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Sample records for reproducible gastrointestinal complaints

  1. Genetic characterization of Cryptosporidium spp. among patients with gastrointestinal complaints

    PubMed Central

    Ranjbar, Reza; Baghaei, Kaveh; Nazemalhosseini Mojarad, Ehsan

    2016-01-01

    Aim: This study investigated subtypes of Cryptosporidium in patients with gastrointestinal complaints in Tehran, Iran. Background: Cryptosporidium, an intracellular protozean parasite, is among the major causative agents of gastroenteritis disorders in humans. It also causes water-borne and food-borne outbreaks of diarrheal diseases. Patients and methods: A total of 1685 fecal samples were collected from patients with gastrointestinal complaints who had been referred to clinical laboratories Tehran, Iran. The primary diagnosis was established by the detection of oocysts using the modified Ziehl-Neelsen staining method and following that, the positive microscopically samples were selected for sequence analysis of the partial 60 kDa glycoprotein (gp60) gene. Results: Out of 1685 collected samples, 7 (0.4 %) were positive for Cryptosporidium oocysts. Sequence analysis of gp60 gene in seven Cryptosporidium isolates revealed that two subtype families were identified, IIa and IId. Five (of 7) isolates belonged to the subtype family IIa and the remaining two isolates belonged to IId. Two sub-types were recognized within the subtype family II,a including IIaA16G2R1 (3/5), IIaA17G1R1 (2/5), while IIdA17G1d was the only subtype within IId subtype family. Conclusion: The predominance of zoonotic subtype families of C. parvum species (IIa, IId) in this study highlights the importance of zoonotic transmission of cryptosporidiosis in the country. PMID:27895856

  2. Ethnomedicinal Evaluation of Medicinal Plants Used against Gastrointestinal Complaints.

    PubMed

    Tariq, Akash; Mussarat, Sakina; Adnan, Muhammad; Abd Allah, E F; Hashem, Abeer; Alqarawi, Abdulaziz Abdullah; Ullah, Riaz

    2015-01-01

    Aim of the present study was to document ethnomedicinal plants used against gastrointestinal complaints in five selected remote regions of Pakistan and to select potential medicinal plants for further in vitro and in vivo investigation. Data on ethnomedicinal plants and ethnographic profile of respondents was documented using semistructured questionnaires. The present study revealed utilization of 52 medicinal plants for the treatment of different gastrointestinal infections in studied regions. Apiaceae was the most dominant family reported to be used for the treatment of these infections (4 plants). Among all the plant parts fruit (24%), whole plants and leaves (23% each) were the most preferred plant parts used by the healers. Dosage of recipe was found to be related with the age of the patient. Highest degree of informant consensus was reported for vomiting, nausea (0.92 each), abdominal pain (0.9), and diarrhea (0.89). Withania coagulans scored highest FL value (86%) followed by Mentha longifolia and Melia azadirachta ranked second with FL value (75% each). Young generation was found to possess little traditional knowledge about utilizing plant recipes against these infections. Plants with high Fic and FL values should be subjected for further phytochemical and pharmacological investigation for scientific validation.

  3. Ethnomedicinal Evaluation of Medicinal Plants Used against Gastrointestinal Complaints

    PubMed Central

    Tariq, Akash; Mussarat, Sakina; Adnan, Muhammad; Abd_Allah, E. F.; Hashem, Abeer; Alqarawi, Abdulaziz Abdullah

    2015-01-01

    Aim of the present study was to document ethnomedicinal plants used against gastrointestinal complaints in five selected remote regions of Pakistan and to select potential medicinal plants for further in vitro and in vivo investigation. Data on ethnomedicinal plants and ethnographic profile of respondents was documented using semistructured questionnaires. The present study revealed utilization of 52 medicinal plants for the treatment of different gastrointestinal infections in studied regions. Apiaceae was the most dominant family reported to be used for the treatment of these infections (4 plants). Among all the plant parts fruit (24%), whole plants and leaves (23% each) were the most preferred plant parts used by the healers. Dosage of recipe was found to be related with the age of the patient. Highest degree of informant consensus was reported for vomiting, nausea (0.92 each), abdominal pain (0.9), and diarrhea (0.89). Withania coagulans scored highest FL value (86%) followed by Mentha longifolia and Melia azadirachta ranked second with FL value (75% each). Young generation was found to possess little traditional knowledge about utilizing plant recipes against these infections. Plants with high Fic and FL values should be subjected for further phytochemical and pharmacological investigation for scientific validation. PMID:26114117

  4. Delay in Diagnosis of Celiac Disease in Patients Without Gastrointestinal Complaints.

    PubMed

    Paez, Marco A; Gramelspacher, Anna Maria; Sinacore, James; Winterfield, Laura; Venu, Mukund

