Resource Input, Service Process and Resident Activity Indicators in a Welsh National Random Sample of Staffed Housing Services for People with Intellectual Disabilities

ERIC Educational Resources Information Center

Felce, David; Perry, Jonathan

2004-01-01

Background: The aims were to: (i) explore the association between age and size of setting and staffing per resident; and (ii) report resident and setting characteristics, and indicators of service process and resident activity for a national random sample of staffed housing provision. Methods: Sixty settings were selected randomly from those…

Readability of Self-Report Measures of Depression and Anxiety

ERIC Educational Resources Information Center

McHugh, R. Kathryn; Behar, Evelyn

2009-01-01

As the demand for accountability in service provision settings increases, the need for valid methods for assessing clinical outcomes is of particular importance. Self-report measures of functioning are particularly useful in the assessment of psychological functioning, but a vital factor in their validity and transportability is the reading level…

A cross-sectional survey of the prevalence of environmental tobacco smoke preventive care provision by child health services in Australia

PubMed Central

2011-01-01

Background Despite the need for a reduction in levels of childhood exposure to environmental tobacco smoke (ETS) being a recognised public health goal, the delivery of ETS preventive care in child health service settings remains a largely unstudied area. The purpose of this study was to determine the prevalence of ETS preventive care in child health services; differences in the provision of care by type of service; the prevalence of strategies to support such care; and the association between care support strategies and care provision. Method One-hundred and fifty-one (83%) child health service managers within New South Wales, Australia completed a questionnaire in 2002 regarding the: assessment of parental smoking and child ETS exposure; the provision of parental smoking cessation and ETS-exposure reduction advice; and strategies used to support the provision of such care. Child health services were categorised based on their size and case-mix, and a chi-square analysis was performed to compare the prevalence of ETS risk assessment and ETS prevention advice between service types. Logistic regression analysis was used to examine associations between the existence of care support strategies and the provision of ETS risk assessment and ETS exposure prevention advice. Results A significant proportion of services reported that they did not assess parental smoking status (26%), and reported that they did not assess the ETS exposure (78%) of any child. Forty four percent of services reported that they did not provide smoking cessation advice and 20% reported they did not provide ETS exposure prevention advice. Community based child and family health services reported a greater prevalence of ETS preventive care compared to other hospital based units. Less than half of the services reported having strategies to support the provision of ETS preventive care. The existence of such support strategies was associated with greater odds of care provision. Conclusions The existence of major gaps in recommended ETS preventive care provision suggests a need for additional initiatives to increase such care delivery. The low prevalence of strategies that support such care delivery suggests a potential avenue to achieve this outcome. PMID:21575273

Do efforts to standardize, assess and improve the quality of health service provision to adolescents by government-run health services in low and middle income countries, lead to improvements in service-quality and service-utilization by adolescents?

PubMed

Chandra-Mouli, Venkatraman; Chatterjee, Subidita; Bose, Krishna

2016-02-06

Researchers and implementers working in adolescent health, and adolescents themselves question whether government-run health services in conservative and resource-constrained settings can be made adolescent friendly. This paper aims to find out what selected low and middle income country (LMIC) governments have set out to do to improve the quality of health service provision to adolescents; whether their efforts led to measurable improvements in quality and to increased health service-utilization by adolescents. We gathered normative guidance and reports from eight LMICs in Asia, Africa, Central and Eastern Europe and the Western Pacific. We analysed national quality standards for adolescent friendly health services, findings from the assessments of the quality of health service provision, and findings on the utilization of health services. Governments of LMICs have set out to improve the accessibility, acceptability, equity, appropriateness and effectiveness of health service provision to adolescents by defining standards and actions to achieve them. Their actions have led to measurable improvements in quality and to increases in health service utilisation by adolescents. With support, government-run health facilities in LMICs can improve the quality of health services and their utilization by adolescents.

Exploring Letters in a Bimodal, Bilingual Nursery School with Deaf and Hearing Children

ERIC Educational Resources Information Center

Kristoffersen, Ann-Elise; Simonsen, Eva

2014-01-01

For young deaf children a co-enrolment setting with hearing children in nursery school is recognised as a useful provision for inclusive education. The aim of the study reported in this article was to gain knowledge about pathways into literacy for young deaf children in a co-enrolment setting. The questions raised in this article are: How are…

50 CFR 100.6 - Licenses, permits, harvest tickets, tags, and reports.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 50 Wildlife and Fisheries 8 2011-10-01 2011-10-01 false Licenses, permits, harvest tickets, tags, and reports. 100.6 Section 100.6 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE... provisions as set forth in subpart D of this part. (e) If you take fish and wildlife under a community...

50 CFR 100.6 - Licenses, permits, harvest tickets, tags, and reports.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false Licenses, permits, harvest tickets, tags, and reports. 100.6 Section 100.6 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE... provisions as set forth in subpart D of this part. (e) If you take fish and wildlife under a community...

50 CFR 100.6 - Licenses, permits, harvest tickets, tags, and reports.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 50 Wildlife and Fisheries 9 2013-10-01 2013-10-01 false Licenses, permits, harvest tickets, tags, and reports. 100.6 Section 100.6 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE... provisions as set forth in subpart D of this part. (e) If you take fish and wildlife under a community...

50 CFR 100.6 - Licenses, permits, harvest tickets, tags, and reports.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 50 Wildlife and Fisheries 9 2014-10-01 2014-10-01 false Licenses, permits, harvest tickets, tags, and reports. 100.6 Section 100.6 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE... provisions as set forth in subpart D of this part. (e) If you take fish and wildlife under a community...

Doctors and pharmacists provision and opinions of medicines information leaflets in New Zealand.

PubMed

Young, Amber; Tordoff, June; Leitch, Sharon; Smith, Alesha

2018-06-01

Background Providing verbal medicines information to patients may be insufficient. Providing medicine information leaflets could support verbal information, however New Zealand health professionals' opinions or use of leaflets is unknown. Objective To examine self-reported provision and health professionals' views about medicine information leaflets and to determine their support for tailoring patient leaflets. Setting A cross sectional survey of general practitioners (GPs) and community pharmacists in New Zealand primary care. Method GPs and pharmacists completed validated questionnaires. Data was collected using SurveyMonkey® and where applicable, Chi squared analysis was carried out. Main outcome measures Frequency of leaflet provision, how leaflets are used in practice and why, likes and dislikes of available leaflets, and opinions on providing tailored information. Results 143 GPs and 126 pharmacists responded. For new medicines, significantly more pharmacists than GPs reported providing leaflets all or most of the time. For repeat medicines, leaflets were more likely to be given only on request. Leaflets were given to ensure patients are well-informed. Most GPs and pharmacists report discussing sections of leaflets with patients. The likes and dislikes of leaflets were mostly about design and content. Both professions support tailoring leaflets to meet individual's requirements. Conclusions Provision of medicines information needs to be re-evaluated. Relying on verbal communication is inadequate and leaflet provision appears to be suboptimal. Making leaflets more patient-centred and accessible could improve health professionals' perceptions and use of them. Automated creation and provision of tailored summary leaflets would be beneficial. Further advantage could be gained by digital patient access.

Finance issue brief: comprehensive consumer rights bills: year end report-2002.

PubMed

Morgan, Rachel; MacEachern, Lillian

2002-12-31

The health care industry has historically used established formats for patient rights in order to maintain the integrity and quality of care in all settings of care provision. By establishing rights and responsibilities for patients, it increased patient involvement and created boundaries for acceptable practice for health care providers. As the provision of health care is evolving and including the health payor as never before, legislators are faced with the task of bridging the gap for consumers by creating protective measures that are referred to as a "Patient's Bill of Rights".

Finance issue brief: comprehensive consumer rights bill: year end report-2003.

PubMed

MacEachern, Lillian

2003-12-31

The health care industry has historically used established formats for patient rights in order to maintain the integrity and quality of care in all settings of care provision. By establishing rights and responsibilities for patients, it increased patient involvement and created boundaries for acceptable practice for health care providers. As the provision of health care is evolving and including the health payor as never before, legislators are faced with the task of bridging the gap for consumers by creating protective measures that are referred to as a "Patient's Bill of Rights".

Perceptions of pharmacists and patients on information provision and their influence on patient satisfaction in Japanese community pharmacies.

PubMed

Takaki, Hiroko; Abe, Takeru; Hagihara, Akihito

2015-12-01

The provision of information is now considered a major area in pharmacist-patient interactions. However, few reports have simultaneously evaluated patient and pharmacist perceptions with regard to the pharmacist's information provision. The aims were to clarify the perceptions of pharmacists and patients regarding information provision and the level of influence of those perceptions on patient satisfaction. A cross-sectional survey with respect to information provision was conducted for patients and pharmacists in community pharmacies in Fukuoka Prefecture, Japan. In total, 407 patient-pharmacist pairs were included in a t-test and multilevel analysis. The levels of patient perception regarding information provision were significantly higher than the levels of pharmacist perception in all variables. The pharmacists' perceived level of information provision concerning medication effects had a negative and significant association with patient satisfaction, while the patients' perceived level of information provision by the pharmacist had a positive and significant association with patient satisfaction. Higher patient expectations regarding the level of information provision concerning medication side effects and older age of the pharmacist were adversely related to patient satisfaction. Both pharmacist and patient perceptions of the information provision by pharmacists personalized to the patient had positive associations with patient satisfaction. Pharmacist perceptions related to the information provision were not associated with patient satisfaction. The present study highlights accurate information provision, building good patient-pharmacist relationships, and improving pharmaceutical care in community pharmacy settings. © 2015 John Wiley & Sons, Ltd.

Pandora's Box: Accountability and Performance Standards in Vocational Education.

ERIC Educational Resources Information Center

Hill, Paul T.; And Others

This report explores educational accountability in the United States, specifically accountability in vocational education. Section 1 provides a brief overview of the history of evaluation activity in federal educational programs and sets the major accountability, evaluation, and performance provisions of the 1990 Perkins legislation in that…

Provision of sudden unexpected death in epilepsy (SUDEP) information among Malaysian parents of children with epilepsy.

PubMed

Fong, Choong Yi; Lim, Wei Kang; Kong, Ann Nie; Lua, Pei Lin; Ong, Lai Choo

2017-10-01

Sudden unexpected death in epilepsy (SUDEP) is an important cause of mortality in epilepsy. To date, there is only one published UK study evaluating information provision of SUDEP among parents of children with epilepsy (CWE), and there are no studies published from Asia. Although SUDEP information provision is recommended among parents of CWE, it is uncertain if these recommendations are applicable to Asian countries due to the different cultural attitude towards epilepsy. Our prospective cohort study consisted of multiethnic parents of children with epilepsy (CWE) seen in a tertiary hospital in Malaysia. Information on SUDEP was delivered to parents using an epilepsy educational software program. Participants completed a set of standardized questionnaire and Depression Anxiety Stress Scales-Short Form (DASS-21) immediately after and retested 3-6months after the SUDEP information provision. A total of 127 parents (84 mothers) participated in the study. The CWE consisted of 3 ethnic groups (38% Malay, 30% Chinese, 32% Indian) with a mean age of 9.6years. Majority (70.9%) felt positive after SUDEP information provision, 90.6% wanted SUDEP discussion for themselves with 70.1% wanted SUDEP discussion with their child, and a lower proportion (58.3%) would discuss SUDEP with their child. None of the participants reported increased symptoms of depression, stress or anxiety attributed to SUDEP information provision. Most parents took steps to reduce SUDEP risk, and most parents did not report an impact on their own functioning. However, there was an increase in parental report over time of impact on their child's functioning following SUDEP information (P<0.05). In conclusion, most Malaysian parents of CWE wanted SUDEP information. Following SUDEP information disclosure, majority did not report negative emotions; however, an increase in parents over time reported an impact on their child. Our findings reiterate that provision of SUDEP information should form part of care of CWE and parents should receive ongoing support as they undergo a period of parenting adjustment when dealing with the information provided. Copyright © 2017 Elsevier Inc. All rights reserved.

The Automatic Meteorological Station System AN/TMQ-30 ( ).

DTIC Science & Technology

1982-08-01

network, the station electronics initiate the above operating sequence. 3.2.1 Meteorological Parameters Vindspeed. Windspeed measurements are made over a...much like a pocket calculator. Provision has been made to enable the operator to set or read the clock of the master station and to * set, modify, or...conditions is occuring during a regular cycle period. A normal report is not made under these conditions. Control is passed to the read data module under

40 CFR 716.1 - Scope and compliance.

Code of Federal Regulations, 2012 CFR

2012-07-01

... ACT HEALTH AND SAFETY DATA REPORTING General Provisions § 716.1 Scope and compliance. (a) This subpart sets forth requirements for the submission of lists and copies of health and safety studies on chemical... 40 Protection of Environment 32 2012-07-01 2012-07-01 false Scope and compliance. 716.1 Section...

40 CFR 716.1 - Scope and compliance.

Code of Federal Regulations, 2014 CFR

2014-07-01

... ACT HEALTH AND SAFETY DATA REPORTING General Provisions § 716.1 Scope and compliance. (a) This subpart sets forth requirements for the submission of lists and copies of health and safety studies on chemical... 40 Protection of Environment 31 2014-07-01 2014-07-01 false Scope and compliance. 716.1 Section...

40 CFR 716.1 - Scope and compliance.

Code of Federal Regulations, 2010 CFR

2010-07-01

... ACT HEALTH AND SAFETY DATA REPORTING General Provisions § 716.1 Scope and compliance. (a) This subpart sets forth requirements for the submission of lists and copies of health and safety studies on chemical... 40 Protection of Environment 30 2010-07-01 2010-07-01 false Scope and compliance. 716.1 Section...

40 CFR 716.1 - Scope and compliance.

Code of Federal Regulations, 2011 CFR

2011-07-01

... ACT HEALTH AND SAFETY DATA REPORTING General Provisions § 716.1 Scope and compliance. (a) This subpart sets forth requirements for the submission of lists and copies of health and safety studies on chemical... 40 Protection of Environment 31 2011-07-01 2011-07-01 false Scope and compliance. 716.1 Section...

40 CFR 716.1 - Scope and compliance.

Code of Federal Regulations, 2013 CFR

2013-07-01

... ACT HEALTH AND SAFETY DATA REPORTING General Provisions § 716.1 Scope and compliance. (a) This subpart sets forth requirements for the submission of lists and copies of health and safety studies on chemical... 40 Protection of Environment 32 2013-07-01 2013-07-01 false Scope and compliance. 716.1 Section...

13 CFR 304.2 - District Organizations: Formation, organizational requirements and operations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... of the principal economic interests of the Region, and, unless otherwise prohibited by applicable... body shall also have at least a simple majority of its membership who are elected officials and/or... and State financial assistance reporting requirements and the conflicts of interest provisions set...

Information management for aged care provision in Australia: development of an aged care minimum dataset and strategies to improve quality and continuity of care.

PubMed

Davis, Jenny; Morgans, Amee; Burgess, Stephen

2016-04-01

Efficient information systems support the provision of multi-disciplinary aged care and a variety of organisational purposes, including quality, funding, communication and continuity of care. Agreed minimum data sets enable accurate communication across multiple care settings. However, in aged care multiple and poorly integrated data collection frameworks are commonly used for client assessment, government reporting and funding purposes. To determine key information needs in aged care settings to improve information quality, information transfer, safety, quality and continuity of care to meet the complex needs of aged care clients. Modified Delphi methods involving five stages were employed by one aged care provider in Victoria, Australia, to establish stakeholder consensus for a derived minimum data set and address barriers to data quality. Eleven different aged care programs were identified; with five related data dictionaries, three minimum data sets, five program standards or quality frameworks. The remaining data collection frameworks related to diseases classification, funding, service activity reporting, and statistical standards and classifications. A total of 170 different data items collected across seven internal information systems were consolidated to a derived set of 60 core data items and aligned with nationally consistent data collection frameworks. Barriers to data quality related to inconsistencies in data items, staff knowledge, workflow, system access and configuration. The development an internal aged care minimum data set highlighted the critical role of primary data quality in the upstream and downstream use of client information; and presents a platform to build national consistency across the sector.

Implementing managed alcohol programs in hospital settings: A review of academic and grey literature.

PubMed

Brooks, Hannah L; Kassam, Shehzad; Salvalaggio, Ginetta; Hyshka, Elaine

2018-04-01

People with severe alcohol use disorders are at increased risk of poor acute-care outcomes, in part due to difficulties maintaining abstinence from alcohol while hospitalised. Managed alcohol programs (MAP), which administer controlled doses of beverage alcohol to prevent withdrawal and stabilise drinking patterns, are one strategy for increasing adherence to treatment, and improving health outcomes for hospital inpatients with severe alcohol use disorders. Minimal research has examined the implementation of MAPs in hospital settings. We conducted a scoping review to describe extant literature on MAPs in community settings, as well as the therapeutic provision of alcohol to hospital inpatients, to assess the feasibility of implementing formal MAPs in hospital settings and identify knowledge gaps requiring further study. Four academic and 10 grey literature databases were searched. Evidence was synthesised using quantitative and qualitative approaches. Forty-two studies met review inclusion criteria. Twenty-eight examined the administration of alcohol to hospital inpatients, with most reporting positive outcomes related to prevention or treatment of alcohol withdrawal. Fourteen studies examined MAPs in the community and reported that they help stabilise drinking patterns, reduce alcohol-related harms and facilitate non-judgemental health and social care. MAPs in the community have been well described and research has documented effective provision of alcohol in hospital settings for addressing withdrawal. Implementing MAPs as a harm reduction approach in hospital settings is potentially feasible. However, there remains a need to build off extant literature and develop and evaluate standardised MAP protocols tailored to acute-care settings. © 2018 Australasian Professional Society on Alcohol and other Drugs.

76 FR 2160 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-12

... Exchange's rules also expressly set forth reciprocity provisions.\\6\\ In other words, the Exchange is... exchanges that employ a similar program under their rules. Reciprocity provisions also exist for the $2.50... reciprocity provision, the Exchange's existing strike setting programs demonstrate the intent [[Page 2161

Spiritual Needs in Health Care Settings: A Qualitative Meta-Synthesis of Clients' Perspectives

ERIC Educational Resources Information Center

Hodge, David R.; Horvath, Violet E.

2011-01-01

Spiritual needs often emerge in the context of receiving health or behavioral health services. Yet, despite the prevalence and salience of spiritual needs in service provision, clients often report their spiritual needs are inadequately addressed. In light of research suggesting that most social workers have received minimal training in…

75 FR 992 - National Institute of Neurological Disorders and Stroke; Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-07

... provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended. The grant... Director for Extramural Research; Overview of the NINDS Intramural Program; and other Administrative and... and evaluate the Division of Intramural Research Board of Scientific Counselors' Reports. Place...

Cessation assistance reported by smokers in 15 countries participating in the International Tobacco Control (ITC) policy evaluation surveys

PubMed Central

Borland, Ron; Li, Lin; Driezen, Pete; Wilson, Nick; Hammond, David; Thompson, Mary E.; Fong, Geoffrey T.; Mons, Ute; Willemsen, Marc C.; McNeill, Ann; Thrasher, James F.; Cummings, K. Michael

2011-01-01

Aims To describe some of the variability across the world in levels of quit smoking attempts and use of various forms of cessation support. Design Use of the International Tobacco Control Policy Evaluation Project surveys of smokers, using the 2007 survey wave (or later, where necessary). Settings Australia, Canada, China, France, Germany, Ireland, Malaysia, Mexico, Netherlands, New Zealand, South Korea, Thailand, UK, Uruguay and USA. Measures Self-report on use of cessation aids and on visits to health professionals and provision of cessation advice during the visits. Findings Prevalence of quit attempts in the last year varied from under 20% to over 50% across countries. Similarly, smokers varied greatly in reporting of visiting health professionals in the last year (< 20% to over 70%), and among those who did, provision of advice to quit also varied greatly. There was also marked variability in the levels and types of help reported. Use of medication was generally more common than use of behavioural support, except where medications are not readily available. Conclusions There is wide variation across countries in rates of attempts to stop smoking and use of assistance with higher overall use of medication than behavioural support. There is also wide variation in the provision of brief advice to stop by health professionals. PMID:21883605

Market-Based Multirobot Coordination: A Comprehensive Survey and Analysis

DTIC Science & Technology

2005-12-01

Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to a...context of the larger set of approaches to multirobot coordination. Second, this paper surveys and analyzes the relevant literature. Third, it inspires and...OF ABSTRACT Same as Report (SAR) 18. NUMBER OF PAGES 48 19a. NAME OF RESPONSIBLE PERSON a. REPORT unclassified b. ABSTRACT unclassified c

A cross-sectional analysis of pharmaceutical industry-funded events for health professionals in Australia

PubMed Central

Fabbri, Alice; Grundy, Quinn; Mintzes, Barbara; Swandari, Swestika; Moynihan, Ray; Walkom, Emily; Bero, Lisa A

2017-01-01

Objectives To analyse patterns and characteristics of pharmaceutical industry sponsorship of events for Australian health professionals and to understand the implications of recent changes in transparency provisions that no longer require reporting of payments for food and beverages. Design Cross-sectional analysis. Participants and setting 301 publicly available company transparency reports downloaded from the website of Medicines Australia, the pharmaceutical industry trade association, covering the period from October 2011 to September 2015. Results Forty-two companies sponsored 116 845 events for health professionals, on average 608 per week with 30 attendees per event. Events typically included a broad range of health professionals: 82.0% included medical doctors, including specialists and primary care doctors, and 38.3% trainees. Oncology, surgery and endocrinology were the most frequent clinical areas of focus. Most events (64.2%) were held in a clinical setting. The median cost per event was $A263 (IQR $A153–1195) and over 90% included food and beverages. Conclusions Over this 4-year period, industry-sponsored events were widespread and pharmaceutical companies maintained a high frequency of contact with health professionals. Most events were held in clinical settings, suggesting a pervasive commercial presence in everyday clinical practice. Food and beverages, known to be associated with changes to prescribing practice, were almost always provided. New Australian transparency provisions explicitly exclude meals from the reporting requirements; thus, a large proportion of potentially influential payments from pharmaceutical companies to health professionals will disappear from public view. PMID:28667226

Childcare Provisions--The Perk Whose Time Is Yet to Come.

ERIC Educational Resources Information Center

Berridge, John

1991-01-01

Although there is agreement among the government, the Trades Union Congress, and the Adam Smith Institute that child care facilities for working parents in Britain are needed, they vary in the emphasis given to economic, political, and social factors. This article surveys recent reports and sets their arguments in the context of policy and…

Goals 2000: Overview and Analysis. CRS Report for Congress.

ERIC Educational Resources Information Center

Stedman, James B.

Goals 2000: Educate America Act (P.L. 103-227) authorizes a range of initiatives for federal support of education reform. Its basic strategy is that of systemic reform guided by sets of agreed-upon educational goals and standards at each level of governance. An overview and analysis of the Act's basic provisions and authorizations is provided.…

78 FR 76846 - National Library of Medicine; Notice of Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-19

... accordance with the provisions set forth in section 552b(c)(6), Title 5 U.S.C., as amended for review... p.m. Agenda: Review of research and development programs and preparation of reports of the Lister....gov . Open: April 11, 2014, 10:00 a.m. to 11:00 a.m. Agenda: Review of research and development...

JPRS Report, East Europe

DTIC Science & Technology

1990-04-26

GERMAN DEMOCRATIC REPUBLIC Legal Provisions on Investment Surveyed [Cologne DEUTSCHLAND ARCHIV Feb] .................. 29 HUNGARY Carnegie Franchise ...131 ZGB), Carnegie Franchise To Be Established in Hungary -weekend cottages, rooms for recreational purposes, 90CHOOO7B Budapest NEPSZABADSAG in...the water breweries. It would be desirable to set up small slaughter- shortage. houses, dairy plants, and bakeries with the participation of foreign

An Examination of Current Adapted Physical Activity Provision in Primary and Special Schools in Ireland

ERIC Educational Resources Information Center

Crawford, Susan

2011-01-01

The Disability in Sport Taskforce report examining adapted physical activity (APA) in the Irish context (Department of Education and Science, 1999) found that teachers involved in primary mainstream and specialist settings expressed a grave lack of self-confidence, due to lack of training, in the delivery of APA programmes to children with special…

Managing change in the care of children with complex needs: healthcare providers' perspectives.

PubMed

Law, James; McCann, Dolly; O'May, Fiona

2011-12-01

 This paper is a report of a descriptive qualitative study of the role and activities of nursing and allied health professionals caring for children with complex needs in a community setting. Health care is changing in terms of service provision and delivery, with an increased focus on person-centred care, prevention and community-based services. The role of nursing and allied health professionals is central to these changes but is not well described in terms of capacity, or the knowledge and skills required to meet increasing demand. Within four Health Boards, semi-structured telephone interviews were conducted in 2007 with three nursing and four allied health managers, followed by four focus groups with 15 nursing and 11 allied health practitioners; in addition, three nurses and one speech therapist were interviewed by telephone. Respondents identified challenges related to communication and information systems, equity of service provision, family-centred care and partnership working. Generic and specialized knowledge and skills are needed, although providing the right skills in the right place can often prove problematic with potential implications for service provision. Findings support the adoption of integrated partnership working, going beyond the identification of key professionals, to developing a set of criteria against which future service provision could be judged. Research priorities were identified; comparative evaluation of services, better understanding of the transition process and a clearer sense of the individual's response to the increasing customization of services. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

Wheelchair service provision education in academia.

PubMed

Fung, Karen H; Rushton, Paula W; Gartz, Rachel; Goldberg, Mary; Toro, Maria L; Seymour, Nicky; Pearlman, Jonathan

2017-01-01

An estimated 70 million people with disabilities need wheelchairs. To address this global crisis, the World Health Organization (WHO) proposed an eight-step wheelchair service provision model to ensure service quality regardless of resource setting. The International Society of Wheelchair Professionals (ISWP) aims to facilitate the integration of the WHO eight-step model into professional rehabilitation programmes. To develop an enhanced understanding of the current wheelchair service provision education provided in professional rehabilitation programmes worldwide. In a cross-sectional design, an online survey was distributed to ISWP contacts of educational institutions. Quantitative responses were analysed through summary statistics and qualitative answers were analysed by content analyses. When relevant, educational institutions were stratified into resource settings. Seventy-two representatives of educational institutions in 21 countries completed the survey. Wheelchair content was taught in 79% of represented institutions, of which 75% of respondents reported using original course material, 10% of respondents used WHO Wheelchair Service Training Packages and 15% of respondents used other available resources. The majority of educational institutions teaching with their own wheelchair-related course material taught ≤ 20 hours. Fourteen of the 15 respondents without wheelchair education, expressed an interest in integrating wheelchair education into their academic curricula. The majority of the educational institutions teach wheelchair education; however, there is great variability in what and how it is taught and evaluated. The results demonstrate the need for more in-depth investigation regarding the integration process of wheelchair education in educational institutions, with the ultimate goal of improving wheelchair service provision worldwide.

Grouted pile to sleeves connections: Design provisions for the new ISO Standard for offshore structures

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

Harwood, R.G.; Billington, C.J.; Buitrago, J.

1996-12-01

A Technical Core Group (TCG) was set up in March 1994 to review the design practice provisions for grouted pile to sleeve connections, mechanical connections and repairs as part of the international harmonization process for the new ISO Standard, ISO 13819-2, Petroleum and Natural Gas Industries--Offshore Structures, Part 2: Fixed Steel Structures. This paper provides an overview of the development of the proposed new design provisions for grouted connections including, the gathering and screening of the data, the evolution of the design formulae, and the evaluation of the resistance factor. Detailed comparisons of the new formulae with current design practicemore » (API, HSE and DnV) are also included. In the development of the new provisions the TCG has been given access to the largest database ever assembled on this topic. This database includes all the major testing programs performed over the last 20 years, and recent UK and Norwegian research projects not previously reported. The limitations in the database are discussed and the areas where future research would be of benefit are highlighted.« less

46 CFR 11.901 - General provisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... ENDORSEMENTS Subjects of Examinations and Practical Demonstrations of Competence § 11.901 General provisions... competence as set out under the appropriate STCW Regulations (incorporated by reference in § 11.102): (1... of competence under paragraph (c) of this section must meet the appropriate performance standards set...

Social skills assessment of children with autism in free-play situations.

PubMed

Anderson, Angelika; Moore, Dennis W; Godfrey, Rebecca; Fletcher-Flinn, Claire M

2004-12-01

Poor social functioning and limited play are characteristic of children with autism. Increasingly, education for children with autism is provided within mainstream settings, but given their particular difficulties, the adequate provision of educational services in such settings is challenging. This study presents observational data of the play behaviour and social interaction patterns of 10 children with autism in mainstream kindergartens and primary school playgrounds. The target children differed significantly in terms of their play and social interactions from typically developing children in the same settings. The adequacy of the provision of services for children with autism in mainstream provision is discussed.

48 CFR 234.7101 - Solicitation provision and contract clause.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Software Data Reporting 234.7101 Solicitation provision and contract clause. (a)(1) Use the provision at 252.234-7003, Notice of Cost and Software Data Reporting System, in all solicitations that include the clause at 252.234-7004, Cost and Software Data Reporting. (2) Use the provision with its Alternate I when...

48 CFR 234.7101 - Solicitation provision and contract clause.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Software Data Reporting 234.7101 Solicitation provision and contract clause. (a)(1) Use the provision at 252.234-7003, Notice of Cost and Software Data Reporting System, in all solicitations that include the clause at 252.234-7004, Cost and Software Data Reporting. (2) Use the provision with its Alternate I when...

48 CFR 234.7101 - Solicitation provision and contract clause.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Software Data Reporting 234.7101 Solicitation provision and contract clause. (a)(1) Use the provision at 252.234-7003, Notice of Cost and Software Data Reporting System, in all solicitations that include the clause at 252.234-7004, Cost and Software Data Reporting. (2) Use the provision with its Alternate I when...

48 CFR 234.7101 - Solicitation provision and contract clause.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Software Data Reporting 234.7101 Solicitation provision and contract clause. (a)(1) Use the provision at 252.234-7003, Notice of Cost and Software Data Reporting System, in all solicitations that include the clause at 252.234-7004, Cost and Software Data Reporting. (2) Use the provision with its Alternate I when...

Undergraduate nurses' preferred use of mobile devices in healthcare settings.

PubMed

Mather, Carey; Cummings, Elizabeth; Allen, Penny

2015-01-01

The growth of digital technology has created challenges for appropriate and safe use of mobile or portable devices in healthcare environments. There is perceived risk that the use of mobile technology for learning may distract from provision of patient care if used by undergraduate students during work-integrated learning. This paper reports on a study that aimed to identify differences in preferred behavior of student nurses in their use of mobile technology during and away from the clinical practice environment. A previously validated online survey was administered to students during a period of work integrated learning in a range of healthcare settings in two Australian states. Respondents agreed that mobile devices could be beneficial to patient care. Overall, students proposed they would use mobile devices for accessing information, during work integrated learning, less than when away from the workplace. The development of policy to guide the use of mobile devices, in situ, is important to the provision of safe and competent care and improved health outcomes for patients.

Does Placement Matter? Comparing the Academic Performance of Students with Special Needs in Inclusive and Separate Settings. Lessons in Learning

ERIC Educational Resources Information Center

Canadian Council on Learning, 2009

2009-01-01

A significant proportion of Canada's school-age population requires special educational provisions. Statistics Canada reports that 4.6% of 5- to 14-year-olds had some kind of disability in 2006. As well, recent data from the British Columbia and Ontario ministries of education indicate that students with designated special educational needs…

Opportunities for Professional Learning Dialogue Generated by Cross-Phase Collaboration in Languages between Primary and Secondary Initial Teacher Education Students

ERIC Educational Resources Information Center

Schäfer, Isabelle

2018-01-01

School partnerships to manage transition between primary and secondary settings are well developed. However, studies show that some aspects of transition in Modern Languages leave much to be desired, as mentioned in a recently published report on KS3 provision ([Office for Standards in Education. 2015. "KS3: The Wasted Years?"…

Joint Funding Councils' Libraries Review Group (the "Follett") Report: The Contribution of the Information Technology Sub-Committee

ERIC Educational Resources Information Center

Brindley, Lynne J.

2006-01-01

Purpose: This article aims to look into a review of library provision in higher education, which was originally set up in 1992 by The Funding Councils of England, Scotland and Wales, and the Department of Education for Northern Ireland. Design/methodology/approach: The review group was structured into three sub-committees, under the umbrella of…

Medical termination of pregnancy in general practice in Australia: a descriptive-interpretive qualitative study.

PubMed

Dawson, Angela J; Nicolls, Rachel; Bateson, Deborah; Doab, Anna; Estoesta, Jane; Brassil, Ann; Sullivan, Elizabeth A

2017-03-14

Australian Government approval in 2012 for the use of mifepristone and misoprostol for medical termination of pregnancy (MTOP) allows general practitioners (GPs) to provide early gestation abortion in primary care settings. However, uptake of the MTOP provision by GPs appears to be low and the reasons for this have been unclear. This study investigated the provision of and referral for MTOP by GPs. We undertook descriptive-interpretive qualitative research and selected participants for diversity using a matrix. Twenty-eight semi-structured interviews and one focus group (N = 4), were conducted with 32 GPs (8 MTOP providers, 24 non MTOP providers) in New South Wales, Australia. Interviews were recorded and transcribed verbatim. A framework to examine access to abortion services was used to develop the interview questions and emergent themes identified thematically. Three main themes emerged: scope of practice; MTOP demand, care and referral; and workforce needs. Many GPs saw abortion as beyond the scope of their practice (i.e. a service others provide in specialist private clinics). Some GPs had religious or moral objections; others regarded MTOP provision as complicated and difficult. While some GPs expressed interest in MTOP provision they were concerned about stigma and the impact it may have on perceptions of their practice and the views of colleagues. Despite a reported variance in demand most MTOP providers were busy but felt isolated. Difficulties in referral to a local public hospital in the case of complications or the provision of surgical abortion were noted. Exploring the factors which affect access to MTOP in general practice settings provides insights to assist the future planning and delivery of reproductive health services. This research identifies the need for support to increase the number of MTOP GP providers and for GPs who are currently providing MTOP. Alongside these actions provision in the public sector is required. In addition, formalised referral pathways to the public sector are required to ensure timely care in the case of complications or the provision of surgical options. Leadership and coordination across the health sector is needed to facilitate integrated abortion care particularly for rural and low income women.

The influence of pharmacy and pharmacist characteristics on the secondary prevention of cardiovascular disease.

PubMed

Puspitasari, Hanni Prihhastuti; Aslani, Parisa; Krass, Ines

2015-10-01

A range of extended/enhanced pharmacy services (EPS) are increasingly being offered in community pharmacies following a global paradigm shift in professional pharmacy practice from a product-oriented focus to a patient-centered approach. A number of pharmacy/pharmacist characteristics have been reported to influence EPS provision. To investigate the association between EPS provision and community pharmacists' support in CVD secondary prevention and to identify pharmacy/pharmacist characteristics which predict EPS provision and CVD support. Setting Australian community pharmacies. Mail surveys to 1350 randomly selected pharmacies, stratified by state/territory, exploring professional activities provided to clients with CVD, characteristics of pharmacies (including EPS provision), and pharmacist characteristics. The survey data were analyzed using univariate analyses and multiple linear regression analysis. The level of community pharmacists' CVD support, determined by summing respondents' score for seven CVD support-related activities, and the pharmacies' level of involvement in EPS provision, determined by summing respondents' score for four types of EPS. EPS provision was then used as an independent variable in the regression analysis of CVD support. A response rate of 15.8% (209/1320) was obtained after three waves of the survey. Pharmacy documentation, a private area, Quality Care Pharmacy Program accreditation, number of pharmacists, and pharmacists' resource adequacy were predictors of EPS provision (adjusted R2 = 0.299, p < 0.001). The provision of CVD support was predicted by EPS provision (β = 0.290, p < 0.001), pharmacists' frequent contacts with general practitioners (β = 0.298, p < 0.001), and pharmacy documentation (β = 0.134, p = 0.033). The regression model of CVD support explained 34.2% of the variation (p < 0.001). Community pharmacists could contribute to CVD secondary prevention if they had frequent contacts with general practitioners and worked in pharmacies with a higher level of involvement in EPS provision. Of all influencing factors, documentation was a predictor of both EPS provision and CVD support, indicating the importance of documentation in supporting the management of chronic conditions.

Advance provision of emergency contraception to young men: An exploratory study in a clinic setting.

PubMed

Garbers, Samantha; Bell, D L; Ogaye, K; Marcell, A V; Westhoff, C L; Rosenthal, S L

2018-04-17

To explore the acceptability of advance provision of emergency contraceptive pills (ECPs) to young men seeking health care. For this exploratory study in a clinic setting, we approached young men aged 16-35 to participate in a survey eliciting socio-demographics, sexual and contraceptive history, and knowledge about ECPs. We offered young men advance provision of ECPs and compared characteristics of 126 young men who did and did not accept the ECPs. Most (76%) of the participants accepted advance provision and left with an ECP pack, with even higher proportions among males whose sexual histories were suggestive of increased risk of involvement in an unintended pregnancy. This study holds promise to inform scale up of advance provision of ECPs among young men. Copyright © 2018 Elsevier Inc. All rights reserved.

48 CFR 9903.201-3 - Solicitation provisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... 9903.201-3 Section 9903.201-3 Federal Acquisition Regulations System COST ACCOUNTING STANDARDS BOARD... ACCOUNTING STANDARDS CONTRACT COVERAGE CAS Program Requirements 9903.201-3 Solicitation provisions. (a) Cost Accounting Standards Notices and Certification. (1) The contracting officer shall insert the provision set...

Are we prepared for Affordable Care Act provisions of care coordination? Case managers' self-assessments and views on physicians' roles.

PubMed

Moreo, Kathleen; Moreo, Natalie; Urbano, Frank L; Weeks, Matthew; Greene, Laurence

2014-01-01

Care coordination, traditionally the purview of the case management field, is recognized as a national priority for improving health care delivery and patient outcomes. With reforms of the Affordable Care Act (ACA) of 2010, case managers face new challenges and opportunities in providing care coordination services. The evolving roles of case managers as members of interprofessional care teams will be influenced by new policies that enable physicians to be reimbursed for care coordination. This qualitative study aimed to evaluate case managers' self-assessed readiness for ACA reforms of care coordination and their perceptions of physicians' understanding of case management and ability to lead care coordination efforts in evolving models. Provisions of care coordination in the ACA affect case managers in all practice settings. The majority of this study's participants represented hospital and managed care settings. An invitation to complete an 11-item online survey was sent by e-mail to 8,110 case managers in an opt-in database maintained by a health care continuing education company. Survey questions were designed to assess respondents' (1) self-reported levels of knowledge and preparation for ACA care coordination provisions and (2) beliefs about the readiness and abilities of physicians to administer care coordination services. In addition, demographic data and open-ended comments regarding physicians' roles in conducting care coordination were collected. Over a restricted 9-day period, 834 case managers representing various health care settings responded to the survey. The majority of respondents (63%) indicated that more than 50% of their day is dedicated to performing care coordination activities. However, 80% of all respondents reported being "not at all knowledgeable" or only "somewhat knowledgeable" about the new care coordination provisions in the ACA. Only 8% admitted to being "very prepared" to implement ACA changes. The majority of respondents (68%) perceive their case management departments to be at least "somewhat prepared" to implement necessary changes. Whereas 67% of respondents expect physicians to have at least a "moderate role" in implementing care coordination services, only 12% believe that physicians have more than "some" understanding of the processes of care coordination and case managers' roles. These qualitative study findings suggest that case managers from multiple practice settings perceive a lack of preparedness, knowledge, and understanding among themselves and physicians regarding ACA reforms that may significantly affect the delivery of care coordination services. The findings call for new initiatives in interprofessional education to address the knowledge gaps and enhance understanding of the collaborative roles among case managers and physicians.

Physical and organizational provision for installation, regulatory requirements and implementation of a simultaneous hybrid PET/MR-imaging system in an integrated research and clinical setting.

