consultations to a remote plastic surgeon based on digital images and a brief history were able to produce timely and accurate responses in an emergency care facility. This design may have significant impact in rural areas, underserved populations, or regions abroad.

  19. Inter-country consultation.

    PubMed

    Reid, E

    1993-01-01

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

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

    PubMed Central

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

    2016-01-01

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

  1. Development of a telepresence robot for medical consultation

    NASA Astrophysics Data System (ADS)

    Bugtai, Nilo T.; Ong, Aira Patrice R.; Angeles, Patrick Bryan C.; Cervera, John Keen P.; Ganzon, Rachel Ann E.; Villanueva, Carlos A. G.; Maniquis, Samuel Nazirite F.

    2017-02-01

    There are numerous efforts to add value for telehealth applications in the country. In this study, the design of a telepresence doctor to facilitate remote medical consultations in the wards of Philippine General Hospital is proposed. This includes the design of a robot capable of performing a medical consultation with clear audio and video information for both ends. It also provides the operating doctor full control of the telepresence robot and gives a user-friendly interface for the controlling doctor. The results have shown that it provides a stable and reliable mobile medical service through the use of the telepresence robot.

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

    ERIC Educational Resources Information Center

    Prasad-Gaur, Archna; And Others

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

  3. Collaborative Relationships in Evaluation Consulting

    ERIC Educational Resources Information Center

    Maack, Stephen C.; Upton, Jan

    2006-01-01

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

  4. ICU Multipoint Military Pacific Consultation using Telehealth (IMMPACT)

    DTIC Science & Technology

    2010-05-01

    NHG’s intensive care unit provides a range of complex multi-system life support functions to include continuous cardiac monitoring, one-to-one...critical care nursing assessment and intervention, respiratory support care , advanced hemodynamic monitoring, the after-hours recovery of post -operative...SUPPLEMENTARY NOTES N/A 14. ABSTRACT: Remote real-time critical care consultation was provided from an eICU™®, located at Tripler Army Medical Center (TAMC

  5. When the CNS needs a consultant.

    PubMed

    Norwood, S L

    1998-03-01

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

  6. Training programs in school consultation.

    PubMed

    Berkovitz, I H; Sinclair, E

    2001-01-01

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

  7. Telemedicine for clinical management of diabetes - a process analysis of video consultations.

    PubMed

    Fatehi, Farhad; Gray, Leonard C; Russell, Anthony W

    2013-10-01

    We analysed 56 video consultations provided in a 5-month period by two endocrinologists from the tele-endocrinology clinic of a tertiary teaching hospital in Brisbane. The patients were suffering from type 1 or type 2 diabetes, and 41% of them had at least one diabetic complication. Their mean age was 51 years and 45% were female. The consultations were provided to ten cities located 210-1800 km from Brisbane. A questionnaire was developed for analysing the video visits. It comprised 26 questions, arranged in six sections: (1) Patient characteristics, (2) Reason for referral, (3) Procedures and findings, (4) Recommendations, (5) Telehealth logistics, (6) Consultant's opinion. In 66% of consultations a nurse accompanied the patient. The specialist requested the nurse to perform a physical examination in 18% of these cases. No change in medications was made in 36% of the consultations. The most frequent recommendations were requesting laboratory tests (75%), insulin dose adjustments (39%) and referrals to an allied health professional (13%). Out of 56 consultations, the specialists indicated the need to perform a physical examination for 12 patients that was not possible remotely. However, they requested an in-person (face-to-face) visit for three patients. Nevertheless they believed that in 34% of the cases they could have made a better decision if the consultation had been in-person. Video consultation can substitute for a large proportion of in-person specialist consultations for people with diabetes who are referred to endocrinology specialists.

  8. Consults for conflict: the history of ethics consultation

    PubMed Central

    2013-01-01

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

  9. Practice Parameter for Psychiatric Consultation to Schools

    ERIC Educational Resources Information Center

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

    2005-01-01

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

  10. Trust and the Client-Consultant Relationship

    ERIC Educational Resources Information Center

    Solomonson, William L.

    2012-01-01

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

  11. Nephropathology consultation via digitized images.

    PubMed

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

    1992-12-17

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

  12. Psychological consultation with substance abusers.

    PubMed

    Rogalski, C J

    1987-05-01

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

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

    ERIC Educational Resources Information Center

    Evans, Robert J.

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

  14. Faculty Consulting: Responsibility or Promiscuity?

    ERIC Educational Resources Information Center

    Boyer, Carol M; Lewis, Darrell R.

    1984-01-01

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

  15. The Consultants' Corner: Vendor Viability.

    ERIC Educational Resources Information Center

    Drabenstott, Jon, Ed.

    1987-01-01

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

  16. Educational Consulting: Justification to Partnership

    ERIC Educational Resources Information Center

    Sklarow, Mark H.

    2012-01-01

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

  17. Consultative Instructor Supervision and Evaluation

    ERIC Educational Resources Information Center

    Lee, William W.

    2010-01-01

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

  18. Pharmacy Program Review. Consultant's Report.

    ERIC Educational Resources Information Center

    Gibson, Robert D.; And Others

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

  19. Consultancy on Strategic Information Planning.

    ERIC Educational Resources Information Center

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

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

  20. Narrative and Structure in Consultation

    ERIC Educational Resources Information Center

    Hadley, David

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Thornberg, Robert

    2014-01-01

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

  2. CRP for Pesticides - Child Resistant Packaging Consultants

    EPA Pesticide Factsheets

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

  3. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  4. Biostatistical consultation for dental research.

    PubMed

    Clive, Jonathan

    2002-01-01

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

  5. Telemedicine and international disaster response: Medical consultation to Armenia and Russia via a telemedicine spacebridge

    NASA Technical Reports Server (NTRS)

    Houtchens, Bruce A.; Clemmer, Terry P.; Holloway, Harry C.; Kiselev, Alexander A.; Logan, James S.; Merrell, Ronald C.; Nicogossian, Arnauld E.; Nikogossian, Haik A.; Rayman, Russell B.; Sarkisian, Ashot E.

    1991-01-01

    The Telemedicine Spacebridge, a satellite mediated audio-video-fax link between four U.S. and two Armenian and Russian medical centers, permitted remote American consultants to assist Armenian and Russian physicians in the management of medical problems following the December 1988 earthquake in Armenia and the June 1989 gas explosion near Ufa. During 12 weeks of operations, 247 Armenian and Russian and 175 American medical professionals participated in 34 half-day clinical conferences. 209 patients were discussed, requiring expertise in 20 specialty areas. Telemedicine consultations resulted in altered diagnoses for 54, new diagnostic studies for 70, altered diagnostic processes for 47, and modified treatment plans for 47 of 185 Armenian patients presented. Simultaneous participation of several U.S. medical centers was judged beneficial; quality of data transmission was judged excellent. These results suggest that interactive consultation by remote specialists can provide valuable assistance to onsite physicians and favorably influence clinical decisions in the aftermath of major disasters.

  6. [Teenagers' drawings in transcultural consultations].

    PubMed

    Simon, Amalini; Titia Rizzi, Alice

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

  7. Ultrasound for the Pulmonary Consultant

    PubMed Central

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

    2016-01-01

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

  8. [Cognitive methods during medical consultation].

    PubMed

    Lähteenmäki, Antti

    2012-01-01

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

  9. 34 CFR 75.191 - Consultation costs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  10. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

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

  11. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  12. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

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

  13. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

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

  14. 22 CFR 401.21 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

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

  15. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  16. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  17. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  18. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  19. 50 CFR 402.11 - Early consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  20. The Consultation Role of a Nurse Educator.

    ERIC Educational Resources Information Center

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

    2002-01-01

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

  1. Observed Consultation: Confidence and Accuracy of Assessors

    ERIC Educational Resources Information Center

    Tweed, Mike; Ingham, Christopher

    2010-01-01

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

  2. Entry-Level Activities in System Consultation

    ERIC Educational Resources Information Center

    Hylander, Ingrid

    2014-01-01

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

  3. Design and implementation of multimedia display system for electronic cardiovascular conferences with radiological consultation services

    NASA Astrophysics Data System (ADS)

    Zhang, Jianguo; Stahl, Johannes N.; Li, Gaoping; Huang, H. K.; Liu, Jun; Li, Jian; Zhou, Peng

    2000-04-01

    We present a networked multimedia display system based on component technologies for the electronic cardiovascular conferences with radiological consultation services. The system consists of two parts: a data acquisition gateway and a multimedia display workstation. The acquisition gateway is used to collect digital data from difference modalities and authorize them in different sessions for conference presentation. The display workstation is used to display static/dynamic radiographic images, or video sequences, ECG and other text information. The display program is designed with functions of image processing, multimedia data manipulation and visualization. In addition, the workstation also integrates with a real time tele-consultation component for the necessary consultation between cardiologists and remote radiologists equipped with a tele-consultation workstation. Finally, we discuss the system clinical performance and the applications.

  4. Psychiatric consultation in problem employee situations.

    PubMed

    Schouten, Ronald

    2012-12-01

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

  5. GIS technology transfer for use in private sector consulting

    NASA Astrophysics Data System (ADS)

    Gibas, Dawn R.; Davis, Roger J.

    1996-03-01

    Summit Envirosolutions, Inc. (Summit) is an EOCAP '93 company working in partnership with NASA's Commercial Remote Sensing Program to integrate the use of Geographic Information Systems (GIS) and Remote Sensing (RS) technology into our environmental consulting business. The EOCAP program has allowed us to obtain the hardware and software necessary for this technology that would have been difficult for a small company, such as Summit, to purchase outright. We are integrating GIS/RS into our consulting business in several areas including wellhead protection and environmental assessments. The major emphasis in the EOCAP project is to develop a system, termed RealFlowSM. The goals of RealFlowSM are to reduce client costs associated with environmental compliance (in particular preparation of EPA-mandated Wellhead Protection Plans), more accurately characterize aquifer parameters, provide a scientifically sound basis for delineating Wellhead Protection Areas, and readily assess changes in well field operations and potential impacts of environmental stresses. RealFlowSM utilizes real-time telemetric data, digital imagery, GIS, Global Positioning System (GPS), and field data to characterize a study area at a lower cost. In addition, we are applying this technology in other service areas and showing a reduction in the overall costs for large projects.

  6. Remote Sensing.

    ERIC Educational Resources Information Center

    Williams, Richard S., Jr.; Southworth, C. Scott

    1983-01-01

    The Landsat Program became the major event of 1982 in geological remote sensing with the successful launch of Landsat 4. Other 1982 remote sensing accomplishments, research, publications, (including a set of Landsat worldwide reference system index maps), and conferences are highlighted. (JN)

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

    PubMed

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

    2002-01-01

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

  8. Consultation to residential psychosocial rehabilitation agencies.

    PubMed

    Kupers, T A

    1996-08-01

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

  9. How to write a psychiatric consultation.

    PubMed

    Garrick, T R; Stotland, N L

    1982-07-01

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

  10. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

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

  11. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

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

  12. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  13. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

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

  14. 15 CFR 286.6 - Public consultation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

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

    1995-01-01

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

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

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

    ERIC Educational Resources Information Center

    Buono, Anthony F., Ed.

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

  19. Intensive Consulting: Watching Your Vegetables Grow.

    ERIC Educational Resources Information Center

    Pfeiffer, William S.

    1985-01-01

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

  20. Faculty Consulting and Supplemental Income. ERIC Digest.

    ERIC Educational Resources Information Center

    Boyer, Carol M.; Lewis, Darrell R.

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

  1. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  2. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

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

  3. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  4. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

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

  5. 30 CFR 35.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

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

    ERIC Educational Resources Information Center

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

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

  7. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  8. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

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

  9. Consulting Careers: A Profile of Three Occupations

    ERIC Educational Resources Information Center

    Mullins, John

    2011-01-01

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

  10. The Consulting Challenge: A Case Competition

    ERIC Educational Resources Information Center

    Sachau, Daniel A.; Naas, Patricia A.

    2010-01-01

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

  11. Consulting Foresters' View of Professional Forestry Education

    ERIC Educational Resources Information Center

    Straka, Thomas J.; Childers, Christopher J.

    2006-01-01

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

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

    ERIC Educational Resources Information Center

    Spencer, Gregory P.

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

  13. Utilization of Consultants in Inservice Training.

    ERIC Educational Resources Information Center

    Theimer, William C., Jr.

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

  14. Consultant/Linker Knowledge and Skills Inventory.

    ERIC Educational Resources Information Center

    Smink, Jay

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

  15. Using Technology in Consultation: Enhancing Relationships

    ERIC Educational Resources Information Center

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

    2004-01-01

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

  16. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  17. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  18. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  19. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  20. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  1. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  2. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  3. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  4. 50 CFR 402.13 - Informal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  5. 50 CFR 402.14 - Formal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  6. Review of Research: Report on Consultation.

    ERIC Educational Resources Information Center

    Higher Education Funding Council for England, Bristol.

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

  7. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  8. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

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

  9. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

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

  10. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

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

  11. 10 CFR 960.3-3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

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

  12. 10 CFR 110.91 - Commission consultations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  13. Lessons Learned from a Consultation Process Overseas

    ERIC Educational Resources Information Center

    Merino-Soto, César

    2014-01-01

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

  14. Counselors as Consultants during a National Crisis.

    ERIC Educational Resources Information Center

    Kaplan, Leslie S.; And Others

    1993-01-01

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

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

    ERIC Educational Resources Information Center

    Dave, Anish

    2009-01-01

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

  16. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  17. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  18. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  19. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

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

  20. CONSULTATION ON UPDATED METHODOLOGY FOR ...

    EPA Pesticide Factsheets

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

  1. An automated consultant for MACSYMA

    NASA Technical Reports Server (NTRS)

    Genesereth, M. R.

    1977-01-01

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

  2. Postpartum consultation: Occurrence, requirements and expectations

    PubMed Central

    Carlgren, Ingrid; Berg, Marie

    2008-01-01

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

  3. Overcoming Barriers to Palliative Care Consultation.

    PubMed

    Perrin, Kathleen Ouimet; Kazanowski, Mary

    2015-10-01

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

  4. Electronic Medical Consultation: A New Zealand Perspective

    PubMed Central

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

    2001-01-01

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

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

    PubMed

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

    2012-01-01

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

  6. 77 FR 23283 - Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-18

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

  7. 31 CFR 561.803 - Consultations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

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

  8. 31 CFR 561.803 - Consultations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  9. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  10. 29 CFR 1691.12 - Interagency consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  11. 34 CFR 75.190 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  12. 30 CFR 27.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  13. From staff nurse to nurse consultant.

    PubMed

    Fowler, John

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

  14. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

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

  15. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  16. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

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

  17. Technical Consulting: The African-American Perspective

    ERIC Educational Resources Information Center

    Whitfield, Tracy N.

    2010-01-01

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

  18. 24 CFR 91.110 - Consultation; states.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

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

  19. 24 CFR 91.110 - Consultation; States.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

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

  20. 24 CFR 91.110 - Consultation; States.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

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

  1. US--Japan energy policy consultations

    SciTech Connect

    Not Available

    1989-01-01

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

  2. A system for telephone and secure email consultations, with automatic billing.

    PubMed

    Rutland, Jonathan; Marie, Catherine; Rutland, Benjamin

    2004-01-01

    Doctors have traditionally provided medical advice during face-to-face consultations. A new remote consultation service has been developed based on an interactive voice response system and Internet-based technologies. If the doctor is unavailable, a return call can be requested at a mutually convenient time. The patient's credit card is billed automatically. All that is required of the doctor and patient is access to any telephone. A dial-in dictation and transcription facility allows documentation. The service was launched in late 2003. After six months, there were approximately 55 doctors registered in five Australian states and approximately 500 patients registered. Two hundred and fifty consultations were selected randomly for analysis. Of these, 84% were conducted by telephone and 16% by email. The mean fees charged were AUS$17.11 for telephone and AUS$12.93 for email consultations. The mean duration of telephone consultations was 4.3 min. Call duration ranged from a few seconds to 20.5 min.

  3. Global Grid Telemedicine System: Expert Consult Manager

    DTIC Science & Technology

    2000-10-01

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

  4. Verbal prescribing in general practice consultations.

    PubMed

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

    2006-09-01

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

  5. Developing Levels of Consultation in an Inner London Borough

    ERIC Educational Resources Information Center

    Dowd, Rose; Thorne, Hilary

    2007-01-01

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

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

    ERIC Educational Resources Information Center

    Gresham, Frank M.; Kendell, Ginger K.

    1987-01-01

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

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

    ERIC Educational Resources Information Center

    Montgomery, Joel R.

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

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

    ERIC Educational Resources Information Center

    Goldstein, Judith E., Ed.

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

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

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

    ERIC Educational Resources Information Center

    Holdaway, Edward A.; Millikan, Ross H.

    1980-01-01

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

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

    ERIC Educational Resources Information Center

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

    2012-01-01

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

  13. Cornell University remote sensing program. [New York State

    NASA Technical Reports Server (NTRS)

    Liang, T.; Philipson, W. R. (Principal Investigator); Stanturf, J. A.

    1980-01-01

    High altitude, color infrared aerial photography as well as imagery from Skylab and LANDSAT were used to inventory timber and assess potential sites for industrial development in New York State. The utility of small scale remotely sensed data for monitoring clearcutting in hardwood forests was also investigated. Consultation was provided regarding the Love Canal Landfill as part of environment protection efforts.