    2017-06-13

    The purpose of our study is to investigate the delay in diagnosis of patients with biopsy-proven celiac disease in those who present with gastrointestinal complaints vs nongastrointestinal complaints at our tertiary care center. Celiac disease is an autoimmune disorder that affects approximately 1% of the population worldwide. Celiac disease can have variable clinical presentations; it can be characterized by predominately gastrointestinal symptoms, or it may present without any gastrointestinal symptoms. We retrospectively reviewed the charts of 687 adult patients who carried the diagnosis of celiac disease. Patients included had biopsy-proven celiac disease and were categorized based on presence or absence of gastrointestinal symptoms prior to their diagnosis. There were 101 patients with biopsy-proven celiac disease that met inclusion criteria. Fifty-two patients presented with gastrointestinal symptoms and 49 had nongastrointestinal complaints. Results from Mann-Whitney statistical analysis showed a median delay in diagnosis of 2.3 months for the gastrointestinal symptoms group and 42 months for the nongastrointestinal group (P <.001); 43.2% of patients with nongastrointestinal symptoms had abnormal thyroid-stimulating hormone, as opposed to 15.5% in the gastrointestinal symptom group (P = .004). Of patients with nongastrointestinal symptoms, 69.4% had anemia, compared with 11.5% of the gastrointestinal symptom group (P <.001). The majority of patients in the nongastrointestinal symptom group, 68%, were noted to have abnormal bone density scans, compared with 41% in the gastrointestinal symptom group. No sex differences were noted on chi-squared analysis between the 2 groups (P = .997). Although there is growing awareness of celiac disease, the delay in diagnosis for patients without gastrointestinal symptoms remains prolonged, with an average delay of 3.5 years. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. Upper gastrointestinal complaints and complications in chronic rheumatic patients in comparison with other chronic diseases.

    PubMed

    Janssen, M; Dijkmans, B A; van der Sluys, F A; van der Wielen, J G; Havenga, K; Vandenbroucke, J P; Lamers, C B; Zwinderman, A H; Cats, A

    1992-11-01

    The aim of this study was to compare the frequency of upper gastrointestinal (GI) complaints and complications between chronic rheumatic patients who are most often non-steroidal anti-inflammatory drugs (NSAIDs) users and patients with other chronic conditions. In this comparison we took into account known risk factors for upper GI disease. To achieve the study aims we performed a combined cross-sectional and retrospective study. We therefore interviewed by means of a standard questionnaire, an index and a reference group, about current upper GI complaints and previous complications. The former group comprises 578 outpatients of the Department of Rheumatology, the latter of 531 outpatients of the Departments of Internal Medicine, Pulmonology, and Cardiology. Although the number of patients in the index group being chronically treated with NSAIDs was very high (62% versus 9% in the reference group: P < 0.00001), no between-group differences were found for the frequency of several current upper gastrointestinal complaints or for the number of upper gastrointestinal investigations ever performed (35% and 37%: NS) or for the use of gastric drugs (14% and 10%: NS). Risk factors for upper GI complaints were not related to NSAID use but with the use of prednisolone, history of duodenal ulcer disease, family history of peptic ulcer disease and female sex. For peptic ulcer disease, bleeding, and gastric surgery, the only difference between the index and reference groups concerned the frequency of gastric ulcers (6.7% and 2.8%: P < 0.005), which was highest in patients with rheumatoid arthritis. Upper GI bleeding had more often been present in male seropositive rheumatoid arthritis patients (13.2% [corrected] and 4.5%: P < 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)

  6. Investigation of Helicobacter pylori antigen in stool samples of patients with upper gastrointestinal complaints

    PubMed Central

    Calik, Zeki; Karamese, Murat; Acar, Osman; Aksak Karamese, Selina; Dicle, Yalcin; Albayrak, Fatih; Can, Serpil; Guvendi, Bulent; Turgut, Alpgiray; Cicek, Mustafa; Yazgi, Halil

    2016-01-01

    Helicobacter pylori infection is usually acquired in early childhood and it can persist throughout life without antibiotic treatment. This study aimed to compare the accuracy of the noninvasive H. pylori Stool Antigen Test-applied on the stool samples with the invasive gold standart Rapid Urease Test-applied on the gastric biopy samples of patients with upper gastrointestinal complaints. After endoscopy, biopsy and stool specimens were taken in 122 patients. The infection was detected with rapid urease test which is accepted as gold standart test. Rapid, one-step H. pylori card test was applied to all patients stool specimens. In this study 106 of the 122 patients (86.8%) were positive for H. pylori infection, while 16 of the 122 patients (13.2%) were negative. H. pylori card test was negative in 13 of the 16 patients and was positive in 98 of the 106. The sensitivity, specifity, positive and negative predictive values were 92.45%, 81.25%, 97.02%, and 61.90%, respectively. H. pylori card test is rapid, easy, noninvasive and inexpensive methods for detection H. pylori infection. This test showed high sensitivity and specificity. Additionally, it may be a good alternative to invasive tests for the detection of H. pylori infections especially in children. PMID:26887240

  7. Weight gain in anorexia nervosa does not ameliorate the faecal microbiota, branched chain fatty acid profiles, and gastrointestinal complaints

    PubMed Central

    Mack, Isabelle; Cuntz, Ulrich; Grämer, Claudia; Niedermaier, Sabrina; Pohl, Charlotte; Schwiertz, Andreas; Zimmermann, Kurt; Zipfel, Stephan; Enck, Paul; Penders, John