PubMed

Sattler, Bernhard; Jochimsen, Thies; Barthel, Henryk; Sommerfeld, Kerstin; Stumpp, Patrick; Hoffmann, Karl-Titus; Gutberlet, Matthias; Villringer, Arno; Kahn, Thomas; Sabri, Osama

2013-02-01

The implementation of hybrid imaging systems requires thorough and anticipatory planning at local and regional levels. For installation of combined positron emission and magnetic resonance imaging systems (PET/MRI), a number of physical and constructional provisions concerning shielding of electromagnetic fields (RF- and high-field) as well as handling of radionuclides have to be met, the latter of which includes shielding for the emitted 511 keV gamma rays. Based on our experiences with a SIEMENS Biograph mMR system, a step-by-step approach is required to allow a trouble-free installation. In this article, we present a proposal for a standardized step-by-step plan to accomplish the installation of a combined PET/MRI system. Moreover, guidelines for the smooth operation of combined PET/MRI in an integrated research and clinical setting will be proposed. Overall, the most important preconditions for the successful implementation of PET/MRI in an integrated research and clinical setting is the interdisciplinary target-oriented cooperation between nuclear medicine, radiology, and all referring and collaborating institutions at all levels of interaction (personnel, imaging protocols, reporting, selection of the data transfer and communication methods).

Paediatric Palliative Care in Resource-Poor Countries

PubMed Central

Boucher, Sue; Daniels, Alex; Nkosi, Busi

2018-01-01

There is a great need for paediatric palliative care (PPC) services globally, but access to services is lacking in many parts of the world, particularly in resource-poor settings. Globally it is estimated that 21.6 million children need access to palliative care, with 8.2 needing specialist services. PC has been identified as important within the global health agenda e.g., within universal health coverage, and a recent Lancet commission report recognised the need for PPC. However, a variety of challenges have been identified to PPC development globally such as: access to treatment, access to medications such as oral morphine, opiophobia, a lack of trained health and social care professionals, a lack of PPC policies and a lack of awareness about PPC. These challenges can be overcome utilising a variety of strategies including advocacy and public awareness, education, access to medications, implementation and research. Examples will be discussed impacting on the provision of PPC in resource-poor settings. High-quality PPC service provision can be provided with resource-poor settings, and there is an urgent need to scale up affordable, accessible, and quality PPC services globally to ensure that all children needing palliative care can access it. PMID:29463065

Provider perceptions of reproductive health service quality in jordanian public community health centers.

PubMed

Al-Qutob, Raeda; Nasir, Laeth S

2008-05-01

Enhancing the quality of reproductive health care delivery in developing countries is a key prerequisite to increased utilization and sustainability of these services in the target population. Our objective was to assess the perception of quality of reproductive health (RH) care services provided by Jordanian Ministry of Health community-based centers from the perspective of service providers in these settings. A purposeful nationwide sample of 50 primary health care providers took part in five focus group discussions with the purpose of exploring their perceptions of the quality of care provided by their centers and perceived barriers to the provision of quality RH care. Health care providers felt that the quality of RH care provided by their centers was suboptimal. Focus group participants reported numerous barriers to the provision of high quality-care in the clinical setting. These included issues related to patient overload, patient and physician characteristics, as well as problems inherent to supervisory and administrative functions. Exploring and aligning goals and expectations of RH care providers and administrators may result in improvements in the quality of RH care service delivery and morale in public health settings in Jordan, which is a requirement for public sector reform.

Information Provision in Emergency Settings: The Experience of Refugee Communities in Zambia

ERIC Educational Resources Information Center

Kanyengo, Brendah Kakulwa; Kanyengo, Christine Wamunyima

2011-01-01

This article identifies information provision services in emergency settings using Zambia as a case study by identifying innovative ways of providing library and information services. The thrust of the article is to analyze information management practices of organizations that work within refugee camps and how they take specific cognizance of the…

48 CFR 26.206 - Solicitation provision and contract clauses.

Code of Federal Regulations, 2012 CFR

2012-10-01

... provision at 52.226-3, Disaster or Emergency Area Representation, in solicitations involving the local area... at 52.226-4, Notice of Disaster or Emergency Area Set-aside in solicitations and contracts involving local area set-asides. (c) The contracting officer shall insert the clause at 52.226-5, Restrictions on...

48 CFR 26.206 - Solicitation provision and contract clauses.

Code of Federal Regulations, 2010 CFR

2010-10-01

... provision at 52.226-3, Disaster or Emergency Area Representation, in solicitations involving the local area... at 52.226-4, Notice of Disaster or Emergency Area Set-aside in solicitations and contracts involving local area set-asides. (c) The contracting officer shall insert the clause at 52.226-5, Restrictions on...

48 CFR 26.206 - Solicitation provision and contract clauses.

Code of Federal Regulations, 2013 CFR

2013-10-01

... provision at 52.226-3, Disaster or Emergency Area Representation, in solicitations involving the local area... at 52.226-4, Notice of Disaster or Emergency Area Set-aside in solicitations and contracts involving local area set-asides. (c) The contracting officer shall insert the clause at 52.226-5, Restrictions on...

48 CFR 26.206 - Solicitation provision and contract clauses.

Code of Federal Regulations, 2014 CFR

2014-10-01

... provision at 52.226-3, Disaster or Emergency Area Representation, in solicitations involving the local area... at 52.226-4, Notice of Disaster or Emergency Area Set-aside in solicitations and contracts involving local area set-asides. (c) The contracting officer shall insert the clause at 52.226-5, Restrictions on...

48 CFR 26.206 - Solicitation provision and contract clauses.

Code of Federal Regulations, 2011 CFR

2011-10-01

... provision at 52.226-3, Disaster or Emergency Area Representation, in solicitations involving the local area... at 52.226-4, Notice of Disaster or Emergency Area Set-aside in solicitations and contracts involving local area set-asides. (c) The contracting officer shall insert the clause at 52.226-5, Restrictions on...

75 FR 22699 - Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-30

... Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions AGENCY... provisions for the Mandatory Greenhouse Gas (GHG) Reporting Rule, published on March 16, 2010. DATES... practice and procedure, Greenhouse gases, Suppliers, Reporting and recordkeeping requirements. Dated: April...

Primary care clinicians' experiences prescribing HIV pre-exposure prophylaxis at a specialized community health centre in Boston: lessons from early adopters.

PubMed

Krakower, Douglas S; Maloney, Kevin M; Grasso, Chris; Melbourne, Katherine; Mayer, Kenneth H

2016-01-01

An estimated 1.2 million Americans have indications for using antiretroviral pre-exposure prophylaxis (PrEP) to prevent HIV acquisition. For many of these at-risk individuals, the best opportunity to learn about and receive PrEP will be during routine visits to their generalist primary care clinicians. However, few generalist clinicians have prescribed PrEP, primarily because of practical concerns about providing PrEP in primary care settings. The experiences of specialized primary care clinicians who have prescribed PrEP can inform the feasibility of PrEP provision by generalists. During January to February 2015, 35 primary care clinicians at a community health centre in Boston that specializes in the care of sexual and gender minorities completed anonymous surveys about their experiences and practices with PrEP provision. Responses were analyzed with descriptive statistics. Thirty-two clinicians (response rate=91%) completed the surveys. Nearly all clinicians (97%) had prescribed PrEP (median 20 patients, interquartile range 11-33). Most clinicians reported testing and risk-reduction counselling practices concordant with U.S. Centers for Disease Control and Prevention guidelines for PrEP. Clinicians indicated that patients using PrEP experienced medication toxicities infrequently and generally reported high adherence. However, some clinicians' practices differed from guideline recommendations, and some clinicians observed patients with increased risk behaviours. Most clinicians (79%) rated PrEP provision as easy to accomplish, and 97% considered themselves likely to prescribe PrEP in the future. In a primary care clinic with specialized expertise in HIV prevention, clinicians perceived that PrEP provision to large numbers of patients was safe, feasible and potentially effective. Efforts to engage generalist primary care clinicians in PrEP provision could facilitate scale-up of this efficacious intervention.

13 CFR 106.402 - What provisions must be set forth in a Non-Fee Based Record?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What provisions must be set forth in a Non-Fee Based Record? 106.402 Section 106.402 Business Credit and Assistance SMALL BUSINESS... endorsement by SBA of the Donor, or the Donor's products or services. ...

76 FR 36400 - Third-Party Provision of Ancillary Services; Accounting and Financial Reporting for New Electric...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-22

...-000 and AD10-13-000] Third-Party Provision of Ancillary Services; Accounting and Financial Reporting... current accounting and reporting requirements as applied to electric storage. As such, the Commission... the technologies used for such provision; and the adequacy of current accounting and reporting...

Community pharmacists and mental illness: a survey of service provision, stigma, attitudes and beliefs.

PubMed

Giannetti, Vincent; Caley, Charles F; Kamal, Khalid M; Covvey, Jordan R; McKee, Jerry; Wells, Barbara G; Najarian, Dean M; Dunn, Tyler J; Vadagam, Pratyusha

2018-06-04

Background Half of Americans experience mental illness during their lifetime. Significant opportunity exists for community pharmacists to deliver services to these patients; however, personal and practice-related barriers may prevent full engagement. Objective To assess the demographics, practice characteristics, service provision, stigma, attitudes and beliefs of a national sample of community pharmacists towards individuals with mental illness. Setting National random sample of 3008 community pharmacists in the USA. Method 101-item cross-sectional mailed survey questionnaire on: (1) demographics, (2) knowledge and practice characteristics, (3) provision of clinical pharmacy services, and (4) comparative opinions. Main outcome measure Scaled measures of service provision (comfort, confidence, willingness and interest) and comparative opinions (stigma, attitudes and beliefs) of mental illness, four linear regression models to predict service provision. Results A total of 239 responses were received (response rate 7.95%). Across pharmacy services, ratings for willingness/interest were higher than those for comfort/confidence. Pharmacists who reported providing medication therapy management (MTM) services for patients reported higher comfort (18.36 vs. 17.46, p < 0.05), confidence (17.73 vs. 16.01, p < 0.05), willingness (20.0 vs. 18.62, p < 0.05) and interest (19.13 vs. 17.66, p < 0.05). Pharmacists with personal experience with mental illness also resulted in higher scores across all four domains of service provision, lower levels of stigma (18.28 vs. 20.76, p < 0.05) and more positive attitudes (52.24 vs. 50.53, p < 0.01). Regression analyses demonstrated increased frequency of MTM service delivery and more positive attitudes as significantly predictive across all four models for comfort, confidence, willingness and interest. Increased delivery of pharmacy services was significantly associated with both willingness and interest to provide mental illness-specific services. Conclusion Despite willingness/interest to provide services to patients with mental illness, decreased levels of comfort/confidence remain service-related barriers for community pharmacists.

15 CFR 764.8 - Voluntary self-disclosures for boycott violations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... sets forth procedures for disclosing violations of part 760 of the EAR—Restrictive Trade Practices or... to provisions of the EAR other than the antiboycott provisions. Section 764.5 of this part describes how to prepare disclosures of violations of the EAR other than the antiboycott provisions. (2) The...

15 CFR 764.8 - Voluntary self-disclosures for boycott violations.

Code of Federal Regulations, 2013 CFR

2013-01-01

... sets forth procedures for disclosing violations of part 760 of the EAR—Restrictive Trade Practices or... to provisions of the EAR other than the antiboycott provisions. Section 764.5 of this part describes how to prepare disclosures of violations of the EAR other than the antiboycott provisions. (2) The...

15 CFR 764.8 - Voluntary self-disclosures for boycott violations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... sets forth procedures for disclosing violations of part 760 of the EAR—Restrictive Trade Practices or... to provisions of the EAR other than the antiboycott provisions. Section 764.5 of this part describes how to prepare disclosures of violations of the EAR other than the antiboycott provisions. (2) The...

15 CFR 764.8 - Voluntary self-disclosures for boycott violations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... sets forth procedures for disclosing violations of part 760 of the EAR—Restrictive Trade Practices or... to provisions of the EAR other than the antiboycott provisions. Section 764.5 of this part describes how to prepare disclosures of violations of the EAR other than the antiboycott provisions. (2) The...

Readiness to Quit Smoking and Quit Attempts Among Australian Mental Health Inpatients

PubMed Central

2013-01-01

Introduction: Mental health inpatients smoke at higher rates than general population smokers. However, provision of nicotine-dependence treatment in inpatient settings is low, with barriers to the provision of such care including staff views that patients do not want to quit. This paper reports the findings of a survey of mental health inpatients at a psychiatric hospital in New South Wales, Australia, assessing smoking and quitting motivations and behaviors. Methods: Smokers (n = 97) were surveyed within the inpatient setting using a structured survey tool, incorporating the Fagerström Test for Nicotine Dependence, Reasons for Quitting Scale, Readiness and Motivation to Quit Smoking Questionnaire, and other measures of smoking and quitting behavior. Results: Approximately 47% of smokers reported having made at least one quit attempt within the past 12 months, despite nearly three quarters (71.2%) being classified as in a “precontemplative” stage of change. Multinomial logistic regressions revealed that self-reporting “not enjoying being a smoker” and having made a quit attempt in the last 12 months predicted having advanced beyond a precontemplative stage of change. A high self-reported desire to quit predicted a quit attempt having been made in the last 12 months. Conclusions: The majority of smokers had made several quit attempts, with a large percentage occurring recently, suggesting that the actual quitting behavior should be considered as an important indication of the “desire to quit.” This paper provides further data supporting the assertion that multimodal smoking cessation interventions combining psychosocial and pharmacological support should be provided to psychiatric inpatients who smoke. PMID:23089486

13 CFR 106.302 - What provisions must be set forth in a Fee Based Record?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false What provisions must be set forth in a Fee Based Record? 106.302 Section 106.302 Business Credit and Assistance SMALL BUSINESS... does not constitute or imply an endorsement by SBA of the Donor or the Donor's products or services. ...

Barriers to Rural Induced Abortion Services in Canada: Findings of the British Columbia Abortion Providers Survey (BCAPS)

PubMed Central

Norman, Wendy V.; Soon, Judith A.; Maughn, Nanamma; Dressler, Jennifer

2013-01-01

Background Rural induced abortion service has declined in Canada. Factors influencing abortion provision by rural physicians are unknown. This study assessed distribution, practice, and experiences among rural compared to urban abortion providers in the Canadian province of British Columbia (BC). Methods We used mixed methods to assess physicians on the BC registry of abortion providers. In 2011 we distributed a previously-published questionnaire and conducted semi-structured interviews. Results Surveys were returned by 39/46 (85%) of BC abortion providers. Half were family physicians, within both rural and urban cohorts. One-quarter (17/67) of rural hospitals offer abortion service. Medical abortions comprised 14.7% of total reported abortions. The three largest urban areas reported 90% of all abortions, although only 57% of reproductive age women reside in the associated health authority regions. Each rural physician provided on average 76 (SD 52) abortions annually, including 35 (SD 30) medical abortions. Rural physicians provided surgical abortions in operating rooms, often using general anaesthesia, while urban physicians provided the same services primarily in ambulatory settings using local anaesthesia. Rural providers reported health system barriers, particularly relating to operating room logistics. Urban providers reported occasional anonymous harassment and violence. Conclusions Medical abortions represented 15% of all BC abortions, a larger proportion than previously reported (under 4%) for Canada. Rural physicians describe addressable barriers to service provision that may explain the declining accessibility of rural abortion services. Moving rural surgical abortions out of operating rooms and into local ambulatory care settings has the potential to improve care and costs, while reducing logistical challenges facing rural physicians. PMID:23840578

75 FR 12489 - Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-16

... distribution facilities. 211112 Natural gas liquid extraction facilities. Suppliers of Industrial GHGs 325120... Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions AGENCY... provisions for the Mandatory Greenhouse Gas (GHG) Reporting Rule. The amendments do not change the...

Corner Polyhedron and Intersection Cuts

DTIC Science & Technology

2011-03-01

any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information if it does not display a...19a. NAME OF RESPONSIBLE PERSON a. REPORT unclassified b. ABSTRACT unclassified c. THIS PAGE unclassified Standard Form 298 (Rev. 8-98... finding valid inequalities for the set (1) that are violated by the point x̄. Typically, x̄ is an optimal solution of the linear programming (LP

The National Shipbuilding Research Program: Contaminated Sediment Management Guide for NSRP Shipyards. Appendix 4: Removal Technologies

DTIC Science & Technology

1999-10-22

la performance technique et environnementale de PAmphibex Journal: Report for Environment Canada-Quebec Region and Environment Quebec Date: Mar 1995...cell. Exceed Set Standards? This demonstration was used to finalize operational and performance standards to be used for the audit of innovative...suspended solids measurements will be performed inside the confined area in order to audit the removal technology. All provisions should be taken to

45 CFR 613.1 - General Provisions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 3 2011-10-01 2011-10-01 false General Provisions. 613.1 Section 613.1 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PRIVACY ACT REGULATIONS § 613.1 General Provisions. This part sets forth the National Science Foundation procedures under the Privacy Act of 1974. The rules in this...

45 CFR 613.1 - General Provisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 3 2010-10-01 2010-10-01 false General Provisions. 613.1 Section 613.1 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PRIVACY ACT REGULATIONS § 613.1 General Provisions. This part sets forth the National Science Foundation procedures under the Privacy Act of 1974. The rules in this...

48 CFR 4.607 - Solicitation provisions and contract clause.

Code of Federal Regulations, 2014 CFR

2014-10-01

... clause. (a) Insert the provision at 52.204-5, Women-Owned Business (Other Than Small Business), in all solicitations that— (1) Are not set aside for small business concerns; (2) Exceed the simplified acquisition...) Insert the provision at 52.204-6, Data Universal Numbering System Number, in solicitations that do not...

48 CFR 4.607 - Solicitation provisions and contract clause.

Code of Federal Regulations, 2013 CFR

2013-10-01

... clause. (a) Insert the provision at 52.204-5, Women-Owned Business (Other Than Small Business), in all solicitations that— (1) Are not set aside for small business concerns; (2) Exceed the simplified acquisition...) Insert the provision at 52.204-6, Data Universal Numbering System Number, in solicitations that do not...

Prioritizing Healthcare Delivery in a Conflict Zone Comment on "TB/HIV Co-Infection Care in Conflict-Affected Settings: A Mapping of Health Facilities in the Goma Area, Democratic Republic of Congo".

PubMed

Wood, Robin; Richardson, Eugene T

2013-09-01

Nowhere are the barriers to a functional health infrastructure more clearly on display than in the Goma region of Democratic Republic of Congo. Kaboru et al. report poorly integrated services for HIV and TB in this war-torn region. Priorities in conflict zones include provision of security, shelter, food, clean water and prevention of sexual violence. In Goma, immediate health priorities include emergency treatment of cholera, malaria, respiratory illnesses, provision of maternal care, millions of measles vaccinations, and management of an ongoing rabies epidemic. It is a daunting task to determine an essential package of medical services in a setting where there are so many competing priorities, where opportunity costs are limited and epidemiologic information is scarce. Non-governmental agencies sometimes add to the challenge via an insidious reduction of state sovereignty and the creation of new levels of income inequality. Kaboru et al. have successfully highlighted many of the complexities of rebuilding and prioritizing healthcare in a conflict zone.

The Discriminatory Business Practices Act, 17 July 1987.

PubMed

1988-01-01

This document contains major provisions of the 1987 Discriminatory Business Practices Act of Manitoba, Canada. This act defines discriminatory business practice and is not applicable in cases of labor disputes or in cases of business practices that are in accordance with a policy of the governments of Canada or Manitoba. The act provides that no person shall engage in a discriminatory business practice. In cases where an employee or prospective employee can not acquire a visa for travel outside of Canada which is required by the business opportunity, the employer is to make reasonable efforts to provide the employee or prospective employee with the next equivalent employment opportunity for which that employee is qualified. A reporting and complaint system for discriminatory practices is set up. Provision is made to provide people with compensation for loss or damages resulting from contravention of the act, and the court is empowered to render such an offender ineligible from entering into a contract for five years. Fines are set for individuals at a maximum of $5000 and for corporations at a maximum of $50,000.

The impact of the World Health Organization 8-steps in wheelchair service provision in wheelchair users in a less resourced setting: a cohort study in Indonesia.

PubMed

Toro, Maria L; Eke, Chika; Pearlman, Jonathan

2016-01-22

For people who have a mobility impairment, access to an appropriate wheelchair is an important step towards social inclusion and participation. The World Health Organization Guidelines for the Provision of Manual Wheelchairs in Less Resourced Settings emphasize the eight critical steps for appropriate wheelchair services, which include: referral, assessment, prescription, funding and ordering, product preparation,fitting and adjusting, user training, and follow-up and maintenance/repairs. The purpose of this study was to investigate how the provision of wheelchairs according to the World Health Organization's service provision process by United Cerebral Palsy Wheels for Humanity in Indonesia affects wheelchair recipients compared to wait-listed controls. This study used a convenience sample (N = 344) of Children, Children with proxies, Adults, and Adults with proxies who were on a waiting list to receive a wheelchair as well as those who received one. Interviews were conducted at baseline and a 6 month follow-up to collect the following data: Demographics and wheelchair use questions, the World Health Organization Quality of Life-BREF, Functional Mobility Assessment, Craig Handicap Assessment Recording Technique Short Form. The Wheelchair Assessment Checklist and Wheelchair Skills Test Questionnaire were administered at follow up only. 167 participants were on the waiting list and 142 received a wheelchair. Physical health domain in the World Health Organization Quality of Life-BREF improved significantly for women who received a wheelchair (p = 0.044) and environmental health improved significantly for women and men who received a wheelchair as compared to those on the waiting list (p < 0.017). Satisfaction with the mobility device improved significantly for Adults with proxies and Children with proxies as compared to the waiting list (p < 0.022). Only 11 % of Adults who received a wheelchair reported being able to perform a "wheelie". The condition of Roughrider wheelchairs was significantly better than the condition of kids wheelchairs for Children with proxies as measured by the Wheelchair Assessment Checklist (p = 0.019). Wheelchair provision according to World Health Organization's 8-Steps in a less-resourced setting has a range of positive outcomes including increased satisfaction with the mobility device and better quality of life. Wheelchair provision service could be improved by providing more hours of wheelchair skills training. There is a need for outcome measures that are validated across cultures and languages.

45 CFR 63.16 - Scope of subpart.

Code of Federal Regulations, 2010 CFR

2010-10-01

... OFFICE OF THE ASSISTANT SECRETARY FOR PLANNING AND EVALUATION Financial Provisions § 63.16 Scope of subpart. This subpart sets forth supplemental financial provisions which apply to all grants awarded by...

Speech and language therapy services to education in England and Wales.

PubMed

Lindsay, Geoff; Soloff, Nina; Law, James; Band, Sue; Peacey, Nick; Gascoigne, Marie; Radford, Julie

2002-01-01

Services for children with speech and language needs in England and Wales are in a period of change. The context is subject to major systemic pressures deriving from government policies. These include the development of inclusive education and encouragement of multiprofessional collaboration in policy development and practice ('joined up thinking'). In addition, structures at local level are changing with the establishment of unitary authorities and the change from Health Trusts to Primary Care Trusts. Professional practice is also changing with a shift from clinical to community settings for speech and language therapists working with children. The present study reports on a survey sponsored by the Department for Education and Employment, Department of Health and the Welsh Assembly to identify the nature of speech and language therapy (SLT) services provided to education in England and Wales. The sample comprised all SLT service managers (n = 133, response rate 74%). The results indicate that services vary greatly in size and in their SLT: child ratio, with a mean of one SLT to 4257 child population. The caseload was highest for the 5-10 age group, and service delivery was targeted at these children, with low levels of work with secondary aged pupils. Most provision in educational settings was made to mainstream schools, but the provision of SLT time per child was substantially higher in specialist language resources. Apart from the preschool phase, most SLT provision was for children with statements of special educational needs. Prioritization of service delivery was usually by severity of need. The provision of bilingual SLT services was very limited, with only 14.0 full-time equivalents SLTs fluent in a community language, other than Welsh, where proportionately availability was much greater. Most LEAs funded SLT posts, although these were usually employed as part of the SLT service, with only about 10% of LEAs employing SLTs direct. However, 55.5% of SLT managers reported that recruitment and retention were problematic, resulting in gaps in the service. These findings are discussed with respect to changes driven by professional judgements on the nature of optimal service delivery, and government policy, with particular reference to inclusion and equity of service delivery.

24 CFR 1000.32 - May exceptions be made to the conflict of interest provisions?

Code of Federal Regulations, 2010 CFR

2010-04-01

... conflict of interest provisions? 1000.32 Section 1000.32 Housing and Urban Development Regulations Relating... HOUSING, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT NATIVE AMERICAN HOUSING ACTIVITIES General § 1000.32... conflict of interest provisions set forth in § 1000.30(b) on a case-by-case basis when it determines that...

75 FR 19938 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-16

... provisions of the Monkfish Research Set-Aside (RSA) Program, would grant exemptions from the monkfish days-at... following methods: Email: [email protected] . Include in the subject line ``Comments on Monkfish RSA Harvest... Maine Research Institute on February 16, 2010, for a project selected under the New England and Mid...

Energy Independence and Security Act of 2007: A Summary of Major Provisions

DTIC Science & Technology

2007-12-21

Service,The Library of Congress,101 Independence Ave, SW,Washington,DC,20540-7500 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/ MONITORING ...establishes a zero -energy commercial buildings initiative. A national goal is set to achieve zero -net-energy use CRS-8 for new commercial buildings built...after 2025. A further goal is to retrofit all pre- 2025 buildings to zero -net-energy use by 2050. Section 423 requires that DOE establish a national

Understanding the Role of Context in the Interpretation of Complex Battlespace Intelligence

DTIC Science & Technology

2006-01-01

Level 2 Fusion)" that there remains a significant need for higher levels of information fusion such as those required for generic situation awareness ... information in a set of reports, 2) general background knowledge e.g., doctrine, techniques, practices) plus 4) known situation-specific information (e.g... aware that notwithstanding any other provision of law, no person shall be subject to a penalty for failing to comply with a collection of information

48 CFR 11.107 - Solicitation provision.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Solicitation provision. 11... transaction-based reporting method to report its use of voluntary consensus standards to the National... Use of Voluntary Consensus Standards and in Conformity Assessment Activities”). Use of the provision...

76 FR 36472 - Mandatory Reporting of Greenhouse Gases; Changes to Provisions for Electronics Manufacturing...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-22

... Mandatory Reporting of Greenhouse Gases; Changes to Provisions for Electronics Manufacturing (Subpart I) To... proposing changes to the calculation and monitoring provisions in the Electronics Manufacturing portion... Category Examples of affected Category NAICS facilities Electronics Manufacturing......... 334111...

29 CFR 1620.28 - Relationship to other equal pay laws.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PAY ACT § 1620.28 Relationship to other equal pay laws. The provisions of various State or local laws may differ from the equal pay provisions set forth in the FLSA. No provisions of the EPA will excuse... 29 Labor 4 2010-07-01 2010-07-01 false Relationship to other equal pay laws. 1620.28 Section 1620...

76 FR 59542 - Mandatory Reporting of Greenhouse Gases: Changes to Provisions for Electronics Manufacturing To...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-27

... Mandatory Reporting of Greenhouse Gases: Changes to Provisions for Electronics Manufacturing To Provide... regulation to amend the calculation and monitoring provisions in the Electronics Manufacturing portion of the... Electronics Manufacturing 334111 Microcomputer manufacturing facilities. 334413 Semiconductor, photovoltaic...

Use of fees to fund local public health services in Western Massachusetts.

PubMed

Shila Waritu, A; Bulzacchelli, Maria T; Begay, Michael E

2015-01-01

Recent budget cuts have forced many local health departments (LHDs) to cut staff and services. Setting fees that cover the cost of service provision is one option for continuing to fund certain activities. To describe the use of fees by LHDs in Western Massachusetts and determine whether fees charged cover the cost of providing selected services. A cross-sectional descriptive analysis was used to identify the types of services for which fees are charged and the fee amounts charged. A comparative cost analysis was conducted to compare fees charged with estimated costs of service provision. Fifty-nine LHDs in Western Massachusetts. Number of towns charging fees for selected types of services; minimum, maximum, and mean fee amounts; estimated cost of service provision; number of towns experiencing a surplus or deficit for each service; and average size of deficits experienced. Enormous variation exists both in the types of services for which fees are charged and fee amounts charged. Fees set by most health departments did not cover the cost of service provision. Some fees were set as much as $600 below estimated costs. These results suggest that considerations other than costs of service provision factor into the setting of fees by LHDs in Western Massachusetts. Given their limited and often uncertain funding, LHDs could benefit from examining their fee schedules to ensure that the fee amounts charged cover the costs of providing the services. Cost estimates should include at least the health agent's wage and time spent performing inspections and completing paperwork, travel expenses, and cost of necessary materials.

Experiments in concept modeling for radiographic image reports.

PubMed Central

Bell, D S; Pattison-Gordon, E; Greenes, R A

1994-01-01

OBJECTIVE: Development of methods for building concept models to support structured data entry and image retrieval in chest radiography. DESIGN: An organizing model for chest-radiographic reporting was built by analyzing manually a set of natural-language chest-radiograph reports. During model building, clinician-informaticians judged alternative conceptual structures according to four criteria: content of clinically relevant detail, provision for semantic constraints, provision for canonical forms, and simplicity. The organizing model was applied in representing three sample reports in their entirety. To explore the potential for automatic model discovery, the representation of one sample report was compared with the noun phrases derived from the same report by the CLARIT natural-language processing system. RESULTS: The organizing model for chest-radiographic reporting consists of 62 concept types and 17 relations, arranged in an inheritance network. The broadest types in the model include finding, anatomic locus, procedure, attribute, and status. Diagnoses are modeled as a subtype of finding. Representing three sample reports in their entirety added 79 narrower concept types. Some CLARIT noun phrases suggested valid associations among subtypes of finding, status, and anatomic locus. CONCLUSIONS: A manual modeling process utilizing explicitly stated criteria for making modeling decisions produced an organizing model that showed consistency in early testing. A combination of top-down and bottom-up modeling was required. Natural-language processing may inform model building, but algorithms that would replace manual modeling were not discovered. Further progress in modeling will require methods for objective model evaluation and tools for formalizing the model-building process. PMID:7719807

75 FR 48988 - Urban Park and Recreation Recovery Program Project Performance Reports, Conversion of Use...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-12

... Project Performance Reports, Conversion of Use Provisions, and Grant Agreements and Amendments AGENCY.... 2. Conversion of Use Provisions Title: Urban Park and Recovery Program Conversion of Use Provisions...) All alternatives to the conversion have been evaluated and then rejected on a sound basis; (b...

Systematic review of interventions to increase the provision of care for chronic disease risk behaviours in mental health settings: review protocol.

PubMed

Fehily, Caitlin; Bartlem, Kate; Wiggers, John; Wolfenden, Luke; Regan, Timothy; Dray, Julia; Bailey, Jacqueline; Bowman, Jenny

2018-04-30

People with a mental illness experience a higher morbidity and mortality from chronic diseases relative to the general population. A higher prevalence of risk behaviours, including tobacco smoking, poor nutrition, harmful alcohol consumption and physical inactivity, is a substantial contributor to this health inequity. Clinical practice guidelines recommend that mental health services routinely provide care to their clients to address these risk behaviours. Such care may include the following elements: ask, assess, advise, assist and arrange (the '5As'), which has been demonstrated to be effective in reducing risk behaviours. Despite this potential, the provision of such care is reported to be low internationally and in Australia, and there is a need to identify effective strategies to increase care provision. The proposed review will examine the effectiveness of interventions which aimed to increase care provision (i.e. increase the proportion of clients receiving or clinicians providing the 5As) for the chronic disease risk behaviours of clients within the context of mental health service delivery. Eligible studies will be any quantitative study designs with a comparison group and which report on the effectiveness of an intervention strategy (including delivery arrangements, financial arrangements, governance arrangements and implementation strategies) to increase care provision specifically for chronic disease risk behaviours (tobacco smoking, poor nutrition, harmful alcohol consumption and physical inactivity). Screening for studies will be conducted across seven electronic databases: PsycINFO, MEDLINE, Excerpta Medica database (EMBASE), Psychology and Behavioural Sciences Collection, Scopus, Cochrane Central Register of Controlled Trials (CENTRAL) and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Two authors will independently screen studies for eligibility and extract data from included studies. Where studies are sufficiently homogenous, meta-analysis will be performed. Where considerable heterogeneity exists (I 2  ≥ 75), narrative synthesis will be used. This review will be the first to synthesise evidence for the effectiveness of intervention approaches to facilitate care provision for chronic disease risk behaviours in the context of mental health service delivery. The results have the potential to inform the development of evidenced-based approaches to address the health inequities experienced by this population group. PROSPERO CRD42017074360 .

Patients’ online access to their electronic health records and linked online services: a systematic review in primary care

PubMed Central

Mold, Freda; de Lusignan, Simon; Sheikh, Aziz; Majeed, Azeem; Wyatt, Jeremy C; Quinn, Tom; Cavill, Mary; Franco, Christina; Chauhan, Umesh; Blakey, Hannah; Kataria, Neha; Arvanitis, Theodoros N; Ellis, Beverley

2015-01-01

Background Online access to medical records by patients can potentially enhance provision of patient-centred care and improve satisfaction. However, online access and services may also prove to be an additional burden for the healthcare provider. Aim To assess the impact of providing patients with access to their general practice electronic health records (EHR) and other EHR-linked online services on the provision, quality, and safety of health care. Design and setting A systematic review was conducted that focused on all studies about online record access and transactional services in primary care. Method Data sources included MEDLINE, Embase, CINAHL, Cochrane Library, EPOC, DARE, King’s Fund, Nuffield Health, PsycINFO, OpenGrey (1999–2012). The literature was independently screened against detailed inclusion and exclusion criteria; independent dual data extraction was conducted, the risk of bias (RoB) assessed, and a narrative synthesis of the evidence conducted. Results A total of 176 studies were identified, 17 of which were randomised controlled trials, cohort, or cluster studies. Patients reported improved satisfaction with online access and services compared with standard provision, improved self-care, and better communication and engagement with clinicians. Safety improvements were patient-led through identifying medication errors and facilitating more use of preventive services. Provision of online record access and services resulted in a moderate increase of e-mail, no change on telephone contact, but there were variable effects on face-to-face contact. However, other tasks were necessary to sustain these services, which impacted on clinician time. There were no reports of harm or breaches in privacy. Conclusion While the RoB scores suggest many of the studies were of low quality, patients using online services reported increased convenience and satisfaction. These services positively impacted on patient safety, although there were variations of record access and use by specific ethnic and socioeconomic groups. Professional concerns about privacy were unrealised and those about workload were only partly so. PMID:25733435

45 CFR 613.1 - General Provisions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PRIVACY ACT REGULATIONS § 613.1 General Provisions. This part sets forth the National Science Foundation procedures under... maintained by the National Science Foundation are published in the Federal Register. ...

45 CFR 613.1 - General Provisions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PRIVACY ACT REGULATIONS § 613.1 General Provisions. This part sets forth the National Science Foundation procedures under... maintained by the National Science Foundation are published in the Federal Register. ...

45 CFR 613.1 - General Provisions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION PRIVACY ACT REGULATIONS § 613.1 General Provisions. This part sets forth the National Science Foundation procedures under... maintained by the National Science Foundation are published in the Federal Register. ...

Association between distance to nearest supermarket and provision of fruits and vegetables in English nurseries.

PubMed

Burgoine, Thomas; Gallis, John A; L Penney, Tarra; Monsivais, Pablo; Benjamin Neelon, Sara E

2017-07-01

With 796,500 places available for children in England, pre-school nurseries could serve as an important setting for population-wide dietary intervention. It is critical to understand the determinants of healthy food provision in this setting, which may include access to food stores. This study examined the association between objective, GIS-derived supermarket proximity and fruit and vegetable serving frequency, using data from 623 English nurseries. Overall, 116 (18%) nurseries served fruits and vegetables infrequently (<2-3 times/week), but provision differed by supermarket proximity. In adjusted multivariable regression models, nurseries farthest from their nearest supermarket (Q5, 1.7-19.8km) had 2.38 (95% CI 1.01-5.63) greater odds of infrequent provision. Our results suggest that supermarket access may be important for nurseries in meeting fruit and vegetable provision guidelines. We advance a growing body of international literature, for the first time linking the food practices of institutions to their neighbourhood food retail context. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Short Report. Audit of Conscious Sedation Provision in a Salaried Dental Service.

PubMed

Jones, Stephen G

2016-01-01

Clinical audit is a tool that may be used to improve the quality of care and outcomes for patients in a health care setting as well as a mechanism for clinicians to reflect on their performance. The audit described in this short report involved the collection and analysis of data related to the administration of 1,756 conscious sedations, categorised as standard techniques, by clinicians employed by an NHS Trust-based dental service during the year 2014. Data collected included gender, age and medical status of subject, the type of care delivered, the dose of drug administered and the quality of the achieved sedation and any sedation-related complications. This was the first time that a service-wide clinical audit had been undertaken with the objective of determining the safety and effectiveness of this aspect of care provision. Evaluation of the analysed data supported the perceived view that such care was being delivered satisfactorily. This on-going audit will collect data during year 2016 on the abandonment of clinical sessions, in which successful sedation had been achieved, due to the failure to obtain adequate local anaesthesia.

Qatar pharmacists' understanding, attitudes, practice and perceived barriers related to providing pharmaceutical care.

PubMed

El Hajj, Maguy Saffouh; Al-Saeed, Hassna Sohil; Khaja, Maryam

2016-04-01

Pharmaceutical care (PC) is the philosophy of practice that includes identifying and resolving medication therapy problems to improve patient outcomes. The study objectives were to examine the extent of pharmaceutical care practice and the barriers to pharmaceutical care provision as perceived by Qatar pharmacists and to assess their level of understanding of pharmaceutical care and their attitudes about pharmaceutical care provision. Setting Qatar pharmacies. A cross sectional survey of all pharmacists in Qatar was made. Consenting pharmacists were given the option to complete the survey either online using an online software or as paper by fax or by hand. 1. Extent of pharmaceutical care practice in Qatar. 2. Barriers to pharmaceutical care provision in Qatar. 3. Qatar pharmacists' level of understanding of pharmaceutical care. 4. Qatar pharmacists' attitudes toward pharmaceutical care provision. Over 8 weeks, 274 surveys were collected (34 % response rate). More than 80 % of respondents had correct understanding of the aim of PC and of the pharmacist role in PC. However, only 47 % recognized the patient role in PC and only 35 % were aware of the differences between clinical pharmacy and PC. Yet, more than 80 % believed that they could be advocates when it comes to patients' medications and health matters. Concerning their practice, respondents reported spending little time on PC activities. Offering feedback to the physician about the patient progress was always or most of the time performed by 21 % of respondents. The top perceived barriers for PC provision included inconvenient access to patient medical information (78 %) and lack of staff and time (77 and 74 % respectively). Although PC is not incorporated into pharmacy practice, Qatar pharmacists showed positive attitudes toward PC provision. Further work should focus on improving their PC understanding and on overcoming all barriers.

You pray to your God: A qualitative analysis of challenges in the provision of safe, timely, and affordable surgical care in Uganda.

PubMed

Albutt, Katherine; Yorlets, Rachel R; Punchak, Maria; Kayima, Peter; Namanya, Didacus B; Anderson, Geoffrey A; Shrime, Mark G

2018-01-01

Five billion people lack access to safe, affordable, and timely surgical and anesthesia care. Significant challenges remain in the provision of surgical care in low-resource settings. Uganda is no exception. From September to November 2016, we conducted a mixed-methods countrywide surgical capacity assessment at 17 randomly selected public hospitals in Uganda. Researchers conducted 35 semi-structured interviews with key stakeholders to understand factors related to the provision of surgical care. The framework approach was used for thematic and explanatory data analysis. The Ugandan public health care sector continues to face significant challenges in the provision of safe, timely, and affordable surgical care. These challenges can be broadly grouped into preparedness and policy, service delivery, and the financial burden of surgical care. Hospital staff reported challenges including: (1) significant delays in accessing surgical care, compounded by a malfunctioning referral system; (2) critical workforce shortages; (3) operative capacity that is limited by inadequate infrastructure and overwhelmed by emergency and obstetric volume; (4) supply chain difficulties pertaining to provision of essential medications, equipment, supplies, and blood; (5) significant, variable, and sometimes catastrophic expenditures for surgical patients and their families; and (6) a lack of surgery-specific policies and priorities. Despite these challenges, innovative strategies are being used in the public to provide surgical care to those most in need. Barriers to the provision of surgical care are cross-cutting and involve constraints in infrastructure, service delivery, workforce, and financing. Understanding current strengths and shortfalls of Uganda's surgical system is a critical first step in developing effective, targeted policy and programming that will build and strengthen its surgical capacity.