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

    PubMed Central

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

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

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

    ERIC Educational Resources Information Center

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

    2014-01-01

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

  17. Consulting as a Strategy for Knowledge Transfer

    PubMed Central

    Jacobson, Nora; Butterill, Dale; Goering, Paula

    2005-01-01

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

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

    PubMed

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

    2012-12-01

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

  19. Consulting as a strategy for knowledge transfer.

    PubMed

    Jacobson, Nora; Butterill, Dale; Goering, Paula

    2005-01-01

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

  20. Otolaryngology consultations by real-time telemedicine.

    PubMed Central

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

    2002-01-01

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

  1. Childhood adversity and frequent medical consultations.

    PubMed

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

    2004-01-01

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

  2. Telehematopathology in a clinical consultative practice.

    PubMed

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

    2001-12-01

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

  3. Telemedicine for ophthalmic consultation services: use of a portable device and layering information for graders.

    PubMed

    Woodward, Maria A; Bavinger, J Clay; Amin, Sejal; Blachley, Taylor S; Musch, David C; Lee, Paul P; Newman-Casey, Paula Anne

    2017-02-01

    Introduction We compared remote, image-based patient consultations to in-person consultations at emergency department and inpatient hospital settings. Methods Patients evaluated by the ophthalmic consultation services (gold standard) were imaged over a two-week period. A trained study coordinator took anterior segment photographs (AS) and posterior segment photographs (PS) with a portable camera (PictorPlus, Volk Optical, Cleveland, OH). Ophthalmologists (graders) determined photograph quality, presence of pathology, and their confidence in disease detection. At a separate session, graders reassessed photographs accompanied by a one-sentence summary of demographics and chief complaint (CHx). We computed accuracy and reliability statistics. Results We took AS photographs of 24 eyes of 15 patients and PS photographs of 39 eyes of 20 patients. The majority of images were rated as acceptable or excellent in quality (AS: 89-96%; PS: 70-75%). Graders detected AS pathology with 62-81% sensitivity based on photographs, increasing to 87-88% sensitivity with photographs plus CHx. Graders detected PS pathology with 79-86% sensitivity based on a photograph only, increasing to 100% sensitivity with photographs plus CHx. Discussion In this pilot study, there is evidence that portable ophthalmic imaging technologies could enable ophthalmologists to remotely evaluate anterior and posterior segment eye diseases with good sensitivity. The ophthalmologist could detect ocular pathology on photographs more accurately if they were provided brief clinical information.

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

    PubMed

    Keenan, Heather T; Campbell, Kristine A

    2015-05-01

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

  5. Digital pathology consultations-a new era in digital imaging, challenges and practical applications.

    PubMed

    Romero Lauro, Gonzalo; Cable, William; Lesniak, Andrew; Tseytlin, Eugene; McHugh, Jeff; Parwani, Anil; Pantanowitz, Liron

    2013-08-01

    Digital pathology has grown dramatically in the last 10 years and has created opportunities to not only support the triaging of difficult cases among specialists within an organization, but also enable remote pathology consultations with external organizations across the world. This study investigated one organization's need for a vendor agnostic Digital Pathology Consultation workflow solution that overcomes the challenges associated with the transfer of large studies across a local area network or across the Internet. The organization investigated is a large multifacility healthcare organization that consists of 20 hospitals spread across a wide geographical area. The organization has one of the largest academic pathology departments in the USA, with more than 100 diagnostic anatomic pathologists. This organization developed a set of web-based tools to support the workflow of digital pathology consultations and allow the viewing of whole slide images. The challenges and practical implementations of two different use cases are addressed: the occasional end user (professional or patient) requesting a second opinion and the external laboratory or hospital looking for an established consultative relationship with a large volume of cases. The solution presented in this study addresses the challenges associated with the distribution of large images and the lack of established imaging standards, while providing for a convenient and secure portal for pathologist report entry and distribution.

  6. 21 CFR 211.34 - Consultants.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  7. Teacher Utilization of Instructional Consultation Teams

    ERIC Educational Resources Information Center

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

    2014-01-01

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

  8. The Psychologist Consultant in Educational Design.

    ERIC Educational Resources Information Center

    McKee, John M.; Moon, Jeanne P.

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

  9. 20 CFR 410.472 - Consultative examinations.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

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

  10. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

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

  11. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

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

  12. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  13. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  14. 30 CFR 33.3 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  15. Consultation in the Inner-City School

    ERIC Educational Resources Information Center

    Moss, Alice Foster

    1976-01-01

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

  16. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  17. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  18. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  19. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  20. 44 CFR 206.348 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  1. 76 FR 18583 - Draft Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

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

  2. 34 CFR 200.63 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  3. The Role of the Organisational Development Consultant

    ERIC Educational Resources Information Center

    Simmons, Mike

    1972-01-01

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

  4. Writing Comprehensive Behavioral Consultation Reports: Critical Elements

    ERIC Educational Resources Information Center

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

    2007-01-01

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

  5. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

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

  6. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

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

  7. 18 CFR 806.11 - Preliminary consultations.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

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

  8. National Consultation on National Directory for Catechesis.

    ERIC Educational Resources Information Center

    Mulhall, Daniel S.; Shaughnessy, Maureen

    2002-01-01

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

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

    ERIC Educational Resources Information Center

    Kirby, David A.

    2003-01-01

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

  10. The art of the successful consultation.

    PubMed

    Haggerty, Lou

    2010-11-01

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

  11. School Neuropsychology Consultation in Neurodevelopmental Disorders

    ERIC Educational Resources Information Center

    Decker, Scott L.

    2008-01-01

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

  12. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  13. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  14. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  15. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  16. 43 CFR 10.5 - Consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  17. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

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

  18. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

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

  19. 18 CFR 5.7 - Tribal consultation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  20. 77 FR 71833 - Tribal Consultation Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-04

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

  1. Behavioral Consultant Application. PRISM Project Technical Report.

    ERIC Educational Resources Information Center

    Smith, Jesse

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

  2. 77 FR 19020 - Tribal Consultation Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-29

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

  3. 76 FR 12967 - Tribal Consultation Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-09

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

  4. Behavior Analytic Consultation for Academic Referral Concerns

    ERIC Educational Resources Information Center

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

    2016-01-01

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

  5. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  6. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

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

  7. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

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

  8. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

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

  9. 29 CFR 1908.4 - Offsite consultation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  10. Psychiatric consultation of patients with hyperemesis gravidarum.

    PubMed

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

    2009-04-01

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

  11. Service Learning In Physics: The Consultant Model

    NASA Astrophysics Data System (ADS)

    Guerra, David

    2005-04-01

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

  12. 30 CFR 18.3 - Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  13. 7 CFR 372.7 - Consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

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

  14. A Database Model for Medical Consultation.

    ERIC Educational Resources Information Center

    Anvari, Morteza

    1991-01-01

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

  15. 15 CFR 923.57 - Continuing consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

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

  16. FICS: An Expanded View of Counselor Consultation

    ERIC Educational Resources Information Center

    Shelton, Judith E.; Dobson, Russell L.

    1973-01-01

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

  17. Graduate Students Serve Extension as Evaluation Consultants

    ERIC Educational Resources Information Center

    McClure, Megan; Fuhrman, Nicholas E.

    2011-01-01

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

  18. 20 CFR 410.472 - Consultative examinations.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  19. Consulting Secondary School Pupils about Their Learning

    ERIC Educational Resources Information Center

    Thompson, Paul

    2009-01-01

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

  20. Negotiating the Dance: Consulting with Adoptive Systems.

    ERIC Educational Resources Information Center

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

    2002-01-01

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

  1. Educational Consulting: A Focus for the Profession

    ERIC Educational Resources Information Center

    Antonoff, Steven R.

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    DeBoer, Anita

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

  3. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  4. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  5. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  6. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  7. 48 CFR 32.108 - Financial consultation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  8. The Role of Consultants in Institutional Research

    ERIC Educational Resources Information Center

    Milam, John

    2008-01-01

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

  9. Young people's views on the potential use of telemedicine consultations for sexual health: results of a national survey

    PubMed Central

    2011-01-01

    Background Young people are disproportionately affected by sexually transmissible infections in Australia but face barriers to accessing sexual health services, including concerns over confidentiality and, for some, geographic remoteness. A possible innovation to increase access to services is the use of telemedicine. Methods Young people's (aged 16-24) pre-use views on telephone and webcam consultations for sexual health were investigated through a widely-advertised national online survey in Australia. Descriptive statistics were used to describe the study sample and chi-square, Mann-Whitney U test, or t-tests were used to assess associations. Multinomial logistic regression was used to explore the association between the three-level outcome variable (first preference in person, telephone or webcam, and demographic and behavioural variables); odds ratios and 95%CI were calculated using in person as the reference category. Free text responses were analysed thematically. Results A total of 662 people completed the questionnaire. Overall, 85% of the sample indicated they would be willing to have an in-person consultation with a doctor, 63% a telephone consultation, and 29% a webcam consultation. Men, respondents with same-sex partners, and respondents reporting three or more partners in the previous year were more willing to have a webcam consultation. Imagining they lived 20 minutes from a doctor, 83% of respondents reported that their first preference would be an in-person consultation with a doctor; if imagining they lived two hours from a doctor, 51% preferred a telephone consultation. The main objections to webcam consultations in the free text responses were privacy and security concerns relating to the possibility of the webcam consultation being recorded, saved, and potentially searchable and retrievable online. Conclusions This study is the first we are aware of that seeks the views of young people on telemedicine and access to sexual health services

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

    PubMed

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

    2015-01-14

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

  11. Remote microscopy through the internet.

    PubMed

    Szymaś, J; Wolf, G

    1999-01-01

    A fully robotic microscope Axioplan2 (Zeiss) and CCD camera (RGB-Sony) mounted on this microscope have been connected to a computer dedicated as an Internet server. This server is available by means of an Internet browser with an interpreter of the Java programming language. We have used Java technology for remote control this full-motorized telemicroscope. The Java program for microscope control is automatically downloaded and started when the user selects the Web site of the corresponding microscope server with his Internet browser. At the client's side, there is no need for any additional software except for what is included in Netscape Navigator 3.0, Microsoft Explorer 3.0 or its later versions. Our remote microscope can be remotely controlled from any place in the world through the Internet. The user can move the microscope stage, change the magnification or can execute any other microscope operations by pressing the related buttons of the downloaded telemicroscopy client program. The microscope server receives the commands from the client program, executes the operation on the microscope and after every new command distributes the next microscope image to the connected telemicroscopy clients. There are also software modules which allow marking a field of interest in the image and discuss. Every Internet user can control the remote microscope and discuss the images with others who have direct access to the Internet on-line, or are connected by modem or ISDN. The quality of the transferred microscopic images and response time is sufficient for practical use. No complicated installation processes are necessary and the system is easy to use. The system design makes every pathologist, who is the Internet user, to be a possible consultant.

  12. Remote Observational Techniques in Education

    NASA Astrophysics Data System (ADS)

    Thieman, J.; Mayo, L.

    2002-09-01

    The ability to observe celestial objects remotely is making a major impact into classroom access to astronomical instrumentation previously impossible to encorporate into curriculum. Two programs, Radio Jove and Telescopes In Education have made important contributions in this field. Radio JOVE is an interactive, hands-on, educational activity for learning the scientific method through the medium of radio observations of Jupiter, the Sun, and the galactic radio background. Students build radio receivers from relatively inexpensive non-profit kits (about \\$125 plus shipping) and use them to record data, analyze the data, and share the results with others. Alternatively, for no cost, the students can record and analyze data from remote radio receivers connected to the web. The projects are useful adjuncts to activities in optical observing since students should recognize that we learn about the universe through more than just the optical spectrum. The projects are mini-electronics courses and also teach about charged particles and magnetic fields. The Radio JOVE web site (http://radiojove.gsfc.nasa.gov) should be consulted for further information. The NASA-sponsored Telescopes In Education (TIE) network (http://tie.jpl.nasa.gov) has been wildly successful in engaging the K-12 education community in real-time, hands-on, interactive astronomy activities. Hundreds of schools in the US, Australia, Canada, England, and Japan have participated in the TIE program, remotely controlling the 24-inch telescope at the Mount Wilson Observatory from their classrooms. In recent years, several (approximately 20 to date) other telescopes have been, or are in the process of being, outfitted for remote use as TIE affiliates. These telescopesare integrated seamlessly into one virtual observatory providing the services required to operate this facility, including a scheduling service, tools for data manipulation, an online proposal review environment, an online "Virtual TIE Student Ap J

  13. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  14. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  15. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

  16. 43 CFR 3141.4-1 - Consultation with the Governor.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

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

    ERIC Educational Resources Information Center

    Langhorne, John E., Jr.; And Others

    1979-01-01

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

  18. 75 FR 72838 - Notice of Tribal Consultations; Schedule Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-26

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

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

    ERIC Educational Resources Information Center

    Andrews, Margaret M.; Fargotstein, Barbara P.

    1986-01-01

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

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

    ERIC Educational Resources Information Center

    Smith, Clagett G.

    1970-01-01

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

  1. Defining the Role of the Professional Security Consultant.

    ERIC Educational Resources Information Center

    Webster, Jim

    2002-01-01

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

  2. 30 CFR 256.19 - Periodic consultation with interested parties.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

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

  3. Multiple node remote messaging

    DOEpatents

    Blumrich, Matthias A.; Chen, Dong; Gara, Alan G.; Giampapa, Mark E.; Heidelberger, Philip; Ohmacht, Martin; Salapura, Valentina; Steinmacher-Burow, Burkhard; Vranas, Pavlos

    2010-08-31

    A method for passing remote messages in a parallel computer system formed as a network of interconnected compute nodes includes that a first compute node (A) sends a single remote message to a remote second compute node (B) in order to control the remote second compute node (B) to send at least one remote message. The method includes various steps including controlling a DMA engine at first compute node (A) to prepare the single remote message to include a first message descriptor and at least one remote message descriptor for controlling the remote second compute node (B) to send at least one remote message, including putting the first message descriptor into an injection FIFO at the first compute node (A) and sending the single remote message and the at least one remote message descriptor to the second compute node (B).

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

    ERIC Educational Resources Information Center

    Hayes, Marie; Stringer, Phil

    2016-01-01

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

  5. 45 CFR 400.57 - Planning and consultation process.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

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

    ERIC Educational Resources Information Center

    Horne, Sharon G.; Mathews, Susan S.

    2004-01-01

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

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

    ERIC Educational Resources Information Center

    Mowles, Chris

    2009-01-01

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

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

    ERIC Educational Resources Information Center

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

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

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

    ERIC Educational Resources Information Center

    Godley, Larry B.; And Others

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

  10. The Development of Behaviorally Based Public School Consultation Services

    ERIC Educational Resources Information Center

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

    2005-01-01

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

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

    ERIC Educational Resources Information Center

    De Foe, James R.; Breed, Warren

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

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

    ERIC Educational Resources Information Center

    Strong, Tom; Massfeller, Helen F.

    2010-01-01

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

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

    ERIC Educational Resources Information Center

    Metzger, Robert O.

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

  14. Competencies for Systems-Level Consultants within Diverse Schools

    ERIC Educational Resources Information Center

    Ingraham, Colette

    2015-01-01

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

  15. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

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

  16. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

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

  17. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

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

  18. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

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

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

    ERIC Educational Resources Information Center

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

    2004-01-01

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

  20. Perioperative Diabetic Consultation: A Plea for Improved Training

    ERIC Educational Resources Information Center

    Rudd, Peter; And Others

    1978-01-01

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

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

    ERIC Educational Resources Information Center

    Lier, Jacquie; Bufe, Bruce

    1993-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

  3. Crisis Communication Consultation of the Federal Reserve Bank System

    ERIC Educational Resources Information Center

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

    2008-01-01

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

  4. 12 CFR 1320.11 - Consultation with financial market utility.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

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

  5. 12 CFR 1320.11 - Consultation with financial market utility.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

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

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

    ERIC Educational Resources Information Center

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

    2016-01-01

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

  7. Teaching Evaluation: A Student-Run Consulting Firm

    ERIC Educational Resources Information Center

    Cundiff, Nicole; Nadler, Joel; Scribner, Shauna

    2011-01-01

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

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

    SciTech Connect

    Nijman, J.T. )

    1994-05-01

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

  9. Propagation Limitations in Remote Sensing.

    DTIC Science & Technology

    Contents: Multi-sensors and systems in remote sensing ; Radar sensing systems over land; Remote sensing techniques in oceanography; Influence of...propagation media and background; Infrared techniques in remote sensing ; Photography in remote sensing ; Analytical studies in remote sensing .

  10. First IPPF youth consultation recommends change.

    PubMed

    1993-10-01

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

  11. [Thematic Issue: Remote Sensing.

    ERIC Educational Resources Information Center

    Howkins, John, Ed.

    1978-01-01

    Four of the articles in this publication discuss the remote sensing of the Earth and its resources by satellites. Among the topics dealt with are the development and management of remote sensing systems, types of satellites used for remote sensing, the uses of remote sensing, and issues involved in using information obtained through remote…

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

    ERIC Educational Resources Information Center

    Ontario Ministry of Community and Social Services, Toronto.

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

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

    PubMed

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

    2007-09-01

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

  14. Teleconsultation for Clinicians Who Provide Human Immunodeficiency Virus Care: Experience of the National HIV Telephone Consultation Service

    PubMed Central

    Neff, Sarah; Goldschmidt, Ronald H.