    2016-01-01

    The gut microbiota not only influences host metabolism but can also affect brain function and behaviour through the microbiota-gut-brain axis. To explore the potential role of the intestinal microbiota in anorexia nervosa (AN), we comprehensively investigated the faecal microbiota and short-chain fatty acids in these patients before (n = 55) and after weight gain (n = 44) in comparison to normal-weight participants (NW, n = 55) along with dietary intake and gastrointestinal complaints. We show profound microbial perturbations in AN patients as compared to NW participants, with higher levels of mucin-degraders and members of Clostridium clusters I, XI and XVIII and reduced levels of the butyrate-producing Roseburia spp. Branched-chain fatty acid concentrations, being markers for protein fermentation, were elevated. Distinct perturbations in microbial community compositions were observed for individual restrictive and binge/purging AN-subtypes. Upon weight gain, microbial richness increased, however perturbations in intestinal microbiota and short chain fatty acid profiles in addition to several gastrointestinal symptoms did not recover. These insights provide new leads to modulate the intestinal microbiota in order to improve the outcomes of the standard therapy. PMID:27229737

  8. Dental erosion in patients seeking treatment for gastrointestinal complaints: a case series.

    PubMed

    Bruno, Vincenzo; Amato, Massimo; Catapano, Santo; Iovino, Paola

    2015-10-30

    Eating disorders which embrace anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified can be life-threatening due to general medical complications; however, the diagnosis of eating disorder is often delayed due to a low suspicion index. Gastroenterologists are health care providers who may come into contact with patients with undiagnosed eating disorders; it has been previously demonstrated that patients with eating disorders frequently have a significant association with functional dyspepsia. Signs of dental erosion have been described in patients with eating disorders; hence, they may help to identify eating disorders in patients who present with functional dyspepsia and deny having an eating disorder. In this report we describe three cases (a 25-year-old white woman, a 24-year-old white woman, and a 40-year-old white man) with undiagnosed eating disorders, in which a more comprehensive approach, such as the recognition of dental erosion joined with a careful gastrointestinal investigation, was performed to reach a final diagnosis of an eating disorder. The screening for dental erosion in patients seeking or receiving medical treatment for dyspeptic symptoms in a gastrointestinal out-patient clinic could be an aid for gastroenterologists to recognize the presence of an underlying eating disorder. A close collaboration with dentists, in addition to psychiatrists, could provide a more favorable treatment outcome.

  9. Management of gastrointestinal complaints in differentiated thyroid cancer patients treated with (131)I: comparison of the efficacy of pantoprazole, metoclopramide, and ondansetron - a randomized clinical trial.

    PubMed

    Mirzababaee, M; Shafiei, B; Seifollahi, S; Motazdian, M; Fatholahi, L; Delavari, S; Naghshine, R; Baharfar, N; Tabeie, F; Javadi, H; Assadi, M; Asli, I N

    2014-01-01

    To compare safety and efficacy of pantoprazol , metoclopramide, ondansetron, as compared to placebo, in controlling gastrointestinal (GI) complaints of thyroid cancer patients treated with I-131these patients. Four-armed, parallel group, single blind, randomized controlled clinical trial, setting: A university hospital, registration: database for clinical trials IRCT2013061713705N1. 85 patients with differentiated thyroid cancer who received 131I. Postradioiodine nausea and vomiting within three days of therapy (primary endpoint); occurrence of adverse reaction. The patients' characteristics were similar within the study groups. Among the study variables, age, sex, administered dosage, history of previous GI complaints, and history of hyperemesis gravidarum in female patients were not statistically different among the groups (p > 0.05). The results revealed that only ondansetron shows a therapeutic benefit over the placebo in controlling nausea (p < 0.05); however, it does not prevent vomiting (p > 0.05). The other two drugs, pantoprazole and metoclopramide, did not control nausea (p > 0.05) or vomiting (p > 0.05). This study may demonstrate that the therapeutic dose of ondansetron could be an effective prophylactic agent in controlling GI complaints in differential thyroid carcinoma (DTC) patients following RAI therapy; however, these preliminary findings should be validated in larger studies.

  10. [Eating disorder or gastrointestinal disease? Massive weight loss and abdominal complaints in a 13-year-old girl].

    PubMed

    Teising, S; Buchholtz, A; Layer, P; Keller, J

    2014-09-01

    In a 13-year-old girl regurgitation, constipation and postprandial abdominal pain developed, with decreased nutrient uptake and severe weight loss (BMI 12,6) following a gastroenteritis 2 years before. An eating disorder had been strongly suspected but this diagnosis was not accepted by the family. Initial investigations including physical investigation, elaborate laboratory tests and imaging techniques showed normal results, but we found transit disturbances and hypotensive motility of the upper gastrointestinal tract. Therapy and course of disease: During prokinetic treatment the girl was asymptomatic for about 9 months, but then the symptoms recurred and no longer responded to drug treatment. Feeding via a jejunal tube because of severe malnutrition was not tolerated either. Refractory vomiting and life-threatening hypokalemia and alkalosis occurred. Imaging techniques now showed marked dilatation of the proximal duodenum. Laparotomy was performed because a Wilkie's syndrome was suspected. However, during the operation mesenterial malrotation was found with adhesive fixation of the distal ileum in the upper left abdomen and compression of the proximal jejunum. The malrotation had been possible because the proximal colon was hypermobile. Following correction of the anatomical situation and retroperitoneal fixation of the colon, oral nutrition was well tolerated. The girl gained weight and remained symptom-free. Not only eating disorders but also defined gastroenterological disturbances may cause weight loss and abdominal symptoms in adolescent girls, even in patients with suggestive symptoms and without pathological findings with routine diagnostics. © Georg Thieme Verlag KG Stuttgart · New York.