Dietary intakes in geriatric orthopaedic rehabilitation patients: Need to look at food consumption not just provision.

PubMed

Bannerman, Elaine; Cantwell, Linda; Gaff, Lisa; Conroy, Aishling; Davidson, Isobel; Jones, Jacklyn

2016-08-01

Elderly orthopaedic rehabilitation patients are potentially at high nutritional risk and thus nutrition provision is a fundamental component of the multidisciplinary care to optimise physical rehabilitation. Hospital food service (catering) is internationally recognised as a key component of good clinical care of patients and has the potential to provide a population approach to managing under-nutrition. Within Scotland, there have been significant developments with regards to food, fluid and nutritional care within clinical settings including the setting of clinical standards. However audits to date have focused on processes being in place and not patient outcomes. Therefore, this study aimed to evaluate food provision and consumption in elderly orthopaedic rehabilitation settings to determine whether nutrition standards are being met. A service evaluation of food provision and consumption to inpatients 65 years and older in post-acute geriatric orthopaedic wards over 24 h in National Health Service (NHS) hospitals in Scotland, UK was conducted. Food provision from each meal, in-between meal snacks from the trolley service and also on ward provisions were measured by weighing all items prior to being served to the patient. Any leftover food items were also weighed to allow the amount of food consumed to be determined. Estimated energy and protein contents of foods provided and consumed were compared against nutrient standards for hospital foods. Food provision to n = 175 patients, across seven wards and three hospitals was significantly less than standards set for energy and protein provision for 'nutritionally well' patients; (Hospital B mean diff - 549 kcals, -19 g p < 0.01; and Hospital C mean diff -250 kcals, -12 g, p < 0.001). Patients consumed approximately three quarters (74%) of the food they were provided. Higher provision of both energy and protein was associated with higher levels of consumption (r = 0.77 and r = 0.79, p < 0.001), respectively. Significant work has been undertaken to improve the nutritional care of patients in hospitals. However, at a time where inefficiencies in clinical services must be reduced along side improvements in patient outcomes, there is a need for greater monitoring of patient food intakes to enable improvements in food production and food service systems to this end. Copyright © 2015 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

76 FR 37327 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-27

... survey designed to estimate the population size of Pacific sardine. NMFS requests public comment on the... 4,200 mt initially set aside. The applicants proposed using 2,700 mt to replicate the summer survey...

15 CFR 301.1 - General provisions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... FOR EDUCATIONAL AND SCIENTIFIC INSTITUTIONS § 301.1 General provisions. (a) Purpose. This part sets... duty-free importation of scientific instruments and apparatus by public or private nonprofit institutions. (b) Background. (1) The Agreement on the importation of Educational, Scientific and Cultural...

Examining school-based hygiene facilities: a quantitative assessment in a Ghanaian municipality.

PubMed

Appiah-Brempong, Emmanuel; Harris, Muriel J; Newton, Samuel; Gulis, Gabriel

2018-05-02

The crucial role of adequate water, sanitation and hygiene (WASH) facilities in influencing children's handwashing behaviour is widely reported. Report from UNICEF indicates a dearth of adequate data on WASH facilities in schools, especially in the developing world. This study sought to contribute to building the evidence-base on school hygiene facilities in Ghana. The study further explored for possible associations and differences between key variables within the context of school water, sanitation and hygiene. Data was collected from 37 junior high schools using an observational checklist. Methods of data analysis included a Scalogram model, Fisher's exact test, and a Student's t-test. Results of the study showed a facility deficiency in many schools: 33% of schools had students washing their hands in a shared receptacle (bowl), 24% had students using a single cotton towel to dry hands after handwashing, and only 16% of schools had a functional water facility. Furthermore, results of a proportion test indicated that 83% of schools which had functional water facilities also had functional handwashing stations. On the other hand, only 3% of schools which had functional water facilities also had a functional handwashing stations. A test of difference in the proportions of the two sets of schools showed a statistically significant difference (p < 0.001). In addition, 40% of schools which had financial provisions for water supply also had functional handwashing stations. On the other hand, only 7% of schools which had financial provisions for water supply also had functional handwashing stations. There was a statistically significant difference in the proportions of the two sets of schools (p = 0.02). We conclude that it is essential to have a financial provision for water supply in schools as this can potentially influence the existence of a handwashing station in a school. An intervention by government, educational authorities and civil society organisations towards enabling schools in low resource areas to have a sustainable budgetary allocation for WASH facilities would be timely.

Surfing for health: user evaluation of a health information website. Part one: Background and literature review.

PubMed

Williams, Peter; Nicholas, David; Huntington, Paul; McLean, Fiona

2002-06-01

The Government in Britain is set on using the Internet to expand the provision of health information to the general public. Concerns over the quality of the health information have preoccupied commentators and organizations rather than the way users interact with health information systems. This report examines the issues surrounding the provision of electronic health information, and describes an evaluation undertaken of a commercial health website-that of Surgerydoor (http://www.surgerydoor.co.uk/), and comprises two parts. Part one outlines the literature on electronic health information evaluation. It discusses quality issues, but also redresses the imbalance by exploring other evaluative perspectives. Part two describes an evaluation of a health information Internet site in terms of its usability and appeal, undertaken as part of a Department of Health funded study on the impact of such systems.

48 CFR 19.1008 - Solicitation provisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Solicitation provisions. 19.1008 Section 19.1008 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION... Business Set-Aside, in all solicitations for emerging small businesses in accordance with 19.1007(c). (c...

76 FR 35318 - Competitive and Noncompetitive Nonformula Federal Assistance Programs-Administrative Provisions...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-17

...] Competitive and Noncompetitive Nonformula Federal Assistance Programs--Administrative Provisions for Biomass..., without change, an interim rule containing a set of specific administrative requirements for the Biomass... Biomass Research and Development Initiative (BRDI) under which competitively awarded grants, contracts...

40 CFR 62.08 - Emission inventories and source surveillance.

Code of Federal Regulations, 2010 CFR

2010-07-01

... surveillance. 62.08 Section 62.08 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... General Provisions § 62.08 Emission inventories and source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the Administrator's...

40 CFR 62.08 - Emission inventories and source surveillance.

Code of Federal Regulations, 2013 CFR

2013-07-01

... surveillance. 62.08 Section 62.08 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... General Provisions § 62.08 Emission inventories and source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the Administrator's...

40 CFR 62.08 - Emission inventories and source surveillance.

Code of Federal Regulations, 2011 CFR

2011-07-01

... surveillance. 62.08 Section 62.08 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... General Provisions § 62.08 Emission inventories and source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the Administrator's...

40 CFR 62.08 - Emission inventories and source surveillance.

Code of Federal Regulations, 2014 CFR

2014-07-01

... surveillance. 62.08 Section 62.08 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... General Provisions § 62.08 Emission inventories and source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the Administrator's...

40 CFR 62.08 - Emission inventories and source surveillance.

Code of Federal Regulations, 2012 CFR

2012-07-01

... surveillance. 62.08 Section 62.08 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR... General Provisions § 62.08 Emission inventories and source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the Administrator's...

42 CFR 137.370 - Do all provisions of this part apply to construction project agreements under this subpart?

Code of Federal Regulations, 2010 CFR

2010-10-01

... SELF-GOVERNANCE Construction Other § 137.370 Do all provisions of this part apply to construction... provisions in this subpart. Provisions that do not apply include: programmatic reports and data requirements...

Cost of provision of opioid substitution therapy provision in Tijuana, Mexico.

PubMed

Burgos, Jose Luis; Cepeda, Javier A; Kahn, James G; Mittal, Maria Luisa; Meza, Emilio; Lazos, Raúl Rafael Palacios; Vargas, Psyché Calderón; Vickerman, Peter; Strathdee, Steffanie A; Martin, Natasha K

2018-05-23

Mexico recently enacted drug policy reform to decriminalize possession of small amounts of illicit drugs and mandated that police refer identified substance users to drug treatment. However, the economic implications of drug treatment expansion are uncertain. We estimated the costs of opioid substitution therapy (OST) provision in Tijuana, Mexico, where opioid use and HIV are major public health concerns. We adopted an economic health care provider perspective and applied an ingredients-based micro-costing approach to quantify the average monthly cost of OST (methadone maintenance) provision at two providers (one private and one public) in Tijuana, Mexico. Costs were divided by type of input (capital, recurrent personnel and non-personnel). We defined "delivery cost" as all costs except for the methadone and compared total cost by type of methadone (powdered form or capsule). Cost data were obtained from interviews with senior staff and review of expenditure reports. Service provision data were obtained from activity logs and senior staff interviews. Outcomes were cost per OST contact and cost per person month of OST. We additionally collected information on patient charges for OST provision from published rates. The total cost per OST contact at the private and public sites was $3.12 and $5.90, respectively, corresponding to $95 and $179 per person month of OST. The costs of methadone delivery per OST contact were similar at both sites ($2.78 private and $3.46 public). However, cost of the methadone itself varied substantially ($0.34 per 80 mg dose [powder] at the private site and $2.44 per dose [capsule] at the public site). Patients were charged $1.93-$2.66 per methadone dose. The cost of OST provision in Mexico is consistent with other upper-middle income settings. However, evidenced-based (OST) drug treatment facilities in Mexico are still unaffordable to most people who inject drugs.

Implementing a centralised pharmacovigilance service in a non-commercial setting in the United Kingdom.

PubMed

Dinnett, Eleanor M; Kean, Sharon; Tolmie, Elizabeth P; Ronald, Elizabeth S; Gaw, Allan

2013-06-12

The implementation of a pharmacovigilance service compliant with the legal and regulatory responsibilities of clinical trial sponsors presents particular challenges for sponsors in a non-commercial setting.In this paper we examine these challenges in detail. We identify and discuss the key steps in the development of a pharmacovigilance service within a public health service and university setting in the United Kingdom. We describe how we have established a central Pharmacovigilance Office with dedicated staff and resources within our organisation. This office is supported by an electronic pharmacovigilance reporting infrastructure developed to facilitate the receipt and processing of safety information, the onward reporting in compliance with legislation and the provision of sponsor institution oversight of clinical trial participant safety. An education and training programme has also been set up to ensure that all relevant staff in the organisation are fully aware of the pharmacovigilance service and are appropriately trained in its use.We discuss possible alternatives to this approach and why we consider our solution to be the most appropriate to ensure that a non-commercial sponsor organisation and investigators are operating in a fully compliant way.

40 CFR 63.1435 - Heat exchanger provisions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... General Provisions in 40 CFR part 63, subpart A, as specified in Table 1 of this subpart, shall apply for...) require information to be reported in the Periodic Reports required by the HON general reporting...)(2) in the Periodic Reports required by the general reporting requirements in § 63.1439(e)(6), for...

40 CFR 63.1435 - Heat exchanger provisions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... part 63, subpart A, as specified in Table 1 of this subpart, shall apply for the purposes of this... reported in the Periodic Reports required by the HON general reporting provisions in § 63.152(c), the owner or operator shall instead report the information specified in § 63.104(f)(2) in the Periodic Reports...

40 CFR 63.1435 - Heat exchanger provisions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... General Provisions in 40 CFR part 63, subpart A, as specified in Table 1 of this subpart, shall apply for...) require information to be reported in the Periodic Reports required by the HON general reporting...)(2) in the Periodic Reports required by the general reporting requirements in § 63.1439(e)(6), for...

Rural Hospital Ownership: Medical Service Provision, Market Mix, and Spillover Effects

PubMed Central

Horwitz, Jill R; Nichols, Austin

2011-01-01

Objective To test whether nonprofit, for-profit, or government hospital ownership affects medical service provision in rural hospital markets, either directly or through the spillover effects of ownership mix. Data Sources/Study Setting Data are from the American Hospital Association, U.S. Census, CMS Healthcare Cost Report Information System and Prospective Payment System Minimum Data File, and primary data collection for geographic coordinates. The sample includes all nonfederal, general medical, and surgical hospitals located outside of metropolitan statistical areas and within the continental United States from 1988 to 2005. Study Design We estimate multivariate regression models to examine the effects of (1) hospital ownership and (2) hospital ownership mix within rural hospital markets on profitable versus unprofitable medical service offerings. Principal Findings Rural nonprofit hospitals are more likely than for-profit hospitals to offer unprofitable services, many of which are underprovided services. Nonprofits respond less than for-profits to changes in service profitability. Nonprofits with more for-profit competitors offer more profitable services and fewer unprofitable services than those with fewer for-profit competitors. Conclusions Rural hospital ownership affects medical service provision at the hospital and market levels. Nonprofit hospital regulation should reflect both the direct and spillover effects of ownership. PMID:21639860

Nursery nutrition in Liverpool: an exploration of practice and nutritional analysis of food provided.

PubMed

Parker, Mike; Lloyd-Williams, Ffion; Weston, Gemma; Macklin, Julie; McFadden, Kate

2011-10-01

To explore nutrition and food provision in pre-school nurseries in order to develop interventions to promote healthy eating in pre-school settings. Quantitative data were gathered using questionnaires and professional menu analysis. In the community, at pre-school nurseries. All 130 nurseries across Liverpool were a sent questionnaire (38 % response rate); thirty-four menus were returned for analysis (26 % response rate). Only 21 % of respondents stated they had adequate knowledge on nutrition for pre-school children. Sixty-one per cent of cooks reported having received only a 'little' advice on healthy eating and this was often not specific to under-5 s nutrition. Fifty-seven per cent of nurseries did not regularly assess their menus for nutritional quality. The menu analysis revealed that all menus were deficient in energy, carbohydrate, Fe and Zn. Eighty-five per cent of nurseries had Na/salt levels which exceed guidelines. Nurseries require support on healthy eating at policy, knowledge and training levels. This support should address concerns relating to both menu planning and ingredients used in food provision and meet current guidelines on food provision for the under-5 s.

Antenatal care and opportunities for quality improvement of service provision in resource limited settings: A mixed methods study

PubMed Central

van der Eem, Lisette; Nyanza, Elias C.; van Pelt, Sandra; Ndaki, Pendo; Basinda, Namanya; Sundby, Johanne

2017-01-01

Antenatal care is essential to improve maternal and newborn health and wellbeing. The majority of pregnant women in Tanzania attend at least one visit. Since implementation of the focused antenatal care model, quality of care assessments have mostly focused on utilization and coverage of routine interventions for antenatal care. This study aims to assess the quality of antenatal care provision from a holistic perspective in a rural district in Tanzania. Structure, process and outcome components of quality are explored. This paper reports on data collected over several periods from 2012 to 2015 through facility audits of supplies and services, ANC observations and exit interviews with pregnant women. Additional qualitative methods were used such as interviews, focus group observations and participant observations. Findings indicate variable performance of routine ANC services, partly explained by insufficient resources. Poor performance was also observed for appropriate history taking, attention for client’s wellbeing, basic physical examination and adequate counseling and education. Achieving quality improvement for ANC requires increased attention for the process of care provision beyond coverage, including attention for response-based services, which should be assessed based on locally determined criteria. PMID:29236699

29 CFR 1902.1 - Purpose and scope.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR STATE...) This part applies the provisions of section 18 of the Williams-Steiger Occupational Safety and Health... enforcement of State occupational safety and health standards. The provisions of the part set forth the...

Compliance With Point-of-Sale Tobacco Control Policies in School-Adjacent Neighborhoods in Mumbai, India.

PubMed

Mistry, Ritesh; Pimple, Sharmila; Mishra, Gauravi; Gupta, Prakash C; Pednekar, Mangesh; Ranz-Schleifer, Naomi; Shastri, Surendra

2015-09-21

Purpose . We assessed factors associated with tobacco vendor compliance with India's Cigarettes and Other Tobacco Products Act (COTPA) provisions regulating tobacco sales and point-of-sale (POS) environments. Design . Study design was a cross-sectional random sample of tobacco vendors in Mumbai, India (2010). Setting . School-adjacent neighborhoods were the study setting. Subjects . Study subjects were tobacco vendors (n = 436). Measures . Face-to-face interviews, and audits of POS environments were used to assess compliance. Analysis . Factors associated with compliance were identified using logistic regression. Results . About 4% of vendors were fully compliant. Although 80% reported compliance with the ban on tobacco sales to minors, only 10% displayed signage about the ban. About 84% were compliant with the two-tobacco advertisement limit; of those displaying advertisements, 67% were compliant with size limits, 68% with content restrictions, and 8% with health warning requirements. Knowledge about fines for noncompliance was associated with compliance with the ban on sales to minors (odds ratio [OR], 2.12; 95% confidence interval [CI], 1.26, 3.56) and signage requirement (OR, 4.42; 95% CI, 1.76, 11.13). Greater compliance with the two-advertisement limit was associated with higher store income from tobacco (OR, .26; 95% CI, .09, .73) and lower neighborhood socioeconomic status (p < .01); the latter was associated with advertisement size limits compliance (p < .05). Conclusions . Compliance with COTPA provisions was low. Interventions modifying vendor knowledge about provisions and fines may increase compliance, and they should target stores that are reliant on tobacco sales.

Law on Land, 8 January 1988.

PubMed

1989-01-01

This document contains major provisions of Viet Nam's January 1988 Law relating to land use. The provisions hold that the land is owned by all of the people and is under state management. The state assigns land for stable, longterm use or for specific periods. Land-users are encouraged to invest in the land and their legitimate interests in the land are protected. Land-users must pay a land-use tax. The provisions also give conditions governing the use and transfer of land. The law further lays out a system of land management which relies on the drafting and planning of projects by the Council of Ministers for the entire country and similar work by local people's committees. Provisions are also made for a system of land use which sets the obligations of users of agricultural and of forest land. Land-use measures are provided for a family-based economy and for production by individual peasants. Regulations also are given for the use of garden land. Finally, additional obligations and interests of land users are set forth.

Direct provision versus facility collection of HIV self-tests among female sex workers in Uganda: A cluster-randomized controlled health systems trial.

PubMed

Ortblad, Katrina; Kibuuka Musoke, Daniel; Ngabirano, Thomson; Nakitende, Aidah; Magoola, Jonathan; Kayiira, Prossy; Taasi, Geoffrey; Barresi, Leah G; Haberer, Jessica E; McConnell, Margaret A; Oldenburg, Catherine E; Bärnighausen, Till

2017-11-01

HIV self-testing allows HIV testing at any place and time and without health workers. HIV self-testing may thus be particularly useful for female sex workers (FSWs), who should test frequently but face stigma and financial and time barriers when accessing healthcare facilities. We conducted a cluster-randomized controlled health systems trial among FSWs in Kampala, Uganda, to measure the effect of 2 HIV self-testing delivery models on HIV testing and linkage to care outcomes. FSW peer educator groups (1 peer educator and 8 participants) were randomized to either (1) direct provision of HIV self-tests, (2) provision of coupons for free collection of HIV self-tests in a healthcare facility, or (3) standard of care HIV testing. We randomized 960 participants in 120 peer educator groups from October 18, 2016, to November 16, 2016. Participants' median age was 28 years (IQR 24-32). Our prespecified primary outcomes were self-report of any HIV testing at 1 month and at 4 months; our prespecified secondary outcomes were self-report of HIV self-test use, seeking HIV-related medical care and ART initiation. In addition, we analyzed 2 secondary outcomes that were not prespecified: self-report of repeat HIV testing-to understand the intervention effects on frequent testing-and self-reported facility-based testing-to quantify substitution effects. Participants in the direct provision arm were significantly more likely to have tested for HIV than those in the standard of care arm, both at 1 month (risk ratio [RR] 1.33, 95% CI 1.17-1.51, p < 0.001) and at 4 months (RR 1.14, 95% CI 1.07-1.22, p < 0.001). Participants in the direct provision arm were also significantly more likely to have tested for HIV than those in the facility collection arm, both at 1 month (RR 1.18, 95% CI 1.07-1.31, p = 0.001) and at 4 months (RR 1.03, 95% CI 1.01-1.05, p = 0.02). At 1 month, fewer participants in the intervention arms had sought medical care for HIV than in the standard of care arm, but these differences were not significant and were reduced in magnitude at 4 months. There were no statistically significant differences in ART initiation across study arms. At 4 months, participants in the direct provision arm were significantly more likely to have tested twice for HIV than those in the standard of care arm (RR 1.51, 95% CI 1.29-1.77, p < 0.001) and those in the facility collection arm (RR 1.22, 95% CI 1.08-1.37, p = 0.001). Participants in the HIV self-testing arms almost completely replaced facility-based testing with self-testing. Two adverse events related to HIV self-testing were reported: interpersonal violence and mental distress. Study limitations included self-reported outcomes and limited generalizability beyond FSWs in similar settings. In this study, HIV self-testing appeared to be safe and increased recent and repeat HIV testing among FSWs. We found that direct provision of HIV self-tests was significantly more effective in increasing HIV testing among FSWs than passively offering HIV self-tests for collection in healthcare facilities. HIV self-testing could play an important role in supporting HIV interventions that require frequent HIV testing, such as HIV treatment as prevention, behavior change for transmission reduction, and pre-exposure prophylaxis. ClinicalTrials.gov NCT02846402.

29 CFR 452.55 - Statutory provisions concerning nomination.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 2 2010-07-01 2010-07-01 false Statutory provisions concerning nomination. 452.55 Section... LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Nominations for Office § 452.55 Statutory provisions concerning...

Diet, smoking and cardiovascular risk in schizophrenia in high and low care supported housing.

PubMed

Gupta, Avirup; Craig, Tom K J

2009-01-01

People suffering from schizophrenia have markedly increased physical morbidity and mortality. A poor diet and sedentary lifestyle make a significant contribution to this ill health. Healthcare professionals need to include assessments of diet and to promote a 'healthy living' lifestyle. To describe the dietary habits and cardiovascular risk factors of people with chronic schizophrenia living in supported accommodation and to audit the provision of cardiovascular health screening in this population. The dietary habits of 69 people with chronic schizophrenia living in community settings were assessed. Tobacco smoking, body mass indices and waist circumference were also measured. The dietary behaviour of patients living in high care settings with care staff present every day was compared with those in low care settings. Residents in both levels of care made poor dietary choices. Patients in high care were consuming more fast food than those in low care. The dietary habits of men and women in both levels of care were worse than reported by surveys of the general population in England. All patients had seen their GP in the previous year though only 3 had received diabetes screening and fewer than half had lipid profiles. People with schizophrenia do not improve their diet just by the provision of healthy food as was the case in high care settings. Secondary care services must address physical health monitoring as well as mental health if the increased mortality of patients with schizophrenia is to be addressed effectively. More effective interventions are necessary to improve and sustain a healthy diet.

Social and legal aspects of marriage in women with mental illness in India.

PubMed

Sharma, Indira; Tripathi, C B; Pathak, Abhishek

2015-07-01

The institution of marriage in Hindus is regulated by the prevailing social norms and the Hindu Marriage Act (HMA), 1955. Married women with mental illness are heavily discriminated. This paper examines the social and legal aspects of Hindu marriage in women with mental illness. The HMA, 1955 lays down the conditions for a Hindu marriage and also provides matrimonial reliefs: Nullity of marriage, restitution of conjugal rights, judicial separation and divorce. The application of the provisions of HMA in the setting mental illness is difficult and challenging. There is a wide gap between the legislative provisions of HMA, and societal value systems and attitudes towards marriage in Indian society. Societal norms are powerful and often override the legal provisions. The disparities are most glaring in the setting of mental illness in women. This is a reflection of social stigma for mental illness and patriarchal attitude towards women. Concerted efforts are needed to bridge the gap between the legislative provisions of HMA and societal value systems and attitudes toward marriage. Awareness programs regarding the nature and types of mental illness, advances in treatment and information about good outcome of severe mental illness will be helpful. Improvement in moral and religious values will overcome to some extent the negative attitudes and patriarchal mind set toward married women with mental illness.

21 CFR 1140.1 - Scope.

Code of Federal Regulations, 2011 CFR

2011-04-01

... CIGARETTES AND SMOKELESS TOBACCO General Provisions § 1140.1 Scope. (a) This part sets out the restrictions... cigarettes and smokeless tobacco that contain nicotine. (b) The failure to comply with any applicable provision in this part in the sale, distribution, and use of cigarettes and smokeless tobacco renders the...

48 CFR 419.508 - Solicitation provisions and contract clauses.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Standard and NAICS Code Information, in solicitations that are set aside for small businesses. [61 FR 53646... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Solicitation provisions and contract clauses. 419.508 Section 419.508 Federal Acquisition Regulations System DEPARTMENT OF...

13 CFR 313.10 - Conflicts of interest.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 13 Business Credit and Assistance 1 2010-01-01 2010-01-01 false Conflicts of interest. 313.10... COMMUNITY TRADE ADJUSTMENT ASSISTANCE Administrative Provisions § 313.10 Conflicts of interest. Communities that receive assistance under this part are subject to the conflicts of interest provisions as set out...

21 CFR 1140.1 - Scope.

Code of Federal Regulations, 2012 CFR

2012-04-01

... CIGARETTES AND SMOKELESS TOBACCO General Provisions § 1140.1 Scope. (a) This part sets out the restrictions... cigarettes and smokeless tobacco that contain nicotine. (b) The failure to comply with any applicable provision in this part in the sale, distribution, and use of cigarettes and smokeless tobacco renders the...

21 CFR 1140.1 - Scope.

Code of Federal Regulations, 2014 CFR

2014-04-01

... CIGARETTES AND SMOKELESS TOBACCO General Provisions § 1140.1 Scope. (a) This part sets out the restrictions... cigarettes and smokeless tobacco that contain nicotine. (b) The failure to comply with any applicable provision in this part in the sale, distribution, and use of cigarettes and smokeless tobacco renders the...

40 CFR 52.12 - Source surveillance.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 3 2011-07-01 2011-07-01 false Source surveillance. 52.12 Section 52...) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS General Provisions § 52.12 Source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the...

40 CFR 52.12 - Source surveillance.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 3 2012-07-01 2012-07-01 false Source surveillance. 52.12 Section 52...) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS General Provisions § 52.12 Source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the...

40 CFR 52.12 - Source surveillance.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 3 2010-07-01 2010-07-01 false Source surveillance. 52.12 Section 52...) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS General Provisions § 52.12 Source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the...

40 CFR 52.12 - Source surveillance.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 3 2013-07-01 2013-07-01 false Source surveillance. 52.12 Section 52...) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS General Provisions § 52.12 Source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the...

40 CFR 52.12 - Source surveillance.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 3 2014-07-01 2014-07-01 false Source surveillance. 52.12 Section 52...) APPROVAL AND PROMULGATION OF IMPLEMENTATION PLANS General Provisions § 52.12 Source surveillance. (a) Each subpart identifies the plan provisions for source surveillance which are disapproved, and sets forth the...

48 CFR 4.607 - Solicitation Provisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., Central Contractor Registration. (b) Insert the provision at 52.204-5, Women-Owned Business (Other Than Small Business), in all solicitations that— (1) Are not set aside for small business concerns; (2..., Data Universal Numbering System (DUNS) Number, in solicitations that— (1) Are expected to result in a...

48 CFR 4.607 - Solicitation Provisions.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., Central Contractor Registration. (b) Insert the provision at 52.204-5, Women-Owned Business (Other Than Small Business), in all solicitations that— (1) Are not set aside for small business concerns; (2..., Data Universal Numbering System (DUNS) Number, in solicitations that— (1) Are expected to result in a...

48 CFR 4.607 - Solicitation Provisions.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., Central Contractor Registration. (b) Insert the provision at 52.204-5, Women-Owned Business (Other Than Small Business), in all solicitations that— (1) Are not set aside for small business concerns; (2..., Data Universal Numbering System (DUNS) Number, in solicitations that— (1) Are expected to result in a...

16 CFR 1115.7 - Relation to other provisions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1115.7 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS SUBSTANTIAL PRODUCT HAZARD REPORTS General Interpretation § 1115.7 Relation to other provisions. The reporting... CPSA. Section 37 requires a product manufacturer to report certain kinds of lawsuit information. It is...

29 CFR 452.11 - Organizations to which election provisions apply.

Code of Federal Regulations, 2010 CFR

2010-07-01

... LABOR LABOR-MANAGEMENT STANDARDS GENERAL STATEMENT CONCERNING THE ELECTION PROVISIONS OF THE LABOR-MANAGEMENT REPORTING AND DISCLOSURE ACT OF 1959 Coverage of Election Provisions § 452.11 Organizations to... 29 Labor 2 2010-07-01 2010-07-01 false Organizations to which election provisions apply. 452.11...

1 CFR 2.1 - Scope and purpose.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Scope and purpose. 2.1 Section 2.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER GENERAL GENERAL INFORMATION § 2.1 Scope and purpose. (a) This chapter sets forth the policies, procedures, and delegations under which the...

1 CFR 2.1 - Scope and purpose.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Scope and purpose. 2.1 Section 2.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER GENERAL GENERAL INFORMATION § 2.1 Scope and purpose. (a) This chapter sets forth the policies, procedures, and delegations under which the...

1 CFR 425.1 - Purpose and scope.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Purpose and scope. 425.1 Section 425.1 General Provisions MISCELLANEOUS AGENCIES PRESIDENT'S COMMISSION ON WHITE HOUSE FELLOWSHIPS § 425.1 Purpose and scope. This part sets forth the President's Commission on White House Fellowships procedures under the Privacy...

1 CFR 425.1 - Purpose and scope.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Purpose and scope. 425.1 Section 425.1 General Provisions MISCELLANEOUS AGENCIES PRESIDENT'S COMMISSION ON WHITE HOUSE FELLOWSHIPS § 425.1 Purpose and scope. This part sets forth the President's Commission on White House Fellowships procedures under the Privacy...

Towards Equity in Service Provision for Gay Men and Other Men Who Have Sex with Men in Repressive Contexts.

PubMed

Beyrer, Chris; Makofane, Keletso; Orazulike, Ifeanyi; Diouf, Daouda; Baral, Stefan D

2016-10-01

Chris Beyrer and colleagues reflect on an underappreciated trend in multiple African, Asian, and Caribbean settings, in which the provision of HIV and other essential health services for sexual and gender minorities is expanding despite challenging legal and social environments.

78 FR 45617 - Student Assistance General Provisions, Federal Perkins Loan Program, Federal Family Education...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-29

... estimates were based on behavior as reflected in various Department data sets and longitudinal surveys...) of the HEA. The Department committed, however, to authorize, to the extent possible, early... to designate regulatory provisions for early implementation by program participants under section 482...

14 CFR 1214.100 - Scope.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.100 Scope. This subpart 1214.1 sets forth general provisions regarding flight of Space Shuttle cargo bay payloads for non... under the provision of subpart 1214.9 or payloads flown on a space-available basis on NASA-provided...

14 CFR § 1214.100 - Scope.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.100 Scope. This subpart 1214.1 sets forth general provisions regarding flight of Space Shuttle cargo bay payloads for non... under the provision of subpart 1214.9 or payloads flown on a space-available basis on NASA-provided...

14 CFR 1214.100 - Scope.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.100 Scope. This subpart 1214.1 sets forth general provisions regarding flight of Space Shuttle cargo bay payloads for non... under the provision of subpart 1214.9 or payloads flown on a space-available basis on NASA-provided...

14 CFR 1214.100 - Scope.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.100 Scope. This subpart 1214.1 sets forth general provisions regarding flight of Space Shuttle cargo bay payloads for non... under the provision of subpart 1214.9 or payloads flown on a space-available basis on NASA-provided...

14 CFR 1214.100 - Scope.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Space Shuttle Flights of Payloads for Non-U.S. Government, Reimbursable Customers § 1214.100 Scope. This subpart 1214.1 sets forth general provisions regarding flight of Space Shuttle cargo bay payloads for non... under the provision of subpart 1214.9 or payloads flown on a space-available basis on NASA-provided...

78 FR 21913 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-12

... limits. The compensation fishing is in support of a 2012 Monkfish Research Set- Aside project that is attempting to validate monkfish aging methods. The project is being conducted by the University of Massachusetts, Dartmouth, School for Marine Science and Technology. Regulations under the Magnuson-Stevens...

78 FR 38693 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-27

... limits. The compensation fishing is in support of a 2013 Monkfish Research Set- Aside project that is attempting to validate monkfish aging methods. The project is being conducted by the University of Massachusetts, Dartmouth, School for Marine Science and Technology. Regulations under the Magnuson-Stevens...

48 CFR 952.223-72 - Radiation protection and nuclear criticality.

Code of Federal Regulations, 2012 CFR

2012-10-01

... nuclear criticality. 952.223-72 Section 952.223-72 Federal Acquisition Regulations System DEPARTMENT OF ENERGY CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.223-72 Radiation protection and nuclear criticality. As prescribed in 923.7003 the clause set forth...

48 CFR 952.223-72 - Radiation protection and nuclear criticality.

Code of Federal Regulations, 2010 CFR

2010-10-01

... nuclear criticality. 952.223-72 Section 952.223-72 Federal Acquisition Regulations System DEPARTMENT OF ENERGY CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.223-72 Radiation protection and nuclear criticality. As prescribed in 923.7003 the clause set forth...

48 CFR 952.223-72 - Radiation protection and nuclear criticality.

Code of Federal Regulations, 2014 CFR

2014-10-01

... nuclear criticality. 952.223-72 Section 952.223-72 Federal Acquisition Regulations System DEPARTMENT OF ENERGY CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.223-72 Radiation protection and nuclear criticality. As prescribed in 923.7003 the clause set forth...

48 CFR 952.223-72 - Radiation protection and nuclear criticality.

Code of Federal Regulations, 2011 CFR

2011-10-01

... nuclear criticality. 952.223-72 Section 952.223-72 Federal Acquisition Regulations System DEPARTMENT OF ENERGY CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.223-72 Radiation protection and nuclear criticality. As prescribed in 923.7003 the clause set forth...

48 CFR 952.223-72 - Radiation protection and nuclear criticality.

Code of Federal Regulations, 2013 CFR

2013-10-01

... nuclear criticality. 952.223-72 Section 952.223-72 Federal Acquisition Regulations System DEPARTMENT OF ENERGY CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.223-72 Radiation protection and nuclear criticality. As prescribed in 923.7003 the clause set forth...

1 CFR 2.1 - Scope and purpose.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 1 General Provisions 1 2014-01-01 2012-01-01 true Scope and purpose. 2.1 Section 2.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER GENERAL GENERAL INFORMATION § 2.1 Scope and purpose. (a) This chapter sets forth the policies, procedures, and delegations under which the...

1 CFR 2.1 - Scope and purpose.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 1 General Provisions 1 2012-01-01 2012-01-01 false Scope and purpose. 2.1 Section 2.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER GENERAL GENERAL INFORMATION § 2.1 Scope and purpose. (a) This chapter sets forth the policies, procedures, and delegations under which the...

1 CFR 2.1 - Scope and purpose.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 1 General Provisions 1 2013-01-01 2012-01-01 true Scope and purpose. 2.1 Section 2.1 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER GENERAL GENERAL INFORMATION § 2.1 Scope and purpose. (a) This chapter sets forth the policies, procedures, and delegations under which the...

Caregiving setting and Baby Boomer caregiver stress processes: Findings from the National Study of Caregiving (NSOC).

PubMed

Moon, Heehyul; Rote, Sunshine; Beaty, Jeff A

The aim of this study was to provide a comprehensive understanding of how the caregiving setting relates to caregiving experience among Baby Boomer caregivers (CGs). Based on a secondary data analysis (the National Study of Caregiving, N = 782), compared with CGs providing care to an older adult living in the community, CGs to older adults in non-NH residential care settings reported better emotional well-being, self-rated health, and relationship quality and less provision of assistance older adults with daily activities. While chronic conditions, relationship quality, and financial strain were associated with the health and well-being for both CG groups, degree of informal support was more consequential for the health of CGs providing care to older adults in the community. Our results provide critical information on the risk factors and areas of intervention for both CG groups. Copyright © 2016 Elsevier Inc. All rights reserved.

Towards Integrating Soil Quality Monitoring Targets as Measures of Soil Natural Capital Stocks with the Provision of Ecosystem Services

NASA Astrophysics Data System (ADS)

Taylor, M. D.; Mackay, A. D.; Dominati, E.; Hill, R. B.

2012-04-01

This paper presents the process used to review soil quality monitoring in New Zealand to better align indicators and indicator target ranges with critical values of change in soil function. Since its inception in New Zealand 15 year ago, soil quality monitoring has become an important state of the environment reporting tool for Regional Councils. This tool assists councils to track the condition of soils resources, assess the impact of different land management practices, and provide timely warning of emerging issues to allow early intervention and avoid irreversible loss of natural capital stocks. Critical to the effectiveness of soil quality monitoring is setting relevant, validated thresholds or target ranges. Provisional Target Ranges were set in 2003 using expert knowledge available and data on production responses. Little information was available at that time for setting targets for soil natural capital stocks other than those for food production. The intention was to revise these provisional ranges as further information became available and extend target ranges to cover the regulating and cultural services provided by soils. A recently developed ecosystems service framework was used to explore the feasibility of linking soil natural capital stocks measured by the current suite of soil quality indicators to the provision of ecosystem services by soils. Importantly the new approach builds on and utilises the time series data sets collected by current suite of soil quality indicators, adding value to the current effort, and has the potential to set targets ranges based on the economic and environmental outcomes required for a given farm, catchment or region. It is now timely to develop a further group of environmental indicators for measuring specific soil issues. As with the soil quality indicators, these environmental indicators would be aligned with the provision of ecosystem services. The toolbox envisaged is a set of indicators for specific soil issues with appropriate targets tied to ecosystem services and changes in critical soil function. Such indicators would be used for specific purposes for limited periods, rather than long-term, continuous monitoring. Some examples will be presented. An important step needed to successfully initiate and complete the review was assigning national oversight. Reigniting scientific interest (which had declined with the cessation of funding in 2003) and documentation of the process were other important steps. We had to extend the recently developed ecosystem service approach to accommodate the catchment scale. This required additional attributes in the framework and recognition that some of the proxies will change with scale as will the techniques to value the services. The framework was originally developed for use at the farm scale. Macroporosity, one of the two indicators used to monitor the physical condition of the soil, was used to illustrate how the ecosystem service framework could be used to link a change in the physical condition of the soil with the provision of services. The sum of the dollar values of selected soil ecosystem services were used to inform the state of soil natural capital stocks. This estimate provides a new insight into the value of the soil quality indicators and existing target ranges. Doing so will enable targets to be more closely aligned and integrated with the provision of a range of ecosystem services, going far beyond food production.

Portland cement based fast-setting concrete demonstration, district 07, Los Angeles County

DOT National Transportation Integrated Search

2001-09-01

The California Department of Transportation currently uses fast-setting concrete to accommodate short working windows. The current special provision for fast-setting concrete requires that the concrete reach a flexural strength of 2.8 MPa (400 psi) b...

30 CFR 218.40 - Assessments for incorrect or late reports and failure to report.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Assessments for incorrect or late reports and failure to report. 218.40 Section 218.40 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR MINERALS REVENUE MANAGEMENT COLLECTION OF MONIES AND PROVISION FOR GEOTHERMAL CREDITS AND INCENTIVES General Provisions § 218.40...

48 CFR 52.226-4 - Notice of Disaster or Emergency Area Set-Aside.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Emergency Area Set-Aside. 52.226-4 Section 52.226-4 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.226-4 Notice of Disaster or Emergency Area Set-Aside. As prescribed in 26.206(b), insert the following clause: Notice of Disaster or Emergency Area Set-Aside (NOV 2007) (a) Set-aside area...