    2011-01-01

    Abstract Objective To examine the infrastructure, successes, and challenges of a teleconsultation service for human immunodeficiency virus (HIV) clinicians. Materials and Methods The HIV Warmline is a telephone consultation service providing free, live HIV/AIDS management advice to U.S. clinicians. We present descriptive data about callers, patients, and consultation topics gathered by electronic query of the HIV Warmline database for 2009. Caller satisfaction survey results for 2009 are also presented. Results The HIV Warmline has provided more than 37,000 consultations since its inception in 1992. The service provides consultations to clinicians from all 50 states, from a variety of professional backgrounds, and with a wide range of HIV experience levels. The majority of call topics concern antiretroviral therapy. Callers are generally pleased with the service, giving a mean Likert scale rating of 4.7 on satisfaction survey questions. Conclusion The experience of the HIV Warmline can serve as a model for other programs planning to develop remote consultation systems. HIV teleconsultation has been relatively simple to implement and can be useful for many types of clinicians. HIV teleconsultation should continue to be evaluated as a way to improve HIV care, especially in areas without easy access to HIV expertise. PMID:21612517

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

    PubMed

    Félix, Sylvie; Bonvin, Raphaël; Bischoff, Thomas

    2010-05-19

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

  16. The role of general surgery consultations in patient management

    PubMed Central

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

    2013-01-01

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

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

    PubMed

    Pringle, M; Robins, S; Brown, G

    1985-06-15

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

  18. 76 FR 36579 - Onsite Consultation Agreements; Extension of the Office of Management and Budget's (OMB) Approval...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-22

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

  19. Knowledge structures in UC, the UNIX consultant

    SciTech Connect

    Chin, D.N.

    1983-01-01

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

  20. Pharmaceutical Consultation in UAE Community Pharmacies.

    PubMed

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

    2011-07-01

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

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

    PubMed Central

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

    2017-01-01

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

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

    ERIC Educational Resources Information Center

    Keiley, Margaret K.; Piercy, Fred P.

    1999-01-01

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

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

    ERIC Educational Resources Information Center

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

    2016-01-01

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

  4. Medical planning for extended remote expeditions.

    PubMed

    Iserson, Kenneth V

    2013-12-01

    Remote extended expeditions often support scientific research and commercial resource exploration or extraction in hostile environments. Medical support for these expeditions is inherently complex and requires in-depth planning. To be successful, this planning must include substantial input from clinicians with experience in remote, emergency, and prehospital medicine and from personnel familiar with the proposed working environment. Using the guidelines discussed in this paper will help ensure that planners consider all necessary, medically relevant elements before launching an extended remote expedition. The 10 key elements of a workable remote healthcare system are to: 1. Optimize workers’ fitness. 2. Anticipate treatable problems. 3. Stock appropriate medications. 4. Provide appropriate equipment. 5. Provide adequate logistical support. 6. Provide adequate medical communications. 7. Know the environmental limitations on patient access and evacuation. 8. Use qualified providers. 9. Arrange for knowledgeable and timely consultations. 10. Establish and distribute rational administrative rules. Planners using these guidelines may better be able to generate a strategy that optimizes the participants' health benefits, the expedition's productivity, and the expedition sponsor's cost savings.

  5. The introduction of a new consulting technology into the National Health Service (NHS) for Scotland.

    PubMed

    Heaney, David; Caldow, Jan; McClusky, Christine; King, Gerry; Webster, Karyn; Mair, Fiona; Ferguson, James

    2009-01-01

    New technologies can change healthcare delivery. Cisco HealthPresence, an integrated platform that combines video, audio, and call center technology with medical information to create a virtual clinic experience, was piloted on emergency department patients. The aim was to assess primary care consultations. Patients were supported by an assistant. The doctor was remote from the patient and collected details and a recommended management plan. The same doctor re-examined the patient face-to-face. All patients completed a questionnaire about the experience. Key staff and a small sample of patients were interviewed. One hundred and five (N = 105) patients were included; 42% were given advice, 25% were prescribed analgesia, 26% were prescribed antibiotics, and 15% were x-rayed. There were early problems with the digital stethoscope. Doctors reported that the management plan changed in 7% of cases after seeing the patient. At least 90% of patients reported a positive experience. All patients and staff interviewed were positive. Staff found equipment to be valid and reliable; a concern was the inability to perform "hands on" examination. Telemedicine requires a change in the way of consulting and staff must be interested in using the technology to understand the differences. As one of the doctors said, "HealthPresence was a positive experience." Greater numbers would be required to validate key findings. As judged by clinicians, HealthPresence was successful and potentially safe for triage of unscheduled cases. Different types of staffing models need to be considered to ensure optimum use of health professionals. This study has shown that, despite some limitations, most HealthPresence consultations were found to be safe and appropriate. Further study of this consultation technology is required. HealthPresence has the potential to transform access to services for many patients, and to improve the effectiveness of delivery across a number of services.

  6. Tropospheric Passive Remote Sensing

    NASA Technical Reports Server (NTRS)

    Keafer, L. S., Jr. (Editor)

    1982-01-01

    The long term role of airborne/spaceborne passive remote sensing systems for tropospheric air quality research and the identification of technology advances required to improve the performance of passive remote sensing systems were discussed.

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

    PubMed

    Leslie, S

    2001-01-01

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

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

    PubMed

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

    2017-02-23

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

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

    PubMed

    Astbury-Ward, Edna

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

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

    PubMed

    Norwood, S L

    1998-07-01

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

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

    PubMed

    Bruns, Florian; Frewer, Andreas

    2011-12-01

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

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

    PubMed Central

    Murphy, Roger; Cox, Karen; Steward, William

    2011-01-01

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

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

    PubMed

    Swank, Otto H

    2010-03-01

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

  14. Audit of consultant agreements at Los Alamos National Laboratory

    SciTech Connect

    1996-02-23

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

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

    PubMed

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

    2014-12-01

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

  16. Expert-System Consultant To Operating Personnel

    NASA Technical Reports Server (NTRS)

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

    1992-01-01

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

  17. Communicating Uncertain News in Cancer Consultations.

    PubMed

    Alby, Francesca; Zucchermaglio, Cristina; Fatigante, Marilena

    2016-07-14

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

  18. Animal Welfare: Data from an Online Consultation

    PubMed Central

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

    2015-01-01

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

  19. Structural analysis consultation using artificial intelligence

    NASA Technical Reports Server (NTRS)

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

    1978-01-01

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

  20. Use of telemedicine in disaster and remote places

    PubMed Central

    Ajami, Sima; Lamoochi, Parisa

    2014-01-01

    One of the methods, especially those living in remote areas or have crashed and does not have access to specialists is telemedicine. Telemedicine describes the use of medical information exchanged from one site to another via electronic communications to improve patients’ health status and care. Travel and wait times between the initial consultations with the patient's own general practitioner and referral to specialist can be reduced and specialists have successfully provided remote triage and treatment consults of victims via the robot. The robot proved to be a useful means to extend resources and provide expert consulting if specialists were unable to physically be at the site. In fact, the telemedicine system is providing health care services for individuals who are not available because of geographical and environmental conditions. The aim of this study was to identify telemedicine applications in disaster, and proposed use of this technology in areas where the shortage of specialists in remote areas in disasters. This study was un-systematic (narrative) review. The literature was searched for using of telemedicine in disaster and remote places with the help of libraries, conference proceedings, data bank, and also search engines available at Google, Google scholar. In our searches, we employed the following keywords and their combinations: telemedicine, remote place, earthquake, disaster, war, and telecommunication in the searching areas of title, keyword, abstract, and full text. In this study, more than 85 articles and reports were collected and 26 of them were selected based on their relevancy. This literature review helps define the concept of “components and usages of the Telemedicine in disaster” as the new technology in the present age. PMID:25013819

  1. WHO Expert Consultation on Rabies. Second report.

    PubMed

    2013-01-01

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

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

    PubMed Central

    Wyke, Sally; Hunt, Kate

    2008-01-01

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

  3. Tele-pharmacy in remote medical practice: the Royal Flying Doctor Service Medical Chest Program.

    PubMed

    Margolis, S A; Ypinazar, V A

    2008-01-01

    In recent times remote medical practice has been developed into a unique discipline in its own right with telehealth one of the eight defining key features. Since 1942, the telemedicine consultation service provided by the Royal Flying Doctor Service in Australia has been supported by a tele-pharmacy program known as the Medical Chest Program. The contents of the chest comprise more than 85 items, including medications and equipment which can be prescribed during a telehealth consultation to cover both emergency care and definitive treatment for less serious conditions. By 2006 there were 3500 medical chests placed throughout Australia. Specifically, the state of Queensland had 21 470 telehealth consultations from 1 July 2005 to 30 June 2006, resulting in the prescription of at least one medical chest item in 2938 (13.7%) consultations. Queensland data regarding medication indicate that antibiotics (26%), analgesics (23%) and gastrointestinal medications (12%) were the most common categories of dispensed medications, and that the most common clinical diagnostic categories for the consultation resulting in dispensed medications were respiratory (17%), skin (15%) and abdominal conditions (13%). In summary, the RFDS medical chest program continues to be a successful large scale provider of medications to those living in remote Australia, enabling early access to medications for both emergencies and definitive care, while minimising the need for mail-order pharmacy or patient travel. This model of care may provide an important template for those designing service delivery models in other remote jurisdictions.

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

    PubMed

    Frenkel, Moshe

    2008-01-01

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

  5. Needs Analysis of People with a Disability Living in Remote and Rural Areas of NSW.

    ERIC Educational Resources Information Center

    Gething, Lindsay; And Others

    This paper examines the unmet service needs and problems of persons with disabilities in rural and remote regions of New South Wales (Australia). Data were collected through consultations with disabled persons, families, and service providers in Sydney and four rural areas; a literature review; compilation of an in-depth inventory of service…

  6. 24 CFR 200.192 - Removal of 203(k) consultant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

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

    ERIC Educational Resources Information Center

    Sundqvist, Christel; Ström, Kristina

    2015-01-01

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

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

    ERIC Educational Resources Information Center

    Nicoll, William G.

    1992-01-01

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

  9. Applications of Performance Feedback: Consultation in the Home

    ERIC Educational Resources Information Center

    Connell, James E.

    2010-01-01

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

  10. 22 CFR 61.6 - Consultation with subject matter specialists.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

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

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

    ERIC Educational Resources Information Center

    Newman, Daniel S.

    2012-01-01

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

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

    ERIC Educational Resources Information Center

    Nicklay, Jennifer

    2012-01-01

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

  13. Playing with Mirrors: Narrative Inquiry and Congregational Consultation

    ERIC Educational Resources Information Center

    Yust, Karen Marie

    2009-01-01

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

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

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

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

    ERIC Educational Resources Information Center

    Serrano-Velarde, Kathia

    2010-01-01

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

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

    ERIC Educational Resources Information Center

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

    2015-01-01

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

  17. Using Letters to Support Consultative Work in Schools

    ERIC Educational Resources Information Center

    Bozic, Nick

    2004-01-01

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

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

    ERIC Educational Resources Information Center

    Kerwin, Mike; Rhoads, Judith

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

  19. 21 CFR 860.125 - Consultation with panels.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

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

  20. 21 CFR 860.125 - Consultation with panels.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

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

  1. Assessing Social Settings to Design a Preventive Consultation.

    ERIC Educational Resources Information Center

    Kelly, James G.

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

  2. A Model for Psychiatric Consultation in Systemic Therapy.

    ERIC Educational Resources Information Center

    Griffith, James L.; And Others

    1991-01-01

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

  3. 76 FR 81527 - Notice of Tribal Consultations; Schedule Update

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-28

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

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

    ERIC Educational Resources Information Center

    Epstein, Ann; Dygdon, Judith A.

    2006-01-01

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

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

    ERIC Educational Resources Information Center

    Perry, Alison

    2016-01-01

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

  6. 42 CFR 431.105 - Consultation to medical facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

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

    ERIC Educational Resources Information Center

    Tourigny-Rivard, Marie-France; Drury, Marilyn

    1987-01-01

    Studied the effects of monthly psychiatric consultation in a nursing home. Suggested that consultation was primarily useful to staff providing direct care to referred residents. Cited benefits to residents as increased staff awareness and acceptance of emotional problems and increased frequency of therapeutic programs offered at the nursing home.…

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

    ERIC Educational Resources Information Center

    Enright, Michael F.

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

  9. An Interdisciplinary Mental Health Consultation Team in a Nursing Home.

    ERIC Educational Resources Information Center

    Joseph, Carol; And Others

    1995-01-01

    Describes the Mental Health Consultation Team at the Portland Veterans Affairs Medical Center nursing home. The team is an interdisciplinary group of mental health professionals and primary care providers. Cooperation among these professionals has decreased the demands for formal psychiatry and psychology consultations while increasing mental…

  10. Serving the Community through Discipline-Specific Consulting

    ERIC Educational Resources Information Center

    Gunaratna, Nilupa S.; Olbricht, Gayla R.; Lipka, Alexander E.; Watkins, Amy E.; Yoshida, Patricia Y.

    2006-01-01

    Discipline-specific consulting has a critical place in any university as a form of community outreach. For example, when government and nonprofit organizations need objective information for decision making, a university-driven consulting program providing free services can fulfill their needs. We show how this can be accomplished by describing a…

  11. Independent Consulting Topical Interest Group: 2004 Industry Survey

    ERIC Educational Resources Information Center

    Jarosewich, Tania; Essenmacher, Victoria L.; Lynch, Christina Olenik; Williams, Jennifer E.; Doino-Ingersoll, Jo Ann

    2006-01-01

    The American Evaluation Association's (AEA) Independent Consulting Topical Interest Group (IC TIG) has a membership of over eight hundred individuals who generally work as sole proprietors, in partnerships, or in small consulting firms. Well over a decade ago, the IC TIG conducted a survey of its membership (Bonnet, 1992). To gather current data…

  12. Communication Training and Consulting in Business, Industry, and Government.

    ERIC Educational Resources Information Center

    Buchholz, William J., Ed.

    Intended as a reference for training and consulting in the field of business communication, this book presents research, implements theory, and explores communication practices vital to all organizations. The titles of the essays and their authors are as follows: (1) "Communication Consulting--The State of the Art" (William J. Buchholz); (2) "The…

  13. Using Learning Principles as a Theoretical Framework for Instructional Consultations

    ERIC Educational Resources Information Center

    DiPietro, Michele; Norman, Marie

    2014-01-01

    Learning theory provides a powerful framework for analyzing instructional consultations and increasing their effectiveness. In this paper, the authors review the main tenets of learning theory, apply them to consultation scenarios, and present a complex case study to show how they can guide analysis and problem solving around challenging…

  14. Addressing Pediatric Health Concerns through School-Based Consultation

    ERIC Educational Resources Information Center

    Truscott, Stephen D.; Albritton, Kizzy

    2011-01-01

    In schools, the term "consultation" has multiple meanings. Often it is used to describe a quick, informal process of advice giving between teachers and/or school specialists. As a formal discipline, School-Based Consultation (SBC) is an indirect service delivery model that involves two or more parties working together to benefit students. Most…

  15. Committees and Controversy: Consultants in the Construction of Education Policy

    ERIC Educational Resources Information Center

    Gabriel, Rachael; Paulus, Trena

    2015-01-01

    The increasingly common practice of engaging consulting firms to assist states with educational policy agendas requires an analysis of the role these consultants play in what is positioned as a democratic decision-making process. In this study, we examine the discourse of a state-level advisory committee formed to develop a new teacher evaluation…

  16. Structural Damage Prediction and Analysis for Hypervelocity Impact: Consulting

    NASA Technical Reports Server (NTRS)

    1995-01-01

    A portion of the contract NAS8-38856, 'Structural Damage Prediction and Analysis for Hypervelocity Impacts,' from NASA Marshall Space Flight Center (MSFC), included consulting which was to be documented in the final report. This attachment to the final report contains memos produced as part of that consulting.

  17. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 2 2010-01-01 2010-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  18. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 2 2013-01-01 2013-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  19. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 2 2012-01-01 2012-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  20. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 2 2011-01-01 2011-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  1. 10 CFR 76.53 - Consultation with Environmental Protection Agency.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 2 2014-01-01 2014-01-01 false Consultation with Environmental Protection Agency. 76.53... Certification § 76.53 Consultation with Environmental Protection Agency. In reviewing an application for a... Environmental Protection Agency and solicit the Environmental Protection Agency's written comments on......

  2. 45 CFR 2101.12 - Georgetown Board of Architectural Consultants.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

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

  3. A Systems-Crisis Model of Mental Health Consultation.

    ERIC Educational Resources Information Center

    Halpern, Howard A.; Bellamy, Cheryl A.

    While much of the development of consultation programs in mental health centers has been independent of the traditional treatment program, this document describes a consultation program which is closely integrated with an agency's treatment program. The emphasis is on system change and the development of prevention programming. The system-crisis…

  4. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  5. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  6. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  7. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  8. 14 CFR 413.5 - Pre-application consultation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false Pre-application consultation. 413.5 Section 413.5 Aeronautics and Space COMMERCIAL SPACE TRANSPORTATION, FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION LICENSING LICENSE APPLICATION PROCEDURES § 413.5 Pre-application consultation....

  9. 30 CFR 556.19 - Periodic consultation with interested parties.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 2 2012-07-01 2012-07-01 false Periodic consultation with interested parties. 556.19 Section 556.19 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, DEPARTMENT OF THE INTERIOR... consultation with State and local governments, existing and potential oil and gas lessees and permittees,...

  10. International Consultation and Training on Group Work in South Asia

    ERIC Educational Resources Information Center

    Ibrahim, Farah A.

    2015-01-01

    This article presents a consultation and training for faculty and graduate students in South Asia under the auspices of the United Nations' Transfer of Knowledge Through Expatriate Nationals (TOKTEN) Program. It describes the development of a consultation relationship and training on group work. Needs assessments focusing on both cultural…

  11. 22 CFR 61.6 - Consultation with subject matter specialists.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

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

  12. 20 CFR 616.2 - Consultation with the State agencies.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Consultation with the State agencies. 616.2 Section 616.2 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR INTERSTATE... section 3304(a)(9)(B), this arrangement has been developed in consultation with the State...

  13. 29 CFR 401.13 - Labor relations consultant.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Labor relations consultant. 401.13 Section 401.13 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR LABOR-MANAGEMENT STANDARDS MEANING OF TERMS USED IN THIS SUBCHAPTER § 401.13 Labor relations consultant. Labor...