  11. Laparoscopic gastrointestinal anastomoses using knotless barbed absorbable sutures are safe and reproducible: a single-center experience with 242 patients

    PubMed Central

    Lee, Sang-Woong; Kawai, Masaru; Tashiro, Keitaro; Nomura, Eiji; Tokuhara, Takaya; Kawashima, Satoshi; Tanaka, Ryo; Uchiyama, Kazuhisa

    2016-01-01

    Objective Intracorporeal reconstruction of the digestive tract is technically challenging. The V-Loc 180 wound closure device (Covidien) is a self-anchoring unidirectional barbed suture that obviates the need for knot tying. The aim of this prospective cohort study was to investigate the use of the novel suture in gastrointestinal enterotomy closure. Methods The subjects comprised patients with malignant disease who were scheduled to undergo laparoscopic gastrectomy with curative intent. The barbed suture was used to close the entry hole for the linear stapler during intracorporeal reconstruction following laparoscopic gastric resection. The primary endpoint was the proportion of patients who developed anastomotic leakage at the site where the barbed suture was applied. Results Between July 2012 and March 2015, 242 patients were enrolled. Of 362 anastomoses, the enterotomy hole at 256 sites was closed using the barbed suture. These 256 sites consisted of 95 gastroduodenostomies, 25 gastrogastrostomies, 13 gastrojejunostomies, 90 jejunojejunostomies, 17 esophagojejunostomies and 16 primary closures of the stomach following local gastric resection. There were no anastomosis-related complications, conversion to usual sutures, mechanical closure of the entry hole and reoperation due to adhesive obstructions or mortality over a median follow-up period of 17.8 months. Conclusions The use of the unidirectional barbed absorbable suture for gastrointestinal closure is safe and effective in laparoscopic gastrectomy. PMID:26819279

  12. Setup Reproducibility for Thoracic and Upper Gastrointestinal Radiation Therapy: Influence of Immobilization Method and On-Line Cone-Beam CT Guidance

    SciTech Connect

    Li, Winnie; Moseley, Douglas J.; Bissonnette, Jean-Pierre; Purdie, Thomas G.; Bezjak, Andrea; Jaffray, David A.

    2010-01-01

    We report the setup reproducibility of thoracic and upper gastrointestinal (UGI) radiotherapy (RT) patients for 2 immobilization methods evaluated through cone-beam computed tomography (CBCT) image guidance, and present planning target volume (PTV) margin calculations made on the basis of these observations. Daily CBCT images from 65 patients immobilized in a chestboard (CB) or evacuated cushion (EC) were registered to the planning CT using automatic bony anatomy registration. The standardized region-of-interest for matching was focused around vertebral bodies adjacent to tumor location. Discrepancies >3 mm between the CBCT and CT datasets were corrected before initiation of RT and verified with a second CBCT to assess residual error (usually taken after 90 s of the initial CBCT). Positional data were analyzed to evaluate the magnitude and frequencies of setup errors before and after correction. The setup distributions were slightly different for the CB (797 scans) and EC (757 scans) methods, and the probability of adjustment at a 3-mm action threshold was not significantly different (p = 0.47). Setup displacements >10 mm in any direction were observed in 10% of CB fractions and 16% of EC fractions (p = 0.0008). Residual error distributions after CBCT guidance were equivalent regardless of immobilization method. Using a published formula, the PTV margins for the CB were L/R, 3.3 mm; S/I, 3.5 mm; and A/P, 4.6 mm), and for EC they were L/R, 3.7 mm; S/I, 3.3 mm; and A/P, 4.6 mm. In the absence of image guidance, the CB slightly outperformed the EC in precision. CBCT allows reduction to a single immobilization system that can be chosen for efficiency, logistics, and cost. Image guidance allows for increased geometric precision and accuracy and supports a corresponding reduction in PTV margin.

  13. Gastrointestinal gas.

    PubMed Central

    Fardy, J; Sullivan, S

    1988-01-01

    Complaints related to gastrointestinal gas are commonly encountered in clinical practice. Various therapies have been proposed, yet none has appeared to be extremely effective. A review of the literature revealed little hard evidence to support the use of simethicone, pancreatic enzymes, anticholinergic agents or antibiotics. Evidence supporting the use of prokinetic agents has been the strongest, and there may be a pathophysiologic basis for the use of these agents if the complaints are related to abnormal intestinal motility. The use of activated charcoal for adsorbing intestinal gas has been effective in healthy subjects but has not been properly investigated in patients with gas complaints. Dietary modification may be beneficial in certain cases. Additional controlled trials are necessary to clarify the issues in the treatment of this common problem. PMID:3058280

  14. Reproducibility blues.

    PubMed

    Pulverer, Bernd

    2015-11-12

    Research findings advance science only if they are significant, reliable and reproducible. Scientists and journals must publish robust data in a way that renders it optimally reproducible. Reproducibility has to be incentivized and supported by the research infrastructure but without dampening innovation.

  15. [Gastric complaints or postcholecystectomy syndrome?].