48 CFR 52.226-4 - Notice of Disaster or Emergency Area Set-Aside.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Emergency Area Set-Aside. 52.226-4 Section 52.226-4 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.226-4 Notice of Disaster or Emergency Area Set-Aside. As prescribed in 26.206(b), insert the following clause: Notice of Disaster or Emergency Area Set-Aside (NOV 2007) (a) Set-aside area...

48 CFR 52.226-4 - Notice of Disaster or Emergency Area Set-Aside.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Emergency Area Set-Aside. 52.226-4 Section 52.226-4 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.226-4 Notice of Disaster or Emergency Area Set-Aside. As prescribed in 26.206(b), insert the following clause: Notice of Disaster or Emergency Area Set-Aside (NOV 2007) (a) Set-aside area...

48 CFR 52.226-4 - Notice of Disaster or Emergency Area Set-Aside.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Emergency Area Set-Aside. 52.226-4 Section 52.226-4 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.226-4 Notice of Disaster or Emergency Area Set-Aside. As prescribed in 26.206(b), insert the following clause: Notice of Disaster or Emergency Area Set-Aside (NOV 2007) (a) Set-aside area...

48 CFR 52.226-4 - Notice of Disaster or Emergency Area Set-Aside.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Emergency Area Set-Aside. 52.226-4 Section 52.226-4 Federal Acquisition Regulations System FEDERAL... Provisions and Clauses 52.226-4 Notice of Disaster or Emergency Area Set-Aside. As prescribed in 26.206(b), insert the following clause: Notice of Disaster or Emergency Area Set-Aside (NOV 2007) (a) Set-aside area...

40 CFR 63.1320 - PET and polystyrene affected sources-reporting provisions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 12 2013-07-01 2013-07-01 false PET and polystyrene affected sources... and Resins § 63.1320 PET and polystyrene affected sources—reporting provisions. (a) Except as...) Reporting for PET Affected Sources Using a Dimethyl Terephthalate Process. Owners or operators complying...

40 CFR 63.122 - Storage vessel provisions-reporting.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 9 2010-07-01 2010-07-01 false Storage vessel provisions-reporting. 63... for Process Vents, Storage Vessels, Transfer Operations, and Wastewater § 63.122 Storage vessel provisions—reporting. (a) For each Group 1 storage vessel, the owner or operator shall comply with the...

40 CFR 63.122 - Storage vessel provisions-reporting.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 10 2014-07-01 2014-07-01 false Storage vessel provisions-reporting... Manufacturing Industry for Process Vents, Storage Vessels, Transfer Operations, and Wastewater § 63.122 Storage vessel provisions—reporting. (a) For each Group 1 storage vessel, the owner or operator shall comply with...

40 CFR 63.122 - Storage vessel provisions-reporting.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 9 2011-07-01 2011-07-01 false Storage vessel provisions-reporting. 63... for Process Vents, Storage Vessels, Transfer Operations, and Wastewater § 63.122 Storage vessel provisions—reporting. (a) For each Group 1 storage vessel, the owner or operator shall comply with the...

40 CFR 63.122 - Storage vessel provisions-reporting.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 10 2013-07-01 2013-07-01 false Storage vessel provisions-reporting... Manufacturing Industry for Process Vents, Storage Vessels, Transfer Operations, and Wastewater § 63.122 Storage vessel provisions—reporting. (a) For each Group 1 storage vessel, the owner or operator shall comply with...

Practices Regarding Rape-related Pregnancy in U.S. Abortion Care Settings.

PubMed

Perry, Rachel; Murphy, Molly; Rankin, Kristin M; Cowett, Allison; Harwood, Bryna

2016-01-01

We aimed to explore current practices regarding screening for rape and response to disclosure of rape-related pregnancy in the abortion care setting. We performed a cross-sectional, nonprobability survey of U.S. abortion providers. Individuals were recruited in person and via emailed invitations to professional organization member lists. Questions in this web-based survey pertained to providers' practice setting, how they identify rape-related pregnancy, the availability of support services, and their experiences with law enforcement. Providers were asked their perceptions of barriers to care for women who report rape-related pregnancy. Surveys were completed by 279 providers (21% response rate). Most respondents were female (93.1%), and the majority were physicians in a clinical role (69.4%). One-half (49.8%) reported their practice screens for pregnancy resulting from rape, although fewer (34.8%) reported that screening is the method through which most patients with this history are identified. Most (80.6%) refer women with rape-related pregnancy to support services such as rape crisis centers. Relatively few (19.7%) have a specific protocol for care of women who report rape-related pregnancy. Clinics that screen were 79% more likely to have a protocol for care than centers that do not screen. Although the majority (67.4%) reported barriers to identification of women with rape-related pregnancy, fewer (33.3%) reported barriers to connecting them to support services. Practices for identifying and providing care to women with rape-related pregnancy in the abortion care setting are variable. Further research should address barriers to care provision, as well as identifying protocols for care. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Effectiveness-weighted control method for a cooling system

DOEpatents

Campbell, Levi A.; Chu, Richard C.; David, Milnes P.; Ellsworth Jr., Michael J.; Iyengar, Madhusudan K.; Schmidt, Roger R.; Simons, Robert E.

2015-12-15

Energy efficient control of cooling system cooling of an electronic system is provided based, in part, on weighted cooling effectiveness of the components. The control includes automatically determining speed control settings for multiple adjustable cooling components of the cooling system. The automatically determining is based, at least in part, on weighted cooling effectiveness of the components of the cooling system, and the determining operates to limit power consumption of at least the cooling system, while ensuring that a target temperature associated with at least one of the cooling system or the electronic system is within a desired range by provisioning, based on the weighted cooling effectiveness, a desired target temperature change among the multiple adjustable cooling components of the cooling system. The provisioning includes provisioning applied power to the multiple adjustable cooling components via, at least in part, the determined control settings.

Effectiveness-weighted control of cooling system components

DOEpatents

Campbell, Levi A.; Chu, Richard C.; David, Milnes P.; Ellsworth Jr., Michael J.; Iyengar, Madhusudan K.; Schmidt, Roger R.; Simmons, Robert E.

2015-12-22

Energy efficient control of cooling system cooling of an electronic system is provided based, in part, on weighted cooling effectiveness of the components. The control includes automatically determining speed control settings for multiple adjustable cooling components of the cooling system. The automatically determining is based, at least in part, on weighted cooling effectiveness of the components of the cooling system, and the determining operates to limit power consumption of at least the cooling system, while ensuring that a target temperature associated with at least one of the cooling system or the electronic system is within a desired range by provisioning, based on the weighted cooling effectiveness, a desired target temperature change among the multiple adjustable cooling components of the cooling system. The provisioning includes provisioning applied power to the multiple adjustable cooling components via, at least in part, the determined control settings.

Hepatitis C education and support in Australian prisons: preliminary findings of a nationwide survey.

PubMed

Dyer, Jade; Tolliday, Lyn

2009-04-01

Rates of hepatitis C infection are up to 60 times higher in correctional facilities than in the general population, yet prisoners have limited access to many methods of blood-borne virus prevention. The aim of this study was therefore to explore the efficiency of hepatitis C education and support services available in custodial settings, from the perspective of health educators and policy makers. Semi-structured interviews were conducted with 23 health professionals, from all states and territories of Australia, who were involved in the management or provision of hepatitis C education or support to prisoners. Results were interpreted using thematic analysis. Participant reports regarding the provision of hepatitis C education and support services varied considerably between prisons and across states. Interviewees identified successful services and barriers to improvement, including limited time, insufficient funding and frequent personnel changes. Many prisons were believed to have unique needs and educators from external agencies were not always aware of the medical procedures or methods of harm reduction available in particular facilities. Interviewee perceptions indicated that the delivery of hepatitis C education and support services in Australian custodial settings is marred by inconsistency. However, both education programs and psychological support services could be developed by external agencies wishing to reduce the impact of hepatitis C within the prison system.

Provision of pharmaceutical care by community pharmacists across Europe: Is it developing and spreading?

PubMed

Costa, Filipa A; Scullin, Claire; Al-Taani, Ghaith; Hawwa, Ahmed F; Anderson, Claire; Bezverhni, Zinaida; Binakaj, Zahida; Cordina, Maria; Foulon, Veerle; Garcia de Bikuña, Borja; de Gier, Han; Granås, Anne Gerd; Grinstova, Olga; Griese-Mammen, Nina; Grincevicius, Jonas; Grinceviciene, Svitrigaile; Kaae, Susanne; Kubiliene, Loreta; Mariño, Eduardo L; Martins, Silvia; Modamio, Pilar; Nadin, Giancarlo; Nørgaard, Lotte Stig; Obarcanin, Emina; Tadic, Ivana; Tasic, Ljiljana; McElnay, James C; Hersberger, Kurt E; Westerlund, Tommy

2017-12-01

Pharmaceutical care involves patient-centred pharmacist activity to improve medicines management by patients. The implementation of this service in a comprehensive manner, however, requires considerable organisation and effort, and indeed, it is often not fully implemented in care settings. The main objective was to assess how pharmaceutical care provision within community pharmacy has evolved over time in Europe. A cross-sectional questionnaire-based survey of community pharmacies, using a modified version of the Behavioural Pharmaceutical Care Scale (BPCS) was conducted in late 2012/early 2013 within 16 European countries and compared with an earlier assessment conducted in 2006. The provision of comprehensive pharmaceutical care has slightly improved in all European countries that participated in both editions of this survey (n = 8) with progress being made particularly in Denmark and Switzerland. Moreover, there was a wider country uptake, indicating spread of the concept. However, due to a number of limitations, the results should be interpreted with caution. Using combined data from participating countries, the provision of pharmaceutical care was positively correlated with the participation of the community pharmacists in patient-centred activities, routine use of pharmacy software with access to clinical data, participation in multidisciplinary team meetings, and having specialized education. The present study demonstrated a slight evolution in self-reported provision of pharmaceutical care by community pharmacists across Europe, as measured by the BPCS. The slow progress suggests a range of barriers, which are preventing pharmacists moving beyond traditional roles. Support from professional bodies and more patient-centred community pharmacy contracts, including remuneration for pharmaceutical care services, are likely to be required if quicker progress is to be made in the future. © 2017 John Wiley & Sons, Ltd.

The Professional Culture of Community Pharmacy and the Provision of MTM Services.

PubMed

Rosenthal, Meagen M; Holmes, Erin R

2018-03-21

The integration of advanced pharmacy services into community pharmacy practice is not complete. According to implementation research understanding professional culture, as a part of context, may provide insights for accelerating this process. There are three objectives in this study. The first objective of this study was to validate an adapted version of an organizational culture measure in a sample of United States' (US) community pharmacists. The second objective was to examine potential relationships between the cultural factors identified using the validated instrument and a number of socialization and education variables. The third objective was to examine any relationships between the scores on the identified cultural factors and the provision of MTM services. This study was a cross-sectional online survey for community pharmacists in the southeastern US. The survey contained questions on socialization/education, respondents' self-reported provision of medication therapy management (MTM) services, and the organizational culture profile (OCP). Analyses included descriptive statistics, a principle components analysis (PCA), independent samples t-test, and multivariate ordinal regression. A total of 303 surveys were completed. The PCA revealed a six-factor structure: social responsibility, innovation, people orientation, competitiveness, attention to detail, and reward orientation. Further analysis revealed significant relationships between social responsibility and years in practice, and people orientation and attention to detail and pharmacists' training and practice setting. Significant positive relationships were observed between social responsibility, innovation, and competitiveness and the increased provision of MTM services. The significant relationships identified between the OCP factors and community pharmacist respondents' provision of MTM services provides an important starting point for developing interventions to improve the uptake of practice change opportunities.

Pharmacy provision of sexual and reproductive health commodities to young people: a systematic literature review and synthesis of the evidence.

PubMed

Gonsalves, Lianne; Hindin, Michelle J

2017-04-01

We conducted a systematic review of peer-reviewed literature on youth access to, use of and quality of care of sexual and reproductive health (SRH) commodities through pharmacies. Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol, we searched for publications from 2000 to 2016. To be eligible for inclusion, articles had to address the experiences of young people (aged 25 years and below) accessing SRH commodities (e.g., contraception, abortifacients) via pharmacies. The heterogeneity of the studies precluded meta-analysis - instead, we conducted thematic analysis. A total of 2842 titles were screened, and 49 met the inclusion criteria. Most (n=43) were from high-income countries, and 33 examined emergency hormonal contraception provision. Seventeen focused on experiences of pharmacy personnel in provision, while 28 assessed client experiences. Pharmacy provision of SRH commodities was appealing to and utilized by youth. Increasing access to SRH commodities for youth did not correspond to increases in risky sexual behavior. Both pharmacists and youth had reservations about the ease of access and its impact on sexual behaviors. In settings where regulations allowing pharmacy access were established, some pharmacy personnel created barriers to access or refused access entirely. With training and support, pharmacy personnel can serve as critical SRH resources to young people. Further research is needed to better understand how to capitalize on the potential of pharmacy provision of SRH commodities to young people without sacrificing qualities which make pharmacies so appealing to young people in the first place. Copyright © 2016 The Author(s). Published by Elsevier Inc. All rights reserved.

Development and validation of a casemix classification to predict costs of specialist palliative care provision across inpatient hospice, hospital and community settings in the UK: a study protocol

PubMed Central

Guo, Ping; Dzingina, Mendwas; Firth, Alice M; Davies, Joanna M; Douiri, Abdel; O’Brien, Suzanne M; Pinto, Cathryn; Pask, Sophie; Higginson, Irene J; Eagar, Kathy; Murtagh, Fliss E M

2018-01-01

Introduction Provision of palliative care is inequitable with wide variations across conditions and settings in the UK. Lack of a standard way to classify by case complexity is one of the principle obstacles to addressing this. We aim to develop and validate a casemix classification to support the prediction of costs of specialist palliative care provision. Methods and analysis Phase I: A cohort study to determine the variables and potential classes to be included in a casemix classification. Data are collected from clinicians in palliative care services across inpatient hospice, hospital and community settings on: patient demographics, potential complexity/casemix criteria and patient-level resource use. Cost predictors are derived using multivariate regression and then incorporated into a classification using classification and regression trees. Internal validation will be conducted by bootstrapping to quantify any optimism in the predictive performance (calibration and discrimination) of the developed classification. Phase II: A mixed-methods cohort study across settings for external validation of the classification developed in phase I. Patient and family caregiver data will be collected longitudinally on demographics, potential complexity/casemix criteria and patient-level resource use. This will be triangulated with data collected from clinicians on potential complexity/casemix criteria and patient-level resource use, and with qualitative interviews with patients and caregivers about care provision across difference settings. The classification will be refined on the basis of its performance in the validation data set. Ethics and dissemination The study has been approved by the National Health Service Health Research Authority Research Ethics Committee. The results are expected to be disseminated in 2018 through papers for publication in major palliative care journals; policy briefs for clinicians, commissioning leads and policy makers; and lay summaries for patients and public. Trial registration number ISRCTN90752212. PMID:29550781

Development and validation of a casemix classification to predict costs of specialist palliative care provision across inpatient hospice, hospital and community settings in the UK: a study protocol.

PubMed

Guo, Ping; Dzingina, Mendwas; Firth, Alice M; Davies, Joanna M; Douiri, Abdel; O'Brien, Suzanne M; Pinto, Cathryn; Pask, Sophie; Higginson, Irene J; Eagar, Kathy; Murtagh, Fliss E M

2018-03-17

Provision of palliative care is inequitable with wide variations across conditions and settings in the UK. Lack of a standard way to classify by case complexity is one of the principle obstacles to addressing this. We aim to develop and validate a casemix classification to support the prediction of costs of specialist palliative care provision. Phase I: A cohort study to determine the variables and potential classes to be included in a casemix classification. Data are collected from clinicians in palliative care services across inpatient hospice, hospital and community settings on: patient demographics, potential complexity/casemix criteria and patient-level resource use. Cost predictors are derived using multivariate regression and then incorporated into a classification using classification and regression trees. Internal validation will be conducted by bootstrapping to quantify any optimism in the predictive performance (calibration and discrimination) of the developed classification. Phase II: A mixed-methods cohort study across settings for external validation of the classification developed in phase I. Patient and family caregiver data will be collected longitudinally on demographics, potential complexity/casemix criteria and patient-level resource use. This will be triangulated with data collected from clinicians on potential complexity/casemix criteria and patient-level resource use, and with qualitative interviews with patients and caregivers about care provision across difference settings. The classification will be refined on the basis of its performance in the validation data set. The study has been approved by the National Health Service Health Research Authority Research Ethics Committee. The results are expected to be disseminated in 2018 through papers for publication in major palliative care journals; policy briefs for clinicians, commissioning leads and policy makers; and lay summaries for patients and public. ISRCTN90752212. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Provision of Palliative Care Services by Family Physicians Is Common.

PubMed

Ankuda, Claire K; Jetty, Anuradha; Bazemore, Andrew; Petterson, Stephen

2017-01-01

Provision of palliative care services by primary care physicians is increasingly important with an aging population, but it is unknown whether US primary care physicians see themselves as palliative practitioners. This study used cross-sectional analysis of data from the 2013 American Board of Family Medicine Maintenance of Certification Demographic Survey. Of 10,894 family physicians, 33.1% (n = 3609) report providing palliative care. Those providing palliative care are significantly more likely to provide non-clinic-based services such as care in nursing homes, home visits, and hospice. Controlling for other characteristics, physicians reporting palliative care provision are significantly ( P < .05) more likely to be older, white, male, rural, and practicing in a patient-centered medical home. One third of family physicians recertifying in 2013 reported providing palliative care, with physician and practice characteristics driving reporting palliative care provision. © Copyright 2017 by the American Board of Family Medicine.

Implementing the optimal provision of ecosystem services

PubMed Central

Polasky, Stephen; Lewis, David J.; Plantinga, Andrew J.; Nelson, Erik

2014-01-01

Many ecosystem services are public goods whose provision depends on the spatial pattern of land use. The pattern of land use is often determined by the decisions of multiple private landowners. Increasing the provision of ecosystem services, though beneficial for society as a whole, may be costly to private landowners. A regulator interested in providing incentives to landowners for increased provision of ecosystem services often lacks complete information on landowners’ costs. The combination of spatially dependent benefits and asymmetric cost information means that the optimal provision of ecosystem services cannot be achieved using standard regulatory or payment for ecosystem services approaches. Here we show that an auction that sets payments between landowners and the regulator for the increased value of ecosystem services with conservation provides incentives for landowners to truthfully reveal cost information, and allows the regulator to implement the optimal provision of ecosystem services, even in the case with spatially dependent benefits and asymmetric information. PMID:24722635

Implementing the optimal provision of ecosystem services.

PubMed

Polasky, Stephen; Lewis, David J; Plantinga, Andrew J; Nelson, Erik

2014-04-29

Many ecosystem services are public goods whose provision depends on the spatial pattern of land use. The pattern of land use is often determined by the decisions of multiple private landowners. Increasing the provision of ecosystem services, though beneficial for society as a whole, may be costly to private landowners. A regulator interested in providing incentives to landowners for increased provision of ecosystem services often lacks complete information on landowners' costs. The combination of spatially dependent benefits and asymmetric cost information means that the optimal provision of ecosystem services cannot be achieved using standard regulatory or payment for ecosystem services approaches. Here we show that an auction that sets payments between landowners and the regulator for the increased value of ecosystem services with conservation provides incentives for landowners to truthfully reveal cost information, and allows the regulator to implement the optimal provision of ecosystem services, even in the case with spatially dependent benefits and asymmetric information.

Danish general practitioners’ self-reported competences in end-of-life care

PubMed Central

Winthereik, Anna; Neergaard, Mette; Vedsted, Peter; Jensen, Anders

2016-01-01

Objective General practitioners (GPs) are pivotal in end-of-life (EOL) care. This study aimed to assess GP-reported provision of EOL care and to assess associations with GP characteristics. Design Population-based questionnaire study. Setting Central Denmark Region with approximately 1.3 million inhabitants. Subjects All 843 active GPs in the Central Denmark Region were sent a questionnaire by mail. Main outcome measures Responses to 18 items concerning four aspects: provision of EOL care to patients with different diagnosis, confidence with being a key worker, organisation of EOL care and EOL skills (medical and psychosocial). Results In total, 573 (68%) GPs responded. Of these, 85% often/always offered EOL care to cancer patients, which was twice as often as to patients with non-malignancies (34–40%). Moreover, 76% felt confident about being a key worker, 60% had a proactive approach, and 58% talked to their patients about dying. Only 9% kept a register of patients with EOL needs, and 19% had specific EOL procedures. GP confidence with own EOL skills varied; from 55% feeling confident using terminal medications to 90% feeling confident treating nausea/vomiting. Increasing GP age was associated with increased confidence about being a key worker and provision of EOL care to patients with non-malignancies. In rural areas, GPs were more confident about administering medicine subcutaneously than in urban areas. Conclusion We found considerable diversity in self-reported EOL care competences. Interventions should focus on increasing GPs’ provision of EOL care to patients with non-malignancies, promoting better EOL care concerning organisation and symptom management. KEY POINTSGPs are pivotal in end-of-life (EOL) care, but their involvement has been questioned. Hence, GPs’ perceived competencies were explored.GPs were twice as likely to provide EOL care for patients with cancer than for patients with non-malignancies.EOL care was lacking clear organisation in general practice in terms of registering palliative patients and having specific EOL procedures.GPs were generally least confident with their skills in terminal medical treatment, for example, using medicine administered subcutaneously. PMID:27822976

48 CFR 1452.280-1 - Notice of Indian small business economic enterprise set-aside.

Code of Federal Regulations, 2014 CFR

2014-10-01

... business economic enterprise set-aside. 1452.280-1 Section 1452.280-1 Federal Acquisition Regulations... of Provisions and Clauses 1452.280-1 Notice of Indian small business economic enterprise set-aside... potential offerors. Notice of Indian Small Business Economic Enterprise Set-aside (JUL 2013) Under the Buy...

48 CFR 1452.280-1 - Notice of Indian small business economic enterprise set-aside.

Code of Federal Regulations, 2013 CFR

2013-10-01

... business economic enterprise set-aside. 1452.280-1 Section 1452.280-1 Federal Acquisition Regulations... of Provisions and Clauses 1452.280-1 Notice of Indian small business economic enterprise set-aside... potential offerors. Notice of Indian Small Business Economic Enterprise Set-aside (JUL 2013) Under the Buy...

1 CFR 11.3 - Code of Federal Regulations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 1 General Provisions 1 2010-01-01 2010-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

1 CFR 11.3 - Code of Federal Regulations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 1 General Provisions 1 2011-01-01 2011-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

77 FR 8880 - Agency Information Collection Activities; Proposed Collection; Comment Request; General Licensing...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-15

... Provisions; Section 351(k) Biosimilar Applications AGENCY: Food and Drug Administration, HHS. ACTION: Notice... of information technology. General Licensing Provisions; Section 351(K) Biosimilar Applications On... Affordable Care Act.) Section 351(k) of the PHS Act (42 U.S.C. 262(k)), added by the BPCI Act, sets forth the...

40 CFR 72.1 - Purpose and scope.

Code of Federal Regulations, 2013 CFR

2013-07-01

... REGULATION Acid Rain Program General Provisions § 72.1 Purpose and scope. (a) Purpose. The purpose of this... affected sources and affected units under the Acid Rain Program, pursuant to title IV of the Clean Air Act... regulations under this part set forth certain generally applicable provisions under the Acid Rain Program. The...

40 CFR 72.1 - Purpose and scope.

Code of Federal Regulations, 2010 CFR

2010-07-01

... REGULATION Acid Rain Program General Provisions § 72.1 Purpose and scope. (a) Purpose. The purpose of this... affected sources and affected units under the Acid Rain Program, pursuant to title IV of the Clean Air Act... regulations under this part set forth certain generally applicable provisions under the Acid Rain Program. The...

40 CFR 72.1 - Purpose and scope.

Code of Federal Regulations, 2011 CFR

2011-07-01

... REGULATION Acid Rain Program General Provisions § 72.1 Purpose and scope. (a) Purpose. The purpose of this... affected sources and affected units under the Acid Rain Program, pursuant to title IV of the Clean Air Act... regulations under this part set forth certain generally applicable provisions under the Acid Rain Program. The...

40 CFR 72.1 - Purpose and scope.

Code of Federal Regulations, 2012 CFR

2012-07-01

... REGULATION Acid Rain Program General Provisions § 72.1 Purpose and scope. (a) Purpose. The purpose of this... affected sources and affected units under the Acid Rain Program, pursuant to title IV of the Clean Air Act... regulations under this part set forth certain generally applicable provisions under the Acid Rain Program. The...

40 CFR 72.1 - Purpose and scope.

Code of Federal Regulations, 2014 CFR

2014-07-01

... REGULATION Acid Rain Program General Provisions § 72.1 Purpose and scope. (a) Purpose. The purpose of this... affected sources and affected units under the Acid Rain Program, pursuant to title IV of the Clean Air Act... regulations under this part set forth certain generally applicable provisions under the Acid Rain Program. The...

46 CFR Sec. 6 - General provisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... provisions. (a) In case of repatriation of any seaman as a passenger aboard a vessel operated for account of... repatriated as a passenger aboard a vessel operated for the account of the National Shipping Authority, shall... charged with the cost of the repatriation. (c) It is recognized that the procedure set forth in this order...

1 CFR 11.3 - Code of Federal Regulations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 1 General Provisions 1 2012-01-01 2012-01-01 false Code of Federal Regulations. 11.3 Section 11.3 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER AVAILABILITY OF OFFICE OF THE FEDERAL... complete set of the Code of Federal Regulations is $1,019 per year for the bound, paper edition, or $247...

Ecosystem service bundles for analyzing tradeoffs in diverse landscapes

PubMed Central

Raudsepp-Hearne, C.; Peterson, G. D.; Bennett, E. M.

2010-01-01

A key challenge of ecosystem management is determining how to manage multiple ecosystem services across landscapes. Enhancing important provisioning ecosystem services, such as food and timber, often leads to tradeoffs between regulating and cultural ecosystem services, such as nutrient cycling, flood protection, and tourism. We developed a framework for analyzing the provision of multiple ecosystem services across landscapes and present an empirical demonstration of ecosystem service bundles, sets of services that appear together repeatedly. Ecosystem service bundles were identified by analyzing the spatial patterns of 12 ecosystem services in a mixed-use landscape consisting of 137 municipalities in Quebec, Canada. We identified six types of ecosystem service bundles and were able to link these bundles to areas on the landscape characterized by distinct social–ecological dynamics. Our results show landscape-scale tradeoffs between provisioning and almost all regulating and cultural ecosystem services, and they show that a greater diversity of ecosystem services is positively correlated with the provision of regulating ecosystem services. Ecosystem service-bundle analysis can identify areas on a landscape where ecosystem management has produced exceptionally desirable or undesirable sets of ecosystem services. PMID:20194739

Summary Impacts of Modeled Provisions of the 2003 Conference Energy Bill

EIA Publications

2004-01-01

This service report was undertaken at the February 2, 2004, request of Senator John Sununu to perform an assessment of the Conference Energy Bill of 2003. This report summarizes the CEB provisions that can be analyzed using the National Energy Modeling System (NEMS) and have the potential to affect energy consumption, supply, and prices. The impacts are estimated by comparing the projections with the CEB provisions to the AEO2004 Reference Case.

Social and legal aspects of marriage in women with mental illness in India

PubMed Central

Sharma, Indira; Tripathi, C. B.; Pathak, Abhishek

2015-01-01

The institution of marriage in Hindus is regulated by the prevailing social norms and the Hindu Marriage Act (HMA), 1955. Married women with mental illness are heavily discriminated. This paper examines the social and legal aspects of Hindu marriage in women with mental illness. The HMA, 1955 lays down the conditions for a Hindu marriage and also provides matrimonial reliefs: Nullity of marriage, restitution of conjugal rights, judicial separation and divorce. The application of the provisions of HMA in the setting mental illness is difficult and challenging. There is a wide gap between the legislative provisions of HMA, and societal value systems and attitudes towards marriage in Indian society. Societal norms are powerful and often override the legal provisions. The disparities are most glaring in the setting of mental illness in women. This is a reflection of social stigma for mental illness and patriarchal attitude towards women. Concerted efforts are needed to bridge the gap between the legislative provisions of HMA and societal value systems and attitudes toward marriage. Awareness programs regarding the nature and types of mental illness, advances in treatment and information about good outcome of severe mental illness will be helpful. Improvement in moral and religious values will overcome to some extent the negative attitudes and patriarchal mind set toward married women with mental illness. PMID:26330650

31 CFR 598.205 - Effect of transfers violating the provisions of this part.

Code of Federal Regulations, 2011 CFR

2011-07-01

... provisions of this part. 598.205 Section 598.205 Money and Finance: Treasury Regulations Relating to Money... KINGPIN SANCTIONS REGULATIONS Prohibitions § 598.205 Effect of transfers violating the provisions of this... paragraph (d) of § 598.205: The filing of a report in accordance with the provisions of paragraph (d)(3) of...

31 CFR 598.205 - Effect of transfers violating the provisions of this part.

Code of Federal Regulations, 2010 CFR

2010-07-01

... provisions of this part. 598.205 Section 598.205 Money and Finance: Treasury Regulations Relating to Money... KINGPIN SANCTIONS REGULATIONS Prohibitions § 598.205 Effect of transfers violating the provisions of this... paragraph (d) of § 598.205: The filing of a report in accordance with the provisions of paragraph (d)(3) of...

31 CFR 598.205 - Effect of transfers violating the provisions of this part.

Code of Federal Regulations, 2013 CFR

2013-07-01

... provisions of this part. 598.205 Section 598.205 Money and Finance: Treasury Regulations Relating to Money... KINGPIN SANCTIONS REGULATIONS Prohibitions § 598.205 Effect of transfers violating the provisions of this... paragraph (d) of § 598.205: The filing of a report in accordance with the provisions of paragraph (d)(3) of...

31 CFR 598.205 - Effect of transfers violating the provisions of this part.

Code of Federal Regulations, 2014 CFR

2014-07-01

... provisions of this part. 598.205 Section 598.205 Money and Finance: Treasury Regulations Relating to Money... KINGPIN SANCTIONS REGULATIONS Prohibitions § 598.205 Effect of transfers violating the provisions of this... paragraph (d) of § 598.205: The filing of a report in accordance with the provisions of paragraph (d)(3) of...

31 CFR 598.205 - Effect of transfers violating the provisions of this part.

Code of Federal Regulations, 2012 CFR

2012-07-01

... provisions of this part. 598.205 Section 598.205 Money and Finance: Treasury Regulations Relating to Money... KINGPIN SANCTIONS REGULATIONS Prohibitions § 598.205 Effect of transfers violating the provisions of this... paragraph (d) of § 598.205: The filing of a report in accordance with the provisions of paragraph (d)(3) of...

SUPPLEMENTARY COMPARISON: Final report of the bilateral comparison APMP.M.H-S2 of hardness measurement for Rockwell scales A and B between PTB and NIMT

NASA Astrophysics Data System (ADS)

Sanponpute, Tassanai; Meesaplak, Apichaya; Herrmann, Konrad; Menelao, Febo

2009-01-01

The bilateral comparison APMP.M.H-S2 of hardness measurement for Rockwell scales A and B was arranged by the National Institute of Metrology of Thailand, NIMT, as the pilot laboratory, comparing with Physikalisch-Technische Bundesanstalt of Germany, PTB. The objective of this comparison was to confirm the calibration and measurement capabilities of NIMT in hardness measurement. The period of measurement covered March to August 2009. There were two sets of artefacts: scale A artefact set and scale B artefact set. The scale A artefact set consisted of seven hardness blocks: 35 HRA, 40 HRA, 55 HRA, 60 HRA, 70 HRA, 80 HRA, 85 HRA. The artefact set for scale B consisted of nine hardness blocks: 25 HRB, 30 HRB, 40 HRB, 50 HRB, 60 HRB, 70 HRB, 80 HRB, 90 HRB, 100 HRB. Laboratories had to ensure that the primary Rockwell hardness machines passed the verification process according to ISO 6508-3. Then participants measured the hardness value by making ten indentations in a designated area of each artefact block. Hardness measurement results and uncertainty budget were then reported to the pilot laboratory and were used to compute the degrees of equivalence in terms of the Comparison Reference Value (CRV) and En ratio. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by APMP, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

Using self-determination theory to promote adolescent girls' physical activity: Exploring the theoretical fidelity of the Bristol Girls Dance Project.

PubMed

Sebire, Simon J; Kesten, Joanna M; Edwards, Mark J; May, Thomas; Banfield, Kathryn; Tomkinson, Keeley; Blair, Peter S; Bird, Emma L; Powell, Jane E; Jago, Russell

2016-05-01

To report the theory-based process evaluation of the Bristol Girls' Dance Project, a cluster-randomised controlled trial to increase adolescent girls' physical activity. A mixed-method process evaluation of the intervention's self-determination theory components comprising lesson observations, post-intervention interviews and focus groups. Four intervention dance lessons per dance instructor were observed, audio recorded and rated to estimate the use of need-supportive teaching strategies. Intervention participants (n = 281) reported their dance instructors' provision of autonomy-support. Semi-structured interviews with the dance instructors (n = 10) explored fidelity to the theory and focus groups were conducted with participants (n = 59) in each school to explore their receipt of the intervention and views on the dance instructors' motivating style. Although instructors accepted the theory-based approach, intervention fidelity was variable. Relatedness support was the most commonly observed need-supportive teaching behaviour, provision of structure was moderate and autonomy-support was comparatively low. The qualitative findings identified how instructors supported competence and developed trusting relationships with participants. Fidelity was challenged where autonomy provision was limited to option choices rather than input into the pace or direction of lessons and where controlling teaching styles were adopted, often to manage disruptive behaviour. The successes and challenges to achieving theoretical fidelity in the Bristol Girls' Dance Project may help explain the intervention effects and can more broadly inform the design of theory-based complex interventions aimed at increasing young people's physical activity in after-school settings.

Using self-determination theory to promote adolescent girls' physical activity: Exploring the theoretical fidelity of the Bristol Girls Dance Project

PubMed Central

Sebire, Simon J.; Kesten, Joanna M.; Edwards, Mark J.; May, Thomas; Banfield, Kathryn; Tomkinson, Keeley; Blair, Peter S.; Bird, Emma L.; Powell, Jane E.; Jago, Russell

2016-01-01

Objectives To report the theory-based process evaluation of the Bristol Girls' Dance Project, a cluster-randomised controlled trial to increase adolescent girls' physical activity. Design A mixed-method process evaluation of the intervention's self-determination theory components comprising lesson observations, post-intervention interviews and focus groups. Method Four intervention dance lessons per dance instructor were observed, audio recorded and rated to estimate the use of need-supportive teaching strategies. Intervention participants (n = 281) reported their dance instructors' provision of autonomy-support. Semi-structured interviews with the dance instructors (n = 10) explored fidelity to the theory and focus groups were conducted with participants (n = 59) in each school to explore their receipt of the intervention and views on the dance instructors' motivating style. Results Although instructors accepted the theory-based approach, intervention fidelity was variable. Relatedness support was the most commonly observed need-supportive teaching behaviour, provision of structure was moderate and autonomy-support was comparatively low. The qualitative findings identified how instructors supported competence and developed trusting relationships with participants. Fidelity was challenged where autonomy provision was limited to option choices rather than input into the pace or direction of lessons and where controlling teaching styles were adopted, often to manage disruptive behaviour. Conclusion The successes and challenges to achieving theoretical fidelity in the Bristol Girls' Dance Project may help explain the intervention effects and can more broadly inform the design of theory-based complex interventions aimed at increasing young people's physical activity in after-school settings. PMID:27175102

Legal Network report calls for decriminalization of prostitution in Canada.

PubMed

Betteridge, Glenn

2005-12-01

In December 2005 the Canadian HIV/AIDS Legal Network released Sex, work, rights: reforming Canadian criminal laws on prostitution. The report examines the ways in which the prostitution-related provisions of the Criminal Code, and their enforcement, have criminalized many aspects of sex workers' lives and have promoted their social marginalization. Evidence indicates that the criminal law has contributed to health and safety risks, including the risk of HIV infection, faced by sex workers. The Legal Network calls for the decriminalization of prostitution in Canada, and for other legal and policy reforms that respect the human rights and promote the health of sex workers. Despite the report's Canadian focus, its human rights analysis is relevant to the situation of sex workers in other countries where prostitution is illegal and sex workers face rights abuses. In this article, Glenn Betteridge, the principal author of the report, briefly sets out the case for law reform.

The Persuasive Effect of Social Network Feedback on Mediated Communication: A Case Study in a Real Organization.

PubMed

Varotto, Alessandra; Gamberini, Luciano; Spagnolli, Anna; Martino, Francesco; Giovannardi, Isabella

2016-03-01

This study focuses on social feedback, namely on information on the outcome of users' online activity indirectly generated by other users, and investigates in a real setting whether it can affect subsequent activity and, if so, whether participants are aware of that. SkyPas, an application that calculates, transmits, and displays social feedback, was embedded in a common instant messaging service (Skype(™)) and used during a 7-week trial by 24 office workers at a large business organization. The trial followed an ABA scheme in which the B phase was the feedback provision phase. Results show that social feedback affects users' communication activity (participation, inward communication, outward communication, and reciprocity), sometimes even after the feedback provision phase. At the same time, users were poorly aware of this effect, showing a discrepancy between self-reported and observational measures. These results are then discussed in terms of design transparency and task compatibility.

50 CFR 600.715 - Recordkeeping and reporting.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 8 2010-10-01 2010-10-01 false Recordkeeping and reporting. 600.715 Section 600.715 Wildlife and Fisheries FISHERY CONSERVATION AND MANAGEMENT, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MAGNUSON-STEVENS ACT PROVISIONS General Provisions for...

76 FR 69333 - Derivatives Clearing Organization General Provisions and Core Principles

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-08

...The Commodity Futures Trading Commission (Commission) is adopting final regulations to implement certain provisions of Title VII and Title VIII of the Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) governing derivatives clearing organization (DCO) activities. More specifically, the regulations establish the regulatory standards for compliance with DCO Core Principles A (Compliance), B (Financial Resources), C (Participant and Product Eligibility), D (Risk Management), E (Settlement Procedures), F (Treatment of Funds), G (Default Rules and Procedures), H (Rule Enforcement), I (System Safeguards), J (Reporting), K (Recordkeeping), L (Public Information), M (Information Sharing), N (Antitrust Considerations), and R (Legal Risk) set forth in Section 5b of the Commodity Exchange Act (CEA). The Commission also is updating and adding related definitions; adopting implementing rules for DCO chief compliance officers (CCOs); revising procedures for DCO applications including the required use of a new Form DCO; adopting procedural rules applicable to the transfer of a DCO registration; and adding requirements for approval of DCO rules establishing a portfolio margining program for customer accounts carried by a futures commission merchant (FCM) that is also registered as a securities broker-dealer (FCM/BD). In addition, the Commission is adopting certain technical amendments to parts 21 and 39, and is adopting certain delegation provisions under part 140.

Medicare program; revisions to the Medicare Advantage and Part D prescription drug contract determinations, appeals, and intermediate sanctions processes. Final rule with comment period.

PubMed

2007-12-05

This rule with comment period finalizes the Medicare program provisions relating to contract determinations involving Medicare Advantage (MA) organizations and Medicare Part D prescription drug plan sponsors, including eliminating the reconsideration process for review of contract determinations, revising the provisions related to appeals of contract determinations, and clarifying the process for MA organizations and Part D plan sponsors to complete corrective action plans. In this final rule with comment period, we also clarify the intermediate sanction and civil money penalty (CMP) provisions that apply to MA organizations and Medicare Part D prescription drug plan sponsors, modify elements of their compliance plans, retain voluntary self-reporting for Part D sponsors and implement a voluntary self-reporting recommendation for MA organizations, and revise provisions to ensure HHS has access to the books and records of MA organizations and Part D plan sponsors' first tier, downstream, and related entities. Although we have decided not to finalize the mandatory self-reporting provisions that we proposed, CMS remains committed to adopting a mandatory self-reporting requirement. To that end, we are requesting comments that will assist CMS in crafting a future proposed regulation for a mandatory self-reporting requirement.