  14. 48 CFR 3437.270 - Consulting services reporting clause.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Consulting services reporting clause. 3437.270 Section 3437.270 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Consulting Services...

  15. 48 CFR 3437.271 - Services of consultants clause.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Services of consultants clause. 3437.271 Section 3437.271 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION REGULATION SPECIAL CATEGORIES OF CONTRACTING SERVICE CONTRACTING Consulting Services...

  16. Federal Consulting: Strategies and Tools for the Career Development Professional.

    ERIC Educational Resources Information Center

    Kahnweiler, Jennifer B.; Pressman, Sue

    The Federal Government is America's largest employer and is expanding consulting opportunities for career development professionals. Increased Federal mandates for outsourcing have opened wide doors for the entrepreneurial-spirited career counselors and created new challenges for traditional methods of offering career services. As consultants who…

  17. 20 CFR 416.919 - The consultative examination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false The consultative examination. 416.919 Section..., BLIND, AND DISABLED Determining Disability and Blindness Standards to Be Used in Determining When A Consultative Examination Will Be Obtained in Connection with Disability Determinations § 416.919...

  18. 20 CFR 404.1519 - The consultative examination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false The consultative examination. 404.1519... DISABILITY INSURANCE (1950- ) Determining Disability and Blindness Standards to Be Used in Determining When A Consultative Examination Will Be Obtained in Connection with Disability Determinations § 404.1519...

  19. Development of a teledermatopathology consultation system using virtual slides

    PubMed Central

    2012-01-01

    Background An online consultation system using virtual slides (whole slide images; WSI) has been developed for pathological diagnosis, and could help compensate for the shortage of pathologists, especially in the field of dermatopathology and in other fields dealing with difficult cases. This study focused on the performance and future potential of the system. Method In our system, histological specimens on slide glasses are digitalized by a virtual slide instrument, converted into web data, and up-loaded to an open server. Using our own purpose-built online system, we then input patient details such as age, gender, affected region, clinical data, past history and other related items. We next select up to ten consultants. Finally we send an e-mail to all consultants simultaneously through a single command. The consultant receives an e-mail containing an ID and password which is used to access the open server and inspect the images and other data associated with the case. The consultant makes a diagnosis, which is sent to us along with comments. Because this was a pilot study, we also conducted several questionnaires with consultants concerning the quality of images, operability, usability, and other issues. Results We solicited consultations for 36 cases, including cases of tumor, and involving one to eight consultants in the field of dermatopathology. No problems were noted concerning the images or the functioning of the system on the sender or receiver sides. The quickest diagnosis was received only 18 minutes after sending our data. This is much faster than in conventional consultation using glass slides. There were no major problems relating to the diagnosis, although there were some minor differences of opinion between consultants. The results of questionnaires answered by many consultants confirmed the usability of this system for pathological consultation. (16 out of 23 consultants.) Conclusion We have developed a novel teledermatopathological consultation

  20. [The presence of a companion in the primary care consultation].

    PubMed

    Turabián, J L; Pérez Franco, B

    2015-01-01

    The presence of an adult accompanying the patient in the consulting room is a significant fact that deserves the attention of the physician. Some types of companions and their presence in the consultation have been described and may improve communication, patient management, and participatory decision making, achieving greater patient satisfaction. Consultations with companion are generally longer, and patients accompanied are often elderly, women, less educated, and with poorer physical and mental health. But it is not known exactly what is the significance of a consultation with a companion. It may be a semiological fact to keep in mind for the family diagnosis, or it may be the risks of their presence, the influence of medication, or the importance of the doctors themselves that are the cause of the presence of a companion. Different communication skills must be achieved during the interview with the companion in the consultation, rather than with the patient alone.

  1. [A successful attempt with a consulting service for boys].

    PubMed

    Gottlieb, C; Christiansen, I; Von Segebaden, C; Wiksten-Almströmer, M

    1998-08-05

    As adolescence is a critical period of development, and as boys are less inclined than girls to approach the school facility for adolescent counselling, segregated consulting hours were introduced for boys to attract those with problems. The frequency of consultations by boys increased by 25 per cent, and 70 per cent of the boys reported a preference for the segregated consulting hours; 75 per cent appreciated the absence of girls from the waiting room; and of the 42 per cent with special preferences regarding the gender of the staff encountered, half reported preferring a man. Most of the boys presented with defined problems, though many revealed other problems, often relating to sexuality, in the course of consultation. The availability of segregated consulting hours for boys with adolescent problems is important, and often the only way to reach young boys who need help.

  2. The inpatient neurology consultation service: value and cost.

    PubMed

    Douglas, M R; Peake, D; Sturman, S G; Sivaguru, A; Clarke, C E; Nicholl, D J

    2011-06-01

    Neurological conditions comprise a significant proportion of patient admissions to hospital but, in the majority of cases, are admitted under the care of non-neurological physicians. As a consequence, neurological ward consultations are commonly requested by the admitting medical teams to review diagnoses and management plans. The outcomes of neurological ward consultations were examined and the time required for the referral process recorded by performing a detailed prospective three-month audit of inpatient referrals to the neurology service. The consultations of 120 patients were recorded, categorised and analysed. These consultations were beneficial in the vast majority of cases, with a clear impact on patient diagnoses or management plans. The consultation process was time consuming, however, both in respect of the initial review, but also with follow-up visits. This audit highlights the importance of neurological input in the diagnosis and management of hospital inpatients. The time taken for this process should be resourced appropriately.

  3. Inpatient allergy/immunology consultations in a tertiary care setting.

    PubMed

    Otto, Hans F; England, Ronald W; Quinn, James M

    2010-01-01

    Few studies have examined inpatient referral patterns for fellowship training programs and none for allergy/immunology (AI) since 2003. The primary end point was the reason for consultation, and secondary end points included the AI diagnosis made and outcomes. We retrospectively reviewed all inpatient AI consultations from July 1, 2001 through June 30, 2007. These 6 years of data were combined with 14 years of data examining the reason for consult from a previous study. The data were analyzed for trends and changes over the entire 20-year period. A total of 254 AI inpatient consults were reviewed over the 6 years studied. Thirty-six percent (92/254) of inpatient consults were for evaluation of adverse drug reactions (ADRs), 22% (55/254) miscellaneous reasons, 17% (43/254) urticaria/angioedema, 13% (32/254) for possible immunodeficiency, 9% (23/254) for anaphylaxis, and 3% (8/254) for asthma. AI inpatient consults show a significant decline over the recent 6-year period (p = 0.0023) despite stable total hospital admissions since 1998. Over the last 20 years, an 85% decrease (p < 0.00001) in inpatient asthma consults and increases (p < 0.05) in immunodeficiency, rash, and urticaria/angioedema evaluations have been observed. Not following AI recommendations resulted in a 16.6 odds ratio (95% CI, 5.55-49.93) that a patient's clinical status would be worse or unchanged. Inpatient AI consults have declined with associated reduction in asthma inpatient consults. Although ADRs and anaphylaxis consults have been stable, evaluations for immunodeficiency, rash, and urticaria/angioedema have increased. Following inpatient AI recommendations is associated with improved patient outcomes.

  4. A Collaborative Approach to Implement Positive Behavior Support Plans for Children with Problem Behaviors: A Comparison of Consultation versus Consultation and Feedback Approach

    ERIC Educational Resources Information Center

    Erbas, Dilek

    2010-01-01

    The purpose of this study is to compare the effectiveness of consultation alone and consultation plus feedback on the proper use of positive behavior support strategies (PBS) on behaviors of three mothers with children with developmental disabilities. Results indicated that consultation plus feedback was more effective than consultation alone…

  5. REMOTE SENSING IN OCEANOGRAPHY.

    DTIC Science & Technology

    remote sensing from satellites. Sensing of oceanographic variables from aircraft began with the photographing of waves and ice. Since then remote measurement of sea surface temperatures and wave heights have become routine. Sensors tested for oceanographic applications include multi-band color cameras, radar scatterometers, infrared spectrometers and scanners, passive microwave radiometers, and radar imagers. Remote sensing has found its greatest application in providing rapid coverage of large oceanographic areas for synoptic and analysis and

  6. Remote reset circuit

    DOEpatents

    Gritzo, Russell E.

    1987-01-01

    A remote reset circuit acts as a stand-alone monitor and controller by clocking in each character sent by a terminal to a computer and comparing it to a given reference character. When a match occurs, the remote reset circuit activates the system's hardware reset line. The remote reset circuit is hardware based centered around monostable multivibrators and is unaffected by system crashes, partial serial transmissions, or power supply transients.

  7. Advanced Remote Sensing Research

    USGS Publications Warehouse

    Slonecker, Terrence; Jones, John W.; Price, Susan D.; Hogan, Dianna

    2008-01-01

    'Remote sensing' is a generic term for monitoring techniques that collect information without being in physical contact with the object of study. Overhead imagery from aircraft and satellite sensors provides the most common form of remotely sensed data and records the interaction of electromagnetic energy (usually visible light) with matter, such as the Earth's surface. Remotely sensed data are fundamental to geographic science. The Eastern Geographic Science Center (EGSC) of the U.S. Geological Survey (USGS) is currently conducting and promoting the research and development of three different aspects of remote sensing science: spectral analysis, automated orthorectification of historical imagery, and long wave infrared (LWIR) polarimetric imagery (PI).

  8. Remote measurement of pollution

    NASA Technical Reports Server (NTRS)

    1971-01-01

    A summary of the major conclusions and recommendations developed by the panels on gaseous air pollution, water pollution, and particulate air pollution is presented. It becomes evident that many of the trace gases are amenable to remote sensing; that certain water pollutants can be measured by remote techniques, but their number is limited; and that a similar approach to the remote measurement of specific particulate pollutants will follow only after understanding of their physical, chemical, and radiative properties is improved. It is also clear that remote sensing can provide essential information in all three categories that can not be obtained by any other means.

  9. Remote Systems Design & Deployment

    SciTech Connect

    Bailey, Sharon A.; Baker, Carl P.; Valdez, Patrick LJ

    2009-08-28

    The Pacific Northwest National Laboratory (PNNL) was tasked by Washington River Protection Solutions, LLC (WRPS) to provide information and lessons learned relating to the design, development and deployment of remote systems, particularly remote arm/manipulator systems. This report reflects PNNL’s experience with remote systems and lays out the most important activities that need to be completed to successfully design, build, deploy and operate remote systems in radioactive and chemically contaminated environments. It also contains lessons learned from PNNL’s work experiences, and the work of others in the national laboratory complex.

  10. Academic Primer Series: Five Key Papers for Consulting Clinician Educators

    PubMed Central

    Chan, Teresa M.; Gottlieb, Michael; Quinn, Antonia; London, Kory; Conlon, Lauren W.; Ankel, Felix

    2017-01-01

    Introduction Clinician educators are often asked to perform consultations for colleagues. Invitations to consult and advise others on local problems can help foster great collaborations between centers, and allows for an exchange of ideas between programs. In this article, the authors identify and summarize several key papers to assist emerging clinician educators with the consultation process. Methods A consensus-building process was used to generate a list of key papers that describe the importance and significance of educational consulting, informed by social media sources. A three-round voting methodology, akin to a Delphi study, determined the most impactful papers from the larger list. Results Summaries of the five most highly rated papers on education consultation are presented in this paper. These papers were determined by a mixed group of junior and senior faculty members, who have summarized these papers with respect to their relevance for their peer groups. Conclusion Five key papers on the educational consultation process are presented in this paper. These papers offer background and perspective to help junior faculty gain a grasp of consultation processes. PMID:28210369

  11. Applying research to practice: generalist and specialist (visual ergonomics) consultancy.

    PubMed

    Long, Jennifer; Long, Airdrie

    2012-01-01

    Ergonomics is a holistic discipline encompassing a wide range of special interest groups. The role of an ergonomics consultant is to provide integrated solutions to improve comfort, safety and productivity. In Australia, there are two types of consultants--generalists and specialists. Both have training in ergonomics but specialist knowledge may be the result of previous education or work experience. This paper presents three projects illustrating generalist and specialist (visual ergonomics) consultancy: development of a vision screening protocol, solving visual discomfort in an office environment and solving postural discomfort in heavy industry. These case studies demonstrate how multiple ergonomics consultants may work together to solve ergonomics problems. It also describes some of the challenges for consultants, for those engaging their services and for the ergonomics profession, e.g. recognizing the boundaries of expertise, sharing information with business competitors, the costs-benefits of engaging multiple consultants and the risk of fragmentation of ergonomics knowledge and solutions. Since ergonomics problems are often multifaceted, ergonomics consultants should have a solid grounding in all domains of ergonomics, even if they ultimately only practice in one specialty or domain. This will benefit the profession and ensure that ergonomics remains a holistic discipline.

  12. Joining the team: ethics consultation at the Cleveland Clinic.

    PubMed

    Agich, George J

    2003-12-01

    In this paper, I describe the development of ethics consultation services and their operation at the Cleveland Clinic; my own educational experiences and background and how I came to see the importance of setting and collaboration for successfully doing clinical ethics; the unique culture of the Cleveland Clinic and its influence on the ethics consultation services provided there; and, finally, the place of personal commitments and values on the conduct of ethics consultations. I stress the point that although philosophers (and perhaps other bioethicists without health professions training) are socialized and educated to do solitary work, successfully conducting ethics consultations requires relatively high levels of collaboration and cooperation that have not been sufficiently discussed. Although this paper is more a description than an analysis of the influence of institutional setting on ethics consultation, I would claim that attention to setting, either as the local scene of the consultation or the institutional and social framework, deserves more attention by bioethicists intent on understanding ethics consultation.

  13. Patients' unvoiced agendas in general practice consultations: qualitative study

    PubMed Central

    Barry, Christine A; Bradley, Colin P; Britten, Nicky; Stevenson, Fiona A; Barber, Nick

    2000-01-01

    Objective To investigate patients' agendas before consultation and to assess which aspects of agendas are voiced in the consultation and the effects of unvoiced agendas on outcomes. Design Qualitative study. Setting 20 general practices in south east England and the West Midlands. Participants 35 patients consulting 20 general practitioners in appointment and emergency surgeries. Results Patients' agendas are complex and multifarious. Only four of 35 patients voiced all their agendas in consultation. Agenda items most commonly voiced were symptoms and requests for diagnoses and prescriptions. The most common unvoiced agenda items were: worries about possible diagnosis and what the future holds; patients' ideas about what is wrong; side effects; not wanting a prescription; and information relating to social context. Agenda items that were not raised in the consultation often led to specific problem outcomes (for example, major misunderstandings), unwanted prescriptions, non-use of prescriptions, and non-adherence to treatment. In all of the 14 consultations with problem outcomes at least one of the problems was related to an unvoiced agenda item. Conclusion Patients have many needs and when these are not voiced they can not be addressed. Some of the poor outcomes in the case studies were related to unvoiced agenda items. This suggests that when patients and their needs are more fully articulated in the consultation better health care may be effected. Steps should be taken in both daily clinical practice and research to encourage the voicing of patients' agendas. PMID:10797036

  14. Developing a model osteoarthritis consultation: a Delphi consensus exercise

    PubMed Central

    2013-01-01

    Background Osteoarthritis (OA) is a common condition managed in general practice, but often not in line with published guidance. The ideal consultation for a patient presenting with possible OA is not known. The aim of the study was to develop the content of a model OA consultation for the assessment and treatment of older adults presenting in general practice with peripheral joint problems. Methods A postal Delphi consensus exercise was undertaken with two expert groups: i) general practitioners (GPs) with expertise in OA management and ii) patients with experience of living with OA. An advisory group generated 61 possible consultation tasks for consideration in the consensus exercise. Expert groups were asked to consider which tasks should be included in the model OA consultation. The exercise was completed by 15 GPs and 14 patients. The level of agreement for inclusion in the model was set at 90%. Results The model OA consultation included 25 tasks to be undertaken during the initial consultation between a GP and a patient presenting with peripheral joint pain. The 25 tasks provide detailed advice on how the following elements of the consultation should be addressed: i) assessment of chronic joint pain, ii) patient’s ideas and concerns, iii) exclusion of red flags, iv) examination, v) provision of the diagnosis and written information, vi) promotion of exercise and weight loss, vii) initial pain management and viii) arranging a follow-up appointment. Both groups prioritised a bio-medical approach to the consultation, rather than a bio-psycho-social one, suggesting a discordance between current thinking and research evidence. Conclusions This study has enabled the priorities of GPs and patients to be identified for a model OA consultation. The results of this consensus study will inform the development of best practice for the management of OA in primary care and the implementation of evidence-based guidelines for OA in primary care. PMID:23320630

  15. Consultation on AIDS and the workplace.

    PubMed

    1988-12-01

    The 1988 Consultation on Acquired Immunodeficiency Syndrome (AIDS) and the Workplace, organized by the World Health Organization (WHO), addressed 3 issues: 1) risk factors associated with human immunodeficiency virus (HIV) infection in the workplace, 2) the response of businesses and workers to the AIDS epidemic, and 3) use of the workplace for AIDS education. There is no evidence to suggest that HIV can be transmitted by casual, person-to-person contact in the workplace. The central policy issue for businesses concerns protection of the human rights of workers with HIV infection. Most workers with HIV/AIDS want to continue working as long as they are able to, and they should be enabled to contribute their creativity and productivity in a supportive occupational setting. Consistent policies and procedures should be developed at national and enterprise levels before HIV-related questions arise in the workplace. Such policies should be communicated to all concerned, continually reviewed in the light of scientific and epidemiologic evidence, monitored for their successful implementation, and evaluated for their effectiveness. Pre-employment HIV/AIDS screening, whether for assessment of fitness to work or for insurance purposes, should not be required and raises serious concerns about discrimination. Moreover, there should be no obligation on the worker's part to inform his or her employer if HIV infection develops. Information and educational activities at the workplace are essential to create the climate of collective responsibility and mutual understanding required to protect individuals with HIV or AIDS from stigmatization and discrimination by co-workers, employers or clients, and unions.