    PubMed

    Galbfach, Przemysław Jacek; Kołacińska, Marta Bozenna; Flont, Paweł Arkadiusz; Spychalski, Michał Igor; Narbutt, Piotr Gustaw; Mik, Michal Lukasz; Dziki, Łukasz Adam; Dziki, Adam Janusz

    2008-09-01

    Postcholecystectomy syndrome (PCS) is a complex of symptoms from gastrointestinal tract that could develop and maintain after cholecystectomy. PCS usually consists of: abdominal pain or colic, dyspepsia, constipation or diarrhoea, nausea, bloating, fatty food intolerance. Regarding PSC as disease entity is still a point of many controversies. To estimate the prevalence of PCS in patients after cholecystectomy performed in Department of General and Colorectal Surgery of Medical University in Lodz. Material and methods. From the cohort of 243 patients (pts) operated on due to symptomatic cholecystitis the group of 150 pts was surveyed. We included 86 pts who answered the questionnaire. The prevalence of PCS and intensity of symptoms were measured with the use of modified Gastrointestinal Symptoms Rating Scale (GSRS)--only 6 complaints commonly connected with pathology of biliary system were chosen (abdominal pain, rebounding, constipation, urgent diarrhea, nausea, bloating). After cholecystectomy gastric complains were revealed in 32 pts (37.2%). In a group of 12 pts (13.9%) symptoms were noted at the same level of intense. However in 20 pts (23.25%) either more intense or appeared as brand new manifestation. Excessive amount of intestinal gases (93.75%) and bloating (87.5%) were the most common symptoms unlike abdominal pain, heartburn and diarrhea. Gastric symptoms of PCS occur in one third of pts after elective cholecystectomies. Complete PCS develops after 3 months postoperatively what is likely connected with the change of diet. Excessive amount of intestinal gases, bloating, abdominal pain and diarrhea were the most common symptoms. The most intense complaint is persistent abdominal pain likely indicating comorbidities.

  16. EPA iComplaints

    EPA Pesticide Factsheets

    The iComplaints system is an enterprise-level COTS (Commercial Off-The-Shelf) product that provides all of the funtionality required to collect, track, manage, process and report on information regarding internal EEO complaints in accordance with several civil rights laws and regulations, to include but not limited to, Title VII of the Civil Rights Act.

  17. GASTROINTESTINAL EOSINOPHILIA

    PubMed Central

    Zuo, Li; Rothenberg, Marc E.

    2007-01-01

    SYNOPSIS Gastrointestinal eosinophilia, as a broad term for abnormal eosinophil accumulation in the GI tract, involves many different disease identities. These diseases include primary eosinophil associated gastrointestinal diseases, gastrointestinal eosinophilia in HES and all gastrointestinal eosinophilic states associated with known causes. Each of these diseases has its unique features but there is no absolute boundary between them. All three groups of GI eosinophila are described in this chapter although the focus is on primary gastrointestinal eosinophilia, i.e. EGID. PMID:17868858

  18. Effective ED complaint management.

    PubMed

    Dagher, M; Kelbert, P; Lloyd, R J

    1995-12-01

    Handling patient complaints is possibly one of the most delicate tasks any manager must face. Although managing patient complaints is never a pleasant experience, a detailed plan can make it easier and more uniform, resulting in less stress and anxiety. Before improvements can be accomplished, deficiencies in the system must be corrected. Only after the department's processes have been deemned stable can the qualiuty of care be improved and the customer satisfied.

  19. Army Back Complaint Program

    DTIC Science & Technology

    1988-05-13

    natural history and frequency of common low-back complaints. - Treatment protocols stressing conservative treatment and return to normal activity early...supervisor and worker training about-- - The natural history of back complaints. - Useful self treatments. - Serious complications of chronic low-back...x-rays, not strength testing, not even history of a bad back. Bob: So if we can’t find out who will have a bad back, can’t we at least do something to

  20. Complaints against Nursing Homes: Comparing Two Sources of Complaint Information and Predictors of Complaints

    ERIC Educational Resources Information Center

    Troyer, Jennifer L.; Sause, Wendy L.

    2011-01-01

    Purpose of the Study: Two consumer-derived measures of nursing home quality that have been underutilized by researchers are consumer complaints to the state certification agency between inspections and complaints to the Long-Term Care Ombudsman Program. This article describes these complaints, considers facility-level predictors of complaints, and…

  1. Gastrointestinal Motility Disorders in Children

    PubMed Central

    Ambartsumyan, Lusine

    2014-01-01

    The most common and challenging gastrointestinal motility disorders in children include gastroesophageal reflux disease (GERD), esophageal achalasia, gastroparesis, chronic intestinal pseudo-obstruction, and constipation. GERD is the most common gastrointestinal motility disorder affecting children and is diagnosed clinically and treated primarily with acid secretion blockade. Esophageal achalasia, a less common disorder in the pediatric patient population, is characterized by dysphagia and treated with pneumatic balloon dilation and/or esophagomyotomy. Gastroparesis and chronic intestinal pseudo-obstruction are poorly characterized in children and are associated with significant morbidity. Constipation is among the most common complaints in children and is associated with significant morbidity as well as poor quality of life. Data on epidemiology and outcomes, clinical trials, and evaluation of new diagnostic techniques are needed to better diagnose and treat gastrointestinal motility disorders in children. We present a review of the conditions and challenges related to these common gastrointestinal motility disorders in children. PMID:24799835

  2. [Gestalt therapy of complaints].