40 CFR 60.145a - Compliance provisions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... data sets shall be determined accordingly. (e) To determine compliance with § 60.142a(a)(1), select the data sets yielding the highest and second highest 3-minute average opacities for each steel production...

40 CFR 60.145a - Compliance provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... data sets shall be determined accordingly. (e) To determine compliance with § 60.142a(a)(1), select the data sets yielding the highest and second highest 3-minute average opacities for each steel production...

40 CFR 60.145a - Compliance provisions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... data sets shall be determined accordingly. (e) To determine compliance with § 60.142a(a)(1), select the data sets yielding the highest and second highest 3-minute average opacities for each steel production...

40 CFR 60.145a - Compliance provisions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... data sets shall be determined accordingly. (e) To determine compliance with § 60.142a(a)(1), select the data sets yielding the highest and second highest 3-minute average opacities for each steel production...

40 CFR 60.145a - Compliance provisions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... data sets shall be determined accordingly. (e) To determine compliance with § 60.142a(a)(1), select the data sets yielding the highest and second highest 3-minute average opacities for each steel production...

Sexual violence against men and boys in conflict and forced displacement: implications for the health sector.

PubMed

Chynoweth, Sarah K; Freccero, Julie; Touquet, Heleen

2017-11-01

Sexual violence against men and boys is commonplace in many conflict-affected settings and may be frequent in relation to forced displacement as well. Adolescent boys, forming the majority of unaccompanied minors globally, are a particularly vulnerable group. Yet sensitised health services for adult and adolescent male sexual violence survivors are scarce, and barriers to accessing care remain high. We describe current challenges and gaps in the provision of health care for male survivors in settings affected by conflict and forced displacement, and provide suggestions on how to improve service provision and uptake.

Family-centred care delivery

PubMed Central

Mayo-Bruinsma, Liesha; Hogg, William; Taljaard, Monica; Dahrouge, Simone

2013-01-01

Abstract Objective To determine whether models of primary care service delivery differ in their provision of family-centred care (FCC) and to identify practice characteristics associated with FCC. Design Cross-sectional study. Setting Primary care practices in Ontario (ie, 35 salaried community health centres, 35 fee-for-service practices, 32 capitation-based health service organizations, and 35 blended remuneration family health networks) that belong to 4 models of primary care service delivery. Participants A total of 137 practices, 363 providers, and 5144 patients. Main outcome measures Measures of FCC in patient and provider surveys were based on the Primary Care Assessment Tool. Statistical analyses were conducted using linear mixed regression models and generalized estimating equations. Results Patient-reported FCC scores were high and did not vary significantly by primary care model. Larger panel size in a practice was associated with lower odds of patients reporting FCC. Provider-reported FCC scores were significantly higher in community health centres than in family health networks (P = .035). A larger number of nurse practitioners and clinical services on-site were both associated with higher FCC scores, while scores decreased as the number of family physicians in a practice increased and if practices were more rural. Conclusion Based on provider and patient reports, primary care reform strategies that encourage larger practices and more patients per family physician might compromise the provision of FCC, while strategies that encourage multidisciplinary practices and a range of services might increase FCC. PMID:24235195

Organizational risk management of resistance to care episodes in health facilities.

PubMed

Kable, Ashley; Guest, Maya; McLeod, Mary

2012-09-01

This article reports a study of organizational risk management approaches to resistance to care episodes in specific clinical areas: prevention measures, provision of subsequent support and follow-up by management and resultant organizational change. Resistance to care describes a patient's unwillingness to be assisted by healthcare staff and is manifested in defensive behaviours ranging from minor non-compliance/dissent to aggression. It has previously been studied in aged care settings and focused on patient behaviours and appropriate responses. This was a cross-sectional survey of a representative sample of nurses (n = 5044) who were members of the New South Wales Nurses' Association in Australia, in 2008-2009. Of 1132 participants, 80% reported being involved in resistance to care episodes during the previous month and this was higher in some settings. Episodes were not routinely reported internally, and often did not lead to organizational change. Nurses reported that talking with other staff was the most effective action in dealing with the consequences of these episodes. Half of the respondents considered that they were provided with sufficient support and follow-up after a resistance to care episode. Prevention measures and follow-up strategies adopted by employers varied across clinical settings. Resistance to care is not confined to aged care settings, and risk management of resistance to care can increase safety in the workplace. Preventive strategies such as increased staff, training and security should be focused on high risk clinical areas; and appropriate support, follow-up and organizational change instituted in response to these episodes. © 2011 Blackwell Publishing Ltd.

Pharmacists' views on the development of asthma pharmaceutical care model in Indonesia: A needs analysis study.

PubMed

Widayati, Aris; Virginia, Dita Maria; Setiawan, Christianus Heru; Fenty, Fenty; Donowati, Maria Wisnu; Christasani, Putu Dyana; Hartayu, Titien Siwi; Suhadi, Rita; Saini, Bandana; Armour, Carol

2018-01-30

Over recent years the pharmacy profession in Indonesia has adopted a stance of pharmaceutical care to expand their scope of practice. Asthma management presents a key opportunity for pharmacists to test expanded roles in health service provision. There is however no exploratory work on the willingness, experience or future practice needs of Indonesian pharmacists in the realm of specialised asthma service provision. The objectives of this study were to explore Indonesian pharmacists' experiences, perspectives, and needs regarding the provision of pharmaceutical care for asthma patients in Indonesia. The study utilised conventional qualitative content analyses with two stages, i.e.: deductive analyses and inductive concept development. Data were collected using Focus Group Discussion (FGD) Method. FGDs were conducted using a topic guide and by facilitators trained in FGD conduct. FGDs were audio-recorded and transcribed verbatim prior to analysis. A maximum variation sampling methods targeted pharmacist across various settings of practice within Yogyakarta Indonesia. Nine focus groups with 103 pharmacist participants were conducted, with an average of 11 participants in each group. Inductively derived concepts that emerged included: willingness to adopt asthma service provision roles, pragmatism in recognising essential barriers/facilitators in adopting such roles, reflections regarding practice gaps and barriers to interprofessional collaboration mainly in relation to doctors. Inductive data analysis indicated clear differences in responses between hospital and non-hospital pharmacists. Key barriers to service provision included lack of training, lack of supportive professional frameworks, time and lack of reimbursement channels for services. Participants urged for a visionary leadership to facilitate pharmacists' role expansion into health services provision in Indonesia. Indonesian pharmacists were willing to adopt change and reported universally recognised barriers and facilitators to changing roles, especially in the provision of asthma care. Given this universality of pharmacists expressions, it may be suggested that the experience of researchers and academics who have expended time and effort in developing and implementing asthma care models in other countries should be, to some extent, transplanted to regions where pharmacy organisations are now considering adopting roles additional to medicines supply. Copyright © 2018 Elsevier Inc. All rights reserved.

77 FR 24748 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Order Granting...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-25

... establish a real-time market data set for disseminated Asset-Backed Security transaction information (``ABS Data Set'') and to amend Rule 7730(d) to establish a historic data set for such information (``Historic ABS Data Set'').\\16\\ The provisions of Rule 7730 that currently apply to the two existing real-time...

Setting Up Workplace Basic Skills Training. Guidelines for Practitioners. An ALBSU Special Development Project.

ERIC Educational Resources Information Center

Rees, Libby

This guide provides information on basic skills needs and programs in the workplace and issues affecting basic skills provision from a British perspective. Section 1 aims to provide a context for workplace basic skills provision. Sections 2-7 provide practical suggestions and advice on the following topics: (1) marketing; (2) contacting employers;…

10 CFR 950.14 - Standby Support Contract: Covered events, exclusions, covered delay and covered cost provisions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... include a provision setting forth the type of events that are covered events under the contract. The type...) Litigation in State, Federal, local, or tribal courts, including appeals of Commission decisions related to..., including but not limited to the following types of events: (i) The sponsor's failure to comply with...

76 FR 16703 - Small Business Jobs Act Tour: Selected Provisions Having an Effect on Government Contracting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-25

... or cooperative research and development set aside for small business concerns shall be deemed an... SMALL BUSINESS ADMINISTRATION 13 CFR Parts 121, 124, 125, 126, and 127 [Docket No. SBA-2011-0006] Small Business Jobs Act Tour: Selected Provisions Having an Effect on Government Contracting AGENCY: U.S...

Consumer Health Information Provision in Rural Public Libraries: A Comparison of Two Library Systems

ERIC Educational Resources Information Center

Flaherty, Mary Grace

2013-01-01

To better understand health information provision in the public library setting, two cooperative library systems that serve primarily rural populations in upstate New York were studied. The central library in one of those systems established a consumer health information center (CHIC) in 1999. In the other system, the central library does not have…

College Student Records: Legal Issues, Privacy, and Security Concerns. ERIC Digest.

ERIC Educational Resources Information Center

Holub, Tamara

This digest briefly reviews the provisions of the Family Educational Rights and Privacy Act (FERPA) of 1974 (the Buckley Amendment), which sets out legal guidelines regarding the privacy of student records and the provisions of the U.S. Patriot Act, along with the measures some colleges are implementing to comply with these laws and improve the…

Specific language impairment and school outcomes. II: Educational context, student satisfaction, and post-compulsory progress.

PubMed

Durkin, Kevin; Simkin, Zoë; Knox, Emma; Conti-Ramsden, Gina

2009-01-01

This investigation is the second paper of a companion set reporting the outcomes of secondary schooling for young people who have been participating in the Manchester Language Study. To examine the school context of educational results at 16 years of age and to provide information on the adolescents' post-16 activities. A total of 120 adolescents with a history of specific language impairment (SLI) and 121 adolescents with typical development (TD) in their final year of compulsory secondary schooling (mean age = 17;4 years) participated in the study. Data on educational placement, special education support and provision of statement of special educational needs (SEN) were collected, along with the provision of access arrangements during examinations. Adolescents were interviewed about their levels of expectation and satisfaction with their examination results and their subsequent post-16 activities. Only a small proportion of adolescents attended special units/schools throughout their secondary schooling; a larger proportion consistently attended mainstream schools. Those in receipt of a statement of SEN performed more poorly in their examinations than those without a statement. Around 60% of the adolescents with SLI were provided with some type of access arrangements during their core examinations. The majority (88%) of adolescents with SLI reported that they were satisfied with their educational outcomes. Most adolescents with SLI (91%), regardless of school placement at 16 years, remained in education post-16, with the majority in college settings. Adolescents with a history of SLI have continued difficulties throughout secondary schooling, with three-quarters of the sample receiving some form of special education in a variety of settings. Educational attainment varied across different groups of adolescents but was consistently poorer than the attainment of typically developing peers. Young people with SLI in the 2000s appear to have more opportunities to remain in education post-16 than they did in the 1990s.

Interventions that promote retention of experienced registered nurses in health care settings: a systematic review.

PubMed

Lartey, Sarah; Cummings, Greta; Profetto-McGrath, Joanne

2014-11-01

The aim of this review was to report the effectiveness of strategies for retaining experienced Registered Nurses. Nursing researchers have noted that the projected nursing shortage, if not rectified, is expected to affect healthcare cost, job satisfaction and quality patient care. Retaining experienced nurses would help to mitigate the shortage, facilitate the transfer of knowledge and provision of quality care to patients. A systematic review of studies on interventions that promote the retention of experienced Registered Nurses in health care settings. Twelve studies were included in the final analysis. Most studies reported improved retention as a result of the intervention. Team work and individually targeted strategies including mentoring, leadership interest and in-depth orientation increased job satisfaction and produced higher retention results. Few published studies have examined interventions that promote the retention of experienced Registered Nurses in healthcare. Retention was highest when multiple interventions were used. Further research is needed to inform nurse leaders of ways to retain nurses and to maintain quality care in health care settings. Programmes targeting the retention of experienced nurses need to be considered when implementing measures to decrease the nursing shortage and its effects on quality care. © 2013 John Wiley & Sons Ltd.

Factors Considered in Determining Educational Setting for Students with Emotional Disturbance

ERIC Educational Resources Information Center

Hoge, Matthew

2013-01-01

The present study identified factors influencing determination of educational setting for students with Emotional Disturbance (ED). Determination of most appropriate educational setting, a key provision of students' individualized education programs (IEP) continues to be one the most contentious issues in special education. Focus group interviews…

48 CFR 552.242-70 - Status Report of Orders and Shipments.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false Status Report of Orders and Shipments. 552.242-70 Section 552.242-70 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 552.242-70 Status Report of Orders and...

48 CFR 552.242-70 - Status Report of Orders and Shipments.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false Status Report of Orders and Shipments. 552.242-70 Section 552.242-70 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 552.242-70 Status Report of Orders and...

48 CFR 552.242-70 - Status Report of Orders and Shipments.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false Status Report of Orders and Shipments. 552.242-70 Section 552.242-70 Federal Acquisition Regulations System GENERAL SERVICES ADMINISTRATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 552.242-70 Status Report of Orders and...

The safety and quality of childbirth in the context of health systems: mapping maternal health provision in Lebanon

PubMed Central

DeJong, Jocelyn; Akik, Chaza; El Kak, Faysal; Osman, Hibah; El-Jardali, Fadi

2010-01-01

Objective to provide basic information on the distribution (public/private and geographically) and the nature of maternity health provision in Lebanon, including relevant health outcome data at the hospital level in order to compare key features of provision with maternal/neonatal health outcomes. Design a self-completion questionnaire was sent to private hospitals by the Syndicate of Private Hospitals in collaboration with the study team and to all public hospitals in Lebanon with a functioning maternity ward by the study team in cooperation with the Ministry of Public Health. Setting childbirth in an institutional setting by a trained attendant is almost universal in Lebanon and the predominant model of care is obstetrician-led rather than midwife-led. Yet due to a 15-year-old civil war and a highly privatised health sector, Lebanon lacks systematic or publically available data on the organisation, distribution and quality of maternal health services. An accreditation system for private hospitals was recently initiated to regulate the quality of hospital care in Lebanon. Participants in total, 58 (out of 125 eligible) hospitals responded to the survey (46% total response rate). Only hospital-level aggregate data were collected. Measurements the survey addressed the volume of services, mode of payment for deliveries, number of health providers, number of labour and childbirth units, availability of neonatal intensive care units, fetal monitors and infusion rate regulation pumps for oxytocin, as well as health outcome data related to childbirth care and stillbirths for the year 2008. Findings the study provides the first data on maternal health provision from a survey of all eligible hospitals in Lebanon. More than three-quarters of deliveries occur in private hospitals, but the Ministry of Public Health is the single most important source of payment for childbirth. The reported hospital caesarean section rate is high at 40.8%. Essential equipment for safe maternal and newborn health care is widely available in Lebanon, but over half of the hospitals that responded lack a neonatal intensive care unit. The ratio of reported numbers of midwives to deliveries is three times that of obstetricians to deliveries. Key conclusions and implications for practice there is a need for greater interaction between maternal/neonatal health, health system specialists and policy makers on how the health system can support both the adoption of evidence-based interventions and, ultimately, better maternal and perinatal health outcomes. PMID:20691519

21 CFR 26.81 - Final provisions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Final provisions. 26.81 Section 26.81 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL MUTUAL RECOGNITION OF PHARMACEUTICAL GOOD MANUFACTURING PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS...

40 CFR 63.103 - General compliance, reporting, and recordkeeping provisions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... CATEGORIES National Emission Standards for Organic Hazardous Air Pollutants From the Synthetic Organic Chemical Manufacturing Industry § 63.103 General compliance, reporting, and recordkeeping provisions. (a... media. (e) The owner or operator of a chemical manufacturing process unit which meets the criteria of...

40 CFR 63.103 - General compliance, reporting, and recordkeeping provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... CATEGORIES National Emission Standards for Organic Hazardous Air Pollutants From the Synthetic Organic Chemical Manufacturing Industry § 63.103 General compliance, reporting, and recordkeeping provisions. (a... media. (e) The owner or operator of a chemical manufacturing process unit which meets the criteria of...

40 CFR 63.103 - General compliance, reporting, and recordkeeping provisions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... CATEGORIES National Emission Standards for Organic Hazardous Air Pollutants From the Synthetic Organic Chemical Manufacturing Industry § 63.103 General compliance, reporting, and recordkeeping provisions. (a... media. (e) The owner or operator of a chemical manufacturing process unit which meets the criteria of...

40 CFR 63.103 - General compliance, reporting, and recordkeeping provisions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... CATEGORIES National Emission Standards for Organic Hazardous Air Pollutants From the Synthetic Organic Chemical Manufacturing Industry § 63.103 General compliance, reporting, and recordkeeping provisions. (a... media. (e) The owner or operator of a chemical manufacturing process unit which meets the criteria of...

45 CFR 2543.48 - Contract provisions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... contain the procurement provisions of Appendix A to this Circular, as applicable. Reports and Records ... 45 Public Welfare 4 2011-10-01 2011-10-01 false Contract provisions. 2543.48 Section 2543.48 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY...

45 CFR 2543.48 - Contract provisions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... contain the procurement provisions of Appendix A to this Circular, as applicable. Reports and Records ... 45 Public Welfare 4 2010-10-01 2010-10-01 false Contract provisions. 2543.48 Section 2543.48 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY...

A multiprocessor computer simulation model employing a feedback scheduler/allocator for memory space and bandwidth matching and TMR processing

NASA Technical Reports Server (NTRS)

Bradley, D. B.; Irwin, J. D.

1974-01-01

A computer simulation model for a multiprocessor computer is developed that is useful for studying the problem of matching multiprocessor's memory space, memory bandwidth and numbers and speeds of processors with aggregate job set characteristics. The model assumes an input work load of a set of recurrent jobs. The model includes a feedback scheduler/allocator which attempts to improve system performance through higher memory bandwidth utilization by matching individual job requirements for space and bandwidth with space availability and estimates of bandwidth availability at the times of memory allocation. The simulation model includes provisions for specifying precedence relations among the jobs in a job set, and provisions for specifying precedence execution of TMR (Triple Modular Redundant and SIMPLEX (non redundant) jobs.

A mobile clinic approach to the delivery of community-based mental health services in rural Haiti.

PubMed

Fils-Aimé, J Reginald; Grelotti, David J; Thérosmé, Tatiana; Kaiser, Bonnie N; Raviola, Giuseppe; Alcindor, Yoldie; Severe, Jennifer; Affricot, Emmeline; Boyd, Katherine; Legha, Rupinder; Daimyo, Shin; Engel, Stephanie; Eustache, Eddy

2018-01-01

This study evaluates the use of a mental health mobile clinic to overcome two major challenges to the provision of mental healthcare in resource-limited settings: the shortage of trained specialists; and the need to improve access to safe, effective, and culturally sound care in community settings. Employing task-shifting and supervision, mental healthcare was largely delivered by trained, non-specialist health workers instead of specialists. A retrospective chart review of 318 unduplicated patients assessed and treated during the mobile clinic's first two years (January 2012 to November 2013) was conducted to explore outcomes. These data were supplemented by a quality improvement questionnaire, illustrative case reports, and a qualitative interview with the mobile clinic's lead community health worker. The team evaluated an average of 42 patients per clinic session. The most common mental, neurological, or substance abuse (MNS) disorders were depression and epilepsy. Higher follow-up rates were seen among those with diagnoses of bipolar disorder and neurological conditions, while those with depression or anxiety had lower follow-up rates. Persons with mood disorders who were evaluated on at least two separate occasions using a locally developed depression screening tool experienced a significant reduction in depressive symptoms. The mental health mobile clinic successfully treated a wide range of MNS disorders in rural Haiti and provided care to individuals who previously had no consistent access to mental healthcare. Efforts to address these common barriers to the provision of mental healthcare in resource-limited settings should consider supplementing clinic-based with mobile services.

Selected Amendments Enacted Since 1980 To Control Guaranteed Student Loan Defaults. CRS Report for Congress.

ERIC Educational Resources Information Center

Fraas, Charlotte J.

Congress, over the past decade, has enacted a number of laws with provisions aimed at preventing defaults and improving collections on defaulted student loans. This report presents a synopsis of legislative provisions enacted to combat student loan defaults beginning with the Education Amendments of 1980. The laws included in the report are:…

20 CFR 404.454 - Good cause for failure to make required reports.

Code of Federal Regulations, 2013 CFR

2013-04-01

... timely report under the provisions described in §§ 404.450 and 404.452 will not result in a penalty... timely report was due to good cause. Before making any penalty determination as described in §§ 404.451 and 404.453, the individual shall be advised of the penalty and good cause provisions and afforded an...

20 CFR 404.454 - Good cause for failure to make required reports.

Code of Federal Regulations, 2014 CFR

2014-04-01

... timely report under the provisions described in §§ 404.450 and 404.452 will not result in a penalty... timely report was due to good cause. Before making any penalty determination as described in §§ 404.451 and 404.453, the individual shall be advised of the penalty and good cause provisions and afforded an...

20 CFR 404.454 - Good cause for failure to make required reports.

Code of Federal Regulations, 2012 CFR

2012-04-01

... timely report under the provisions described in §§ 404.450 and 404.452 will not result in a penalty... timely report was due to good cause. Before making any penalty determination as described in §§ 404.451 and 404.453, the individual shall be advised of the penalty and good cause provisions and afforded an...

20 CFR 404.454 - Good cause for failure to make required reports.

Code of Federal Regulations, 2011 CFR

2011-04-01

... timely report under the provisions described in §§ 404.450 and 404.452 will not result in a penalty... timely report was due to good cause. Before making any penalty determination as described in §§ 404.451 and 404.453, the individual shall be advised of the penalty and good cause provisions and afforded an...

20 CFR 404.454 - Good cause for failure to make required reports.

Code of Federal Regulations, 2010 CFR

2010-04-01

... timely report under the provisions described in §§ 404.450 and 404.452 will not result in a penalty... timely report was due to good cause. Before making any penalty determination as described in §§ 404.451 and 404.453, the individual shall be advised of the penalty and good cause provisions and afforded an...

Hitting the Target: Target Setting and Information Systems for the Learning and Skills Sector.

ERIC Educational Resources Information Center

Owen, Jane; Alterman, Jeff

The use of target setting in conjunction with good information systems in colleges and work-based learning (WBL) providers can lead to improved service provisions across the sector in the United Kingdom. Target setting must be carried out in a systematic way in which providers must develop target- setting processes with a focus on learner success;…

48 CFR 3052.219-70 - Small Business subcontracting program reporting.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Small Business... SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 3052.219-70 Small Business...: Small Business Subcontracting Plan Reporting (JUN 2006) (a) The Contractor shall enter the information...

48 CFR 3052.219-70 - Small Business subcontracting program reporting.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 7 2011-10-01 2011-10-01 false Small Business... SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 3052.219-70 Small Business...: Small Business Subcontracting Plan Reporting (JUN 2006) (a) The Contractor shall enter the information...

48 CFR 3052.219-70 - Small Business subcontracting program reporting.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 7 2014-10-01 2014-10-01 false Small Business... SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 3052.219-70 Small Business...: Small Business Subcontracting Plan Reporting (JUN 2006) (a) The Contractor shall enter the information...

48 CFR 3052.219-70 - Small Business subcontracting program reporting.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 7 2012-10-01 2012-10-01 false Small Business... SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 3052.219-70 Small Business...: Small Business Subcontracting Plan Reporting (JUN 2006) (a) The Contractor shall enter the information...

48 CFR 3052.219-70 - Small Business subcontracting program reporting.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 7 2013-10-01 2012-10-01 true Small Business... SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 3052.219-70 Small Business...: Small Business Subcontracting Plan Reporting (JUN 2006) (a) The Contractor shall enter the information...

Schooling with Care? Developing Provision for Children and Young People Presenting Social, Emotional and Behavioural Difficulties.

ERIC Educational Resources Information Center

Munn, Pamela, Ed.

This book is the product of collaboration between Education and Social Work, at both the national and local level, on a project to identify and disseminate examples of good practice in the provision for children and young people presenting social, emotional, and behavioral difficulties. There are many issues which surround the setting up and…

Community Reintegration for People with Psychiatric Disabilities: Challenging Systemic Barriers to Service Provision and Public Policy through Participatory Action Research

ERIC Educational Resources Information Center

Mirza, Mansha; Gossett, Andrea; Chan, Nathan Kai-Cheong; Burford, Larry; Hammel, Joy

2008-01-01

People with psychiatric disabilities represent a growing group within the population of nursing home residents in the USA. Despite a preference for living in community-based settings, the availability of supportive services for community living is hindered by barriers at both the service provision and public policy levels. Therefore, understanding…

Seeking Educational Excellence Everywhere: An Exploration into the Impact of Academisation on Alternative Education Provision in England

ERIC Educational Resources Information Center

Dean, Charlotte

2016-01-01

This article presents a policy analysis of the UK Government's Academies programme and explores the impact that this might have on young people who have become disengaged from the mainstream education system and are thus educated in "alternative provision" (AP) settings. It argues that the academisation proposals curtail some of the…

40 CFR 52.38 - What are the requirements of the Federal Implementation Plans (FIPs) under the Transport Rule (TR...

Code of Federal Regulations, 2013 CFR

2013-07-01

... Federal Implementation Plans (FIPs) under the Transport Rule (TR) relating to emissions of nitrogen oxides... emissions of nitrogen oxides? (a)(1) The TR NOX Annual Trading Program provisions set forth in subpart AAAAA... annual emissions of nitrogen oxides (NOX). (2) The provisions of subpart AAAAA of part 97 of this chapter...

40 CFR 52.38 - What are the requirements of the Federal Implementation Plans (FIPs) under the Transport Rule (TR...

Code of Federal Regulations, 2014 CFR

2014-07-01

... Federal Implementation Plans (FIPs) under the Transport Rule (TR) relating to emissions of nitrogen oxides... emissions of nitrogen oxides? (a)(1) The TR NOX Annual Trading Program provisions set forth in subpart AAAAA... annual emissions of nitrogen oxides (NOX). (2) The provisions of subpart AAAAA of part 97 of this chapter...

40 CFR 52.38 - What are the requirements of the Federal Implementation Plans (FIPs) under the Transport Rule (TR...

Code of Federal Regulations, 2012 CFR

2012-07-01

... Federal Implementation Plans (FIPs) under the Transport Rule (TR) relating to emissions of nitrogen oxides... emissions of nitrogen oxides? (a)(1) The TR NOX Annual Trading Program provisions set forth in subpart AAAAA... annual emissions of nitrogen oxides (NOX). (2) The provisions of subpart AAAAA of part 97 of this chapter...

48 CFR 1827.409 - Solicitation provisions and contract clauses. (NASA supplements paragraph (a), (b), (c), (d), (e...

Code of Federal Regulations, 2013 CFR

2013-10-01

... and contract clauses. (NASA supplements paragraph (a), (b), (c), (d), (e), (i), and (k)) 1827.409... Solicitation provisions and contract clauses. (NASA supplements paragraph (a), (b), (c), (d), (e), (i), and (k.... (k)(i) The contracting officer shall add paragraph (e) as set forth in 1852.227-19(a) to the clause...

Provision for Youngsters with Autistic Spectrum Disorders in Mainstream Schools: What Parents Say--and What Parents Want

ERIC Educational Resources Information Center

Whitaker, Philip

2007-01-01

Relatively little research has focused on parental perceptions and experience of educational provision in mainstream settings for children and young people with autism. Much of that which has been undertaken (and certainly that which is most widely cited) has tended to rely on samples which may not be sufficiently representative. In the study…

The Continuing Development of Primary Sector Physical Education: Working Together to Raise Quality of Provision

ERIC Educational Resources Information Center

Sloan, Stephen

2010-01-01

This paper sets out to provide further insight as to the reasons why many schools within the primary sector continue to find it difficult to ensure quality provision for physical education (PE) and school sport. It examines why class teachers, including the subject coordinator, possess concerns about teaching PE. It asks the question of who is…

29 CFR 549.2 - Disqualifying provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... OF A âBONA FIDE PROFIT-SHARING PLAN OR TRUSTâ § 549.2 Disqualifying provisions. No plan or trust... fide profit-sharing plan or trust under section 7(e)(3)(b) of the Act: (a) If the share of any... terms of the plan or trust, is set at a predetermined fixed sum or is so limited as to provide in effect...

Multiple imputation as one tool to provide longitudinal databases for modelling human height and weight development.

PubMed

Aßmann, C

2016-06-01

Besides large efforts regarding field work, provision of valid databases requires statistical and informational infrastructure to enable long-term access to longitudinal data sets on height, weight and related issues. To foster use of longitudinal data sets within the scientific community, provision of valid databases has to address data-protection regulations. It is, therefore, of major importance to hinder identifiability of individuals from publicly available databases. To reach this goal, one possible strategy is to provide a synthetic database to the public allowing for pretesting strategies for data analysis. The synthetic databases can be established using multiple imputation tools. Given the approval of the strategy, verification is based on the original data. Multiple imputation by chained equations is illustrated to facilitate provision of synthetic databases as it allows for capturing a wide range of statistical interdependencies. Also missing values, typically occurring within longitudinal databases for reasons of item non-response, can be addressed via multiple imputation when providing databases. The provision of synthetic databases using multiple imputation techniques is one possible strategy to ensure data protection, increase visibility of longitudinal databases and enhance the analytical potential.

48 CFR 52.219-20 - Notice of Emerging Small Business Set-Aside.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Clauses 52.219-20 Notice of Emerging Small Business Set-Aside. As prescribed in 19.1008(b), insert the following provision: Notice of Emerging Small Business Set-Aside (JAN 1991) Offers or quotations under this acquisition are solicited from emerging small business concerns only. Offers that are not from an emerging...

42 CFR 415.160 - Election of reasonable cost payment for direct medical and surgical services of physicians in...

Code of Federal Regulations, 2010 CFR

2010-10-01

... medical and surgical services of physicians in teaching hospitals: General provisions. 415.160 Section 415... TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS Physician Services in Teaching Settings § 415.160 Election of reasonable cost payment for direct medical and surgical services of physicians in teaching...

Developing and testing new smoking measures for the Health Plan Employer Data and Information Set.

PubMed

Pbert, Lori; Vuckovic, Nancy; Ockene, Judith K; Hollis, Jack F; Riedlinger, Karen

2003-04-01

To develop and test items for the Health Plan Employee Data and Information Set (HEDIS) that assess delivery of the full range of provider-delivered tobacco interventions. The authors identified potential items via literature review; items were reviewed by national experts. Face validity of candidate items was tested in focus groups. The final survey was sent to a random sample of 1711 adult primary care patients; the re-test survey was sent to self-identified smokers. The process identified reliable items to capture provider assessment of motivation and provision of assistance and follow-up. One can reliably assess patient self-report of provider delivery of the full range of brief tobacco interventions. Such assessment and feedback to health plans and providers may increase use of evidence-based brief interventions.

Direct provision versus facility collection of HIV self-tests among female sex workers in Uganda: A cluster-randomized controlled health systems trial

PubMed Central

Kibuuka Musoke, Daniel; Ngabirano, Thomson; Nakitende, Aidah; Magoola, Jonathan; Kayiira, Prossy; Taasi, Geoffrey; Barresi, Leah G.; McConnell, Margaret A.; Bärnighausen, Till

2017-01-01

Background HIV self-testing allows HIV testing at any place and time and without health workers. HIV self-testing may thus be particularly useful for female sex workers (FSWs), who should test frequently but face stigma and financial and time barriers when accessing healthcare facilities. Methods and findings We conducted a cluster-randomized controlled health systems trial among FSWs in Kampala, Uganda, to measure the effect of 2 HIV self-testing delivery models on HIV testing and linkage to care outcomes. FSW peer educator groups (1 peer educator and 8 participants) were randomized to either (1) direct provision of HIV self-tests, (2) provision of coupons for free collection of HIV self-tests in a healthcare facility, or (3) standard of care HIV testing. We randomized 960 participants in 120 peer educator groups from October 18, 2016, to November 16, 2016. Participants’ median age was 28 years (IQR 24–32). Our prespecified primary outcomes were self-report of any HIV testing at 1 month and at 4 months; our prespecified secondary outcomes were self-report of HIV self-test use, seeking HIV-related medical care and ART initiation. In addition, we analyzed 2 secondary outcomes that were not prespecified: self-report of repeat HIV testing—to understand the intervention effects on frequent testing—and self-reported facility-based testing—to quantify substitution effects. Participants in the direct provision arm were significantly more likely to have tested for HIV than those in the standard of care arm, both at 1 month (risk ratio [RR] 1.33, 95% CI 1.17–1.51, p < 0.001) and at 4 months (RR 1.14, 95% CI 1.07–1.22, p < 0.001). Participants in the direct provision arm were also significantly more likely to have tested for HIV than those in the facility collection arm, both at 1 month (RR 1.18, 95% CI 1.07–1.31, p = 0.001) and at 4 months (RR 1.03, 95% CI 1.01–1.05, p = 0.02). At 1 month, fewer participants in the intervention arms had sought medical care for HIV than in the standard of care arm, but these differences were not significant and were reduced in magnitude at 4 months. There were no statistically significant differences in ART initiation across study arms. At 4 months, participants in the direct provision arm were significantly more likely to have tested twice for HIV than those in the standard of care arm (RR 1.51, 95% CI 1.29–1.77, p < 0.001) and those in the facility collection arm (RR 1.22, 95% CI 1.08–1.37, p = 0.001). Participants in the HIV self-testing arms almost completely replaced facility-based testing with self-testing. Two adverse events related to HIV self-testing were reported: interpersonal violence and mental distress. Study limitations included self-reported outcomes and limited generalizability beyond FSWs in similar settings. Conclusions In this study, HIV self-testing appeared to be safe and increased recent and repeat HIV testing among FSWs. We found that direct provision of HIV self-tests was significantly more effective in increasing HIV testing among FSWs than passively offering HIV self-tests for collection in healthcare facilities. HIV self-testing could play an important role in supporting HIV interventions that require frequent HIV testing, such as HIV treatment as prevention, behavior change for transmission reduction, and pre-exposure prophylaxis. Trial registration ClinicalTrials.gov NCT02846402 PMID:29182634

40 CFR 63.1335 - General recordkeeping and reporting provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 11 2010-07-01 2010-07-01 true General recordkeeping and reporting provisions. 63.1335 Section 63.1335 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES National Emission Standards for Hazardous...

40 CFR 63.506 - General recordkeeping and reporting provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 9 2010-07-01 2010-07-01 false General recordkeeping and reporting provisions. 63.506 Section 63.506 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) NATIONAL EMISSION STANDARDS FOR HAZARDOUS AIR POLLUTANTS FOR SOURCE CATEGORIES National Emission Standards for Hazardous Ai...

40 CFR 63.1018 - Reporting requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) National Emission Standards for Equipment Leaks-Control Level 1 § 63.1018 Reporting requirements. (a... detectable emissions under the provisions of § 63.1006(e)(4). (iii) Number of pumps subject to the requirements of § 63.1007, excluding those pumps designated for no detectable emissions under the provisions of...

40 CFR 63.1018 - Reporting requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) National Emission Standards for Equipment Leaks-Control Level 1 § 63.1018 Reporting requirements. (a... detectable emissions under the provisions of § 63.1006(e)(4). (iii) Number of pumps subject to the requirements of § 63.1007, excluding those pumps designated for no detectable emissions under the provisions of...

40 CFR 63.1018 - Reporting requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) National Emission Standards for Equipment Leaks-Control Level 1 § 63.1018 Reporting requirements. (a... detectable emissions under the provisions of § 63.1006(e)(4). (iii) Number of pumps subject to the requirements of § 63.1007, excluding those pumps designated for no detectable emissions under the provisions of...

40 CFR 63.1018 - Reporting requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) National Emission Standards for Equipment Leaks-Control Level 1 § 63.1018 Reporting requirements. (a... detectable emissions under the provisions of § 63.1006(e)(4). (iii) Number of pumps subject to the requirements of § 63.1007, excluding those pumps designated for no detectable emissions under the provisions of...

40 CFR 63.506 - General recordkeeping and reporting provisions.

Code of Federal Regulations, 2013 CFR

2013-07-01

... General recordkeeping and reporting provisions. (a) Data retention. Unless otherwise specified in this... retained on site or shall be accessible from a central location by computer or other means that provide... offsite. Records may be maintained in hard copy or computer-readable form including, but not limited to...

40 CFR 63.506 - General recordkeeping and reporting provisions.

Code of Federal Regulations, 2014 CFR

2014-07-01

... General recordkeeping and reporting provisions. (a) Data retention. Unless otherwise specified in this... retained on site or shall be accessible from a central location by computer or other means that provide... offsite. Records may be maintained in hard copy or computer-readable form including, but not limited to...

40 CFR 63.506 - General recordkeeping and reporting provisions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... General recordkeeping and reporting provisions. (a) Data retention. Unless otherwise specified in this... retained on site or shall be accessible from a central location by computer or other means that provide... offsite. Records may be maintained in hard copy or computer-readable form including, but not limited to...

Remote Health Care Provision in Care Homes.

PubMed

Newbould, Louise; Mountain, Gail; Hawley, Mark; Ariss, Steve

2017-01-01

A survey was developed to map provision, knowledge, attitudes and views towards videoconferencing in care homes in Yorkshire and The Humber. The survey was sent to 859 care homes, with a 14% response rate. Twelve homes reported using videoconferencing. Non-users appeared skeptical, managers using the system reported improvements in outcomes.

Report on Education Legislation: 1990 Session of the General Assembly.

ERIC Educational Resources Information Center

North Carolina State Dept. of Public Instruction, Raleigh.

Summaries of special provisions and ratified bills are presented in this report on educational legislation conducted by the 1990 session of the North Carolina General Assembly. Contents include legislation pertaining to education budget expansions and reductions and summaries of special provisions and ratified bills. Legislative outcomes include…

40 CFR 63.1320 - PET and polystyrene affected sources-reporting provisions.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 12 2012-07-01 2011-07-01 true PET and polystyrene affected sources... § 63.1320 PET and polystyrene affected sources—reporting provisions. (a) Except as specified in... PET Affected Sources Using a Dimethyl Terephthalate Process. Owners or operators complying with § 63...

40 CFR 63.1320 - PET and polystyrene affected sources-reporting provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 11 2010-07-01 2010-07-01 true PET and polystyrene affected sources... § 63.1320 PET and polystyrene affected sources—reporting provisions. (a) Except as specified in... PET Affected Sources Using a Dimethyl Terephthalate Process. Owners or operators complying with § 63...

40 CFR 63.1320 - PET and polystyrene affected sources-reporting provisions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 11 2011-07-01 2011-07-01 false PET and polystyrene affected sources... § 63.1320 PET and polystyrene affected sources—reporting provisions. (a) Except as specified in... PET Affected Sources Using a Dimethyl Terephthalate Process. Owners or operators complying with § 63...

40 CFR 65.120 - Reporting provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) CONSOLIDATED FEDERAL AIR RULE Equipment Leaks § 65.120 Reporting provisions. (a) Initial Compliance Status... equipment in vacuum service; and (iii) Method of compliance with the standard (for example, “monthly leak... in a summary format by equipment type the number of components for which leaks were detected, and for...

7 CFR 407.16 - Area risk protection insurance for soybean.

Code of Federal Regulations, 2014 CFR

2014-01-01

... contained in the Area Risk Protection Insurance Basic Provisions, land on which seed is initially spread... planting date and reported on or before the acreage reporting date; (c) Planted with the intent to be.... Payment Dates (a) Unless otherwise specified in the Special Provisions final county revenues and final...

40 CFR 65.48 - Reporting provisions.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) CONSOLIDATED FEDERAL AIR RULE Storage Vessels § 65.48 Reporting provisions. (a) Notification of initial startup. If § 65.5(b) requires that a notification of initial startup be filed, then the content of the notification of initial startup shall at least include the information specified in § 65.5(b) and the...

40 CFR 65.48 - Reporting provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) CONSOLIDATED FEDERAL AIR RULE Storage Vessels § 65.48 Reporting provisions. (a) Notification of initial startup. If § 65.5(b) requires that a notification of initial startup be filed, then the content of the notification of initial startup shall at least include the information specified in § 65.5(b) and the...