  16. Exploring accountability of clinical ethics consultants: practice and training implications.

    PubMed

    Weise, Kathryn L; Daly, Barbara J

    2014-01-01

    Clinical ethics consultants represent a multidisciplinary group of scholars and practitioners with varied training backgrounds, who are integrated into a medical environment to assist in the provision of ethically supportable care. Little has been written about the degree to which such consultants are accountable for the patient care outcome of the advice given. We propose a model for examining degrees of internally motivated accountability that range from restricted to unbounded accountability, and support balanced accountability as a goal for practice. Finally, we explore implications of this model for training of clinical ethics consultants from diverse academic backgrounds, including those disciplines that do not have a formal code of ethics relating to clinical practice.

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

    PubMed

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

    2012-01-01

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

  18. Sport psychology group consultation using social networking web sites.

    PubMed

    Dietrich, Frederick; Shipherd, Amber M; Gershgoren, Lael; Filho, Edson Medeiros; Basevitch, Itay

    2012-08-01

    A social networking Web site, Facebook, was used to deliver long-term sport psychology consultation services to student-athletes (i.e., soccer players) in 30- to 60-min weekly sessions. Additional short-term team building, group cohesion, communication, anger management, injury rehabilitation, mental toughness, commitment, and leadership workshops were provided. Cohesion and overall relationships between both the student-athletes and the sport psychology consultants benefited from this process. Social networking Web sites offer a practical way of providing sport psychology consulting services that does not require use of major resources.

  19. A system for medical consultation and education using multimodal human/machine communication.

    PubMed

    Akay, M; Marsic, I; Medl, A; Bu, G

    1998-12-01

    Recent developments in networking and computing have enabled collaborative biomedical engineering research by geographically separated participants. One of the most promising goals is to use these technologies to extend human intellectual capabilities in medical decision making. These emerging technologies are poised to drastically reduce healthcare cost by providing service at remote locations. This also increases diagnosis capacity since information is made available to experts at any location. In this paper, we propose a novel application of a recently developed interactive and distributed system in medical consultation and education. Our approach builds on the notion that interactive and distributive capabilities of the system are crucial for medical consultation and education. The presented application uses a multiuser, collaborative environment with multimodal human/machine communication in the dimensions of sight, sound, and touch. The experimental setup, consisting of two user stations, and the multimodal interfaces, including sight (eye-tracking), sound (automatic speech), and touch (microbeam pen), were tested and evaluated. The system uses a collaborative workspace as a common visualization space. Users communicate with the application through a fusion agent by eye-tracking, speech, and microbeam pen. The audio/video teleconferencing is also included to help the radiologists to communicate with each other simultaneously while they are working on the mammograms. The system used in this study has three software agents: a fusion agent, a conversational agent, and an analytic agent. The fusion agent interprets multimodal commands by integrating the multimodal inputs. The conversational agent answers the user's questions and detects human-related or semantic errors and notifies the user about the results of the image analysis. The analytic agent enhances the digitized images using the wavelet denoising algorithm if requested by the user. To show how well the

  20. A web-based library consult service for evidence-based medicine: Technical development

    PubMed Central

    Schwartz, Alan; Millam, Gregory

    2006-01-01

    Background Incorporating evidence based medicine (EBM) into clinical practice requires clinicians to learn to efficiently gain access to clinical evidence and effectively appraise its validity. Even using current electronic systems, selecting literature-based data to solve a single patient-related problem can require more time than practicing physicians or residents can spare. Clinical librarians, as informationists, are uniquely suited to assist physicians in this endeavor. Results To improve support for evidence-based practice, we have developed a web-based EBM library consult service application (LCS). Librarians use the LCS system to provide full text evidence-based literature with critical appraisal in response to a clinical question asked by a remote physician. LCS uses an entirely Free/Open Source Software platform and will be released under a Free Software license. In the first year of the LCS project, the software was successfully developed and a reference implementation put into active use. Two years of evaluation of the clinical, educational, and attitudinal impact on physician-users and librarian staff are underway, and expected to lead to refinement and wide dissemination of the system. Conclusion A web-based EBM library consult model may provide a useful way for informationists to assist clinicians, and is feasible to implement. PMID:16542453

  1. [The practice guideline 'Consultation psychiatry' of the Dutch Psychiatric Association for psychiatric consultations in primary care and the hospital].

    PubMed

    Leentjens, A F G; van der Feltz-Cornelis, C M; Boenink, A D; van Everdingen, J J E

    2008-08-30

    Psychiatric consultation in primary care as well as in the hospital is both effective and cost-effective if certain procedures are followed. With the professional guideline 'Consultation psychiatry', the Dutch Psychiatric Association aims at setting a standard for psychiatric consultations in non-psychiatric settings. In general practice, the psychiatric consultation is preferably embedded in 'collaborative care', an integrated care model including the general practitioner and a case manager (usually a nurse), with the consultant psychiatrist being regularly available for clearly defined indications. The psychiatrist should see the patient himself or herself, establish a diagnosis and treatment plan, and provide the general practitioner and the patient with a so-called 'consultation letter', which is then discussed with both. In a general hospital, systematic screening of patients at risk of psychiatric comorbidity can be organised. Early detection of complex patients can further improve the effectiveness of psychiatric consultation. Follow-up contacts and investing in liaison contacts improve adherence to the advice provided.

  2. Remote sensing applications program

    NASA Technical Reports Server (NTRS)

    1984-01-01

    The activities of the Mississippi Remote Sensing Center are described in addition to technology transfer and information dissemination, remote sensing topics such as timber identification, water quality, flood prevention, land use, erosion control, animal habitats, and environmental impact studies are also discussed.

  3. APPLIED REMOTE SENSING

    EPA Science Inventory

    Remote Sensing is a scientific discipline of non-contact monitoring. It includes a range of technologies that span from aerial photography to advanced spectral imaging and analytical methods. This Session is designed to demonstrate contemporary practical applications of remote se...

  4. Remote actuated valve implant

    DOEpatents

    McKnight, Timothy E; Johnson, Anthony; Moise, Jr., Kenneth J; Ericson, Milton Nance; Baba, Justin S; Wilgen, John B; Evans, III, Boyd McCutchen

    2014-02-25

    Valve implant systems positionable within a flow passage, the systems having an inlet, an outlet, and a remotely activatable valve between the inlet and outlet, with the valves being operable to provide intermittent occlusion of the flow path. A remote field is applied to provide thermal or magnetic activation of the valves.

  5. Demystifying Remote Access

    ERIC Educational Resources Information Center

    Howe, Grant

    2009-01-01

    With money tight, more and more districts are considering remote access as a way to reduce expenses and budget information technology costs more effectively. Remote access allows staff members to work with a hosted software application from any school campus without being tied to a specific physical location. Each school can access critical…

  6. Land Remote Sensing Overview

    NASA Technical Reports Server (NTRS)

    Byrnes, Ray

    2007-01-01

    A general overview of the USGS land remote sensing program is presented. The contents include: 1) Brief overview of USGS land remote sensing program; 2) Highlights of JACIE work at USGS; 3) Update on NASA/USGS Landsat Data Continuity Mission; and 4) Notes on alternative data sources.

  7. Integration of e-consultations into the outpatient care process at a tertiary medical centre.

    PubMed

    North, Frederick; Uthke, Lorraine D; Tulledge-Scheitel, Sidna M

    2014-06-01

    An e-consultation is an asynchronous consultation performed by a specialist without a face-to-face patient visit. E-consultations have been available to primary care providers at the Mayo Clinic for several years. We reviewed e-consultations performed by specialists at the Mayo Clinic for the first six months of 2013. We included only "internal" e-consultations, originating from within the Rochester practice. During the study period a total of 3242 e-consultations were completed at the Mayo Clinic. After excluding those relating to patients who did not give research consent, 3008 e-consultations remained. We categorized our internal e-consultations into eight types. The most frequently used types were the first e-consultation processes to be implemented: the primary care to specialist e-consultation and the specialist to specialist e-consultation, accounting for 74% of the total. As these two types of e-consultation became widely used, the staff discovered that the e-consultation process could be adapted to meet specific practice needs and six more e-consultation types emerged. For example, intra-specialty e-consultations and surgical e-consultations accounted for 16% of the total. E-consultations appear to have improved access to specialists, and they are integrated into care processes when timely expert opinions are needed. As e-consultations evolve, it will be important to develop a standard, well-defined terminology to compare outcomes of these processes across practices.

  8. Remote sensing of wetlands

    NASA Technical Reports Server (NTRS)

    Roller, N. E. G.

    1977-01-01

    The concept of using remote sensing to inventory wetlands and the related topics of proper inventory design and data collection are discussed. The material presented shows that aerial photography is the form of remote sensing from which the greatest amount of wetlands information can be derived. For extensive, general-purpose wetlands inventories, however, the use of LANDSAT data may be more cost-effective. Airborne multispectral scanners and radar are, in the main, too expensive to use - unless the information that these sensors alone can gather remotely is absolutely required. Multistage sampling employing space and high altitude remote sensing data in the initial stages appears to be an efficient survey strategy for gathering non-point specific wetlands inventory data over large areas. The operational role of remote sensing insupplying inventory data for application to several typical wetlands management problems is illustrated by summary descriptions of past ERIM projects.

  9. Remote Monitor Alarm System

    NASA Technical Reports Server (NTRS)

    Stute, Robert A. (Inventor); Galloway, F. Houston (Inventor); Medelius, Pedro J. (Inventor); Swindle, Robert W. (Inventor); Bierman, Tracy A. (Inventor)

    1996-01-01

    A remote monitor alarm system monitors discrete alarm and analog power supply voltage conditions at remotely located communications terminal equipment. A central monitoring unit (CMU) is connected via serial data links to each of a plurality of remote terminal units (RTUS) that monitor the alarm and power supply conditions of the remote terminal equipment. Each RTU can monitor and store condition information of both discrete alarm points and analog power supply voltage points in its associated communications terminal equipment. The stored alarm information is periodically transmitted to the CMU in response to sequential polling of the RTUS. The number of monitored alarm inputs and permissible voltage ranges for the analog inputs can be remotely configured at the CMU and downloaded into programmable memory at each RTU. The CMU includes a video display, a hard disk memory, a line printer and an audio alarm for communicating and storing the alarm information received from each RTU.

  10. Behavioral versus process consultation interventions in school settings.

    PubMed

    Jason, L A; Ferone, L

    1978-12-01

    Teachers experiencing difficulties in managing disruptive, acting-out children in two parochial first-grade classes were provided either behavioral or process consultation. The behavioral intervention included discussions of behavior modification principles, feedback concerning contingent praise, and individualized behavioral interventions. In contrast, the process consultant used clarifying, supportive, and reflective responses to help the teacher better understand classroom difficulties and enhance her ability to work with problem children. Results of the interventions indicated that during consultation sessions and follow-up, problem behaviors were significantly reduced and attention to desirable behaviors significantly increased. The results were observed in three problem children in the classroom provided with behavioral consultation, and there only. Both teachers rated problem children as being less disruptive following program involvement. Significant positive relations were found between directly observed and teacher ratings of problem behaviors.

  11. Mainstream Consultation in Secondary Settings: The Pine County Model.

    ERIC Educational Resources Information Center

    Tindal, Gerald; And Others

    1987-01-01

    This report describes a secondary mainstreaming program in Pine County, Minnesota, which successfully used a team approach and consultation between regular and special education teachers to adapt regular content-area classes to accommodate mildly handicapped students. (Author/JDD)

  12. A Home-Based Palliative Care Consult Service for Veterans.

    PubMed

    Golden, Adam G; Antoni, Charles; Gammonley, Denise

    2016-11-01

    We describe the development and implementation of a home-based palliative care consult service for Veterans with advanced illness. A retrospective chart review was performed on 73 Veterans who received a home-based palliative care consult. Nearly one-third were 80 years of age or older, and nearly one-third had a palliative diagnosis of cancer. The most common interventions of the consult team included discussion of advance directives, completion of a "do not resuscitate" form, reduction/stoppage of at least 1 medication, explanation of diagnosis, referral to home-based primary care program, referral to hospice, and assessment/support for caregiver stress. The home-based consult service was therefore able to address clinical and psychosocial issues that can demonstrate a direct benefit to Veterans, families, and referring clinicians.

  13. 42 CFR 493.1411 - Standard; Technical consultant qualifications.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... technical consultant must— (1) (i) Be a doctor of medicine or doctor of osteopathy licensed to practice...; or (2)(i) Be a doctor of medicine, doctor of osteopathy, or doctor of podiatric medicine licensed...

  14. 42 CFR 493.1411 - Standard; Technical consultant qualifications.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... technical consultant must— (1) (i) Be a doctor of medicine or doctor of osteopathy licensed to practice...; or (2)(i) Be a doctor of medicine, doctor of osteopathy, or doctor of podiatric medicine licensed...

  15. Electrical innovations, authority and consulting expertise in late Victorian Britain.

    PubMed

    Arapostathis, Stathis

    2013-03-20

    In this article I examine the practices of electrical engineering experts, with special reference to their role in the implementation of innovations in late Victorian electrical networks. I focus on the consulting work of two leading figures in the scientific and engineering world of the period, Alexander Kennedy and William Preece. Both were Fellows of the Royal Society and both developed large-scale consulting activities in the emerging electrical industry of light and power. At the core of the study I place the issues of trust and authority, and the bearing of these on the engineering expertise of consultants in late Victorian Britain. I argue that the ascription of expertise to these engineers and the trust placed in their advice were products of power relations on the local scale. The study seeks to unravel both the technical and the social reasons for authoritative patterns of consulting expertise.

  16. 77 FR 18258 - Government-to-Government Telephonic Consultation Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-27

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR National Park Service Government-to-Government Telephonic Consultation Meetings AGENCY: National Park Service, Interior. SUMMARY: The National Park Service announces two telephonic government-...

  17. 42 CFR 493.1455 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... clients concerning the diagnosis, treatment and management of patient care. The clinical consultant must... subspecialty of oral pathology, § 493.1443(b)(6); or (b) Be a doctor of medicine, doctor of osteopathy,...

  18. 42 CFR 493.1455 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... clients concerning the diagnosis, treatment and management of patient care. The clinical consultant must... subspecialty of oral pathology, § 493.1443(b)(6); or (b) Be a doctor of medicine, doctor of osteopathy,...

  19. 42 CFR 493.1455 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... clients concerning the diagnosis, treatment and management of patient care. The clinical consultant must... subspecialty of oral pathology, § 493.1443(b)(6); or (b) Be a doctor of medicine, doctor of osteopathy,...

  20. 42 CFR 493.1455 - Standard; Clinical consultant qualifications.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... clients concerning the diagnosis, treatment and management of patient care. The clinical consultant must... subspecialty of oral pathology, § 493.1443(b)(6); or (b) Be a doctor of medicine, doctor of osteopathy,...

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

    NASA Technical Reports Server (NTRS)

    1991-01-01

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

  2. Utilization of a Nurse Consultant in Teaching Liaison Psychiatry

    ERIC Educational Resources Information Center

    Wise, Thomas N.

    1974-01-01

    Integration of a psychiatric liaison nursing service into a traditional psychiatric consultation service presents a unique opportunity for students and house officers to learn the tasks facing a nurse on a general hospital ward. (Author)

  3. Electrical innovations, authority and consulting expertise in late Victorian Britain

    PubMed Central

    Arapostathis, Stathis

    2013-01-01

    In this article I examine the practices of electrical engineering experts, with special reference to their role in the implementation of innovations in late Victorian electrical networks. I focus on the consulting work of two leading figures in the scientific and engineering world of the period, Alexander Kennedy and William Preece. Both were Fellows of the Royal Society and both developed large-scale consulting activities in the emerging electrical industry of light and power. At the core of the study I place the issues of trust and authority, and the bearing of these on the engineering expertise of consultants in late Victorian Britain. I argue that the ascription of expertise to these engineers and the trust placed in their advice were products of power relations on the local scale. The study seeks to unravel both the technical and the social reasons for authoritative patterns of consulting expertise. PMID:24686584

  4. Optimizing education on the inpatient dermatology consultative service.

    PubMed

    Afifi, Ladan; Shinkai, Kanade

    2017-03-01

    A consultative dermatology service plays an important role in patient care and education in the hospital setting. Optimizing education in balance with high-quality dermatology consultative services is both a challenge and an opportunity for dermatology consultation teams. There is an emergence of new information about how dermatology can best be taught in the hospital, much of which relies on principles of workplace learning as well as the science of how learning and teaching best happen in work settings. These best practices are summarized in this narrative review with integrated discussion of concepts from outpatient dermatology education and lessons learned from other inpatient teaching models. In addition, consultative dermatology curricula should utilize a blended curriculum model comprised of patient care and active learning and self-study modalities. Specific educational methods will discuss 2 strategies: (1) direct patient-care activities (ie, bedside teaching rounds) and (2) nonpatient care activities (ie, case presentations, didactic sessions, online modules, and reading lists).

  5. 42 CFR 483.360 - Consultation with treatment team physician.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Condition of Participation for the Use of Restraint or Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 § 483.360 Consultation...

  6. 42 CFR 483.360 - Consultation with treatment team physician.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Condition of Participation for the Use of Restraint or Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 § 483.360 Consultation...

  7. 42 CFR 483.360 - Consultation with treatment team physician.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Condition of Participation for the Use of Restraint or Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 § 483.360 Consultation...