    PubMed

    De Baranchuk, J Z; Dayan, A; Gomez, A; Grimaldi, S; Morra, A

    1980-03-01

    People can express their suffering voicing it, complaining with their body, with gestures, movements; for alerts eyes it is even more comprehensive and true than words. Complaints that human beings are capable of expressing are not so many, there are only a handful, and this work intends to be exhaustive in its exposition. It is possible to complain against third persons. It is also possible to do so against oneself assuming either the intransigent attitude of a father who judges a son who does not fulfill his expectancies, or as a son who resents the paternal demands which he feels he cannot comply. Other kind of complaints include physical symptoms, either isolated (cephalea, dysnea, urticaria) or constituting syndromes or illnesses. Losses suffered are also a source of complaints, whatever the lost object might be (person, situation, material things or a part of oneself). It can be mourned because of its absence, or else by feeling guilty of the real or imaginary damage inflicted or else by feeling indisolubly linked to it with a phantom tie. Other types of complaints are the feeling of dependancy towards something oppressive, be it a substance, such as alcohol, smoking, drugs or overeating, or it may be a person or a situation. In view of the compulsive addiction characteristics with which the subject lives, it is possible to assimilate this dependancy and the feeling of oppression and damage to the link with a toxic.

  3. Air Compliance Complaint Database (ACCD)

    EPA Pesticide Factsheets

    THIS DATA ASSET NO LONGER ACTIVE: This is metadata documentation for the Region 7 Air Compliance Complaint Database (ACCD) which logs all air pollution complaints received by Region 7. It contains information about the complaint along with how the complaint was addressed. The Air and Waste Management Division is the primary managing entity for this database. This work falls under objectives for EPA's 2003-2008 Strategic Plan (Goal 1) for Clean Air & Global Climate Change, which are to achieve healthier outdoor air.

  4. Patient complaints about hospital services: applying a complaint taxonomy to analyse and respond to complaints.

    PubMed

    Harrison, Reema; Walton, Merrilyn; Healy, Judith; Smith-Merry, Jennifer; Hobbs, Coletta

    2016-04-01

    To explore the applicability of a patient complaint taxonomy to data on serious complaint cases. Qualitative descriptive study. Complaints made to the New South Wales (NSW) Health Care Complaints Commission, Australia between 2005 and 2010. All 138 cases of serious complaints by patients about public hospitals and other health facilities investigated in the 5-year period. A thematic analysis of the complaints was conducted to identify particular complaint issues and the Reader et al. (Patient complaints in healthcare systems: a systematic review and coding taxonomy. BMJ Qual Saf 2014;23:678-89.) patient complaint taxonomy was then used to classify these issues into categories and sub-categories. The 138 investigated cases revealed 223 complaint issues. Complaint issues were distributed into the three domains of the patient complaint taxonomy: clinical, management and relationships. Complaint issue most commonly related to delayed diagnosis, misdiagnosis, medication errors, inadequate examinations, inadequate/nil treatment and quality of care including nursing care. The types of complaints from patients about their healthcare investigated by the NSW Commission were similar to those received by other patient complaint entities in Australia and worldwide. The application of a standard taxonomy to large numbers of complaints cases from different sources would enable the creation of aggregated data. Such data would have better statistical capacity to identify common safety and quality healthcare problems and so point to important areas for improvement. Some conceptual challenges in devising and using a taxonomy must be addressed, such as inherent problems in ensuring coding consistency, and giving greater weight to patient concerns about their treatment. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

  5. 9. Painful shoulder complaints.

    PubMed

    Huygen, Frank; Patijn, Jacob; Rohof, Olav; Lataster, Arno; Mekhail, Nagy; van Kleef, Maarten; Van Zundert, Jan

    2010-01-01

    Painful shoulder complaints have a high incidence and prevalence. The etiology is not always clear. Clinical history and the active and passive motion examination of the shoulder are the cornerstones of the diagnostic process. Three shoulder tests are important for the examination of shoulder complaints: shoulder abduction, shoulder external rotation, and horizontal shoulder adduction. These tests can guide the examiner to the correct diagnosis. Based on this diagnosis, in most cases, primarily a conservative treatment with nonsteroidal anti-inflammatory drugs possibly in combination with manual and/or exercise therapy can be started. When conservative treatment fails, injection with local anesthetics and corticosteroids can be considered. In the case of frozen shoulder, a continuous cervical epidural infusion of local anesthetic and small doses of opioids or a pulsed radiofrequency treatment of the nervus suprascapularis can be considered.

  6. Gastrointestinal Symptoms of Marathon Runners

    PubMed Central

    Keeffe, Emmet B.; Lowe, Daniel K.; Goss, J. Richard; Wayne, Robert

    1984-01-01

    A survey of 707 participants in the 13th Annual Trail's End Marathon in Seaside, Oregon, showed a high incidence of gastrointestinal disturbances, predominantly of the lower tract, associated with long-distance running. The urge to defecate, both during and immediately after running, occurred in over a third of runners. Bowel movements (35%) and diarrhea (19%) were relatively common after running, and runners occasionally interrupted hard runs or races for bowel movements (18%) or diarrhea (10%). Lower gastrointestinal disturbances were more frequent in women than in men and in younger than in older runners. Awareness of the frequency and nature of gastrointestinal symptoms documented by this survey will assist physicians in evaluating abdominal complaints in runners. PMID:6506684

  7. Gastrointestinal symptoms of marathon runners.

    PubMed

    Keeffe, E B; Lowe, D K; Goss, J R; Wayne, R

    1984-10-01

    A survey of 707 participants in the 13th Annual Trail's End Marathon in Seaside, Oregon, showed a high incidence of gastrointestinal disturbances, predominantly of the lower tract, associated with long-distance running. The urge to defecate, both during and immediately after running, occurred in over a third of runners. Bowel movements (35%) and diarrhea (19%) were relatively common after running, and runners occasionally interrupted hard runs or races for bowel movements (18%) or diarrhea (10%). Lower gastrointestinal disturbances were more frequent in women than in men and in younger than in older runners. Awareness of the frequency and nature of gastrointestinal symptoms documented by this survey will assist physicians in evaluating abdominal complaints in runners.