40 CFR 65.48 - Reporting provisions.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) CONSOLIDATED FEDERAL AIR RULE Storage Vessels § 65.48 Reporting provisions. (a) Notification of initial startup. If § 65.5(b) requires that a notification of initial startup be filed, then the content of the notification of initial startup shall at least include the information specified in § 65.5(b) and the...

40 CFR 65.48 - Reporting provisions.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) CONSOLIDATED FEDERAL AIR RULE Storage Vessels § 65.48 Reporting provisions. (a) Notification of initial startup. If § 65.5(b) requires that a notification of initial startup be filed, then the content of the notification of initial startup shall at least include the information specified in § 65.5(b) and the...

40 CFR 65.48 - Reporting provisions.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) CONSOLIDATED FEDERAL AIR RULE Storage Vessels § 65.48 Reporting provisions. (a) Notification of initial startup. If § 65.5(b) requires that a notification of initial startup be filed, then the content of the notification of initial startup shall at least include the information specified in § 65.5(b) and the...

The Voting Rights Act: Unfulfilled Goals.

ERIC Educational Resources Information Center

Commission on Civil Rights, Washington, DC.

This report examines the current status of minority voting rights covered by the special provisions of the Voting Rights Act of 1965. The special provisions prescribe added protection of minority voting rights in those jurisdictions where discrimination in voting has been most pervasive. The report explains the Voting Rights Act and discusses its…

48 CFR 252.225-7006 - Quarterly reporting of actual contract performance outside the United States.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Director of Defense Procurement and Acquisition Policy (Contract Policy and International Contracting... actual contract performance outside the United States. 252.225-7006 Section 252.225-7006 Federal... SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.225-7006 Quarterly reporting of...

48 CFR 252.225-7006 - Quarterly reporting of actual contract performance outside the United States.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Director of Defense Procurement and Acquisition Policy (Contract Policy and International Contracting... actual contract performance outside the United States. 252.225-7006 Section 252.225-7006 Federal... SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.225-7006 Quarterly reporting of...

Rural relevant quality measures for critical access hospitals.

PubMed

Casey, Michelle M; Moscovice, Ira; Klingner, Jill; Prasad, Shailendra

2013-01-01

To identify current and future relevant quality measures for Critical Access Hospitals (CAHs). Three criteria (patient volume, internal usefulness for quality improvement, and external usefulness for public reporting and payment reform) were used to analyze quality measures for their relevance for CAHs. A 6-member panel with expertise in rural hospital quality measurement and improvement provided input regarding the final measure selection. The relevant quality measures for CAHs include measures that are ready for reporting now and measures that need specifications to be finalized and/or a data reporting mechanism to be established. They include inpatient measures for specific medical conditions, global measures that address appropriate care across multiple medical conditions, and Emergency Department measures. All CAHs should publicly report on relevant quality measures. Acceptance of a single consolidated set of quality measures with common specifications for CAHs by all entities involved in regulation, accreditation, and payment; a phased process to implement the relevant measures; and the provision of technical assistance would help CAHs meet the challenge of reporting. © 2012 National Rural Health Association.

78 FR 23330 - Reports, Forms and Record Keeping Requirements, Agency Information Collection Activity Under OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-18

... of this document and cite OMB Clearance No. 2127-0609, ``Criminal Penalty Safe Harbor Provision... Penalty Safe Harbor Provision.'' SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995... change, of a currently approved collection of information: Criminal Penalty Safe Harbor Provision Type of...

Working with the Mental Capacity Act: findings from specialist palliative and neurological care settings.

PubMed

Wilson, Eleanor; Seymour, Jane E; Perkins, Paul

2010-06-01

Since October 2007 staff across health and social care services in England and Wales have been guided by the Mental Capacity Act (2005) in the provision of care for those who may lack capacity to make some decisions for themselves. This paper reports on the findings from a study with 26 staff members working in three palliative and three neurological care centres. Semistructured interviews were used to gain an understanding of their knowledge of the Mental Capacity Act, the issue of capacity itself and the documentation processes associated with the introduction of the Act and in line with advance care planning. Within this setting advance care planning is a key part of care provision and the mental capacity of service users is a regular issue. Findings show that staff generally had a good understanding of issues around capacity but felt unclear about some of the terminology related to the Mental Capacity Act, impacting on their confidence to discuss issues with service users and complete the documentation. Many felt the Act and its associated documentation had aided record-keeping in an area staff already delivered well in practice. Advance care planning in the context of the Mental Capacity Act is not as well embedded in practice as providers would like and consideration needs to be given to how and when staff should approach these issues with service users.

Health impact assessment for the sustainable futures of Salford.

PubMed

Douglas, Calbert H; Higgins, Alan; Dabbs, Chris; Walbank, Mick

2004-08-01

The Salford Health Investment for Tomorrow and the Local Improvement Finance Trust proposals for the comprehensive redevelopment of Salford Royal Hospital and the provision of four integrated primary health and social centres in the City of Salford are a response to the challenge of the NHS Plan to modernize delivery and service provision. The scale of the proposed developments will have a major effect on the quality of life in Salford. This health impact assessment was undertaken to determine how these proposals could be amended to ensure that the impacts are optimised so that potential benefits to Salford's communities are realised to maximise their health and wellbeing. This involved a comprehensive prospective health impact assessment and a series of interviews with key stakeholders, community organisations, and local people to identify and prioritize potential positive and negative impacts of the proposals. The assessment pointed to a wide range of positive and negative impacts that provided the basis of a set of recommendations, which were linked directly to the themes of the Salford Community Plan. These related to setting employment, education, and training opportunities to maximise health and wellbeing and improve quality of life for all communities in Salford within the framework of the plan. In presenting the findings of the health impact assessment and discussing the recommendations, the paper presents a unique approach in health impact assessment reporting by offering perspectives from the assessor and the project's steering group.

Mental health provision in schools: approaches and interventions in 10 European countries.

PubMed

Patalay, P; Gondek, D; Moltrecht, B; Giese, L; Curtin, C; Stanković, M; Savka, N

2017-01-01

The role of schools in providing community-based support for children's mental health and well-being is widely accepted and encouraged. Research has mainly focused on designing and evaluating specific interventions and there is little data available regarding what provision is available, the focus and priorities of schools and the professionals involved in providing this support. The current study presents these data from schools in 10 European countries. Online survey of 1466 schools in France, Germany, Ireland, Netherlands, Poland, Serbia, Spain, Sweden, UK and Ukraine. The participating countries were chosen based on their geographical spread, diversity of political and economic systems, and convenience in terms of access to the research group and presence of collaborators. Schools reported having more universal provision than targeted provision and there was greater reported focus on children who already have difficulties compared with prevention of problems and promotion of student well-being. The most common interventions implemented related to social and emotional skills development and anti-bullying programmes. Learning and educational support professionals were present in many schools with fewer schools reporting involvement of a clinical specialist. Responses varied by country with 7.4-33.5% between-country variation across study outcomes. Secondary schools reported less support for parents and more for staff compared with primary schools, with private schools also indicating more staff support. Schools in rural locations reported less student support and professionals involved than schools in urban locations. The current study provides up-to-date and cross-country insight into the approaches, priorities and provision available for mental health support in schools; highlighting what schools prioritise in providing mental health support and where coverage of provision is lacking.

Bilateral comparison on the calibration of a set of F1 mass standards between IBMETRO (Bolivia) and INTI (Argentina)

NASA Astrophysics Data System (ADS)

Quille, Ruben; Sanchez, Jorge; Escalante, Boris

2017-01-01

Mass calibration is an important activity for National Metrology Institutes (NMIs), due to the amount of measurements on scientific, industrial and legal activities that have traceability to the national mass standards of each country. In order to evaluate the stated uncertainty and degree of equivalence between INTI-Argentina and IBMETRO-Bolivia on mass calibration a bilateral comparison was agreed between both laboratories. Main text To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCM, according to the provisions of the CIPM Mutual Recognition Arrangement (CIPM MRA).

Effect of provider volume on the accuracy of hospital report cards: a Monte Carlo study.

PubMed

Austin, Peter C; Reeves, Mathew J

2014-03-01

Hospital report cards, in which outcomes after the provision of medical or surgical care are compared across healthcare providers, are being published with increasing frequency. However, the accuracy of such comparisons is controversial, especially when case volumes are small. The objective was to determine the relationship between hospital case volume and the accuracy of hospital report cards. Monte Carlo simulations were used to examine the influence of hospital case volume on the accuracy of hospital report cards in a setting in which true hospital performance was known with certainty, and perfect risk-adjustment was feasible. The parameters used to generate the simulated data sets were obtained from empirical analyses of data on patients hospitalized with acute myocardial infarction in Ontario, Canada, in which the overall 30-day mortality rate was 11.1%. We found that provider volume had a strong effect on the accuracy of hospital report cards. However, provider volume had to be >300 before ≥70% of hospitals were correctly classified. Furthermore, hospital volume had to be >1000 before ≥80% of hospitals were correctly classified. Producers and users of hospital report cards need to be aware that, even when perfect risk adjustment is possible, the accuracy of hospital report cards is, at best, modest for small to medium-sized case loads (i.e., 100-300). Hospital report cards displayed high degrees of accuracy only when provider volumes exceeded the typical annual hospital case load for many cardiovascular conditions and procedures.

Feasibility study of shared-ride auto transit. Final report

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

Kocur, G.; Zaelke, D.; Neumann, L.

1977-09-01

The report examines the feasibility of the implementation of shared-ride auto transit (SRAT), which is an innovative approach for increasing auto occupancy in rural and urban areas. The report focuses on operational concepts, potential usage, legal and regulatory issues, and institutional issues. Formulation of the SRAT concept was motivated by several concerns, such as: (1) energy conservation; (2) transit service to areas unable to economically justify conventional transit services, and to travel disadvantaged groups; (3) transit service replacement to achieve greater efficiency and to reduce transit deficits; (4) provision of inexpensive transit service; and (5) the increase of safety andmore » reliability of hitchhiking. Four case study sites (Boulder, Colorado; Boston, Massachusetts; Portland, Oregon; and Tidewater, Virginia), were used to identify the specific institutional issues likely to impact SRAT implementation for that site, and to identify the opportunities for designing, implementing and operating SRAT in a variety of institutional settings.« less

Hospital Smoke-Free Policy: Compliance, Enforcement, and Practices. A Staff Survey in Two Large Public Hospitals in Australia.

PubMed

McCrabb, Sam; Baker, Amanda L; Attia, John; Balogh, Zsolt J; Lott, Natalie; Palazzi, Kerrin; Naylor, Justine; Harris, Ian A; Doran, Christopher M; George, Johnson; Wolfenden, Luke; Skelton, Eliza; Bonevski, Billie

2017-11-08

Background: Smoke-free hospital policies are becoming increasingly common to promote good health and quit attempts among patients who smoke. This study aims to assess: staff perceived enforcement and compliance with smoke-free policy; the current provision of smoking cessation care; and the characteristics of staff most likely to report provision of care to patients. Methods: An online cross-sectional survey of medical, nursing, and allied staff from two Australian public hospitals was conducted. Staff report of: patient and staff compliance with smoke-free policy; perceived policy enforcement; the provision of the 5As for smoking cessation (Ask, Assess, Advise, Assist, and Arrange follow-up); and the provision of stop-smoking medication are described. Logistic regressions were used to determine respondent characteristics related to the provision of the 5As and stop-smoking medication use during hospital admission. Results: A total of 805 respondents participated. Self-reported enforcement of smoke-free policy was low (60.9%), together with compliance for both patients (12.9%) and staff (23.6%). The provision of smoking cessation care was variable, with the delivery of the 5As ranging from 74.7% (ask) to 18.1% (arrange follow-up). Medical staff (odds ratio (OR) = 2.09, CI = 1.13, 3.85, p = 0.018) and full time employees (OR = 2.03, CI = 1.06, 3.89, p = 0.033) were more likely to provide smoking cessation care always/most of the time. Stop-smoking medication provision decreased with increasing age of staff (OR = 0.98, CI = 0.96, 0.99, p = 0.008). Conclusions: Smoke-free policy enforcement and compliance and the provision of smoking cessation care remains low in hospitals. Efforts to improve smoking cessation delivery by clinical staff are warranted.

Guaranteed Student Loans: Credit Bureau Reporting Practices by Guaranty Agencies and Lenders. Briefing Report to the Chairman, Subcommittee on Education, Arts, and the Humanities, Committee on Labor and Human Resources, U.S. Senate.

ERIC Educational Resources Information Center

General Accounting Office, Washington, DC. Div. of Human Resources.

Provisions in the Higher Education Amendments of 1986 (Public Law 99-498), which require guaranty agencies and lenders to report information on Stafford student loan program borrowers to credit bureaus, are examined. The purpose of these provisions is to promote greater borrower responsibility and repayment of student loans. The report addresses…

"Birth Control can Easily Take a Back Seat": Challenges Providing IUDs in Community Health Care Settings.

PubMed

Biggs, M Antonia; Kaller, Shelly; Harper, Cynthia C; Freedman, Lori; Mays, Aisha R

2018-01-01

To assess community health centers' (CHCs) capacity to offer streamlined intrauterine devices (IUDs) services. Prior to implementing a contraceptive training project, we surveyed health care staff (N=97) from 11 CHC sites that offer IUDs onsite. Twenty interviews with clinicians explored more deeply their challenges offering IUDs in the CHC setting. Most practices required multiple visits for IUD placement, most (66%) clinician survey respondents had placed an IUD and 19% had placed an IUD as emergency contraception. Need for screening tests, scheduling challenges, pressures to meet patient quotas, and lack of priority given to women's health hindered streamlined IUD provision. Although access to IUDs has increased, significant barriers to provision in CHC settings persist. Clinic policies may need to address a variety of system and provider-level barriers to meet the needs of patients.

34 CFR 300.117 - Nonacademic settings.

Code of Federal Regulations, 2011 CFR

2011-07-01

... or arranging for the provision of nonacademic and extracurricular services and activities, including meals, recess periods, and the services and activities set forth in § 300.107, each public agency must ensure that each child with a disability participates with nondisabled children in the extracurricular...

34 CFR 300.117 - Nonacademic settings.

Code of Federal Regulations, 2012 CFR

2012-07-01

... or arranging for the provision of nonacademic and extracurricular services and activities, including meals, recess periods, and the services and activities set forth in § 300.107, each public agency must ensure that each child with a disability participates with nondisabled children in the extracurricular...

34 CFR 300.117 - Nonacademic settings.

Code of Federal Regulations, 2014 CFR

2014-07-01

... or arranging for the provision of nonacademic and extracurricular services and activities, including meals, recess periods, and the services and activities set forth in § 300.107, each public agency must ensure that each child with a disability participates with nondisabled children in the extracurricular...

34 CFR 300.117 - Nonacademic settings.

Code of Federal Regulations, 2013 CFR

2013-07-01

... or arranging for the provision of nonacademic and extracurricular services and activities, including meals, recess periods, and the services and activities set forth in § 300.107, each public agency must ensure that each child with a disability participates with nondisabled children in the extracurricular...

Reading Practices in the Juvenile Correctional Facility Setting: Incarcerated Adolescents Speak Out

ERIC Educational Resources Information Center

Wexler, Jade; Reed, Deborah K.; Sturges, Keith

2015-01-01

This multi-phasic, qualitative study explored the perceptions and provision of research-based reading instruction in the juvenile correctional facility setting. In three settings in two states, we interviewed students (n = 17), teachers (n = 5), and administrators (n = 3); and conducted two focus groups (n = 8), student surveys (n = 49), and seven…

48 CFR 852.219-10 - VA Notice of total service-disabled veteran-owned small business set-aside.

Code of Federal Regulations, 2012 CFR

2012-10-01

...-disabled veteran-owned small business set-aside. 852.219-10 Section 852.219-10 Federal Acquisition... CLAUSES Texts of Provisions and Clauses 852.219-10 VA Notice of total service-disabled veteran-owned small...-Disabled Veteran-Owned Small Business Set-Aside (DEC 2009) (a) Definition. For the Department of Veterans...

48 CFR 852.219-10 - VA Notice of total service-disabled veteran-owned small business set-aside.

Code of Federal Regulations, 2010 CFR

2010-10-01

...-disabled veteran-owned small business set-aside. 852.219-10 Section 852.219-10 Federal Acquisition... CLAUSES Texts of Provisions and Clauses 852.219-10 VA Notice of total service-disabled veteran-owned small...-Disabled Veteran-Owned Small Business Set-Aside (DEC 2009) (a) Definition. For the Department of Veterans...

48 CFR 52.219-27 - Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside.

Code of Federal Regulations, 2011 CFR

2011-10-01

...-Disabled Veteran-Owned Small Business Set-Aside. 52.219-27 Section 52.219-27 Federal Acquisition... CONTRACT CLAUSES Text of Provisions and Clauses 52.219-27 Notice of Total Service-Disabled Veteran-Owned...-Disabled Veteran-Owned Small Business Set-Aside (MAY 2004) (a) Definition. Service-disabled veteran-owned...

48 CFR 852.219-10 - VA Notice of total service-disabled veteran-owned small business set-aside.

Code of Federal Regulations, 2013 CFR

2013-10-01

...-disabled veteran-owned small business set-aside. 852.219-10 Section 852.219-10 Federal Acquisition... CLAUSES Texts of Provisions and Clauses 852.219-10 VA Notice of total service-disabled veteran-owned small...-Disabled Veteran-Owned Small Business Set-Aside (DEC 2009) (a) Definition. For the Department of Veterans...

48 CFR 852.219-10 - VA Notice of total service-disabled veteran-owned small business set-aside.

Code of Federal Regulations, 2011 CFR

2011-10-01

...-disabled veteran-owned small business set-aside. 852.219-10 Section 852.219-10 Federal Acquisition... CLAUSES Texts of Provisions and Clauses 852.219-10 VA Notice of total service-disabled veteran-owned small...-Disabled Veteran-Owned Small Business Set-Aside (DEC 2009) (a) Definition. For the Department of Veterans...

48 CFR 852.219-10 - VA Notice of total service-disabled veteran-owned small business set-aside.

Code of Federal Regulations, 2014 CFR

2014-10-01

...-disabled veteran-owned small business set-aside. 852.219-10 Section 852.219-10 Federal Acquisition... CLAUSES Texts of Provisions and Clauses 852.219-10 VA Notice of total service-disabled veteran-owned small...-Disabled Veteran-Owned Small Business Set-Aside (DEC 2009) (a) Definition. For the Department of Veterans...

Using Learning Journeys to Develop a Challenging Curriculum for Gifted Children in a Nursery (Kindergarten) Setting

ERIC Educational Resources Information Center

Coates, David; Thompson, Wendy; Shimmin, Andrew

2008-01-01

Recognising and nurturing giftedness in young children presents an important challenge to educators. This study sets out to identify and support gifted children through the provision of a rich learning environment in the Nursery (Kindergarten) setting. Practitioners in the Nursery aimed to provide cognitively challenging activities appropriate to…

48 CFR 852.219-11 - VA notice of total veteran-owned small business set-aside.

Code of Federal Regulations, 2010 CFR

2010-10-01

... owned by one or more veterans; (ii) The management and daily business operations of which are controlled...-owned small business set-aside. 852.219-11 Section 852.219-11 Federal Acquisition Regulations System... Provisions and Clauses 852.219-11 VA notice of total veteran-owned small business set-aside. As prescribed in...

40 CFR 63.130 - Transfer operations provisions-periodic recordkeeping and reporting.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 9 2011-07-01 2011-07-01 false Transfer operations provisions-periodic... § 63.130 Transfer operations provisions—periodic recordkeeping and reporting. (a) Each owner or... § 63.127 of this subpart, and listed in table 7 of this subpart or specified by the Administrator in...

40 CFR 75.73 - Recordkeeping and reporting.

Code of Federal Regulations, 2010 CFR

2010-07-01

... (CONTINUED) CONTINUOUS EMISSION MONITORING NOX Mass Emissions Provisions § 75.73 Recordkeeping and reporting... for units using the low mass emissions unit provisions of § 75.19). (3) For each hour when the unit is operating, NOX mass emissions, calculated in accordance with section 8.1 of appendix F to this part. (4...

40 CFR 63.1018 - Reporting requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 10 2010-07-01 2010-07-01 false Reporting requirements. 63.1018... requirements of § 63.1007, excluding those pumps designated for no detectable emissions under the provisions of § 63.1007(e)(2) and those pumps complying with the closed vent system provisions of § 63.1007(e)(3...

48 CFR 3052.223-90 - Accident and fire reporting (USCG).

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 7 2014-10-01 2014-10-01 false Accident and fire... PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 3052.223-90 Accident and fire reporting (USCG). As prescribed in USCG guidance at (HSAR) 48 CFR 3023.9000(a), insert the following clause: Accident...

48 CFR 3052.223-90 - Accident and fire reporting (USCG).

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 7 2011-10-01 2011-10-01 false Accident and fire... PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 3052.223-90 Accident and fire reporting (USCG). As prescribed in USCG guidance at (HSAR) 48 CFR 3023.9000(a), insert the following clause: Accident...

48 CFR 3052.223-90 - Accident and fire reporting (USCG).

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 7 2012-10-01 2012-10-01 false Accident and fire... PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 3052.223-90 Accident and fire reporting (USCG). As prescribed in USCG guidance at (HSAR) 48 CFR 3023.9000(a), insert the following clause: Accident...

75 FR 12451 - Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-16

... facilities. 211112 Natural gas liquid extraction facilities. Suppliers of Industrial GHGs 325120 Industrial...,000 metric tons CO2e or more. Natural gas and natural gas liquids suppliers (subpart NN): (A) All... Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions AGENCY...

40 CFR 1054.626 - What special provisions apply to equipment imported under the Transition Program for Equipment...

Code of Federal Regulations, 2010 CFR

2010-07-01

... EMISSIONS FROM NEW, SMALL NONROAD SPARK-IGNITION ENGINES AND EQUIPMENT Special Compliance Provisions § 1054... provisions of this section and send us an annual report, as follows: (1) Notify the Designated Compliance... and manufacturing equipment. Companies that import equipment into the United States without meeting...

40 CFR 98.8 - What are the compliance and enforcement provisions of this part?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 20 2010-07-01 2010-07-01 false What are the compliance and enforcement provisions of this part? 98.8 Section 98.8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING General Provision § 98.8...

Provisions of the Food Security Act of 1985. Agricultural Information Bulletin Number 498.

ERIC Educational Resources Information Center

Glaser, Lewrene K.

This report summarizes the 18 titles of the Food Security Act of 1985 and compares it with previous legislation where applicable. It describes the act's provisions for dairy; wool and mohair; wheat; feed grains; cotton; rice; peanuts; soybeans; sugar; other general commodity provisions; trade; conservation; credit; agricultural research,…

40 CFR 98.8 - What are the compliance and enforcement provisions of this part?

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 22 2012-07-01 2012-07-01 false What are the compliance and enforcement provisions of this part? 98.8 Section 98.8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING General Provision § 98.8...

40 CFR 98.8 - What are the compliance and enforcement provisions of this part?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 22 2013-07-01 2013-07-01 false What are the compliance and enforcement provisions of this part? 98.8 Section 98.8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING General Provision § 98.8...

40 CFR 98.8 - What are the compliance and enforcement provisions of this part?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 21 2011-07-01 2011-07-01 false What are the compliance and enforcement provisions of this part? 98.8 Section 98.8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) MANDATORY GREENHOUSE GAS REPORTING General Provision § 98.8...

75 FR 29487 - Reports, Forms and Record Keeping Requirements, Agency Information Collection Activity Under OMB...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-26

..., ``Criminal Penalty Safe Harbor Provision.'' You may call the Docket at 202-366-9322. Note that all comments... 2127-0609 ``Criminal Penalty Safe Harbor Provision''. SUPPLEMENTARY INFORMATION: Under the Paperwork... change, of a currently approved collection of information: Criminal Penalty Safe Harbor Provision Type of...

Federal government provision of third-party liability insurance to space vehicle users

NASA Technical Reports Server (NTRS)

1985-01-01

Support decisions concerning the provision by the Federal Government of third-party liability insurance for commercial space activities were studied. The practices associated with third-party liability insurance in the marine, aviation, and electric utility industries in addition to those industries associated with space missions were reviewed. Theoretical considerations of rate setting are discussed and a methodology to determine the period of time over which the insurers of each industry intend to set aside reserves to recover from a maximum liability loss should one occur is introduced. The data were analyzed to determine the setaside period in each industry, and to suggest reasonable standards from the insurer's point of view. Criteria for Federal provision of insurance are discussed, an interpretation of the Price-Anderson Act, determinants of the availability of commercial insurance, potential insurer liability, and measures of reasonableness for premium rates from the user's point of view are presented. Options available to the government regarding third part liability protection are presented.

Citizen centered health and lifestyle management via interactive TV: The PANACEIA-ITV health system.

PubMed

Maglaveras, N; Chouvarda, I; Koutkias, V; Lekka, I; Tsakali, M; Tsetoglou, S; Maglavera, S; Leondaridis, L; Zeevi, B; Danelli, V; Kotis, T; De Moore, G; Balas, E A

2003-01-01

In the context of an IST European project with acronym PANACEIA-ITV, a home care service provisioning system is described, based on interactive TV technology. The purpose of PANACEIA-ITV is to facilitate essential lifestyle changes and to promote compliance with scientifically sound self-care recommendations, through the application of interactive digital television for family health maintenance. The means to achieve these goals are based on technological, health services and business models. PANACEIA-ITV is looking for communication of monitoring micro-devices with I-TV set-top-boxes using infrared technology, and embodiment of analogous H/W and S/W in the I-TV set-top-boxes. Intelligent agents are used to regulate data flow, user queries as well as service provisions from and to the household through the satellite digital platform, the portal and the back-end decision support mechanisms, using predominantly the Active Service Provision (ASP) model. Moreover, interactive digital TV services are developed for the delivery of health care in the home care environment.

Procedures for the Handling of Retaliation Complaints Under Section 1558 of the Affordable Care Act. Final rule.

PubMed

2016-10-13

This document provides the final text of regulations governing employee protection (retaliation or whistleblower) claims under section 1558 of the Affordable Care Act, which added section 18C to the Fair Labor Standards Act to provide protections to employees who may have been subject to retaliation for seeking assistance under certain affordability assistance provisions (for example, health insurance premium tax credits) or for reporting potential violations of the Affordable Care Act's consumer protections (for example, the prohibition on rescissions). An interim final rule (IFR) governing these provisions and request for comments was published in the Federal Register on February 27, 2013. Thirteen comments were received; eleven were responsive to the IFR. This rule responds to those comments and establishes the final procedures and time frames for the handling of retaliation complaints under section 18C, including procedures and time frames for employee complaints to the Occupational Safety and Health Administration (OSHA), investigations by OSHA, appeals of OSHA determinations to an administrative law judge (ALJ) for a hearing de novo, hearings by ALJs, review of ALJ decisions by the Administrative Review Board (ARB) (acting on behalf of the Secretary of Labor), and judicial review of the Secretary of Labor's (Secretary's) final decision. It also sets forth the Secretary's interpretations of the Affordable Care Act whistleblower provision on certain matters.

Human resource management strategies for the retention of nurses in acute care settings in hospitals in Australia.

PubMed

Hogan, Pamela; Moxham, Lorna; Dwyer, Trudy

2007-04-01

It is paramount that there is an adequate nursing workforce supply for now and in the future, to achieve equitable and quality health outcomes and consumer access to healthcare, regardless of geographic location. Nursing forms the largest body of employees in the health care system, spanning all segments of care. A shortage of nurses, particularly in the acute care settings in hospitals, jeopardizes the provision of quality health care to consumers. This article provides a literature review of Australian State and Federal Government reports into nurse retention. All reports discuss staff turnover rates; the average age of nurses; enrolment numbers in nursing courses; workloads; nursing workforce shortfalls and the effect on the work environment; leadership and management styles; organizational culture; change management; the mobility of nursing qualifications both locally and internationally and the critical need to value nurses. Then why has the situation of nurse retention not improved? Possible reasons for the continued nurse shortage and the promise of strategic HRM in addressing nurse retention are discussed.

Review of Criminal Investigations of Alleged Detainee Abuse

DTIC Science & Technology

2006-08-25

reporting requirements published in Anny Regulation (AR) 190-40, "Serious Incident Report," November 30, 1993.13 A serious incident is "[a]ny actual...investigated by commanders under the authority of this regulation . In its purpose statement, the regulation states that the policy is limited to...provisions of this regulation , when made applicable, and the provisions of the specific directive authorizing the 15 AR 190-40, Serious Incident Report

Constitution, 5 October 1988.

PubMed

1989-01-01

This document contains major provisions of the constitution adopted by Brazil on 5 October 1988. This constitution seeks to promote the welfare of all citizens without discrimination. The equality of all citizens is guaranteed, and the equal rights of women are specifically mentioned. Property rights are also guaranteed and defined. Female inmates are granted the right to remain with their children while breast feeding. Workers are guaranteed a minimum wage, a family allowance for dependents, maternity/paternity leave, specific incentives to protect the labor market for women, retirement benefits, free day care for preschool-age children, pay equity, and equal rights between tenured and sporadically employed workers. Agrarian reform provisions are given, including the authority to expropriate land. Social and economic policies to promote health are called for, and public health services are to be decentralized, to be integrated, and to foster community participation. Pension plan and social assistance provisions are outlined as are duties of the state in regard to education. The amount of money to be dedicated to education is set out, and a national educational plan is called for to achieve such goals as the eradication of illiteracy, the universalization of school attendance, the improvement of instruction, and the provision of vocational training. Specific measures are set out to protect and preserve the environment. Family policy deals with issues of marriage, the definition of a family, divorce, the right to family planning services, and the deterrence of domestic violence. Social protection provisions cover mothers and children, handicapped persons, and protection of minors. Finally, the customs and rights of Indians are protected, with special provisions given to protect land tenure and to protect the rights of Indians in water resource development and prospecting and mining activities.

Screening and surveillance. OSHA's medical surveillance provisions.

PubMed

Papp, E M; Miller, A S

2000-02-01

The OSH Act requires OSHA to include provisions for medical examinations of employees in its standards. However, the specific test and examinations criteria are not outlined in the OSH Act. Instead, each standard has specific medical surveillance requirements. These are specific to the adverse health effects triggered by exposure to the hazardous substance. The OSHA uses the term medical surveillance to refer to its employee examination and testing provisions. Most occupational health professionals call this activity employee screening and reserve the term surveillance for aggregate analysis of population data. It is important to remember this distinction when referring to OSHA standards. Many standards are challenged in court resulting in changes to medical surveillance provisions of the standards. Some court decisions support OSHA's language. In either case, the court often sets precedents for future standards.

Water Filter Provision and Home-Based Filter Reinforcement Reduce Diarrhea in Kenyan HIV-Infected Adults and Their Household Members

PubMed Central

Pavlinac, Patricia B.; Naulikha, Jaqueline M.; Chaba, Linda; Kimani, Naomi; Sangaré, Laura R.; Yuhas, Krista; Singa, Benson O.; John-Stewart, Grace; Walson, Judd L.

2014-01-01

Among human immunodeficiency virus (HIV) -infected adults and children in Africa, diarrheal disease remains a major cause of morbidity and mortality. We evaluated the effectiveness of provision and home-based reinforcement of a point-of-use water filtration device to reduce diarrhea among 361 HIV-infected adults in western Kenya by comparing prevalence of self-reported diarrhea before and after these interventions. After provision of the filter, 8.7% of participants reported diarrhea compared with 17.2% in the 3 months before filter provision (odds ratio [OR] = 0.39, 95% confidence interval [95% CI] = 0.23–0.66, P < 0.001). The association was similar among 231 participants who were already taking daily cotrimoxazole prophylaxis before being given a filter (OR = 0.47, 95% CI = 0.25–0.88, P = 0.019). Educational reinforcement was also associated with a modest reduction in self-reported diarrhea (OR = 0.50, 95% CI = 0.20–0.99, P = 0.047). Provision and reinforcement of water filters may confer significant benefit in reducing diarrhea among HIV-infected persons, even when cotrimoxazole prophylaxis is already being used. PMID:24842881

Consumer Perspectives on Information Needs for Health Plan Choice

PubMed Central

Gibbs, Deborah A.; Sangl, Judith A.; Burrus, Barri

1996-01-01

The premise that competition will improve health care assumes that consumers will choose plans that best fit their needs and resources. However, many consumers are frustrated with currently available plan comparison information. We describe results from 22 focus groups in which Medicare beneficiaries, Medicaid enrollees, and privately insured consumers assessed the usefulness of indicators based on consumer survey data and Health Employer Data Information Set (HEDIS)-type measures of quality of care. Considerable education would be required before consumers could interpret report card data to inform plan choices. Policy implications for design and provision of plan information for Medicare beneficiaries and Medicaid enrollees are discussed. PMID:10165037

Experiences of stigma and discrimination in social and healthcare settings among trans people living with HIV in the UK.

PubMed

Hibbert, M; Wolton, A; Crenna-Jennings, W; Benton, L; Kirwan, P; Lut, I; Okala, S; Ross, M; Furegato, M; Nambiar, K; Douglas, N; Roche, J; Jeffries, J; Reeves, I; Nelson, M; Weerawardhana, C; Jamal, Z; Hudson, A; Delpech, V

2018-07-01

The People Living with HIV StigmaSurvey UK 2015 was a community led national survey investigating experiences of people living with HIV in the UK in the past 12 months. Participants aged 18 and over were recruited through over 120 cross-sector community organisations and 46 HIV clinics to complete an anonymous online survey. Trans is an umbrella term which refers to individuals whose current gender identity is different to the gender they were assigned at birth. Trans participants self-identified via gender identity and gender at birth questions. Descriptive analyses of reported experiences in social and health care settings were conducted and multivariate logistic regression analyses were used to identify sociodemographic predictors of reporting being treated differently to non-HIV patients, and being delayed or refused healthcare treatment in the past 12 months. 31 out of 1576 participants (2%) identified as trans (19 trans women, 5 trans men, 2 gender queer/non-binary, 5 other). High levels of social stigma were reported for all participants, with trans participants significantly more likely to report worrying about verbal harassment (39% vs. 23%), and exclusion from family gatherings (23% vs. 9%) in the last 12 months, compared to cisgender participants. Furthermore, 10% of trans participants reported physical assault in the last 12 months, compared to 4% of cisgender participants. Identifying as trans was a predictor of reporting being treated differently to non-HIV patients (48% vs. 30%; aOR 2.61, CI 1.06, 6.42) and being delayed or refused healthcare (41% vs. 16%; aOR 4.58, CI 1.83, 11.44). Trans people living with HIV in the UK experience high levels of stigma and discrimination, including within healthcare settings, which is likely to impact upon health outcomes. Trans-specific education and awareness within healthcare settings could help to improve service provision for this demographic.

A qualitative study exploring perceptions and attitudes of community pharmacists about extended pharmacy services in Lahore, Pakistan.

PubMed

Hashmi, Furqan K; Hassali, Mohamed Azmi; Khalid, Adnan; Saleem, Fahad; Aljadhey, Hisham; Babar, Zaheer Ud Din; Bashaar, Mohammad

2017-07-19

In recent decades, community pharmacies reported a change of business model, whereby a shift from traditional services to the provision of extended roles was observed. However, such delivery of extended pharmacy services (EPS) is reported from the developed world, and there is scarcity of information from the developing nations. Within this context, the present study was aimed to explore knowledge, perception and attitude of community pharmacists (CPs) about EPS and their readiness and acceptance for practice change in the city of Lahore, Pakistan. A qualitative approach was used to gain an in-depth knowledge of the issues. By using a semi-structured interview guide, 12 CPs practicing in the city of Lahore, Pakistan were conveniently selected. All interviews were audio-taped, transcribed verbatim, and were then analyzed for thematic contents by the standard content analysis framework. Thematic content analysis yielded five major themes. (1) Familiarity with EPS, (2) current practice of EPS, (3) training needed to provide EPS, (4) acceptance of EPS and (5) barriers toward EPS. Majority of the CPs were unaware of EPS and only a handful had the concept of extended services. Although majority of our study respondents were unaware of pharmaceutical care, they were ready to accept practice change if provided with the required skills and training. Lack of personal knowledge, poor public awareness, inadequate physician-pharmacist collaboration and deprived salary structures were reported as barriers towards the provision of EPS at the practice settings. Although the study reported poor awareness towards EPS, the findings indicated a number of key themes that can be used in establishing the concept of EPS in Pakistan. Over all, CPs reported a positive attitude toward practice change provided to the support and facilitation of health and community based agencies in Pakistan.

Reported provision of analgesia to patients with acute abdominal pain in Canadian paediatric emergency departments.

PubMed

Poonai, Naveen; Cowie, Allyson; Davidson, Chloe; Benidir, Andréanne; Thompson, Graham C; Boisclair, Philippe; Harman, Stuart; Miller, Michael; Butter, Andreana; Lim, Rod; Ali, Samina

2016-09-01

Evidence exists that analgesics are underutilized, delayed, and insufficiently dosed for emergency department (ED) patients with acute abdominal pain. For physicians practicing in a Canadian paediatric ED setting, we (1) explored theoretical practice variation in the provision of analgesia to children with acute abdominal pain; (2) identified reasons for withholding analgesia; and (3) evaluated the relationship between providing analgesia and surgical consultation. Physician members of Paediatric Emergency Research Canada (PERC) were prospectively surveyed and presented with three scenarios of undifferentiated acute abdominal pain to assess management. A modified Dillman's Tailored Design method was used to distribute the survey from June to July 2014. Overall response rate was 74.5% (149/200); 51.7% of respondents were female and mean age was 44 (SD 8.4) years. The reported rates of providing analgesia for case scenarios representative of renal colic, appendicitis, and intussusception, were 100%, 92.1%, and 83.4%, respectively, while rates of providing intravenous opioids were 85.2%, 58.6%, and 12.4%, respectively. In all 60 responses where the respondent indicated they would obtain a surgical consultation, analgesia would be provided. In the 35 responses where analgesia would be withheld, 21 (60%) believed pain was not severe enough, while 5 (14.3%) indicated it would obscure a surgical condition. Pediatric emergency physicians self-reported rates of providing analgesia for acute abdominal pain scenarios were higher than previously reported, and appeared unrelated to request for surgical consultation. However, an unwillingness to provide opioid analgesia, belief that analgesia can obscure a surgical condition, and failure to take self-reported pain at face value remain, suggesting that the need exists for further knowledge translation efforts.

A simple solution for improving reliability of cardiac arrest equipment provision in hospital.

PubMed

Davies, Michelle; Couper, Keith; Bradley, Julie; Baker, Annalie; Husselbee, Natalie; Woolley, Sarah; Davies, Robin P; Perkins, Gavin D

2014-11-01

Effective and safe cardiac arrest care in the hospital setting is reliant on the immediate availability of emergency equipment. The patient safety literature highlights deficiencies in current approaches to resuscitation equipment provision, highlighting the need for innovative solutions to this problem. We conducted a before-after study at a large NHS trust to evaluate the effect of a sealed tray system and database on resuscitation equipment provision. The system was evaluated by a series of unannounced inspections to assess resuscitation trolley compliance with local policy prior to and following system implementation. The time taken to check trolleys was assessed by timing clinicians checking both types of trolley in a simulation setting. The sealed tray system was implemented in 2010, and led to a significant increase in the number of resuscitation trolleys without missing, surplus, or expired items (2009: n=1 (4.76%) vs 2011: n=37 (100%), p<0.001). It also significantly reduced the time required to check each resuscitation trolley in the simulation setting (12.86 (95% CI: 10.02-15.71) vs 3.15 (95% CI: 1.19-4.51)min, p<0.001), but had no effect on the number of resuscitation trolleys checked every day over the previous month (2009: n=8 (38.10%) vs 2011: n=11 (29.73%), p=0.514). The implementation of a sealed tray system led to a significant and sustained improvement in resuscitation equipment provision, but had no effect on resuscitation trolley checking frequency. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

37 CFR 1.41 - Applicant for patent.

Code of Federal Regulations, 2010 CFR

2010-07-01

... COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES National Processing Provisions Who May Apply for A... inventor or inventors. (1) The inventorship of a nonprovisional application is that inventorship set forth... nonprovisional application, the inventorship is that inventorship set forth in the application papers filed...