  8. 42 CFR 483.360 - Consultation with treatment team physician.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Condition of Participation for the Use of Restraint or Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 § 483.360 Consultation...

  9. A Psychological Consultation Program for Learning-Disabled Adults.

    ERIC Educational Resources Information Center

    Lefebvre, R. Craig

    1984-01-01

    Describes the role of the Learning Needs and Evaluation Center at the University of Virginia, which provides diagnostic testing for learning disabilities as well as psychological consultation. Usage trends are discussed as well as coping patterns of LD students. (JAC)

  10. 24 CFR 200.191 - Placement of 203(k) consultant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...; (ii) HUD's Limited Denial of Participation List; or (iii) HUD's Credit Alert Interactive Voice Response System. (6) The consultant must have passed a comprehensive examination on the 203(k) Program,...

  11. City mouse, country mouse: a mixed-methods evaluation of perceived communication barriers between rural family physicians and urban consultants in Newfoundland and Labrador, Canada

    PubMed Central

    Renouf, Tia; Alani, Sabrina; Whalen, Desmond; Harty, Chris; Pollard, Megan; Morrison, Megan; Coombs-Thorne, Heidi; Dubrowski, Adam

    2016-01-01

    Objectives To examine perceived communication barriers between urban consultants and rural family physicians practising routine and emergency care in remote subarctic Newfoundland and Labrador (NL). Design This study used a mixed-methods design. Quantitative and qualitative data were collected through exploratory surveys, comprised of closed and open-ended questions. The quantitative data was analysed using comparative statistical analyses, and a thematic analysis was applied to the qualitative data. Participants 52 self-identified rural family physicians and 23 urban consultants were recruited via email. Rural participants were also recruited at the Family Medicine Rural Preceptor meetings in St John's, NL. Setting Rural family physicians and urban consultants in NL completed a survey assessing perceived barriers to effective communication. Results Data confirmed that both groups perceived communication difficulties with one another; with 23.1% rural and 27.8% urban, rating the difficulties as frequent (p=0.935); 71.2% rural and 72.2% urban as sometimes (p=0.825); 5.8% rural and 0% urban acknowledged never perceiving difficulties (p=0.714). Overall, 87.1% of participants indicated that perceived communication difficulties impacted patient care. Primary trends that emerged as perceived barriers for rural physicians were time constraints and misunderstanding of site limitations. Urban consultants' perceived barriers were inadequate patient information and lack of native language skills. Conclusions Barriers to effective communication are perceived between rural family physicians and urban consultants in NL. PMID:27154475

  12. Design of multiparty consultation capability for a PACS

    NASA Astrophysics Data System (ADS)

    Reijns, Gerard L.; van der Kolk, Jean-Marc

    1996-05-01

    The PACS developed previously at the Delft University did not allow for real time interaction between specialists at different viewing stations. Recently, we enhanced our PACS with a Consultation Capability to provide a user with the ability to consult colleagues at other viewing stations. This consultation capability enables viewing the same image(s) simultaneously at different workstations and provides overlay information of pointers and rectangles, generated at one site, to become visible at the other site(s). In our earlier PACS, viewing of images is initiated by starting the Xclient application at one of the viewing stations. This procedure has been enhanced to enable a user to select two modes of operation namely either single- or multi-user session mode. In the new multi-user mode, all viewing stations involved in the same session, communicate with each other via a central control application (called consultation server), which is part of the enhanced supervisor. In the multi-user mode, only one user is allowed to select images, which will be displayed at all viewing stations involved in the session. The new viewing program sends it mouse information and framing information to the consultation server, which distributes this information to the other connected viewers. It is desired to remain DICOM compatible, however, ACR/NEMA has not (yet) handled the standardization of commands concerned with real-time consultation. Two different DICOM SOP (Service Object Pair) classes have been created. The first class is used to setup consultation, whereas the second class is used to exchange consultation data.

  13. Children's surgery: a national survey of consultant clinical practice

    PubMed Central

    Mason, David G; Shotton, Hannah; Wilkinson, Kathleen A; Gough, Michael J; Alleway, Robert; Freeth, Heather; Mason, Marisa

    2012-01-01

    Objectives To survey clinical practice and opinions of consultant surgeons and anaesthetists caring for children to inform the needs for training, commissioning and management of children's surgery in the UK. Design The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) hosted an online survey to gather data on current clinical practice of UK consultant surgeons and anaesthetists caring for children. Setting The questionnaire was circulated to all hospitals and to Anaesthetic and Surgical Royal Colleges, and relevant specialist societies covering the UK and the Channel Islands and was mainly completed by consultants in District General Hospitals. Participants 555 surgeons and 1561 anaesthetists completed the questionnaire. Results 32.6% of surgeons and 43.5% of anaesthetists considered that there were deficiencies in their hospital's facilities that potentially compromised delivery of a safe children's surgical service. Almost 10% of all consultants considered that their postgraduate training was insufficient for current paediatric practice and 20% felt that recent Continued Professional Development failed to maintain paediatric expertise. 45.4% of surgeons and 39.2% of anaesthetists considered that the current specialty curriculum should have a larger paediatric component. Consultants in non-specialist paediatric centres were prepared to care for younger children admitted for surgery as emergencies than those admitted electively. Many of the surgeons and anaesthetists had <4 h/week in paediatric practice. Only 55.3% of surgeons and 42.8% of anaesthetists participated in any form of regular multidisciplinary review of children undergoing surgery. Conclusions There are significant obstacles to consultant surgeons and anaesthetists providing a competent surgical service for children. Postgraduate curricula must meet the needs of trainees who will be expected to include children in their caseload as consultants. Trusts must ensure appropriate

  14. The Statistical Consulting Center for Astronomy (SCCA)

    NASA Technical Reports Server (NTRS)

    Akritas, Michael

    2001-01-01

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

  15. Consultant subcontracting at the Idaho National Engineering Laboratory

    SciTech Connect

    1995-06-20

    The Department of Energy (Department), Idaho Operations Office (ID) is responsible for ensuring that its management and operating (M&O) contractors subcontract consultant services in a manner most advantageous to the Department. The objectives of the audit were to determine whether consultant subcontracts were competitively and objectively awarded and whether these subcontracts supported the Idaho National Engineering Laboratory`s (INEL) mission. The audit showed that M&O contractors generally did not award consultant subcontracts competitively and objectively. Also, many of the subcontracts were awarded to former INEL employees, increasing the potential for conflicts of interest. These problems occurred because M&O contractors` internal controls did not ensure that sole source procurements were adequately justified and that potential conflicts of interest were avoided. By not competing consultant subcontracts the Department may not have obtained the most economical consultant services. Further, the fundamental fairness upon which such subcontracts were awarded to former employees was questionable. Additionally, one INEL M&O contractor was subcontracting consultant support services directly for Department Headquarters. This occurred because Headquarters elements and the M&O contractor did not follow Department guidance prohibiting subcontractual support from an M&O contractor directly to Headquarters. As a result, the M&O contractor acted as a procurement agent for Headquarters enabling Headquarters to avoid the more stringent requirements of the Department`s procurement process.

  16. Prenatal diagnosis and telemedicine consultation of fetal urologic disorders.

    PubMed

    Rabie, Nader Z; Canon, Stephen; Patel, Ashay; Zamilpa, Ismael; Magann, Everett F; Higley, Jared

    2016-06-01

    In Arkansas, telemedicine is used commonly in obstetrics through Antenatal and Neonatal Guidelines, Education and Learning System (ANGELS), the existing statewide telemedicine network. This network is used primarily for tele-ultrasound and maternal-fetal medicine consultation. This study is a retrospective case series, describing all the patients who had a prenatally diagnosed urologic anomaly that required prenatal urologic consultation. From 2009-2013, approximately 1300 anomalies were recorded in the Arkansas Fetal Diagnosis and Management (AFDM) database, 14% of which were urologic anomalies. Twenty-six cases required prenatal urologic consultation, 25 of which were conducted via telemedicine. Teleconsultation allowed patients to combine maternal-fetal medicine and urologic consultations in one visit, saving time and effort and ultimately, for most patients, providing reassurance that delivery could be accomplished locally with postnatal follow-up already arranged. While there are several studies reporting the use of telemedicine for various subspecialty consultations, to our knowledge, this is the first to describe the use of telemedicine for prenatal urology consultation. Future research could randomize patients prospectively to allow comparison of both the outcomes as well as the patient experience.

  17. A comparison of general medical and clinical ethics consultations: what can we learn from each other?

    PubMed

    Geppert, Cynthia M A; Shelton, Wayne N

    2012-04-01

    Despite the emergence of clinical ethics consultation as a clinical service in recent years, little is known about how clinical ethics consultation differs from, or is the same as, other medical consultations. A critical assessment of the similarities and differences between these 2 types of consultations is important to help the medical community appreciate ethics consultation as a vital service in today's health care setting. Therefore, this Special Article presents a comparison of medical and clinical ethics consultations in terms of fundamental goals of consultation, roles of consultants, and methodologic approaches to consultation, concluding with reflections on important lessons about the physician-patient relationship and medical education that may benefit practicing internists. Our aim is to examine ethics consultation as a clinical service integral to the medical care of patients. Studies for this analysis were obtained through the PubMed database using the keywords ethics consultation, medical consultation, ethics consults, medical consults, ethics consultants, and medical consultants. All English-language articles published from 1970 through August 2011 that pertained to the structure and process of medical and ethics consultation were reviewed.

  18. A Comparison of General Medical and Clinical Ethics Consultations: What Can We Learn From Each Other?

    PubMed Central

    Geppert, Cynthia M.A.; Shelton, Wayne N.

    2012-01-01

    Despite the emergence of clinical ethics consultation as a clinical service in recent years, little is known about how clinical ethics consultation differs from, or is the same as, other medical consultations. A critical assessment of the similarities and differences between these 2 types of consultations is important to help the medical community appreciate ethics consultation as a vital service in today's health care setting. Therefore, this Special Article presents a comparison of medical and clinical ethics consultations in terms of fundamental goals of consultation, roles of consultants, and methodologic approaches to consultation, concluding with reflections on important lessons about the physician-patient relationship and medical education that may benefit practicing internists. Our aim is to examine ethics consultation as a clinical service integral to the medical care of patients. Studies for this analysis were obtained through the PubMed database using the keywords ethics consultation, medical consultation, ethics consults, medical consults, ethics consultants, and medical consultants. All English-language articles published from 1970 through August 2011 that pertained to the structure and process of medical and ethics consultation were reviewed. PMID:22469350

  19. Remote Raman measurement techniques

    NASA Technical Reports Server (NTRS)

    Leonard, D. A.

    1981-01-01

    The use of laser Raman measurement techniques in remote sensing applications is surveyed. A feasibility index is defined as a means to characterize the practicality of a given remote Raman measurement application. Specific applications of Raman scattering to the measurement of atmospheric water vapor profiles, methane plumes from liquid natural gas spills, and subsurface ocean temperature profiles are described. This paper will survey the use of laser Raman measurement techniques in remote sensing applications using as examples specific systems that the Computer Genetics Corporation (CGC) group has developed and engineered.

  20. Future of remote handling

    SciTech Connect

    Grisham, D.L.; Lambert, J.E.

    1986-01-01

    The field of remote handling started in the late 1940's and early 1950's with the invention of mechanical master-slave and electromechanical manipulators. That field now consists of three major divisions: (1) conventional remote handling in fixed facilities with shielding windows and mechanical manipulators; (2) large area remote handling using portable equipment, electric master-slave manipulators, and television for viewing; and (3) the field of robotics which is beginning to be applied to repetitive operations on toxic and dangerous materials. All three divisions will continue to develop and evolve over the next decade.

  1. Virtual community consultation? Using the literature and weblogs to link community perspectives and health technology assessment

    PubMed Central

    Street, Jackie M.; Braunack‐Mayer, Annette J.; Facey, Karen; Ashcroft, Richard E.; Hiller, Janet E.

    2008-01-01

    Abstract Background  Community views, expressed in social impact assessments and collected through community consultation, should play an important role in health technology assessment (HTA). Yet HTA methodologists have been slow to include outcomes of these forms of inquiry in analyses, in part because collecting community views is time‐consuming and resource intensive. Objective  To explore how community views sourced from published studies, grey literature and informal internet web pages can inform HTA. Methods  A technology reviewed by Adelaide HTA in 2004 was selected: retinal photography for detection of diabetic retinopathy. Published literature, ‘grey’ literature and informal web pages were searched to examine the availability of evidence about service community and user community views with respect to this technology. Particular efforts were made to source evidence relating to rural, remote and Aboriginal populations. Results  We found that journal articles, reports from the grey literature and informal internet web pages (including blogs and discussion forums) can provide valuable insight into community views. Although there was little empirical evidence relating to the experience of diabetes and diabetes management in rural, remote and Aboriginal communities, there were indications that some evidence may be transferable from other populations. Conclusions  Community perspectives on selected health technologies can be gauged from available resources in published and grey literature and perspectives collected in this way can provide insight into whether the introduction of the technology would be acceptable to the community. The limitations of this approach are discussed. PMID:18430153

  2. Studies and proposals on remote sensing programs for the evaluation and management of resources in Latin America (Columbia)

    NASA Technical Reports Server (NTRS)

    1982-01-01

    A report is given on the situation in regard to diagnostic studies carried out on the use of remote sensing techniques at the regional level, and discussions held at international meetings on this topic. Studies and proposals presented by different organizations are discussed. It is concluded that a consultative body must be established at the regional level.

  3. Remote Sensing Center

    NASA Technical Reports Server (NTRS)

    1973-01-01

    The applications are reported of new remote sensing techniques for earth resources surveys and environmental monitoring. Applications discussed include: vegetation systems, environmental monitoring, and plant protection. Data processing systems are described.

  4. Acoustic Remote Sensing

    NASA Astrophysics Data System (ADS)

    Dowling, David R.; Sabra, Karim G.

    2015-01-01

    Acoustic waves carry information about their source and collect information about their environment as they propagate. This article reviews how these information-carrying and -collecting features of acoustic waves that travel through fluids can be exploited for remote sensing. In nearly all cases, modern acoustic remote sensing involves array-recorded sounds and array signal processing to recover multidimensional results. The application realm for acoustic remote sensing spans an impressive range of signal frequencies (10-2 to 107 Hz) and distances (10-2 to 107 m) and involves biomedical ultrasound imaging, nondestructive evaluation, oil and gas exploration, military systems, and Nuclear Test Ban Treaty monitoring. In the past two decades, approaches have been developed to robustly localize remote sources; remove noise and multipath distortion from recorded signals; and determine the acoustic characteristics of the environment through which the sound waves have traveled, even when the recorded sounds originate from uncooperative sources or are merely ambient noise.

  5. Remote Sensing Information Classification

    NASA Technical Reports Server (NTRS)

    Rickman, Douglas L.

    2008-01-01

    This viewgraph presentation reviews the classification of Remote Sensing data in relation to epidemiology. Classification is a way to reduce the dimensionality and precision to something a human can understand. Classification changes SCALAR data into NOMINAL data.

  6. Remote hydrogen sensing techniques

    NASA Technical Reports Server (NTRS)

    Perry, Cortes L.

    1992-01-01

    The objective of this project is to evaluate remote hydrogen sensing methodologies utilizing metal oxide semi-conductor field effect transistors (MOS-FET) and mass spectrometric (MS) technologies and combinations thereof.

  7. Remote Sensing Information Gateway

    EPA Pesticide Factsheets

    Remote Sensing Information Gateway, a tool that allows scientists, researchers and decision makers to access a variety of multi-terabyte, environmental datasets and to subset the data and obtain only needed variables, greatly improving the download time.

  8. Consultation on urological specimens from referred cancer patients using real-time digital microscopy: Optimizing the workflow

    PubMed Central

    Holten-Rossing, Henrik; Larsen, Lise Grupe; Toft, Birgitte Grønkær; Loya, Anand; Vainer, Ben

    2016-01-01

    Introduction: Centralization of cancer treatment entails a reassessment of the diagnostic tissue specimens. Packaging and shipment of glass slides from the local to the central pathology unit means that the standard procedure is time-consuming and that it is difficult to comply with governmental requirements. The aim was to evaluate whether real-time digital microscopy for urological cancer specimens during the primary diagnostic process can replace subsequent physical slide referral and reassessment without compromising diagnostic safety. Methods: From May to October 2014, tissue specimens from 130 patients with urological cancer received at Næstved Hospital's Pathology Department, and expected to be referred for further treatment at cancer unit of a university hospital, were diagnosed using standard light microscopy. In the event of diagnostic uncertainty, the VisionTek digital microscope (Sakura Finetek) was employed. The Pathology Department at Næstved Hospital was equipped with a digital microscope and three consultant pathologists were stationed at Rigshospitalet with workstations optimized for digital microscopy. Representative slides for each case were selected for consultation and live digital consultation took place over the telephone using remote access software. Time of start and finish for each case was logged. For the physically referred cases, time from arrival to sign-out was logged in the national pathology information system, and time spent on microscopy and reporting was noted manually. Diagnosis, number of involved biopsies, grade, and stage were compared between digital microscopy and conventional microscopy. Results: Complete data were available for all 130 cases. Standard procedure with referral of urological cancer specimens took a mean of 8 min 56 s for microscopy, reporting and sign-out per case. For live digital consultations, a mean of 18 min 37 s was spent on each consultation with 4 min 43 s for each case, depending on the number of

  9. 24 CFR 200.190 - HUD list of qualified 203(k) consultants.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false HUD list of qualified 203(k... Participation in FHA Programs Section 203(k) Rehabilitation Loan Consultants § 200.190 HUD list of qualified 203(k) consultants. (a) Qualified consultant list. HUD maintains a list of qualified consultants for...