  8. Flexible Gastrointestinal Endoscopy in Ferrets (Mustela putorius furo).

    PubMed

    Pignon, Charly; Huynh, Minh; Husnik, Roman; Jekl, Vladimir

    2015-09-01

    Gastrointestinal disease is a common complaint in ferrets (Mustela putorius furo). Their relatively simple and short gastrointestinal tract makes them good candidates for flexible endoscopy. However, apart from a few references in biomedical research articles, there is little information on the use of flexible endoscopy in ferrets. This review describes patient preparation, equipment, and select gastrointestinal endoscopy techniques in ferrets, including esophagoscopy, gastroscopy, duodenoscopy, percutaneous endoscopic gastrostomy, jejunoileoscopy, colonoscopy, and biopsy. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. The Need for Reproducibility

    SciTech Connect

    Robey, Robert W.

    2016-06-27

    The purpose of this presentation is to consider issues of reproducibility, specifically it determines whether bitwise reproducible computation is possible, if computational research in DOE improves its publication process, and if reproducible results can be achieved apart from the peer review process?

  10. 20 CFR 658.401 - Types of complaints handled by the JS complaint system.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 4 2013-04-01 2013-04-01 false Types of complaints handled by the JS... Complaint System § 658.401 Types of complaints handled by the JS complaint system. (a)(1) The types of complaints (JS related complaints) which shall be handled to resolution by the JS complaint system are...

  11. Gastrointestinal Manifestations in Systemic Autoimmune Diseases

    PubMed Central

    COJOCARU, M.; COJOCARU, Inimioara Mihaela; SILOSI, Isabela; VRABIE, Camelia Doina

    2011-01-01

    ABSTRACT In an autoimmune disease, the immune system attacks and harms the body's own tissues. The systemic autoimmune diseases include collagen vascular diseases, the systemic vasculitides, Wegener granulomatosis, and Churg-Strauss syndrome. These disorders can involve any part of the gastrointestinal tract, hepatobiliary system and pancreas. They can cause a variety of gastrointestinal manifestations that are influenced by the pathophysiologic characteristics of the underlying disease process. There is a wide variation of gastrointestinal manifestations from these autoimmune disorders including, but not limited to: oral ulcers, dysphagia, gastroesophageal reflux disease, abdominal pain, constipation, diarrhea, fecal incontinence, pseudo-obstruction, perforation and gastrointestinal bleeding. Clinical workup should be initiated by the patient's subjective complaints. In this review, we analyze the effects of autoimmune diseases on the gastrointestinal tract. PMID:21977190

  12. Gastrointestinal bleeding.

    PubMed

    Marek, T A

    2011-11-01

    Gastrointestinal bleeding remains one of the most important emergencies in gastroenterology. Despite this, only about 100 abstracts concerning gastrointestinal bleeding (excluding bleeding complicating endoscopic procedures) were presented at this year's Digestive Disease Week (DDW; 7-10 May 2011; Chicago, Illinois, USA), accounting for less than 2% of all presented lectures and posters. It seems that the number of such abstracts has been decreasing over recent years. This may be due in part to the high level of medical care already achieved, especially in the areas of pharmacotherapy and endoscopic treatment of gastrointestinal bleeding. In this review of gastrointestinal bleeding, priority has been given to large epidemiological studies reflecting "real life," and abstracts dealing more or less directly with endoscopic management. © Georg Thieme Verlag KG Stuttgart · New York.

  13. Gastrointestinal manifestations.

    PubMed

    Tanowitz, H B; Simon, D; Weiss, L M; Noyer, C; Coyle, C; Wittner, M

    1996-11-01

    Gastrointestinal disease is a common problem in the setting of HIV-1 infection. As patients live longer and other opportunistic pathogens are suppressed, these problems are becoming even more important in the quality of life.

  14. Gastrointestinal tattoos.

    PubMed

    Snider, T E; Goodell, W M; Pulitzer, D R

    1994-06-01

    Tattooing of the gastrointestinal tract is used to facilitate the relocation of biopsy sites or other sites of interest at the time of subsequent biopsy or surgery. Submucosal injection of sterile india ink produces a zone of blue-black coloration that is grossly visible from both the mucosal and serosal surfaces. The pathology of gastrointestinal tattoos has only been briefly mentioned previously in the medical literature. We report two cases of gastrointestinal tattooing: one that was done to mark the margin of resection in a patient with gastric lymphoma, and the second that occurred unintentionally following the administration of activated charcoal for drug overdosage in a patient with undiagnosed active inflammatory bowel disease. Unintentional tattooing of the gastrointestinal tract has, therefore, not been reported.

  15. [Gastrointestinal bleeding].