Classroom based cognitive behavioural therapy in reducing symptoms of depression in high risk adolescents: pragmatic cluster randomised controlled trial

PubMed Central

Sayal, Kapil; Phillips, Rhiannon; Taylor, John A; Spears, Melissa; Anderson, Rob; Araya, Ricardo; Lewis, Glyn; Millings, Abigail; Montgomery, Alan A

2012-01-01

Objective To compare the effectiveness of classroom based cognitive behavioural therapy with attention control and usual school provision for adolescents at high risk of depression. Design Three arm parallel cluster randomised controlled trial. Setting Eight UK secondary schools. Participants Adolescents (n=5030) aged 12-16 years in school year groups 8-11. Year groups were randomly assigned on a 1:1:1 ratio to cognitive behavioural therapy, attention control, or usual school provision. Allocation was balanced by school, year, number of students and classes, frequency of lessons, and timetabling. Participants were not blinded to treatment allocation. Interventions Cognitive behavioural therapy, attention control, and usual school provision provided in classes to all eligible participants. Main outcome measures Outcomes were collected by self completed questionnaire administered by researchers. The primary outcome was symptoms of depression assessed at 12 months by the short mood and feelings questionnaire among those identified at baseline as being at high risk of depression. Secondary outcomes included negative thinking, self worth, and anxiety. Analyses were undertaken on an intention to treat basis and accounted for the clustered nature of the design. Results 1064 (21.2%) adolescents were identified at high risk of depression: 392 in the classroom based cognitive behavioural therapy arm, 374 in the attention control arm, and 298 in the usual school provision arm. At 12 months adjusted mean scores on the short mood and feelings questionnaire did not differ for cognitive behavioural therapy versus attention control (−0.63, 95% confidence interval −1.85 to 0.58, P=0.41) or for cognitive behavioural therapy versus usual school provision (0.97, −0.20 to 2.15, P=0.12). Conclusion In adolescents with depressive symptoms, outcomes were similar for attention control, usual school provision, and cognitive behavioural therapy. Classroom based cognitive behavioural therapy programmes may result in increased self awareness and reporting of depressive symptoms but should not be undertaken without further evaluation and research. Trial registration Current Controlled Trials ISRCTN19083628. PMID:23043090

Risk management policies and practices regarding radio frequency electromagnetic fields: results from a WHO survey.

PubMed

Dhungel, Amit; Zmirou-Navier, Denis; van Deventer, Emilie

2015-04-01

This study aims to describe current risk management practices and policies across the world in relation to personal exposures from devices emitting radiofrequency fields, environmental exposures from fixed installations and exposures in the work environment. Data from 86 countries representing all WHO regions were collected through a survey. The majority of countries (76.8 %) had set exposure limits for mobile devices, almost all (90.7 %) had set public exposure limits for fixed installations and 76.5 % had specified exposure limits for personnel in occupational settings. A number of other policies had been implemented at the national level, ranging from information provisions on how to reduce personal exposures and restrictions of usage for certain populations, such as children or pregnant women to prevention of access around base stations. This study suggests that countries with higher mobile subscriptions tend to have set radiofrequency exposure limits for mobile devices and to have provisions on exposure measurements about fixed installations. © The Author 2014. Published by Oxford University Press.

77 FR 6879 - Rules of Practice for Trials Before the Patent Trial and Appeal Board and Judicial Review of...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-09

...The United States Patent and Trademark Office (Office or USPTO) proposes new rules of practice to implement the provisions of the Leahy-Smith America Invents Act that provide for trials before the Patent Trial and Appeal Board (Board). The proposed rules would provide a consolidated set of rules relating to Board trial practice for inter partes review, post-grant review, the transitional program for covered business method patents, and derivation proceedings. The proposed rules would also provide a consolidated set of rules to implement the provisions of the Leahy-Smith America Invents Act related to seeking judicial review of Board decisions.

Provision of community-wide benefits in public health intervention research: the experience of investigators conducting research in the community setting in South Asia.

PubMed

Taylor, Holly A; Merritt, Maria W

2012-12-01

This article describes the types of community-wide benefits provided by investigators conducting public health research in South Asia as well as their self-reported reasons for providing such benefits. We conducted 52 in-depth interviews to explore how public health investigators in low-resource settings make decisions about the delivery of ancillary care to research subjects. In 39 of the interviews respondents described providing benefits to members of the community in which they conducted their study. We returned to our narrative dataset to find answers to two questions: What types of community-wide benefits do researchers provide when conducting public health intervention studies in the community setting, and what reasons do researchers give when asked why they provided community-wide benefits? The types of community-wide benefits delivered were directed to the health and well-being of the population. The most common types of benefits delivered were the facilitation of access to health care for individuals in acute medical need and emergency response to natural disasters. Respondents' self-reported reasons when asked why they provided such benefits fell into 2 general categories: intrinsic importance and instrumental importance. © 2012 Blackwell Publishing Ltd.

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

Mellors, R J

The Comprehensive Nuclear Test Ban Treaty (CTBT) includes provisions for an on-site inspection (OSI), which allows the use of specific techniques to detect underground anomalies including cavities and rubble zones. One permitted technique is active seismic surveys such as seismic refraction or reflection. The purpose of this report is to conduct some simple modeling to evaluate the potential use of seismic reflection in detecting cavities and to test the use of open-source software in modeling possible scenarios. It should be noted that OSI inspections are conducted under specific constraints regarding duration and logistics. These constraints are likely to significantly impactmore » active seismic surveying, as a seismic survey typically requires considerable equipment, effort, and expertise. For the purposes of this study, which is a first-order feasibility study, these issues will not be considered. This report provides a brief description of the seismic reflection method along with some commonly used software packages. This is followed by an outline of a simple processing stream based on a synthetic model, along with results from a set of models representing underground cavities. A set of scripts used to generate the models are presented in an appendix. We do not consider detection of underground facilities in this work and the geologic setting used in these tests is an extremely simple one.« less

An Energy-Efficient Approach to Enhance Virtual Sensors Provisioning in Sensor Clouds Environments

PubMed Central

Filho, Raimir Holanda; Rabêlo, Ricardo de Andrade L.; de Carvalho, Carlos Giovanni N.; Mendes, Douglas Lopes de S.; Costa, Valney da Gama

2018-01-01

Virtual sensors provisioning is a central issue for sensors cloud middleware since it is responsible for selecting physical nodes, usually from Wireless Sensor Networks (WSN) of different owners, to handle user’s queries or applications. Recent works perform provisioning by clustering sensor nodes based on the correlation measurements and then selecting as few nodes as possible to preserve WSN energy. However, such works consider only homogeneous nodes (same set of sensors). Therefore, those works are not entirely appropriate for sensor clouds, which in most cases comprises heterogeneous sensor nodes. In this paper, we propose ACxSIMv2, an approach to enhance the provisioning task by considering heterogeneous environments. Two main algorithms form ACxSIMv2. The first one, ACASIMv1, creates multi-dimensional clusters of sensor nodes, taking into account the measurements correlations instead of the physical distance between nodes like most works on literature. Then, the second algorithm, ACOSIMv2, based on an Ant Colony Optimization system, selects an optimal set of sensors nodes from to respond user’s queries while attending all parameters and preserving the overall energy consumption. Results from initial experiments show that the approach reduces significantly the sensor cloud energy consumption compared to traditional works, providing a solution to be considered in sensor cloud scenarios. PMID:29495406

An Energy-Efficient Approach to Enhance Virtual Sensors Provisioning in Sensor Clouds Environments.

PubMed

Lemos, Marcus Vinícius de S; Filho, Raimir Holanda; Rabêlo, Ricardo de Andrade L; de Carvalho, Carlos Giovanni N; Mendes, Douglas Lopes de S; Costa, Valney da Gama

2018-02-26

Virtual sensors provisioning is a central issue for sensors cloud middleware since it is responsible for selecting physical nodes, usually from Wireless Sensor Networks (WSN) of different owners, to handle user's queries or applications. Recent works perform provisioning by clustering sensor nodes based on the correlation measurements and then selecting as few nodes as possible to preserve WSN energy. However, such works consider only homogeneous nodes (same set of sensors). Therefore, those works are not entirely appropriate for sensor clouds, which in most cases comprises heterogeneous sensor nodes. In this paper, we propose ACxSIMv2, an approach to enhance the provisioning task by considering heterogeneous environments. Two main algorithms form ACxSIMv2. The first one, ACASIMv1, creates multi-dimensional clusters of sensor nodes, taking into account the measurements correlations instead of the physical distance between nodes like most works on literature. Then, the second algorithm, ACOSIMv2, based on an Ant Colony Optimization system, selects an optimal set of sensors nodes from to respond user's queries while attending all parameters and preserving the overall energy consumption. Results from initial experiments show that the approach reduces significantly the sensor cloud energy consumption compared to traditional works, providing a solution to be considered in sensor cloud scenarios.

A Review of Healthcare Service and Education Provision of Autism Spectrum Condition in Mainland China

ERIC Educational Resources Information Center

Sun, Xiang; Allison, Carrie; Auyeung, Bonnie; Baron-Cohen, Simon; Brayne, Carol

2013-01-01

Little is known about the current situation regarding Autism Spectrum Conditions in mainland China. Electronic databases and bibliographies were searched to identify literature on service provision for ASC in both English and Chinese databases. 14 studies and 6 reports were reviewed. The findings of identified papers on service provision were…

21 CFR Appendix A to Subpart A of... - List of Applicable Laws, Regulations, and Administrative Provisions

Code of Federal Regulations, 2012 CFR

2012-04-01

... PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN MEDICAL DEVICE PRODUCT...://dg3.eudra.org.] Council Directive 65/65/EEC of 26 January 1965 on the approximation of provisions laid... extended, widened, and amended. Council Directive 75/319/EEC of 20 May 1975 on the approximation of...

21 CFR Appendix A to Subpart A of... - List of Applicable Laws, Regulations, and Administrative Provisions

Code of Federal Regulations, 2013 CFR

2013-04-01

... PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN MEDICAL DEVICE PRODUCT...://dg3.eudra.org.] Council Directive 65/65/EEC of 26 January 1965 on the approximation of provisions laid... extended, widened, and amended. Council Directive 75/319/EEC of 20 May 1975 on the approximation of...

21 CFR Appendix A to Subpart A of... - List of Applicable Laws, Regulations, and Administrative Provisions

Code of Federal Regulations, 2014 CFR

2014-04-01

... PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN MEDICAL DEVICE PRODUCT...://dg3.eudra.org.] Council Directive 65/65/EEC of 26 January 1965 on the approximation of provisions laid... extended, widened, and amended. Council Directive 75/319/EEC of 20 May 1975 on the approximation of...

21 CFR Appendix A to Subpart A of... - List of Applicable Laws, Regulations, and Administrative Provisions

Code of Federal Regulations, 2011 CFR

2011-04-01

... PRACTICE REPORTS, MEDICAL DEVICE QUALITY SYSTEM AUDIT REPORTS, AND CERTAIN MEDICAL DEVICE PRODUCT...://dg3.eudra.org.] Council Directive 65/65/EEC of 26 January 1965 on the approximation of provisions laid... extended, widened, and amended. Council Directive 75/319/EEC of 20 May 1975 on the approximation of...

Research Papers Sponsored by the Commission on Private Philanthropy and Public Needs. Volume IV: Taxes.

ERIC Educational Resources Information Center

Department of the Treasury, Washington, DC.

The report contains legal studies on important tax code provisions related to philanthropic giving. This is Volume IV in a five volume series examining the relationship between nonprofit institutions and their donors. Seventeen papers comprise the report. Tax code provisions which are discussed include eligibility for tax exemption; distinctions…

40 CFR 403.12 - Reporting requirements for POTW's and industrial users.

Code of Federal Regulations, 2013 CFR

2013-07-01

...)], I certify that, to the best of my knowledge and belief, there has been no increase in the level of...) Provisions Governing Fraud and False Statements: The reports and other documents required to be submitted or... fraud and false statements; (2) The provisions of sections 309(c)(4) of the Act, as amended, governing...

Information Technology-Based Open Learning--A Study Report. Occasional Paper InTER/12/89.

ERIC Educational Resources Information Center

Hodgson, V., Ed.; And Others

This document reports on a study which focused on improving the flexibility and responsiveness of vocational education and training provision in Great Britain by producing a plan for information technology-based open learning (ITOL) provision. In the first section, the ITOL model is described through three scenarios. Benefits to learners such as…

40 CFR 63.118 - Process vent provisions-periodic reporting and recordkeeping requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 9 2011-07-01 2011-07-01 false Process vent provisions-periodic..., and Wastewater § 63.118 Process vent provisions—periodic reporting and recordkeeping requirements. (a... table 3 of this subpart or specified by the Administrator in accordance with § 63.114(c) and § 63.117(e...

40 CFR 63.118 - Process vent provisions-periodic reporting and recordkeeping requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 10 2013-07-01 2013-07-01 false Process vent provisions-periodic..., and Wastewater § 63.118 Process vent provisions—periodic reporting and recordkeeping requirements. (a... table 3 of this subpart or specified by the Administrator in accordance with §§ 63.114(c) and 63.117(e...

40 CFR 63.118 - Process vent provisions-periodic reporting and recordkeeping requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 10 2012-07-01 2012-07-01 false Process vent provisions-periodic..., and Wastewater § 63.118 Process vent provisions—periodic reporting and recordkeeping requirements. (a... table 3 of this subpart or specified by the Administrator in accordance with §§ 63.114(c) and 63.117(e...

75 FR 70487 - Proposed Rules for Implementing the Whistleblower Provisions of Section 21F of the Securities...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-17

.... With this possible tension in mind, we have included provisions in the proposed rules intended not to... submission of high- quality tips and to enhance the utility of the information reported to the Commission. More frequent reporting of high-quality information promotes greater deterrence by enhancing the...

75 FR 14081 - Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-24

... is equivalent to 25,000 metric tons CO2e or more. Natural gas and natural gas liquids suppliers... Mandatory Reporting of Greenhouse Gases: Minor Harmonizing Changes to the General Provisions Correction In...\\ Applicable in 2010 and Future Years Coal-to-liquids suppliers (subpart LL): (A) All producers of coal-to...

UNAERO: A package of FORTRAN subroutines for approximating unsteady aerodynamics in the time domain

NASA Technical Reports Server (NTRS)

Dunn, H. J.

1985-01-01

This report serves as an instruction and maintenance manual for a collection of CDC CYBER FORTRAN IV subroutines for approximating the unsteady aerodynamic forces in the time domain. The result is a set of constant-coefficient first-order differential equations that approximate the dynamics of the vehicle. Provisions are included for adjusting the number of modes used for calculating the approximations so that an accurate approximation is generated. The number of data points at different values of reduced frequency can also be varied to adjust the accuracy of the approximation over the reduced-frequency range. The denominator coefficients of the approximation may be calculated by means of a gradient method or a least-squares approximation technique. Both the approximation methods use weights on the residual error. A new set of system equations, at a different dynamic pressure, can be generated without the approximations being recalculated.

Emergency shock wave lithotripsy for ureteric stones.

PubMed

Dasgupta, Ranan; Hegarty, Nicholas; Thomas, Kay

2009-03-01

Extracorporeal shock wave lithotripsy has been used for over 2 decades, but its application in the acute setting remains under review. With continuing refinements to the technology, it is timely to review its efficacy in the emergency setting. The procedure has an overall low morbidity and is generally well tolerated. Success rates of 70-80% are reported in a number of studies, with relatively low complication rates. Although much attention has been given to the improvements in the outcome of ureteroscopic stone clearance, the benefits of a noninvasive procedure which does not require general anaesthesia may be appealing and indeed preferable for many patients. This should remain a valid alternative treatment option offered to patients, and its provision may be restricted by resource availability rather than clinical evidence. Centres should be identified that can offer an emergency extracorporeal shock wave lithotripsy service and patients informed of outcome data from such centres.

Strengthening laboratory systems in resource-limited settings.

PubMed

Olmsted, Stuart S; Moore, Melinda; Meili, Robin C; Duber, Herbert C; Wasserman, Jeffrey; Sama, Preethi; Mundell, Ben; Hilborne, Lee H

2010-09-01

Considerable resources have been invested in recent years to improve laboratory systems in resource-limited settings. We reviewed published reports, interviewed major donor organizations, and conducted case studies of laboratory systems in 3 countries to assess how countries and donors have worked together to improve laboratory services. While infrastructure and the provision of services have seen improvement, important opportunities remain for further advancement. Implementation of national laboratory plans is inconsistent, human resources are limited, and quality laboratory services rarely extend to lower tier laboratories (eg, health clinics, district hospitals). Coordination within, between, and among governments and donor organizations is also frequently problematic. Laboratory standardization and quality control are improving but remain challenging, making accreditation a difficult goal. Host country governments and their external funding partners should coordinate their efforts effectively around a host country's own national laboratory plan to advance sustainable capacity development throughout a country's laboratory system.

[Recording and reporting adverse reactions in clinical trials. New legal provisions according to the 12th Law Amending the German Drug Law (AMG) and the Ordinance on GCP (GCP-V)].

PubMed

Eckhardt, K; Cremer-Schaeffer, P; König, J; Paeschke, N

2005-02-01

With the 12th Law Amending the German Drug Law and the Ordinance on GCP (GCPV), new legal provisions for clinical trials came into force in August 2004. These include specific definitions and differentiated reporting obligations affecting investigators, sponsors, authorities and ethics committees concerning pharmacovigilance in clinical trials. The definitions according to section sign3 (6-8) GCP-V make clear that these provisions focus on those adverse events and adverse drug reactions, which are related to investigational medicinal products. In the GCP-V for the first time legally binding provisions for investigators are laid down defining obligations to report all serious adverse events to the sponsor. The sponsor of clinical trials plays a decisive role concerning the evaluation, documentation and reporting to the competent higher authorities, ethics committees and investigators involved in the clinical trial. In the GCP-V different time limits concerning the reporting for sponsors are laid down. The requirements concerning expedited reporting focus on suspected unexpected serious adverse reactions (SUSARs), i. e. those adverse serious reactions, which are not described in the information on the investigational medicinal product. The time limit for reporting SUSARs leading to death or life-threatening SUSARs is 7 days, while for other SUSARs the time limit is 15 days. Besides the responsibilities on expedited reporting the sponsor has to submit a line listing of all serious adverse reactions which occurred during the clinical trial and a report on the safety of the trial subjects on an annual basis or on request. On the European level the harmonisation concerning the provisions on pharmacovigilance in clinical trials according to the Directive 2001/20/EC and the Eudravigilance database should contribute to reach a faster and more effective exchange of safety information related to clinical trials between the different competent authorities of the EU member states.

Learning in Australian Early Childhood Education and Care Settings: Changing Professional Practice

ERIC Educational Resources Information Center

Tayler, Collette

2012-01-01

For the first time across Australia, early education and care services are subject to a single, national set of regulations and standards governing the quality of provision. Concurrently, a set of outcomes for all children aged from birth to 5 years and a ranking system to make transparent the performance of programmes have been developed. This…

A bibliometric approach demonstrates the impact of a social care data set on research and policy.

PubMed

Urquhart, Christine; Dunn, Sara

2013-12-01

The National Minimum Dataset for Social Care (NMDS-SC) has provided detailed data since 2006 on the workforce for adult social care services in England. In 2012, the organisation responsible for the data set commissioned an evaluation into the impact of the data set on researchers and policymakers. Discusses how a novel wide-ranging bibliometric approach, complemented by interviews of key informants, demonstrated the developing impact of the data set. The evaluation comprised web metrics to assess NMDS-SC-related traffic on relevant websites; bibliometrics to assess the use of NMDS-SC data in scholarly publications and grey literature; telephone interviews with 12 key users of the data set; and an online survey completed by 24 key users of the data set. A theoretical framework for research impact was used. The web metrics demonstrated increase in traffic on the relevant pages of the organisation's website. There were references to the data set in 175 separate publications (15% from academic journals, 50% as policy/practice reports and 35% as media communications. Interviews evidenced many impacts, for example provision of robust data for secondary analysis that challenged conventional views about the social care workforce. Bibliometrics plus interviews provided a rounded picture of the data set's impact. © 2013 The authors. Health Information and Libraries Journal © 2013 Health Libraries Group.

The effect of additional physiotherapy to hospital inpatients outside of regular business hours: a systematic review.

PubMed

Brusco, Natasha K; Paratz, Jennifer

2006-12-01

Provision of out of regular business hours (OBH) physiotherapy to hospital inpatients is widespread in the hospital setting. This systematic review evaluated the effect of additional OBH physiotherapy services on patient length of stay (LOS), pulmonary complications, discharge destination, discharge mobility status, quality of life, cost saving, adverse events, and mortality compared with physiotherapy only within regular business hours. A literature search was completed on databases with citation tracking using key words. Two reviewers completed data extraction and quality assessment independently by using modified scales for historical cohorts and case control studies as well as the PEDro scale for randomized controlled trials and quasi-randomised controlled trials. This search identified nine articles of low to medium quality. Four reported a significant reduction in LOS associated with additional OBH physiotherapy, with two articles reporting overall significance and two reporting only for specific subgroups. Two studies reported significant reduction in pulmonary complications for two different patient groups in an intensive care unit (ICU) with additional OBH physiotherapy. Three studies accounted for discharge destination and/or discharge mobility status with no significant difference reported. Quality of life, adverse events, and mortality were not reported in any studies. Cost savings were considered in three studies, with two reporting a cost saving. This systematic review was unable to conclude that the provision of additional OBH physiotherapy made significant improvement to patient outcomes for all subgroups of inpatients. One study in critical care reported that overnight physiotherapy decreased LOS and reduced pulmonary complications of patients in the ICU. However, the studies in the area of orthopaedics, neurology, postcardiac surgery, and rheumatology, which all considered additional daytime weekend physiotherapy intervention, did not provide strong evidence to indicate effective reduction in patient LOS or improving patient discharge mobility status or discharge destination. Investigation should continue in this area, but future trials should ensure factors such as random allocation, groups equal at baseline, blinded investigators, and proven intervention are included in the study design.

Evaluations of reproductive health programs in humanitarian settings: a systematic review

PubMed Central

2015-01-01

Provision of reproductive health (RH) services is a minimum standard of health care in humanitarian settings; however access to these services is often limited. This systematic review, one component of a global evaluation of RH in humanitarian settings, sought to explore the evidence regarding RH services provided in humanitarian settings and to determine if programs are being evaluated. In addition, the review explored which RH services receive more attention based on program evaluations and descriptive data. Peer-reviewed papers published between 2004 and 2013 were identified via the Ovid MEDLINE database, followed by a PubMed search. Papers on quantitative evaluations of RH programs, including experimental and non-experimental designs that reported outcome data, implemented in conflict and natural disaster settings, were included. Of 5,669 papers identified in the initial search, 36 papers describing 30 programs met inclusion criteria. Twenty-five papers described programs in sub-Saharan Africa, six in Asia, two in Haiti and three reported data from multiple countries. Some RH technical areas were better represented than others: seven papers reported on maternal and newborn health (including two that also covered family planning), six on family planning, three on sexual violence, 20 on HIV and other sexually transmitted infections and two on general RH topics. In comparison to the program evaluation papers identified, three times as many papers were found that reported RH descriptive or prevalence data in humanitarian settings. While data demonstrating the magnitude of the problem are crucial and were previously lacking, the need for RH services and for evaluations to measure their effectiveness is clear. Program evaluation and implementation science should be incorporated into more programs to determine the best ways to serve the RH needs of people affected by conflict or natural disaster. Standard program design should include rigorous program evaluation, and the results must be shared. The papers demonstrated both that RH programs can be implemented in these challenging settings, and that women and men will use RH services when they are of reasonable quality. PMID:25685183

Characteristics of good quality pharmaceutical services common to community pharmacies and dispensing general practices.

PubMed

Grey, Elisabeth; Harris, Michael; Rodham, Karen; Weiss, Marjorie C

2016-10-01

In the United Kingdom, pharmaceutical services can be delivered by both community pharmacies (CPs) and dispensing doctor practices (DPs). Both must adhere to minimum standards set out in NHS regulations; however, no common framework exists to guide quality improvement. Previous phases of this research had developed a set of characteristics indicative of good pharmaceutical service provision. To ask key stakeholders to confirm, and rank the importance of, a set of characteristics of good pharmaceutical service provision. A two-round Delphi-type survey was conducted in south-west England and was sent to participants representing three stakeholder groups: DPs, CPs and patients/lay members. Participants were asked to confirm, and rank, the importance of these characteristics as representing good quality pharmaceutical services. Thirty people were sent the first round survey; 22 participants completed both rounds. Median ratings for the 23 characteristics showed that all were seen to represent important aspects of pharmaceutical service provision. Participants' comments highlighted potential problems with the practicality of the characteristics. Characteristics relating to patient safety were deemed to be the most important and those relating to public health the least important. A set of 23 characteristics for providing good pharmaceutical services in CPs and DPs was developed and attained approval from a sample of stakeholders. With further testing and wider discussion, it is hoped that the characteristics will form the basis of a quality improvement tool for CPs and DPs. © 2016 Royal Pharmaceutical Society.

What do we know about different models of providing palliative care? Findings from a systematic review of reviews.

PubMed

Brereton, Louise; Clark, Joseph; Ingleton, Christine; Gardiner, Clare; Preston, Louise; Ryan, Tony; Goyder, Elizabeth

2017-10-01

A wide range of organisational models of palliative care exist. However, decision makers need more information about which models are likely to be most effective in different settings and for different patient groups. To identify the existing range of models of palliative care that have been evaluated, what is already known and what further information is essential if the most effective and cost-effective models are to be identified and replicated more widely. A review of systematic and narrative reviews according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Study quality was assessed using the AMSTAR (A MeaSurement Tool to Assess Reviews) tool. MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Library, Web of Science and ASSIA were searched for reviews about models of service provision from 2000 to 2014 and supplemented with Google searches of the grey literature. Much of the evidence relates to home-based palliative care, although some models are delivered across care settings. Reviews report several potential advantages and few disadvantages of models of palliative care delivery. However, under-reporting of the components of intervention and comparator models are major barriers to the evaluation and implementation of models of palliative care. Irrespective of setting or patient characteristics, models of palliative care appear to show benefits and some models of palliative care may reduce total healthcare costs. However, much more detailed and systematic reporting of components and agreement about outcome measures is essential in order to understand the key components and successfully replicate effective organisational models.

Information analytics for healthcare service discovery.

PubMed

Sun, Lily; Yamin, Mohammad; Mushi, Cleopa; Liu, Kecheng; Alsaigh, Mohammed; Chen, Fabian

2014-01-01

The concept of being 'patient-centric' is a challenge to many existing healthcare service provision practices. This paper focuses on the issue of referrals, where multiple stakeholders, such as General Practitioners (GPs) and patients, are encouraged to make a consensual decision based on patients' needs. In this paper, we present an ontology-enabled healthcare service provision, which facilitates both patients and GPs in jointly deciding upon the referral decision. In the healthcare service provision model, we define three types of profiles which represent different stakeholders' requirements. This model also comprises a set of healthcare service discovery processes: articulating a service need, matching the need with the healthcare service offerings, and deciding on a best-fit service for acceptance. As a result, the healthcare service provision can carry out coherent analysis using personalised information and iterative processes that deal with requirements which change over time.

7 CFR 226.21 - Food service management companies.

Code of Federal Regulations, 2011 CFR

2011-01-01

... procurements of meals from food service management companies shall adhere to the procurement standards set... provisions set forth in § 226.22, the State agency may mandate that each institution with Program meal... shall include the time and place of the bid opening; (2) The institution shall notify the State agency...

Learning to Be Interdisciplinary: An Action Research Approach to Boundary Spanning

ERIC Educational Resources Information Center

Munoz, Karen; Jeris, Laurel

2005-01-01

Objective: This study explored challenges and barriers that need to be addressed in a preprofessional educational setting to provide opportunities for boundary spanning that leads to family-centred interdisciplinary service provision. Design: The design employed in this study was participatory action research, an inductive approach. Setting: The…

29 CFR 24.104 - Investigation.

Code of Federal Regulations, 2012 CFR

2012-07-01

... PROVISIONS OF SIX ENVIRONMENTAL STATUTES AND SECTION 211 OF THE ENERGY REORGANIZATION ACT OF 1974, AS AMENDED... paragraph sets forth the procedures applicable to investigations under the Safe Drinking Water Act; Federal... Energy Reorganization Act. In addition to the investigative procedures set forth in §§ 24.104(a), (b), (c...

29 CFR 24.104 - Investigation.

Code of Federal Regulations, 2014 CFR

2014-07-01

... PROVISIONS OF SIX ENVIRONMENTAL STATUTES AND SECTION 211 OF THE ENERGY REORGANIZATION ACT OF 1974, AS AMENDED... paragraph sets forth the procedures applicable to investigations under the Safe Drinking Water Act; Federal... Energy Reorganization Act. In addition to the investigative procedures set forth in §§ 24.104(a), (b), (c...

29 CFR 24.104 - Investigation.

Code of Federal Regulations, 2011 CFR

2011-07-01

... PROVISIONS OF SIX ENVIRONMENTAL STATUTES AND SECTION 211 OF THE ENERGY REORGANIZATION ACT OF 1974, AS AMENDED... paragraph sets forth the procedures applicable to investigations under the Safe Drinking Water Act; Federal... Energy Reorganization Act. In addition to the investigative procedures set forth in §§ 24.104(a), (b), (c...

29 CFR 24.104 - Investigation.

Code of Federal Regulations, 2013 CFR

2013-07-01

... PROVISIONS OF SIX ENVIRONMENTAL STATUTES AND SECTION 211 OF THE ENERGY REORGANIZATION ACT OF 1974, AS AMENDED... paragraph sets forth the procedures applicable to investigations under the Safe Drinking Water Act; Federal... Energy Reorganization Act. In addition to the investigative procedures set forth in §§ 24.104(a), (b), (c...

45 CFR 164.532 - Transition provisions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... operating pursuant to a data use agreement with a recipient of a limited data set that complies with § 164... data set pursuant to such agreement in exchange for remuneration from or on behalf of the recipient of... Public Welfare Department of Health and Human Services ADMINISTRATIVE DATA STANDARDS AND RELATED...

45 CFR 164.532 - Transition provisions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... operating pursuant to a data use agreement with a recipient of a limited data set that complies with § 164... data set pursuant to such agreement in exchange for remuneration from or on behalf of the recipient of... Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES ADMINISTRATIVE DATA STANDARDS AND RELATED...

10 CFR 960.3-2-1 - Site screening for potentially acceptable sites.

Code of Federal Regulations, 2011 CFR

2011-01-01

... that contain rock formations of suitable depth, thickness, and lateral extent and have structural... require diversity of geohydrologic settings and rock types and consideration of regionality, as specified... provisions for diversity of geohydrologic settings, diversity of rock types, and regionality (§§ 960.3-1-1...

17 CFR 232.301 - EDGAR Filer Manual.

Code of Federal Regulations, 2010 CFR

2010-04-01

... (September 2009). Additional provisions applicable to Form N-SAR filers are set forth in the EDGAR Filer... Filer Manual. Filers must prepare electronic filings in the manner prescribed by the EDGAR Filer Manual.... The requirements for becoming an EDGAR Filer and updating company data are set forth in the updated...

17 CFR 232.301 - EDGAR Filer Manual.

Code of Federal Regulations, 2014 CFR

2014-04-01

... (March 2014). Additional provisions applicable to Form N-SAR filers are set forth in the EDGAR Filer... Filer Manual. Filers must prepare electronic filings in the manner prescribed by the EDGAR Filer Manual.... The requirements for becoming an EDGAR Filer and updating company data are set forth in the updated...

17 CFR 232.301 - EDGAR Filer Manual.

Code of Federal Regulations, 2011 CFR

2011-04-01

... (December 2010). Additional provisions applicable to Form N-SAR filers are set forth in the EDGAR Filer... Filer Manual. Filers must prepare electronic filings in the manner prescribed by the EDGAR Filer Manual.... The requirements for becoming an EDGAR Filer and updating company data are set forth in the updated...

Mathematical Adventures in Role Play

ERIC Educational Resources Information Center

Tyce, Constance

2002-01-01

The provision of role play is vital in every early years setting. It provides opportunities for the development of all areas of learning. With careful thought and planning, all role play situations can provide children with mathematical adventures. Many examples of good quality role play had been observed in a variety of settings throughout…

48 CFR 252.225-7004 - Report of Intended Performance Outside the United States and Canada-Submission after Award.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Policy and International Contracting), OUSD(AT&L)DPAP(CPIC), Washington, DC 20301-3060. (d) Report format... CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.225-7004... subcontractor will perform any part of this contract outside the United States and Canada that— (1) Exceeds $650...

48 CFR 252.225-7004 - Report of Intended Performance Outside the United States and Canada-Submission after Award.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Policy and International Contracting), OUSD(AT&L)DPAP(CPIC), Washington, DC 20301-3060. (d) Report format... CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions And Clauses 252.225-7004... subcontractor will perform any part of this contract outside the United States and Canada that— (1) Exceeds $650...

46 CFR 503.77 - Responsibilities of the General Counsel of the agency upon a request to close any portion of any...

Code of Federal Regulations, 2010 CFR

2010-10-01

... meeting or the portion or portions of a series of meetings setting forth the time and place of the... any series of meetings under the provisions of §§ 503.74 and 503.75, the General Counsel of the agency... series of meetings is proper under the provisions of this subpart and the terms of the Government in the...

46 CFR 503.77 - Responsibilities of the General Counsel of the agency upon a request to close any portion of any...

Code of Federal Regulations, 2014 CFR

2014-10-01

... meeting or the portion or portions of a series of meetings setting forth the time and place of the... any series of meetings under the provisions of §§ 503.74 and 503.75, the General Counsel of the agency... series of meetings is proper under the provisions of this subpart and the terms of the Government in the...

46 CFR 503.77 - Responsibilities of the General Counsel of the agency upon a request to close any portion of any...

Code of Federal Regulations, 2011 CFR

2011-10-01

... meeting or the portion or portions of a series of meetings setting forth the time and place of the... any series of meetings under the provisions of §§ 503.74 and 503.75, the General Counsel of the agency... series of meetings is proper under the provisions of this subpart and the terms of the Government in the...

46 CFR 503.77 - Responsibilities of the General Counsel of the agency upon a request to close any portion of any...

Code of Federal Regulations, 2012 CFR

2012-10-01

... meeting or the portion or portions of a series of meetings setting forth the time and place of the... any series of meetings under the provisions of §§ 503.74 and 503.75, the General Counsel of the agency... series of meetings is proper under the provisions of this subpart and the terms of the Government in the...

75 FR 48743 - Mandatory Reporting of Greenhouse Gases

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-11

...EPA is proposing to amend specific provisions in the GHG reporting rule to clarify certain provisions, to correct technical and editorial errors, and to address certain questions and issues that have arisen since promulgation. These proposed changes include providing additional information and clarity on existing requirements, allowing greater flexibility or simplified calculation methods for certain sources in a facility, amending data reporting requirements to provide additional clarity on when different types of GHG emissions need to be calculated and reported, clarifying terms and definitions in certain equations, and technical corrections.

75 FR 79091 - Mandatory Reporting of Greenhouse Gases

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-17

...EPA is amending specific provisions in the greenhouse gas reporting rule to clarify certain provisions, to correct technical and editorial errors, and to address certain questions and issues that have arisen since promulgation. These final changes include generally providing additional information and clarity on existing requirements, allowing greater flexibility or simplified calculation methods for certain sources, amending data reporting requirements to provide additional clarity on when different types of greenhouse gas emissions need to be calculated and reported, clarifying terms and definitions in certain equations and other technical corrections and amendments.

Health impact assessment for the sustainable futures of Salford

PubMed Central

Douglas, C.; Higgins, A.; Dabbs, C.; Walbank, M.

2004-01-01

Background: The Salford Health Investment for Tomorrow and the Local Improvement Finance Trust proposals for the comprehensive redevelopment of Salford Royal Hospital and the provision of four integrated primary health and social centres in the City of Salford are a response to the challenge of the NHS Plan to modernise delivery and service provision. The scale of the proposed developments will have a major effect on the quality of life in Salford. This health impact assessment was undertaken to determine how these proposals could be amended to ensure that the impacts are optimised so that potential benefits to Salford's communities are realised to maximise their health and wellbeing. Method: This involved a comprehensive prospective health impact assessment and a series of interviews with key stakeholders, community organisations, and local people to identify and prioritise potential positive and negative impacts of the proposals. Results and conclusions: The assessment pointed to a wide range of positive and negative impacts that provided the basis of a set of recommendations, which were linked directly to the themes of the Salford Community Plan. These related to setting employment, education, and training opportunities to maximise health and wellbeing and improve quality of life for all communities in Salford within the framework of the plan. In presenting the findings of the health impact assessment and discussing the recommendations, the paper presents a unique approach in health impact assessment reporting by offering perspectives from the assessor and the project's steering group. PMID:15252065

Cost-effectiveness of strategies to improve the utilization and provision of maternal and newborn health care in low-income and lower-middle-income countries: a systematic review.

PubMed

Mangham-Jefferies, Lindsay; Pitt, Catherine; Cousens, Simon; Mills, Anne; Schellenberg, Joanna

2014-07-22

Each year almost 3 million newborns die within the first 28 days of life, 2.6 million babies are stillborn, and 287,000 women die from complications of pregnancy and childbirth worldwide. Effective and cost-effective interventions and behaviours for mothers and newborns exist, but their coverage remains inadequate in low- and middle-income countries, where the vast majority of deaths occur. Cost-effective strategies are needed to increase the coverage of life-saving maternal and newborn interventions and behaviours in resource-constrained settings. A systematic review was undertaken on the cost-effectiveness of strategies to improve the demand and supply of maternal and newborn health care in low-income and lower-middle-income countries. Peer-reviewed and grey literature published since 1990 was searched using bibliographic databases, websites of selected organizations, and reference lists of relevant studies and reviews. Publications were eligible for inclusion if they report on a behavioural or health systems strategy that sought to improve the utilization or provision of care during pregnancy, childbirth or the neonatal period; report on its cost-effectiveness; and were set in one or more low-income or lower-middle-income countries. The quality of the publications was assessed using the Consolidated Health Economic Evaluation Reporting Standards statement. Incremental cost per life-year saved and per disability-adjusted life-year averted were compared to gross domestic product per capita. Forty-eight publications were identified, which reported on 43 separate studies. Sixteen were judged to be of high quality. Common themes were identified and the strategies were presented in relation to the continuum of care and the level of the health system. There was reasonably strong evidence for the cost-effectiveness of the use of women's groups, home-based newborn care using community health workers and traditional birth attendants, adding services to routine antenatal care, a facility-based quality improvement initiative to enhance compliance with care standards, and the promotion of breastfeeding in maternity hospitals. Other strategies reported cost-effectiveness measures that had limited comparability. Demand and supply-side strategies to improve maternal and newborn health care can be cost-effective, though the evidence is limited by the paucity of high quality studies and the use of disparate cost-effectiveness measures. PROSPERO_ CRD42012003255.

Impact of Renewable Fuels Standard/MTBE Provisions of S. 1766

EIA Publications

2002-01-01

This service report addresses the Renewable Fuels Standard (RFS)/methyl tertiary butyl ether (MTBE) provisions of S. 1766. The 'S. 1766' Case reflects provisions of S. 1766 including a renewable fuels standard (RFS) reaching five billion gallons by 2012, a complete phase-out of MTBE within four years, and the option for states to waive the oxygen requirement for reformulated gasoline (RFG).

40 CFR Table 7 of Subpart Yyyy of... - Applicability of General Provisions to Subpart YYYY

Code of Federal Regulations, 2010 CFR

2010-07-01

... provisions Yes § 63.7(g) Performance test data analysis, recordkeeping, and reporting Yes § 63.7(h) Waiver of... conducting performance tests Yes § 63.7(e)(2) Conduct of performance tests and reduction of data Yes Subpart... Yes § 63.8(g) Data reduction Yes Except that provisions for COMS are not applicable. Averaging periods...