  10. Building Interpersonal Relationships as a Key to Effective Speaking Center Consultations

    ERIC Educational Resources Information Center

    Ward, Kiya; Schwartzman, Roy

    2009-01-01

    Although much interest has been generated regarding the functions speaking centers serve and the effects consultations can have, minimal research has addressed the dynamics of consultations themselves. This study documents what speaking center clients and consultants identify as barriers in consultations and how they address them. Analysis of…

  11. 25 CFR 170.101 - What is the IRR Program consultation and coordination policy?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What is the IRR Program consultation and coordination... Consultation, Collaboration, Coordination § 170.101 What is the IRR Program consultation and coordination policy? (a) The IRR Program's government-to-government consultation and coordination policy is to...

  12. 25 CFR 170.101 - What is the IRR Program consultation and coordination policy?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 1 2011-04-01 2011-04-01 false What is the IRR Program consultation and coordination... Consultation, Collaboration, Coordination § 170.101 What is the IRR Program consultation and coordination policy? (a) The IRR Program's government-to-government consultation and coordination policy is to...

  13. Effects of School Counselors' Cognitive Behavioral Consultation on Irrational and Efficacy Beliefs of Elementary School Teachers

    ERIC Educational Resources Information Center

    Warren, Jeffrey M.; Gerler, Edwin R., Jr.

    2013-01-01

    Consultation is an indirect service frequently offered as part of comprehensive school counseling programs. This study explored the efficacy of a specific model of consultation, rational emotive-social behavior consultation (RE-SBC). Elementary school teachers participated in face-to-face and online consultation groups aimed at influencing…

  14. 25 CFR 170.105 - Are funds available for consultation, collaboration, and coordination activities?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Are funds available for consultation, collaboration, and... Consultation, Collaboration, Coordination § 170.105 Are funds available for consultation, collaboration, and coordination activities? To fund consultation, collaboration, and coordination of IRR Program...

  15. Multiple Consultee Consultation to Modify Behaviors in a Student with Autism Spectrum Disorder

    ERIC Educational Resources Information Center

    Reynolds, Jennifer L.; Fisher, Sycarah D.

    2015-01-01

    Consultation is used to provide indirect services to students. The process typically occurs with a school psychologist consultant and a teacher consultee. Few cases exist demonstrating consultation with nontraditional or multiple consultees. The current study showed the use of consultation with multiple interdisciplinary consultees to implement…

  16. Remote manipulator dynamic simulation

    NASA Technical Reports Server (NTRS)

    Wild, E. C.; Donges, P. K.; Garand, W. A.

    1972-01-01

    A simulator to generate the real time visual scenes required to perform man in the loop investigations of remote manipulator application and design concepts for the space shuttle is described. The simulated remote manipulator consists of a computed display system that uses a digital computer, the electronic scene generator, an operator's station, and associated interface hardware. A description of the capabilities of the implemented simulation is presented. The mathematical models and programs developed for the simulation are included.

  17. Remote electrochemical sensor

    DOEpatents

    Wang, Joseph; Olsen, Khris; Larson, David

    1997-01-01

    An electrochemical sensor for remote detection, particularly useful for metal contaminants and organic or other compounds. The sensor circumvents technical difficulties that previously prevented in-situ remote operations. The microelectrode, connected to a long communications cable, allows convenient measurements of the element or compound at timed and frequent intervals and instrument/sample distances of ten feet to more than 100 feet. The sensor is useful for both downhole groundwater monitoring and in-situ water (e.g., shipboard seawater) analysis.

  18. Thermal Remote Anemometer Device

    NASA Technical Reports Server (NTRS)

    Heyman, Joseph S.; Heath, D. Michele; Winfree, William P.; Miller, William E.; Welch, Christopher S.

    1988-01-01

    Thermal Remote Anemometer Device developed for remote, noncontacting, passive measurement of thermal properties of sample. Model heated locally by scanning laser beam and cooled by wind in tunnel. Thermal image of model analyzed to deduce pattern of airflow around model. For materials applications, system used for evaluation of thin films and determination of thermal diffusivity and adhesive-layer contact. For medical applications, measures perfusion through skin to characterize blood flow and used to determine viabilities of grafts and to characterize tissues.

  19. EQClinic: a platform for learning communication skills in clinical consultations.

    PubMed

    Liu, Chunfeng; Scott, Karen M; Lim, Renee L; Taylor, Silas; Calvo, Rafael A

    2016-01-01

    Background Doctors' verbal and non-verbal communication skills have an impact on patients' health outcomes, so it is important for medical students to develop these skills. Traditional, non-verbal communication skills training can involve a tutor manually annotating a student's non-verbal behaviour during patient-doctor consultations, but this is very time-consuming. Tele-conference systems have been used in verbal communication skills training. Methods We describe EQClinic, a system that enables verbal and non-verbal communication skills training during tele-consultations with simulated patients (SPs), with evaluation exercises promoting reflection. Students and SPs can have tele-consultations through the tele-consultation component. In this component, SPs can provide feedback to students through a thumbs-up/ thumbs-down tool and a comments box. EQClinic automatically analyses communication features in the recorded consultations, such as facial expressions, and provides graphical representations. Our 2015 pilot study investigated whether EQClinic helped students be aware of their non-verbal behaviour and improve their communication skills, and evaluated the usability of the platform. Students received automated feedback, and SP and tutor evaluations, and then completed self-assessment and reflection questionnaires. Results Eight medical students and three SPs conducted 13 tele-consultations using EQClinic. More students paid attention to their non-verbal communication and students who were engaged in two consultations felt more confident in their second consultation. Students rated the system positively, felt comfortable using it (5.9/7), and reported that the structure (5.4/7) and information (5.8/7) were clear. This pilot provides evidence that EQClinic helps, and positively influences, medical students practise their communication skills with SPs using a tele-conference platform. Discussion It is not easy to improve non-verbal communication skills in a short

  20. EQClinic: a platform for learning communication skills in clinical consultations

    PubMed Central

    Liu, Chunfeng; Scott, Karen M.; Lim, Renee L.; Taylor, Silas; Calvo, Rafael A.

    2016-01-01

    Background Doctors’ verbal and non-verbal communication skills have an impact on patients’ health outcomes, so it is important for medical students to develop these skills. Traditional, non-verbal communication skills training can involve a tutor manually annotating a student's non-verbal behaviour during patient–doctor consultations, but this is very time-consuming. Tele-conference systems have been used in verbal communication skills training. Methods We describe EQClinic, a system that enables verbal and non-verbal communication skills training during tele-consultations with simulated patients (SPs), with evaluation exercises promoting reflection. Students and SPs can have tele-consultations through the tele-consultation component. In this component, SPs can provide feedback to students through a thumbs-up/ thumbs-down tool and a comments box. EQClinic automatically analyses communication features in the recorded consultations, such as facial expressions, and provides graphical representations. Our 2015 pilot study investigated whether EQClinic helped students be aware of their non-verbal behaviour and improve their communication skills, and evaluated the usability of the platform. Students received automated feedback, and SP and tutor evaluations, and then completed self-assessment and reflection questionnaires. Results Eight medical students and three SPs conducted 13 tele-consultations using EQClinic. More students paid attention to their non-verbal communication and students who were engaged in two consultations felt more confident in their second consultation. Students rated the system positively, felt comfortable using it (5.9/7), and reported that the structure (5.4/7) and information (5.8/7) were clear. This pilot provides evidence that EQClinic helps, and positively influences, medical students practise their communication skills with SPs using a tele-conference platform. Discussion It is not easy to improve non-verbal communication skills in a

  1. Differentiating between a consultant nurse and a clinical nurse specialist.

    PubMed

    Maylor, Miles

    With the introduction of nurse consultants, and regulation of the use of the designation 'specialist nurse', experienced practitioners such as clinical nurse specialists have seen their position eroded. Nurse consultants are a new NHS-employment category, and are expected to be at the top rank of the profession both in status and in salary. However, this article argues that nurses at various levels have the same core functions, and that these do not differ for nurse consultants. Distinguishing between practitioners that might have the same job description could be better done by measuring outcomes. More care needs to be taken over the use of words such as 'expert', which is used differently in different contexts, and it is suggested that competencies be developed by which to measure the effects of expertise. Although nurse consultant appointments are often driven by various political directives and they are employed to meet local and national priorities, difficult issues need to be faced. First, if nurse consultant jobs are the top of the clinical career ladder, will clinical nurse specialists (CNSs) need to accept a lower rung on it? Further, perhaps the title CNS should become obsolete or be regulated? Can CNSs claim parity of pay using the 'Agenda for Change' framework?

  2. The patient and the computer in the primary care consultation

    PubMed Central

    Arnold, Michael; Phillips, Christine; Trumble, Stephen; Dwan, Kathryn

    2011-01-01

    Objective Studies of the doctor–patient relationship have focused on the elaboration of power and/or authority using a range of techniques to study the encounter between doctor and patient. The widespread adoption of computers by doctors brings a third party into the consultation. While there has been some research into the way doctors view and manage this new relationship, the behavior of patients in response to the computer is rarely studied. In this paper, the authors use Goffman's dramaturgy to explore patients' approaches to the doctor's computer in the consultation, and its influence on the patient–doctor relationship. Design Observational study of Australian general practice. 141 consultations from 20 general practitioners were videotaped and analyzed using a hermeneutic framework. Results Patients negotiated the relationship between themselves, the doctor, and the computer demonstrating two themes: dyadic (dealing primarily with the doctor) or triadic (dealing with both computer and doctor). Patients used three signaling behaviors in relation to the computer on the doctor's desk (screen watching, screen ignoring, and screen excluding) to influence the behavior of the doctor. Patients were able to draw the doctor to the computer, and used the computer to challenge doctor's statements. Conclusion This study demonstrates that in consultations where doctors use computers, the computer can legitimately be regarded as part of a triadic relationship. Routine use of computers in the consultation changes the doctor–patient relationship, and is altering the distribution of power and authority between doctor and patient. PMID:21262923

  3. Uniqueness of family therapists as family business systems consultants: a cross-disciplinary investigation.

    PubMed

    Lee, Jinhee; Danes, Sharon M

    2012-06-01

    The purpose of this study is to address how the consulting approaches of family therapists working with family businesses differ from those of business consultants. The logic of analytic induction was used to analyze qualitative data from family business consultants with and without training in family therapy. Consultants were asked to respond to two vignettes: one emphasized primarily family system problems, whereas the other emphasized business problems with influencing issues at the family/business intersection. Both similarities and differences were found in reference to problem assessment, consulting goal orientation, intervention strategy focus, consultant role and function, and consulting setting preference between consultants with and without family therapy training. Results indicate that consultants of each discipline provide a unique perspective and expertise that allow them to successfully address the spectrum of issues that family firms face. Further, findings highlight the unique contribution of family therapists to an interdisciplinary consulting team.

  4. Therapeutic consultation: a necessary adjunct to independent drug information.

    PubMed Central

    Rodríguez, C; Arnau, J M; Vidal, X; Laporte, J R

    1993-01-01

    1. A therapeutic consultation service was implemented in 1984 to complement other methods of information and education on drug therapy for prescribers. 2. Up to 1991, 1,620 enquiries were received, 65% from our hospital and an increasing proportion from primary care (10%), other hospitals (6%), family planning centres (4%), and other sources (14%). 3. More than two-thirds (67%) were consultative enquiries, as opposed to demands for factual information, which needed knowledge of medical aspects of the case and clinical expertise. 4. 85% of enquiries were answered with a written report including relevant references and as conclusive as possible recommendations. 5. More discussion of therapeutic consultation is needed, and aspects for discussion are suggested. PMID:8448067

  5. The consultation component of the clinical nurse specialist role.

    PubMed

    Dias, Maria-Helena; Chambers-Evans, Jane; Reidy, Mary

    2010-06-01

    The clinical nurse specialist (CNS) role in Canada has 5 key components: clinical practice, consultation, education, research, and leadership. This study focuses on the consultation component: how it is described by CNSs and the facilitators and barriers to its implementation. A qualitative descriptive design was used to interview 8 CNSs who worked with adult populations in a university hospital setting.The findings indicate that managing crisis situations, ensuring continuity of care, and supporting other health professionals and health-care teams are key areas of consultation. Role ambiguity perceived by other professionals and constant demands and expectations due to a changing environment constitute the major challenges of CNS practice, requiring CNSs to continuously clarify their role in accordance with changes in time and place.

  6. Meeting the challenge of consultation and collaboration: developing interactive teams.

    PubMed

    Coben, S S; Thomas, C C; Sattler, R O; Morsink, C V

    1997-01-01

    The roles of special educators as consultants and collaborators have long been established and supported. The rationale for these roles is also well documented. Many models--consultative, collaborative, and teaming--have been suggested in the literature; sometimes, these models exhibit similar goals, competencies, and processes. Because of intensified pressures to collaborate, successful implementation of collaborative and team efforts requires that special educators expand their roles as interactive professionals. The purpose of this article is to define and describe the consultation, collaboration, and teaming models that have been implemented, discuss their strengths and limitations, delineate how these models contribute to interactive teaming, outline key features of the interactive team, and provide some guiding principles for successful implementation.

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

    PubMed Central

    van der

    2001-01-01

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

  8. Using professional interpreters in undergraduate medical consultation skills teaching.

    PubMed

    Bansal, Aarti; Swann, Jennifer; Smithson, William Henry

    2014-01-01

    The ability to work with interpreters is a core skill for UK medical graduates. At the University of Sheffield Medical School, this teaching was identified as a gap in the curriculum. Teaching was developed to use professional interpreters in role-play, based on evidence that professional interpreters improve health outcomes for patients with limited English proficiency. Other principles guiding the development of the teaching were an experiential learning format, integration to the core consultation skills curriculum, and sustainable delivery. The session was aligned with existing consultation skills teaching to retain the small-group experiential format and general practitioner (GP) tutor. Core curricular time was found through conversion of an existing consultation skills session. Language pairs of professional interpreters worked with each small group, with one playing patient and the other playing interpreter. These professional interpreters attended training in the scenarios so that they could learn to act as patient and family interpreter. GP tutors attended training sessions to help them facilitate the session. This enhanced the sustainability of the session by providing a cohort of tutors able to pass on their expertise to new staff through the existing shadowing process. Tutors felt that the involvement of professional interpreters improved student engagement. Student evaluation of the teaching suggests that the learning objectives were achieved. Faculty evaluation by GP tutors suggests that they perceived the teaching to be worthwhile and that the training they received had helped improve their own clinical practice in consulting through interpreters. We offer the following recommendations to others who may be interested in developing teaching on interpreted consultations within their core curriculum: 1) consider recruiting professional interpreters as a teaching resource; 2) align the teaching to existing consultation skills sessions to aid integration

  9. Consultation of medical narratives in the electronic medical record.

    PubMed

    Tange, H J

    1999-12-01

    This article presents an overview of a research project concerning the consultation of medical narratives in the electronic medical record (EMR). It describes an analysis of user needs, the design and implementation of a prototype EMR system, and the evaluation of the ease of consultation of medical narratives when using this system. In a questionnaire survey, 85 hospital physicians judged the quality of their paper-based medical record with respect to data entry, information retrieval and some other aspects. Participants were more positive about the paper medical record than the literature suggests. They wished to maintain the flexibility of data entry but indicated the need to improve the retrieval of information. A prototype EMR system was developed to facilitate the consultation of medical narratives. These parts were divided into labeled segments that could be arranged source-oriented and problem-oriented. This system was used to evaluate the ease of information retrieval of 24 internists and 12 residents at a teaching hospital when using free-text medical narratives divided at different levels of detail. They solved, without time pressure, some predefined problems concerning three voluminous, inpatient case records. The participants were randomly allocated to a sequence that was balanced by patient case and learning effect. The division of medical narratives affected speed, but not completeness of information retrieval. Progress notes divided into problem-related segments could be consulted 22% faster than when undivided. Medical history and physical examination divided into segments at organ-system level could be consulted 13% faster than when divided into separate questions and observations. These differences were statistically significant. The fastest divisions were also appreciated as the best combination of easy searching and best insight in the patient case. The results of our evaluation study suggest a trade-off between searching and reading: too much

  10. A nurse-run inpatient pain consultation service.

    PubMed

    Gordon, D B; Pellino, T A; Enloe, M G; Foley, D K

    2000-06-01

    As hospitals across the country work to improve pain management in the face of ever-shrinking resources, one challenge that must be addressed is the delineation of specialized pain management services. Although pain management is an interdisciplinary process, nurses are in a unique position to provide leadership in both the organization and delivery of clinical services. This article describes the development and 2-year experience of a nurse-run inpatient pain management consultation service in an academic tertiary care hospital. The structure of the service, and nature and volume of consults is discussed along with recommendations for institutions considering this strategy.

  11. Contentious Conversations: Using Mediation Techniques in Difficult Clinical Ethics Consultations.

    PubMed

    Fiester, Autumn

    2015-01-01

    Mediators utilize a wide range of skills in the process of facilitating dialogue and resolving conflicts. Among the most useful techniques for clinical ethics consultants (CECs)-and surely the least discussed-are those employed in acrimonious, hostile conversations between stakeholders. In the context of clinical ethics disputes or other bedside conflicts, good mediation skills can reverse the negative interactions that have prevented the creation of workable treatment plans or ethical consensus. This essay lays out the central framework mediators use in distinguishing positions from interests and describes a set of strategies for managing contentious ethics consultations or working with "difficult" patients, families, or patient-careprovider interactions.

  12. Remote radiation dosimetry

    DOEpatents

    Braunlich, Peter F.; Tetzlaff, Wolfgang; Hegland, Joel E.; Jones, Scott C.