GPs’ confidence in caring for their patients on the autism spectrum: an online self-report study

PubMed Central

Unigwe, Silvana; Buckley, Carole; Crane, Laura; Kenny, Lorcan; Remington, Anna; Pellicano, Elizabeth

2017-01-01

Background In the UK, GPs play a key role in the identification and management of children, young people, and adults on the autism spectrum, but there is a paucity of research on GPs’ perceptions of working with these patients. Aim To understand GPs’ perceived self-efficacy in identifying and managing their patients on the autism spectrum, and the factors affecting this. Design and setting An online self-report survey was developed for completion by GPs across the UK. Method A total of 304 GPs in the UK took part. The survey collected responses on participants’ background, training, and experience, both as a GP and with regard to autism, and included a 22-item knowledge of autism questionnaire, a 14-item self-efficacy scale targeting GPs’ perceived confidence in identifying and managing their autistic patients, and an open question eliciting participants’ experiences of working with autistic people. Results In total, 39.5% (n = 120) of GP participants reported never having received formal training in autism. Despite demonstrating good knowledge of its key features, participants reported limited confidence in their abilities to identify and manage autistic patients, with many citing a number of barriers that overwhelmingly focused on perceived failings of the current healthcare system (such as a lack of clarity around referral pathways). Conclusion There is an urgent need for improved local specialist service provision alongside clearer referral pathways for diagnosis to improve both GPs’ confidence in caring for their autistic patients and the healthcare experiences of autistic patients and their families. Local clinical commissioning groups are best served to assist GPs in ensuring that they can reliably detect the condition and make appropriate provisions for support. PMID:28483821

The Provision of Interventional Radiology Services in Europe: CIRSE Recommendations.

PubMed

Tsetis, Dimitrios; Uberoi, Raman; Fanelli, Fabrizio; Roberston, Iain; Krokidis, Miltiadis; van Delden, Otto; Radeleff, Boris; Müller-Hülsbeck, Stefan; Szerbo-Trojanowska, Malgorzata; Lee, Michael; Morgan, Robert; Brountzos, Elias; Belli, Anna Maria

2016-04-01

Interventional Radiology (IR) is an essential part of modern medicine, delivering minimally invasive patient-focused care, which has been proven to be safe and effective in both elective and emergency settings. The aim of this document is to outline the core requirements and standards for the provision of Interventional Radiological services, including training, certification, manpower, and accreditation. The ultimate challenge will be the adoption of these recommendations by different countries and health economies around the world, in turn ensuring equal access to IR treatments for all patients, the appropriate distribution of resources for IR service provision as well as the continued development of safe and high-quality IR services in Europe and beyond.

Legal-age students' provision of alcohol to underage college students: an exploratory study.

PubMed

Brown, Richard L; Matousek, Therese A; Radue, Mary B

2009-01-01

The authors investigated the magnitude and cultural context of legal-age university students' provision of alcohol to underage students and how such alcohol provision might be deterred. 130 legal-age students at a midwestern university in the United States were randomly selected. The authors assessed 16 focus groups and a thematic analysis. Most participants reported frequent alcohol provision. Most denied moral responsibility for any negative consequences that recipients might suffer. Small numbers of participants, chiefly women, would decrease alcohol provision after education on the sexual risks to underage females. Larger numbers would decrease provision in response to consistent law enforcement, severe legal and disciplinary penalties, and education on severe penalties. Legal-age students' provision of alcohol to underage students is an integral part of college students' drinking culture. As a deterrent, an enforcement-based campaign may be more effective than an educational campaign on the possible negative consequences of alcohol for underage students.

VM Capacity-Aware Scheduling within Budget Constraints in IaaS Clouds

PubMed Central

Thanasias, Vasileios; Lee, Choonhwa; Hanif, Muhammad; Kim, Eunsam; Helal, Sumi

2016-01-01

Recently, cloud computing has drawn significant attention from both industry and academia, bringing unprecedented changes to computing and information technology. The infrastructure-as-a-Service (IaaS) model offers new abilities such as the elastic provisioning and relinquishing of computing resources in response to workload fluctuations. However, because the demand for resources dynamically changes over time, the provisioning of resources in a way that a given budget is efficiently utilized while maintaining a sufficing performance remains a key challenge. This paper addresses the problem of task scheduling and resource provisioning for a set of tasks running on IaaS clouds; it presents novel provisioning and scheduling algorithms capable of executing tasks within a given budget, while minimizing the slowdown due to the budget constraint. Our simulation study demonstrates a substantial reduction up to 70% in the overall task slowdown rate by the proposed algorithms. PMID:27501046

VM Capacity-Aware Scheduling within Budget Constraints in IaaS Clouds.

PubMed

Thanasias, Vasileios; Lee, Choonhwa; Hanif, Muhammad; Kim, Eunsam; Helal, Sumi

2016-01-01

Recently, cloud computing has drawn significant attention from both industry and academia, bringing unprecedented changes to computing and information technology. The infrastructure-as-a-Service (IaaS) model offers new abilities such as the elastic provisioning and relinquishing of computing resources in response to workload fluctuations. However, because the demand for resources dynamically changes over time, the provisioning of resources in a way that a given budget is efficiently utilized while maintaining a sufficing performance remains a key challenge. This paper addresses the problem of task scheduling and resource provisioning for a set of tasks running on IaaS clouds; it presents novel provisioning and scheduling algorithms capable of executing tasks within a given budget, while minimizing the slowdown due to the budget constraint. Our simulation study demonstrates a substantial reduction up to 70% in the overall task slowdown rate by the proposed algorithms.

The next challenge for psycho-oncology in the UK: targeting service quality and outcomes.

PubMed

King, Alex

2016-12-01

The acceptance and provision of psychosocial cancer care in the UK is moving forward positively, aided by patient advocacy and psychologically minded healthcare policies. The unfolding challenge now is of targeting the quality and outcomes of clinical psycho-oncology services. This report outlines the clinically led development of UK-focused guidance to challenge psycho-oncology services to achieve and demonstrate their potential. It discusses how the guidance was particularly framed to encourage small, low-resource services, and outlines the potential benefits for patients. Overall, setting ourselves the challenge of quality on the same terms as physical healthcare, we can shape a direct path to achieving parity of esteem in mental with physical healthcare.

Students with Disabilities in General Education Settings: General Education Teacher Preparation

ERIC Educational Resources Information Center

Anderson, Mary Jo

2010-01-01

Historically, the provision of special education has moved from settings isolated from children without disabilities to services in public school classrooms with non-disabled peers. As advocates began to impact civil rights legislation, the educational rights of individuals with disabilities were realized, and laws began to protect them. Public…

Provision of Auricular Acupuncture and Acupressure in a University Setting

ERIC Educational Resources Information Center

Oyola-Santiago, Tamara; Knopf, Rachel; Robin, Tracy; Harvey, Kristen

2013-01-01

Auricular acupuncture using the National Acupuncture Detoxification Association (NADA) protocol stimulates 5 points in each ear--the Shen Men, sympathetic nervous system, liver, kidney, and lung. This protocol is also known as Acu Detox, and has been used for recovery in community-based settings and drug use treatment programs. It has also been…

48 CFR 2052.209-71 - Contractor organizational conflicts of interest (representation).

Code of Federal Regulations, 2012 CFR

2012-10-01

... System NUCLEAR REGULATORY COMMISSION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text... / / involve situations or relationships of the type set forth in 48 CFR 2009.570-3(b). (a) If the representation, as completed, indicates that situations or relationships of the type set forth in 48 CFR 2009.570...

48 CFR 2052.209-71 - Contractor organizational conflicts of interest (representation).

Code of Federal Regulations, 2014 CFR

2014-10-01

... System NUCLEAR REGULATORY COMMISSION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text... / / involve situations or relationships of the type set forth in 48 CFR 2009.570-3(b). (a) If the representation, as completed, indicates that situations or relationships of the type set forth in 48 CFR 2009.570...

48 CFR 2052.209-71 - Contractor organizational conflicts of interest (representation).

Code of Federal Regulations, 2011 CFR

2011-10-01

... System NUCLEAR REGULATORY COMMISSION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text... / / involve situations or relationships of the type set forth in 48 CFR 2009.570-3(b). (a) If the representation, as completed, indicates that situations or relationships of the type set forth in 48 CFR 2009.570...

48 CFR 2052.209-71 - Contractor organizational conflicts of interest (representation).

Code of Federal Regulations, 2013 CFR

2013-10-01

... System NUCLEAR REGULATORY COMMISSION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text... / / involve situations or relationships of the type set forth in 48 CFR 2009.570-3(b). (a) If the representation, as completed, indicates that situations or relationships of the type set forth in 48 CFR 2009.570...

Psychologists as Witnesses: Background and Good Practice in the Delivery of Evidence

ERIC Educational Resources Information Center

Ireland, Jane L.

2008-01-01

An outline of the background to the provision of psychological evidence within legal settings will be provided, with attention to formal and quasi-court settings (e.g., tribunals). Key points of relevance to psychologists and to educational psychologists in particular will be illustrated, including guidelines for defendable written and oral…

Telehealth in the School Setting: An Integrative Review

ERIC Educational Resources Information Center

Reynolds, Cori A.; Maughan, Erin D.

2015-01-01

Telehealth, the provision of health care through long-distance telecommunications technology, is a tool that can be used by school nurses to address and improve the health status of schoolchildren. The purpose of this literature review is to examine research related to implementation of telehealth in the school setting. A review of the literature…

78 FR 17102 - Setting and Adjusting Patent Fees; Correction

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-20

... authorized by the Leahy-Smith America Invents Act (``AIA''). The Fee Setting rule became effective on March... America Invents Act, 78 FR 11024 (Feb. 14, 2013) (``FITF final rule''); Changes to Implement Micro Entity... Implement the Inventor's Oath or Declaration Provisions of the Leahy-Smith America Invents Act, 77 FR 48776...

28 CFR 75.1 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-07-01

...-INSPECTION PROVISIONS § 75.1 Definitions. (a) Terms used in this part shall have the meanings set forth in 18... other commercial interest in the sexually explicit material, printing, and video duplication; (ii... forth in 18 U.S.C. 2510(15). (j) Remote computing service has the meaning set forth in 18 U.S.C. 2711(2...

28 CFR 75.1 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-07-01

...-INSPECTION PROVISIONS § 75.1 Definitions. (a) Terms used in this part shall have the meanings set forth in 18... other commercial interest in the sexually explicit material, printing, and video duplication; (ii... forth in 18 U.S.C. 2510(15). (j) Remote computing service has the meaning set forth in 18 U.S.C. 2711(2...

28 CFR 75.1 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-07-01

...-INSPECTION PROVISIONS § 75.1 Definitions. (a) Terms used in this part shall have the meanings set forth in 18... other commercial interest in the sexually explicit material, printing, and video duplication; (ii... forth in 18 U.S.C. 2510(15). (j) Remote computing service has the meaning set forth in 18 U.S.C. 2711(2...

28 CFR 75.1 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-07-01

...-INSPECTION PROVISIONS § 75.1 Definitions. (a) Terms used in this part shall have the meanings set forth in 18... other commercial interest in the sexually explicit material, printing, and video duplication; (ii... forth in 18 U.S.C. 2510(15). (j) Remote computing service has the meaning set forth in 18 U.S.C. 2711(2...

28 CFR 75.1 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

...-INSPECTION PROVISIONS § 75.1 Definitions. (a) Terms used in this part shall have the meanings set forth in 18... other commercial interest in the sexually explicit material, printing, and video duplication; (ii... forth in 18 U.S.C. 2510(15). (j) Remote computing service has the meaning set forth in 18 U.S.C. 2711(2...

Case Management in Community Corrections: Current Status and Future Directions

ERIC Educational Resources Information Center

Day, Andrew; Hardcastle, Lesley; Birgden, Astrid

2012-01-01

Case management is commonly regarded as the foundation of effective service provision across a wide range of human service settings. This article considers the case management that is offered to clients of community corrections, identifying the distinctive features of case management in this particular setting, and reviewing the empirical evidence…

42 CFR 84.1 - Purpose.

Code of Federal Regulations, 2013 CFR

2013-10-01

... RELATED ACTIVITIES APPROVAL OF RESPIRATORY PROTECTIVE DEVICES General Provisions § 84.1 Purpose. The... construction, performance, and respiratory protection requirements set forth in this part; and (d) To specify...

42 CFR 84.1 - Purpose.

Code of Federal Regulations, 2011 CFR

2011-10-01

... RELATED ACTIVITIES APPROVAL OF RESPIRATORY PROTECTIVE DEVICES General Provisions § 84.1 Purpose. The... construction, performance, and respiratory protection requirements set forth in this part; and (d) To specify...

42 CFR 84.1 - Purpose.

Code of Federal Regulations, 2012 CFR

2012-10-01

... RELATED ACTIVITIES APPROVAL OF RESPIRATORY PROTECTIVE DEVICES General Provisions § 84.1 Purpose. The... construction, performance, and respiratory protection requirements set forth in this part; and (d) To specify...

42 CFR 84.1 - Purpose.

Code of Federal Regulations, 2014 CFR

2014-10-01

... RELATED ACTIVITIES APPROVAL OF RESPIRATORY PROTECTIVE DEVICES General Provisions § 84.1 Purpose. The... construction, performance, and respiratory protection requirements set forth in this part; and (d) To specify...

42 CFR 84.1 - Purpose.

Code of Federal Regulations, 2010 CFR

2010-10-01

... RELATED ACTIVITIES APPROVAL OF RESPIRATORY PROTECTIVE DEVICES General Provisions § 84.1 Purpose. The... construction, performance, and respiratory protection requirements set forth in this part; and (d) To specify...

The Globalization of Pediatric Research: An Analysis of Clinical Trials Completed for Pediatric Exclusivity

PubMed Central

Pasquali, Sara K.; Burstein, Danielle S.; Benjamin, Daniel K.; Smith, P. Brian; Li, Jennifer S.

2010-01-01

Background Recent studies have examined the globalization of clinical research. These studies focused on adult trials, and the globalization of pediatric research has not been examined to date. We evaluated the setting of published studies conducted under the US Pediatric Exclusivity Program, which provides economic incentives to pharmaceutical companies to conduct drug studies in children. Methods Published studies containing the main results of trials conducted from 1998–2007 under the Pediatric Exclusivity Provision were included. Data were extracted from each study and described, including the therapeutic area of drug studied, number of patients enrolled, number of sites, and location where the study was conducted, if reported. Results Overall, 174 trials were included (sample size 8–27,065 patients); 9% did not report any information regarding the location or number of sites where the study was conducted. Of those that did report this information, 65% were conducted in at least one country outside the US, and 11% did not have any sites in the US. Fifty-four different countries were represented and 38% of trials enrolled patients in at least one site located in a developing/transition country, including more than one third of infectious disease, cardiovascular, and allergy/immunology trials. Conclusions The majority of published pediatric trials conducted under the Pediatric Exclusivity Provision included sites outside of the US, and over a third of trials enrolled patients in developing/transition countries. While there are many potential benefits to the globalization of pediatric research, this trend also raises certain scientific and ethical concerns which require further evaluation. PMID:20732941

40 CFR 1054.740 - What special provisions apply for generating and using emission credits?

Code of Federal Regulations, 2012 CFR

2012-07-01

.... Calculate the value of transitional emission credits as described in § 1054.705, based on setting STD equal... enduring credits as described in § 1054.705, based on setting STD equal to 10.0 g/kW-hr and FEL to the... transitional emission credits as described in § 1054.705, based on setting STD equal to 11.0 g/kW-hr and FEL...

Leading and Managing in the Early Years: A Study of the Impact of a NCSL Programme on Children's Centre Leaders' Perceptions of Leadership and Practice

ERIC Educational Resources Information Center

Ang, Lynn

2012-01-01

Research has shown that the quality of early years provisions is directly linked to the quality of leadership and management of early years settings. The extant research also shows that the quality of preschool settings are almost always characterised by strong leadership, where leaders and practitioners share a clear vision of the setting's…

Institutional food as a lever for improving health in cities: the case of New York City.

PubMed

Tsui, E K; Wurwarg, J; Poppendieck, J; Deutsch, J; Freudenberg, N

2015-04-01

To describe and examine the factors that most facilitate and impede the provision of healthy foods in a complex institutional food system. Comparative case study of three institutional food settings in New York City. Document review and interviews with relevant city government staff. Factors that facilitate and impede the provision of healthy food vary across institutional food settings, and particularly between centralized and decentralized settings. Generally pro-health factors include centralized purchasing and the ability to work with vendors to formulate items to improve nutritional quality, though decentralized purchasing may offer more flexibility to work with vendors offering healthier food items and to respond to consumer preferences. Factors most often working against health in more centralized systems include financing constraints that are unique to particular settings. In less centralized systems, factors working against health may include both financing constraints and factors that are site-specific, relating to preparation and equipment. Making changes to institutional food systems that will meaningfully influence public health requires a detailed understanding of the diverse systems supporting and shaping public food provision. Ultimately, the cases in this study demonstrate that agency staff typically would like to provide healthier foods, but often feel limited by the competing objectives of affordability and consumer preference. Their ability to address these competing objectives is shaped by a combination of both forces external to the institution, like nutritional regulations, and internal forces, like an agency's structure, and motivation on the part of staff. Copyright © 2014 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

30 CFR 27.1 - Purpose.

Code of Federal Regulations, 2010 CFR

2010-07-01

... PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.1 Purpose. The regulations in this part set forth the requirements for methane-monitoring systems or components thereof to procure certification for...

30 CFR 27.1 - Purpose.

Code of Federal Regulations, 2011 CFR

2011-07-01

... PRODUCTS METHANE-MONITORING SYSTEMS General Provisions § 27.1 Purpose. The regulations in this part set forth the requirements for methane-monitoring systems or components thereof to procure certification for...

Assistive technologies after stroke: self-management or fending for yourself? A focus group study

PubMed Central

2013-01-01

Background Assistive Technologies, defined as “electrical or mechanical devices designed to help people recover movement” have demonstrated clinical benefits in upper-limb stroke rehabilitation. Stroke services are becoming community-based and more reliant on self-management approaches. Assistive technologies could become important tools within self-management, however, in practice, few people currently use assistive technologies. This study investigated patients’, family caregivers and health professionals’ experiences and perceptions of stroke upper-limb rehabilitation and assistive technology use and identified the barriers and facilitators to their use in supporting stroke self-management. Methods A three-day exhibition of assistive technologies was attended by 204 patients, family caregivers/friends and health professionals. Four focus groups were conducted with people purposively sampled from exhibition attendees. They included i) people with stroke who had used assistive technologies (n = 5), ii) people with stroke who had not used assistive technologies (n = 6), iii) family caregivers (n = 5) and iv) health professionals (n = 6). The audio-taped focus groups were facilitated by a moderator and observer. All participants were asked to discuss experiences, strengths, weaknesses, barriers and facilitators to using assistive technologies. Following transcription, data were analysed using thematic analysis. Results All respondents thought assistive technologies had the potential to support self-management but that this opportunity was currently unrealised. All respondents considered assistive technologies could provide a home-based solution to the need for high intensity upper-limb rehabilitation. All stakeholders also reported significant barriers to assistive technology use, related to i) device design ii) access to assistive technology information and iii) access to assistive technology provision. The lack of and need for a coordinated system for assistive technology provision was apparent. A circular limitation of lack of evidence in clinical settings, lack of funded provision, lack of health professional knowledge about assistive technologies and confidence in prescribing them leading to lack of assistive technology service provision meant that often patients either received no assistive technologies or they and/or their family caregivers liaised directly with manufacturers without any independent expert advice. Conclusions Considerable systemic barriers to realising the potential of assistive technologies in upper-limb stroke rehabilitation were reported. Attention needs to be paid to increasing evidence of assistive technology effectiveness and develop clinical service provision. Device manufacturers, researchers, health professionals, service funders and people with stroke and family caregivers need to work creatively and collaboratively to develop new funding models, improve device design and increase knowledge and training in assistive technology use. PMID:23968362

Recovery Act: Planned Efforts and Challenges in Evaluating Compliance with Maintenance of Effort and Similar Provisions. Report to the Republican Leader, U.S. Senate. GAO-10-247

ERIC Educational Resources Information Center

Dodaro, Gene L.

2009-01-01

To help prevent the substitution of federal funds for state, local, or private funds, the American Recovery and Reinvestment Act of 2009 (Recovery Act) contains maintenance of effort and similar provisions requiring that recipients maintain certain levels of spending for selected programs. This report provides information on selected programs in…

A conceptual framework to assess effectiveness in wheelchair provision.

PubMed

Kamaraj, Deepan C; Bray, Nathan; Rispin, Karen; Kankipati, Padmaja; Pearlman, Jonathan; Borg, Johan

2017-01-01

Currently, inadequate wheelchair provision has forced many people with disabilities to be trapped in a cycle of poverty and deprivation, limiting their ability to access education, work and social facilities. This issue is in part because of the lack of collaboration among various stakeholders who need to work together to design, manufacture and deliver such assistive mobility devices. This in turn has led to inadequate evidence about intervention effectiveness, disability prevalence and subsequent costeffectiveness that would help facilitate appropriate provision and support for people with disabilities. In this paper, we describe a novel conceptual framework that can be tested across the globe to study and evaluate the effectiveness of wheelchair provision. The Comparative Effectiveness Research Subcommittee (CER-SC), consisting of the authors of this article, housed within the Evidence-Based Practice Working Group (EBP-WG) of the International Society of Wheelchair Professionals (ISWP), conducted a scoping review of scientific literature and standard practices used during wheelchair service provision. The literature review was followed by a series of discussion groups. The three iterations of the conceptual framework are described in this manuscript. We believe that adoption of this conceptual framework could have broad applications in wheelchair provision globally to develop evidence-based practices. Such a perspective will help in the comparison of different strategies employed in wheelchair provision and further improve clinical guidelines. Further work is being conducted to test the efficacy of this conceptual framework to evaluate effectiveness of wheelchair service provision in various settings across the globe.

Water transfer and major environmental provisions of the Central Valley Project Improvement Act: A preliminary economic evaluation

NASA Astrophysics Data System (ADS)

Loomis, John B.

1994-06-01

Increasing block water pricing, water transfer, and wildlife refuge water supply provisions of the Central Valley Project (CVP) Improvement Act are analyzed in terms of likely farmer response and economic efficiency of these provisions. Based on a simplified partial equilibrium analysis, we estimate small, but significant water conservation savings due to pricing reform, the potential for substantial water transfers to non-CVP customers in severe drought years when the water price exceeds 110 per acre foot (1 acre foot equals 1.234 × 103 m3) and positive net benefits for implementation of the wildlife refuge water supply provisions. The high threshold water price is partly a result of requiring farmers to pay full cost on transferred water plus a surcharge of 25 per acre foot if the water is transferred to a non-CVP user. The act also sets an important precedent for water pricing reform, water transfer provisions, and environmental surcharges on water users that may find their way to other Bureau of Reclamation projects.

Service utilisation by carers of people with dementia in rural Victoria.

PubMed

Ervin, Kaye; Reid, Carol

2015-12-01

To explore the use of community and dementia-specific services by informal carers caring for someone with dementia in a rural setting. Carers of people with dementia were recruited through a variety of rural community services and invited to complete a survey related to the utilisation of community services. A total of 39 carers completed surveys. Despite 84% reporting use of the Aged Care Assessment Service and 61% reporting provision of printed information on the services available, less than half of the carers utilised commonly available support services. Only 46% received financial compensation for their carer role. Rural carers of care recipients with behavioural and psychological symptoms of dementia underutilise community services. Services that may assist with carer stress and depression and services that provide advice on the management of distressing behavioural and psychological symptoms of dementia were utilised by less than half of the carers surveyed. © 2014 AJA Inc.

78 FR 21211 - Continuance of Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

...: Section 1. Continuing the President's Advisory Council on Faith-Based and Neighborhood Partnerships. The President's Advisory Council on Faith-Based and Neighborhood Partnerships, as set forth under the provisions...

50 CFR 648.206 - Framework provisions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... deducted when determining specifications; (8) Distribution of the ACL; (9) Gear restrictions (such as mesh... and bycatch monitoring; (27) Requirements for a herring processor survey; (28) ACL set-aside amounts...

50 CFR 648.206 - Framework provisions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... deducted when determining specifications; (8) Distribution of the ACL; (9) Gear restrictions (such as mesh... and bycatch monitoring; (27) Requirements for a herring processor survey; (28) ACL set-aside amounts...

50 CFR 648.206 - Framework provisions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... deducted when determining specifications; (8) Distribution of the ACL; (9) Gear restrictions (such as mesh... and bycatch monitoring; (27) Requirements for a herring processor survey; (28) ACL set-aside amounts...

50 CFR 648.206 - Framework provisions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... deducted when determining specifications; (8) Distribution of the ACL; (9) Gear restrictions (such as mesh... and bycatch monitoring; (27) Requirements for a herring processor survey; (28) ACL set-aside amounts...

21 CFR 864.1 - Scope.

Code of Federal Regulations, 2012 CFR

2012-04-01

... PATHOLOGY DEVICES General Provisions § 864.1 Scope. (a) This part sets forth the classification of hematology and pathology devices intended for human use that are in commercial distribution. (b) The...

21 CFR 864.1 - Scope.

Code of Federal Regulations, 2011 CFR

2011-04-01

... PATHOLOGY DEVICES General Provisions § 864.1 Scope. (a) This part sets forth the classification of hematology and pathology devices intended for human use that are in commercial distribution. (b) The...

21 CFR 864.1 - Scope.

Code of Federal Regulations, 2013 CFR

2013-04-01

... PATHOLOGY DEVICES General Provisions § 864.1 Scope. (a) This part sets forth the classification of hematology and pathology devices intended for human use that are in commercial distribution. (b) The...

21 CFR 864.1 - Scope.

Code of Federal Regulations, 2014 CFR

2014-04-01

... PATHOLOGY DEVICES General Provisions § 864.1 Scope. (a) This part sets forth the classification of hematology and pathology devices intended for human use that are in commercial distribution. (b) The...

21 CFR 864.1 - Scope.

Code of Federal Regulations, 2010 CFR

2010-04-01

... PATHOLOGY DEVICES General Provisions § 864.1 Scope. (a) This part sets forth the classification of hematology and pathology devices intended for human use that are in commercial distribution. (b) The...

77 FR 74099 - Reestablishment of Advisory Group

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-12

..., Health Promotion, and Integrative and Public Health. The Advisory Group on Prevention, Health Promotion, and Integrative and Public Health (Advisory Group), as set forth under the provisions of Executive...

"Selling It as a Holistic Health Provision and Not Just about Condoms..." Sexual Health Services in School Settings: Current Models and Their Relationship with Sex and Relationships Education Policy and Provision

ERIC Educational Resources Information Center

Formby, Eleanor; Hirst, Julia; Owen, Jenny; Hayter, Mark; Stapleton, Helen

2010-01-01

In this article we discuss the findings from a recent study of UK policy and practice in relation to sexual health services for young people, based in--or closely linked with--schools. This study formed part of a larger project, completed in 2009, which also included a systematic review of international research. The findings discussed in this…

Understanding differences in access and use of healthcare between international immigrants to Chile and the Chilean-born: a repeated cross-sectional population-based study in Chile.

PubMed

Cabieses, Baltica; Tunstall, Helena; Pickett, Kate E; Gideon, Jasmine

2012-11-16

International evidence indicates consistently lower rates of access and use of healthcare by international immigrants. Factors associated with this phenomenon vary significantly depending on the context. Some research into the health of immigrants has been conducted in Latin America, mostly from a qualitative perspective. This population-based study is the first quantitative study to explore healthcare provision entitlement and use of healthcare services by immigrants in Chile and compare them to the Chilean-born. Data come from the nationally representative CASEN (Socioeconomic characterization of the population in Chile) surveys, conducted in 2006 and 2009. Self-reported immigrants were compared to the Chilean-born, by demographic characteristics (age, sex, urban/rural, household composition, ethnicity), socioeconomic status (SES: education, household income, contractual status), healthcare provision entitlement (public, private, other, none), and use of primary services. Weighted descriptive, stratified and adjusted regression models were used to analyse factors associated with access to and use of healthcare. There was an increase in self-reported immigrant status and in household income inequality among immigrants between 2006 and 2009. Over time there was a decrease in the rate of immigrants reporting no healthcare provision and an increase in reporting of private healthcare provision entitlement. Compared to the Chilean-born, immigrants reported higher rates of use of antenatal and gynaecological care, lower use of well-baby care, and no difference in the use of Pap smears or the number of attentions received in the last three months. Immigrants in the bottom income quintile were four times more likely to report no healthcare provision than their equivalent Chilean-born group (with different health needs, i.e. vertical inequity). Disabled immigrants were more likely to have no healthcare provision compared to the disabled Chilean-born (with similar health needs, i.e. horizontal inequity). Factors associated with immigrants' access to, and use of, healthcare were sex, urban/rural status, education and country of origin. There were significant associations between SES, and access to and use of healthcare among immigrants in Chile and a higher prevalence of no health care provision entitlement among poor and disabled immigrants compared to the Chilean-born. Changing associations between access and use of healthcare and SES among immigrants in Chile over time may reflect changes in their socio-demographic composition or in the survey methodology between 2006 and 2009.

Association between information provision and supportive care needs among ovarian cancer survivors: A cross-sectional study from the PROFILES registry.

PubMed

Rietveld, Mark J A; Husson, Olga; Vos, M C Caroline; van de Poll-Franse, Lonneke V; Ottevanger, P B Nelleke; Ezendam, Nicole P M

2018-04-23

To examine the association between satisfaction with perceived information provision during diagnosis and treatment and supportive care needs in ovarian cancer survivors. In 2012, women (n = 348) diagnosed with ovarian cancer, as registered between 2000 and 2010 in the Netherlands Cancer Registry, received a questionnaire including questions on the perceived level of, and satisfaction with, information received (EORTC QLQ-INFO25) and supportive care needs (Cancer Survivors' Unmet Needs Measure). Of 348 women, 191 (55%) responded. Of all participants, 35% were not satisfied (n = 65) with the perceived amount of information received. Participants who were satisfied with the amount of information reported significantly higher levels of perceived information on disease, medical tests, treatment, and other services. Patients not satisfied with information provision had a higher total number of needs and a higher number of unmet needs than women satisfied with information provision. Multivariable linear regression analysis showed that satisfaction with information provision was negatively associated with the total number of unmet needs (β = -0.20, P = .03) after adjustment for potential confounding clinical and sociodemographic factors. Ovarian cancer survivors satisfied with the information provision during treatment reported fewer unmet needs during survivorship. Optimization of information provision for ovarian cancer patients during initial diagnosis and treatment may contribute to a decrease in unmet needs during survivorship. Copyright © 2018 John Wiley & Sons, Ltd.

A Cross-Sectional Comparison of Perceived Quality of Primary Care by Hypertensive Patients in Shanghai and Shenzhen, China

PubMed Central

Li, Haitao; Wei, Xiaolin; Wong, Martin Chi-Sang; Wong, Samuel Yeung-Shan; Yang, Nan; Griffiths, Sian M.

2015-01-01

Abstract Hypertension should be best managed under primary care settings. This study aimed to compare, between Shanghai and Shenzhen, the perceived quality of primary care in terms of accessibility, continuity, co-ordination, and comprehensiveness among hypertensive patients. A cross-sectional study was conducted in Shanghai and Shenzhen, China. Multistage random sampling method was used to select 8 community health centers. Data from primary care users were collected through on-site face-to-face interviews using the primary care assessment tool. Good quality standard was set as a value of 3 for each attribute and a value of 18 for total score. We included 568 patients in Shanghai and 128 patients in Shenzhen. Compared with those in Shenzhen, hypertensive patients in Shanghai reported a higher score in co-ordination of information (3.37 vs 3.66; P < 0.001), but lower scores in continuity of care (3.36 vs 3.27; P < 0.001), and comprehensiveness-service provision (3.26 vs 2.79; P < 0.001). There was no statistically significant difference in total scores between the 2 cities (18.19 vs 18.15). Over 3-quarters of hypertensive patients in both cities reported accessibility (97.2% vs 91.4%) and co-ordination of services (76.1% vs 80.5%) under good quality standard, while <1-quarter of them rated continuity of care (23.6% vs 22.7%), co-ordination of information (4.8% vs 21.1%), and comprehensiveness-service availability (15.1% vs 25.0%) under that standard. Compared with Shenzhen, the perceived quality of primary care for hypertensive patients in Shanghai was better in terms of co-ordination of information, but poorer on continuity of care and comprehensiveness-service provision. Our study suggests that there is room for quality improvement in both cities. PMID:26313780

Provision of pharmaceutical care services in North Carolina: a 1999 survey.

PubMed

McDermott, June H; Christensen, Dale B

2002-01-01

To describe the extent of and factors associated with the provision of pharmaceutical care services (PCS) and value-added pharmaceutical services (PS) by pharmacists in North Carolina, the physical changes made in pharmacies to accommodate these services, the nature and extent of prior consent or collaborative practice arrangements between North Carolina pharmacists and prescribers, and the frequency of reimbursement for PCS. Descriptive study based on a mail survey. Pharmacist-managers at each of the 2,048 licensed pharmacy sites in North Carolina; a list of licensed pharmacies provided by the North Carolina Board of Pharmacy was used as the sampling frame. Pharmacists' reports of PCS and pharmacy demographics. Response rate was 40%. More than 30% of respondents provided PCS at their site, although only 20% met our more stringent definition of PCS (i.e., ensuring appropriate pharmacotherapy, ensuring patient understanding and adherence, and monitoring and reporting patient outcomes). Services were more frequently offered by university-affiliated (35%) or independent (32%) pharmacies. The median number of patients receiving PCS across all sites was 10 per week. Diabetes was the most common health problem for which PCS were offered. Three variables-weekly prescription volume (positive correlation); number of staff pharmacists with advanced training, specifically fellowship training; and medical clinic/health maintenance organization setting-were significant predictors of the numbers of patients provided PCS. Independent community pharmacies were most likely to have private counseling areas and to bill for and receive payment for PCS. In North Carolina, a substantial number of pharmacists provided PCS in 1999 or planned to do so in the near future. However, the number of patients receiving PCS was relatively low. Practice setting, pharmacist education level, and prescription volume were weakly predictive of the number of patients receiving PCS. Pharmacists commonly used prior consent arrangements with physicians in their practices, but primarily to facilitate generic substitution. Relatively few pharmacists billed for PS or PCS.

Women's expectations and experiences of maternity care in NSW--what women highlight as most important.

PubMed

Jenkins, Mary G; Ford, Jane B; Morris, Jonathan M; Roberts, Christine L

2014-09-01

Although surveys have identified that women are generally highly satisfied with maternity care provision, those aspects of care that women highlight as most important for achieving satisfaction and a satisfactory maternity care experience have not been reported. The aim of this study was to investigate how women understand and experience their maternity care and to report which aspects of care women highlight as most important. This large qualitative study explored women's expectations and experiences of maternity care provision. In-depth semi-structured interviews were conducted with 53 women experiencing maternity care in a range of tertiary, regional, rural, remote hospitals and midwife-led practices in the state of New South Wales, Australia during 2011-2012. Included in the interview schedule was the question 'What 3 aspects would you see as most important for delivery of maternity care?' Descriptive analyses of entire transcripts and responses to the question on most important aspects of care were undertaken. Descriptive analyses of women's responses identified 5 important aspects of care: woman-focused care, staff qualities, systems and facilities, family-focused care and continuity of care/information. First-time mothers were more likely to identify woman-focused care, staff qualities and continuity of care/information as important aspects than multiparous mothers. Urban and regional mothers highlighted staff qualities as having greater importance for satisfaction with their care while rural and particularly remote women nominated systems and facilities as important. Our study showed that women from a range of settings are more concerned with staff and relational issues than facilities. Differences in perceptions among primiparous versus multiparous women, at different stages of pregnancy and among women from rural and remote compared to urban settings highlight the need to include women with a diversity of experience when trying to understand the aspects of maternity care most important to women. Copyright © 2014. Published by Elsevier Ltd.

The Provision of Interventional Radiology Services in Europe: CIRSE Recommendations

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

Tsetis, Dimitrios, E-mail: tsetis@med.uoc.gr; Uberoi, Raman, E-mail: raman.uberoi@orh.nhs.uk; Fanelli, Fabrizio, E-mail: fabrizio.fanelli@uniroma1.it

2016-04-15

Interventional Radiology (IR) is an essential part of modern medicine, delivering minimally invasive patient-focused care, which has been proven to be safe and effective in both elective and emergency settings. The aim of this document is to outline the core requirements and standards for the provision of Interventional Radiological services, including training, certification, manpower, and accreditation. The ultimate challenge will be the adoption of these recommendations by different countries and health economies around the world, in turn ensuring equal access to IR treatments for all patients, the appropriate distribution of resources for IR service provision as well as the continuedmore » development of safe and high-quality IR services in Europe and beyond.« less

21 CFR 820.1 - Scope.

Code of Federal Regulations, 2010 CFR

2010-04-01

... appropriate provisions of this regulation as guidance. Manufacturers of human blood and blood components are... to the donor-eligibility procedures set forth in part 1271 subpart C of this chapter and applicable...

21 CFR 862.1 - Scope.

Code of Federal Regulations, 2010 CFR

2010-04-01

... CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES General Provisions § 862.1 Scope. (a) This part sets forth the classification of clinical chemistry and clinical toxicology devices intended for human use that are in...

21 CFR 862.1 - Scope.

Code of Federal Regulations, 2012 CFR

2012-04-01

... CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES General Provisions § 862.1 Scope. (a) This part sets forth the classification of clinical chemistry and clinical toxicology devices intended for human use that are in...

21 CFR 862.1 - Scope.

Code of Federal Regulations, 2013 CFR

2013-04-01

... CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES General Provisions § 862.1 Scope. (a) This part sets forth the classification of clinical chemistry and clinical toxicology devices intended for human use that are in...

21 CFR 862.1 - Scope.

Code of Federal Regulations, 2011 CFR

2011-04-01

... CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES General Provisions § 862.1 Scope. (a) This part sets forth the classification of clinical chemistry and clinical toxicology devices intended for human use that are in...

21 CFR 862.1 - Scope.

Code of Federal Regulations, 2014 CFR

2014-04-01

... CHEMISTRY AND CLINICAL TOXICOLOGY DEVICES General Provisions § 862.1 Scope. (a) This part sets forth the classification of clinical chemistry and clinical toxicology devices intended for human use that are in...

Investigation into Undergraduate International Students' Use of Digital Technology and Their Application in Formal and Informal Settings

ERIC Educational Resources Information Center

Strachan, Rebecca; Aljabali, Sanaa

2015-01-01

Digital technologies are being increasingly used in wider society including in educational settings. There are many examples that illustrate how universities embed technology enhanced learning within their educational provision. However there has been less research and evaluation of how these and other readily available technology based resources…

48 CFR 52.219-27 - Notice of Service-Disabled Veteran-Owned Small Business Set-Aside.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 2 2014-10-01 2014-10-01 false Notice of Service-Disabled... Text of Provisions and Clauses 52.219-27 Notice of Service-Disabled Veteran-Owned Small Business Set-Aside. As prescribed in 19.1407, insert the following clause: Notice of Service-Disabled Veteran-Owned...

48 CFR 52.219-27 - Notice of Service-Disabled Veteran-Owned Small Business Set-Aside.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 2 2013-10-01 2013-10-01 false Notice of Service-Disabled... Text of Provisions and Clauses 52.219-27 Notice of Service-Disabled Veteran-Owned Small Business Set-Aside. As prescribed in 19.1407, insert the following clause: Notice of Service-Disabled Veteran-Owned...

48 CFR 52.219-27 - Notice of Service-Disabled Veteran-Owned Small Business Set-Aside.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 2 2012-10-01 2012-10-01 false Notice of Service-Disabled... Text of Provisions and Clauses 52.219-27 Notice of Service-Disabled Veteran-Owned Small Business Set-Aside. As prescribed in 19.1407, insert the following clause: Notice of Service-Disabled Veteran-Owned...