    1991-01-01

    Disclosed are methods and apparatus for remotely measuring radiation levels. Such are particularly useful for measuring relatively high levels or dosages of radiation being administered in radiation therapy. They are also useful for more general radiation level measurements where remote sensing from the remaining portions of the apparatus is desirable. The apparatus uses a beam generator, such as a laser beam, to provide a stimulating beam. The stimulating beam is preferably of wavelengths shorter than 6 microns, or more advantageously less than 2 microns. The stimulating beam is used to stimulate a remote luminescent sensor mounted in a probe which emits stored luminescent energy resulting from exposure of the sensor to ionizing radiation. The stimulating beam is communicated to the remote luminescent sensor via transmissive fiber which also preferably serves to return the emission from the luminescent sensor. The stimulating beam is advantageously split by a beam splitter to create a detector beam which is measured for power during a reading period during which the luminescent phosphor is read. The detected power is preferably used to control the beam generator to thus produce desired beam power during the reading period. The luminescent emission from the remote sensor is communicated to a suitable emission detector, preferably after filtering or other selective treatment to better isolate the luminescent emission.

  13. Remote radiation dosimetry

    DOEpatents

    Braunlich, P.F.; Tetzlaff, W.; Hegland, J.E.; Jones, S.C.

    1991-03-12

    Disclosed are methods and apparatus for remotely measuring radiation levels. Such are particularly useful for measuring relatively high levels or dosages of radiation being administered in radiation therapy. They are also useful for more general radiation level measurements where remote sensing from the remaining portions of the apparatus is desirable. The apparatus uses a beam generator, such as a laser beam, to provide a stimulating beam. The stimulating beam is preferably of wavelengths shorter than 6 microns, or more advantageously less than 2 microns. The stimulating beam is used to stimulate a remote luminescent sensor mounted in a probe which emits stored luminescent energy resulting from exposure of the sensor to ionizing radiation. The stimulating beam is communicated to the remote luminescent sensor via a transmissive fiber which also preferably serves to return the emission from the luminescent sensor. The stimulating beam is advantageously split by a beam splitter to create a detector beam which is measured for power during a reading period during which the luminescent phosphor is read. The detected power is preferably used to control the beam generator to thus produce desired beam power during the reading period. The luminescent emission from the remote sensor is communicated to a suitable emission detector, preferably after filtering or other selective treatment to better isolate the luminescent emission. 8 figures.

  14. Remote measurement platform based on DataSocket and .NET framework

    NASA Astrophysics Data System (ADS)

    Wu, Ziyan; Wu, Jinlang; Sun, Dan; Wu, Xiaoya

    2006-11-01

    Being independent of platforms and languages is the key point of Microsoft .NET framework which will be the base of development of numerous softwares in the future. Measurement applications base on .Net framework possess advantages related on its portability, applicability and compatibility. This paper discusses how to construct a remote measurement & analysis platform based on .NET framework using NI Measurement Studio. To solve the question, some methods are introduced: Long distance controlling and monitoring via remote object methods calling based on Microsoft .NET remoting framework, High speed real-time mass data sharing based on data socket transfer protocol (DSTP) technology provided by NI Measurement Studio, and remote measurement system based on the combination of .NET remoting and DSTP. Methods above are applied to introduce an efficaciously way to develop a remote measurement platform and parallel measurement server platform in .NET framework with Measurement Studio. What's more, three application design of remote measurement platform are introduced: Remote experiment system of automatic control theory, Distributed medical consultation system and Meteorological satellite nephogram distributed processing platform.

  15. CAHRD Consultation 2014: the 10-20 year Horizon Introduction and Overview – as circulated to Consultation participants

    PubMed Central

    2015-01-01

    The overall aim of the 2014 Consultation is to bring together internal and external partners to help shape the strategic direction for CAHRD over the 10 to 20 year horizon. Our strategic thinking will be guided by our vision of a healthy future for low and middle income populations and our mission to transform health systems to improve the health of these populations. Partnership between northern and southern institutions is integral to this work and critical in the consultation process. The Consultation considers four selected areas of the current work of CAHRD: Lung Health, Maternal & Newborn Health, Neglected Tropical Diseases, and Health Systems. We aim to foster dialogue and learning between these and across contexts and disciplines. The major challenges that will need to be addressed over the next 10 to 20 years will be scoped and pathways to possible solutions proposed. The overall vision is a process of co-production of knowledge

  16. AXARM: An Extensible Remote Assistance and Monitoring Tool for ND Telerehabilitation

    NASA Astrophysics Data System (ADS)

    Bueno, Antonio; Marzo, Jose L.; Vallejo, Xavier

    AXARM is a multimedia tool for rehabilitation specialists that allow remote assistance and monitoring of patients activities. This tool is the evolution of the work done in 2005-06 between the BCDS research group of UdG and the Multiple Sclerosis Foundation (FEM in Spanish) in Girona under the TRiEM project. Multiple Sclerosis (MS) is a neurodegenerative disease (ND) that can provoke significant exhaustion in patients even just by going to the medical centre for rehabilitation or regular checking visits. The tool presented in this paper allows the medical staff to remotely carry on patient consults and activities from their home, minimizing the displacements to medical consulting. AXARM has a hybrid P2P architecture and consists essentially of a cross-platform videoconference system, with audio/video recording capabilities. The system can easily be extended to include new capabilities like, among others, asynchronous activities whose result can later be analyzed by the medical personnel.

  17. Remote connector development study

    SciTech Connect

    Parazin, R.J.

    1995-05-01

    Plutonium-uranium extraction (PUREX) connectors, the most common connectors used at the Hanford site, offer a certain level of flexibility in pipe routing, process system configuration, and remote equipment/instrument replacement. However, these desirable features have inherent shortcomings like leakage, high pressure drop through the right angle bends, and a limited range of available pipe diameters that can be connect by them. Costs for construction, maintenance, and operation of PUREX connectors seem to be very high. The PUREX connector designs include a 90{degree} bend in each connector. This increases the pressure drop and erosion effects. Thus, each jumper requires at least two 90{degree} bends. PUREX connectors have not been practically used beyond 100 (4 in.) inner diameter. This study represents the results of a survey on the use of remote pipe-connection systems in US and foreign plants. This study also describes the interdependence between connectors, remote handling equipment, and the necessary skills of the operators.

  18. The application of remote sensing to resource management and environmental quality programs in Kansas

    NASA Technical Reports Server (NTRS)

    Barr, B. G.

    1975-01-01

    Specific assistance to state agencies and public bodies on over 15 remote sensing projects concerned with (1) urban and regional analysis, (2) rural development, and (3) habitat management and environmental analysis is discussed. Specific problems of officials are considered and a basis for communication by demonstration is provided. In addition to data products in support of specific agency projects; consultation and training in use of satellite and aircraft imagery is provided to personnel from several state, regional, and county agencies. Effective communication and confidence is established through these efforts and users now routinely seek information and advice about the application of remote sensing technology to solution of their agency problems.

  19. Applied remote sensing

    SciTech Connect

    Lo, C.P.

    1986-01-01

    The author presents selected case studies to demonstrate theories and practices of remote sensing and its value to the study of the terrestrial environment. Begins with an overview of sensor types and electromagnetic remote sensing, continuing with an examination of photographic and non-photographic systems in the study of the radiation budget, temperature structure and weather conditions of the atmosphere. Includes thorough coverage of the lithosphere, biosphere and hydrosphere, as well as the cartographic problems involved in land use/land cover and topographic mapping. Concludes with a discussion of the impact of electromagnetic computers in the development of geographic information systems.

  20. Remote air pollution measurement

    NASA Technical Reports Server (NTRS)

    Byer, R. L.

    1975-01-01

    This paper presents a discussion and comparison of the Raman method, the resonance and fluorescence backscatter method, long path absorption methods and the differential absorption method for remote air pollution measurement. A comparison of the above remote detection methods shows that the absorption methods offer the most sensitivity at the least required transmitted energy. Topographical absorption provides the advantage of a single ended measurement, and differential absorption offers the additional advantage of a fully depth resolved absorption measurement. Recent experimental results confirming the range and sensitivity of the methods are presented.

  1. Remote Reactor Monitoring

    SciTech Connect

    Bernstein, Adam; Dazeley, Steve; Dobie, Doug; Marleau, Peter; Brennan, Jim; Gerling, Mark; Sumner, Matthew; Sweany, Melinda

    2014-10-21

    The overall goal of the WATCHMAN project is to experimentally demonstrate the potential of water Cerenkov antineutrino detectors as a tool for remote monitoring of nuclear reactors. In particular, the project seeks to field a large prototype gadolinium-doped, water-based antineutrino detector to demonstrate sensitivity to a power reactor at ~10 kilometer standoff using a kiloton scale detector. The technology under development, when fully realized at large scale, could provide remote near-real-time information about reactor existence and operational status for small operating nuclear reactors out to distances of many hundreds of kilometers.

  2. Aerosol Remote Sensing

    NASA Technical Reports Server (NTRS)

    Lenoble, Jacqueline (Editor); Remer, Lorraine (Editor); Tanre, Didier (Editor)

    2012-01-01

    This book gives a much needed explanation of the basic physical principles of radia5tive transfer and remote sensing, and presents all the instruments and retrieval algorithms in a homogenous manner. For the first time, an easy path from theory to practical algorithms is available in one easily accessible volume, making the connection between theoretical radiative transfer and individual practical solutions to retrieve aerosol information from remote sensing. In addition, the specifics and intercomparison of all current and historical methods are explained and clarified.

  3. Radar Remote Sensing

    NASA Technical Reports Server (NTRS)

    Rosen, Paul A.

    2012-01-01

    This lecture was just a taste of radar remote sensing techniques and applications. Other important areas include Stereo radar grammetry. PolInSAR for volumetric structure mapping. Agricultural monitoring, soil moisture, ice-mapping, etc. The broad range of sensor types, frequencies of observation and availability of sensors have enabled radar sensors to make significant contributions in a wide area of earth and planetary remote sensing sciences. The range of applications, both qualitative and quantitative, continue to expand with each new generation of sensors.

  4. Remote electrochemical sensor

    DOEpatents

    Wang, J.; Olsen, K.; Larson, D.

    1997-10-14

    An electrochemical sensor is described for remote detection, particularly useful for metal contaminants and organic or other compounds. The sensor circumvents technical difficulties that previously prevented in-situ remote operations. The microelectrode, connected to a long communications cable, allows convenient measurements of the element or compound at timed and frequent intervals and instrument/sample distances of ten feet to more than 100 feet. The sensor is useful for both downhole groundwater monitoring and in-situ water (e.g., shipboard seawater) analysis. 21 figs.

  5. Anthropomorphic Remote Manipulator

    NASA Technical Reports Server (NTRS)

    Jau, Bruno M.

    1991-01-01

    Two-armed telerobot undergoing development manipulates objects with dexterity approaching that of human. Designed to be remotely operated by human. Operator wears harness with exoskeletonlike sleeves and gloves; remote manipulator follows operator's arm, hand, and finger movements and feeds back position and force information so operator has sense of manipulating object held by telerobot. Developed for use in outer space. Suited for such terrestrial uses as handling materials and maintaining equipment in hazardous environments where mechanical dexterity and nearly instantaneous feedback of sensory information needed.

  6. 40 CFR 93.112 - Criteria and procedures: Consultation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 20 2011-07-01 2011-07-01 false Criteria and procedures: Consultation. 93.112 Section 93.112 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR..., Funded or Approved Under Title 23 U.S.C. or the Federal Transit Laws § 93.112 Criteria and...

  7. 40 CFR 93.112 - Criteria and procedures: Consultation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 20 2010-07-01 2010-07-01 false Criteria and procedures: Consultation. 93.112 Section 93.112 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR..., Funded or Approved Under Title 23 U.S.C. or the Federal Transit Laws § 93.112 Criteria and...

  8. 15 CFR 200.103 - Consulting and advisory services.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE MEASUREMENT SERVICES POLICIES... competence, NIST offers consulting and advisory services on various problems related to measurement, e.g... statistical control of the measurement process, automated acquisition of laboratory data, and data...

  9. 40 CFR 725.17 - Consultation with EPA.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 32 2012-07-01 2012-07-01 false Consultation with EPA. 725.17 Section 725.17 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) TOXIC SUBSTANCES CONTROL ACT REPORTING REQUIREMENTS AND REVIEW PROCESSES FOR MICROORGANISMS General Provisions...

  10. The Illinois Model for Consulting Linkage Skills Training.

    ERIC Educational Resources Information Center

    Gasaway, Carl, Comp.; Erwin, Cliff, Comp.

    Materials are presented which were used for a consulting/linkage skills training program. The program is divided into three phases. In phase one, various training techniques such as presentations, case studies, role-playing, and simulations are used to lead the participants through a series of knowledge-increasing and skill-enhancing activities.…

  11. Managing Resistance: An Essential Consulting Skill for Learning Disabilities Teachers.

    ERIC Educational Resources Information Center

    Friend, Marilyn; Bauwens, Jeanne

    1988-01-01

    The article explores characteristics of resistance by general educators to special education consultation programs. It offers teachers of learning disabled students strategies for managing specific types of resistance as well as a general plan for minimizing resistance as well as suggestions for evaluating the impact of resistance management…

  12. 14 CFR 415.105 - Pre-application consultation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... impact location of any stage or other component. (3) Potential launch site. (i) Name and location of the proposed launch site, including latitude and longitude of the proposed launch point; (ii) Identity of any... Launch Vehicle From a Non-Federal Launch Site § 415.105 Pre-application consultation. (a) An...

  13. 40 CFR 25.4 - Information, notification, and consultation responsibilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

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

  14. Consulting Young Children about Barriers and Supports to Learning

    ERIC Educational Resources Information Center

    Georgeson, Jan; Porter, Jill; Daniels, Harry; Feiler, Anthony

    2014-01-01

    From consideration of children's rights in general and equal opportunities for disabled children in particular, it is important to consult children about barriers and supports to learning and participation. Finding appropriate and feasible ways, however, to incorporate this into educational programmes for younger children can present challenges.…

  15. Expertise, Ethics Expertise, and Clinical Ethics Consultation: Achieving Terminological Clarity.

    PubMed

    Iltis, Ana S; Sheehan, Mark

    2016-08-01

    The language of ethics expertise has become particularly important in bioethics in light of efforts to establish the value of the clinical ethics consultation (CEC), to specify who is qualified to function as a clinical ethics consultant, and to characterize how one should evaluate whether or not a person is so qualified. Supporters and skeptics about the possibility of ethics expertise use the language of ethics expertise in ways that reflect competing views about what ethics expertise entails. We argue for clarity in understanding the nature of expertise and ethics expertise. To be an ethics expert, we argue, is to be an expert in knowing what ought to be done. Any attempt to articulate expertise with respect to knowing what ought to be done must include an account of ethics that specifies the nature of moral truth and the means by which we access this truth or a theoretical account of ethics such that expertise in another domain is linked to knowing or being better at judging what ought to be done and the standards by which this "knowing" or "being better at judging" is determined. We conclude with a discussion of the implications of our analysis for the literature on ethics expertise in CEC. We do think that there are clear domains in which a clinical ethics consultant might be expert but we are skeptical about the possibility that this includes ethics expertise. Clinical ethics consultants should not be referred to as ethics experts.

  16. Consulting for Improved Self Perceptions of Elementary School Children.

    ERIC Educational Resources Information Center

    Brown, Jeannette A.; MacDougall, Mary Ann

    This paper investigated the consulting role of the elementary school counselor. A six-week training program was instituted which allows teachers to examine their own classroom behaviors through observing and analyzing video-tapes. An evaluation of the program impact on the pupil population indicated significant and positive mean gains in self…

  17. Microcomputers and consultation psychiatry in the general hospital.

    PubMed

    Hammer, J S; Hammond, D; Strain, J J; Lyons, J S

    1985-04-01

    The microcomputer allows for the design of a system that functions integrally with both the day-to-day and long-term needs of a consultation-liaison psychiatric service. This article describes a microcomputer system and data structure that can accomplish many of the same research tasks as a minicomputer system. In addition, the same data item inputs can be used to develop management reports that can facilitate the administrative as well as the pedagogic needs of a consultation-liaison service. Because of the daily availability and review of output reports, supervisors' corrections are made that enhance the reliability of the data. The program format provides 1) an intake form with pertinent identifying demographic data; 2) an activity file that contains every encounter between the consultant and the patient as well as research, supervisory, and liaison activities (which permit cost-effectiveness analysis); 3) a master clinical data base containing 255 variables for each case seen; 4) a computer-generated chart note; 5) letters to referring physicians; 6) clinical activity descriptions for billing; and 7) a file for pertinent literature searches. Since certain analyses may be limited in the microsystem, its interactive capacity with mainframe computers allows for complex functions. The microsystem described presently emphasizes flexibility, accessibility, and step-by-step development of files as needed by a particular consultation-liaison service. Finally, microcomputers are available at a fraction of the cost of the minicomputer or mainframe systems.

  18. School Consultation from a Social Psychological Perspective: A Review.

    ERIC Educational Resources Information Center

    Tingstrom, Daniel H.; And Others

    1990-01-01

    Reviews various social psychological constructs to offer theoretical framework within which to view resistance and related phenomena in school consultation. Focuses on resistance, cognitive dissonance, reactance, attribution, influence-power, and modeling. Summarizes contributions and applications of other authors; provides additional applications…

  19. 14 CFR 1261.403 - Consultation with appropriate officials; negotiation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 5 2011-01-01 2010-01-01 true Consultation with appropriate officials; negotiation. 1261.403 Section 1261.403 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION... appropriate officials; negotiation. (a) The authority pursuant to § 1261.402 to determine to forego...

  20. 14 CFR 1261.403 - Consultation with appropriate officials; negotiation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Consultation with appropriate officials; negotiation. 1261.403 Section 1261.403 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION... appropriate officials; negotiation. (a) The authority pursuant to § 1261.402 to determine to forego...