    PubMed

    Lanas, Ángel

    2015-09-01

    In the Digestive Disease Week in 2015 there have been some new contributions in the field of gastrointestinal bleeding that deserve to be highlighted. Treatment of celecoxib with a proton pump inhibitor is safer than treatment with nonselective NSAID and a proton pump inhibitor in high risk gastrointestinal and cardiovascular patients who mostly also take acetylsalicylic acid. Several studies confirm the need to restart the antiplatelet or anticoagulant therapy at an early stage after a gastrointestinal hemorrhage. The need for urgent endoscopy before 6-12 h after the onset of upper gastrointestinal bleeding episode may be beneficial in patients with hemodynamic instability and high risk for comorbidity. It is confirmed that in Western but not in Japanese populations, gastrointestinal bleeding episodes admitted to hospital during weekend days are associated with a worse prognosis associated with delays in the clinical management of the events. The strategy of a restrictive policy on blood transfusions during an upper GI bleeding event has been challenged. Several studies have shown the benefit of identifying the bleeding vessel in non varicose underlying gastric lesions by Doppler ultrasound which allows direct endoscopic therapy in the patient with upper GI bleeding. Finally, it has been reported that lower gastrointestinal bleeding diverticula band ligation or hemoclipping are both safe and have the same long-term outcomes. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

  16. 39 CFR 3030.10 - Complaint contents.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Complaint contents. 3030.10 Section 3030.10 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS Form and Manner Requirements of Initial Pleadings § 3030.10 Complaint contents. (a) A complaint must: (1) Set forth the facts and circumstances that give rise to the complaint; (2)...

  17. 39 CFR 3030.10 - Complaint contents.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Complaint contents. 3030.10 Section 3030.10 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS Form and Manner Requirements of Initial Pleadings § 3030.10 Complaint contents. (a) A complaint must: (1) Set forth the facts and circumstances that give rise to the complaint; (2)...

  18. 39 CFR 3030.10 - Complaint contents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Complaint contents. 3030.10 Section 3030.10 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS Form and Manner Requirements of Initial Pleadings § 3030.10 Complaint contents. (a) A complaint must: (1) Set forth the facts and circumstances that give rise to the complaint; (2)...

  19. 39 CFR 3030.10 - Complaint contents.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Complaint contents. 3030.10 Section 3030.10 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS Form and Manner Requirements of Initial Pleadings § 3030.10 Complaint contents. (a) A complaint must: (1) Set forth the facts and circumstances that give rise to the complaint; (2)...

  20. 39 CFR 3030.10 - Complaint contents.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Complaint contents. 3030.10 Section 3030.10 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS Form and Manner Requirements of Initial Pleadings § 3030.10 Complaint contents. (a) A complaint must: (1) Set forth the facts and circumstances that give rise to the complaint;...

  1. Complaints and satisfaction after uvulopalatopharyngoplasty.

    PubMed

    Grøntved, A M; Karup, P

    2000-01-01

    A questionnaire administered 2 years after classical laser uvulopalatopharyngoplasty (UPPP) showed that 42% of 69 patients had complaints. Most of the complaints, however, were comparatively minor. The most frequent complaint was a tendency to nasal regurgitation (13%), although only two patients needed treatment. Other complaints were pharyngeal hypersecretion (10%), swallowing problems (9%) and speech disturbances (7%). Fourteen per cent of the 69 patients were not satisfied with the effect of the operation. In the group with complaints, 25% were dissatisfied with the result of the operation, whereas only 8% of those with no complaints were dissatisfied (p < 0.05). Continued snoring after UPPP was closely correlated to dissatisfaction with the general result (p < 0.01). It is very important to carry out follow-up after UPPP because complaints and dissatisfaction are common. Every effort should be made to reduce the tendency to nasal regurgitation. The results are relatively good and the procedure justified in cases of severe snoring and continuous positive airway pressure (CPAP)-resistant obstructive sleep apnoea (OSA). The severity and number of complaints were found to be acceptable in this difficult treatable entity.

  2. Complaints against an EMS system.

    PubMed

    Colwell, Christopher B; Pons, Peter T; Pi, Randy

    2003-11-01

    Complaints against Emergency Medical Services (EMS) agencies represent a concerning and potentially time-consuming problem for all involved in the delivery of prehospital emergency medical care. The objective of this study was to identify the source of complaints against an EMS system to help focus quality and performance improvement and customer service efforts. We conducted a retrospective review of complaints filed against a busy urban EMS agency over a 6-year period. All complaints were included, totaled by season and by year, and categorized by originator and nature of the complaint. A total of 286 complaints were registered during the 6-year period, with an average of 48 per year and 9.3 per 10,000 responses. The most common originators of complaints were patients (53%) followed by medical personnel (19%) and family members or friends (12%). Rude behavior accounted for 23% of the complaints registered, followed by technical skills (20%), transport problems (18%), and loss of belongings (13%). The identification of areas of dissatisfaction will allow focused quality and performance improvement programs directed at customer service and risk management.

  3. A right to reproduce?

    PubMed

    Quigley, Muireann

    2010-10-01

    How should we conceive of a right to reproduce? And, morally speaking, what might be said to justify such a right? These are just two questions of interest that are raised by the technologies of assisted reproduction. This paper analyses the possible legitimate grounds for a right to reproduce within the two main theories of rights; interest theory and choice theory.

  4. Classifying free-text triage chief complaints into syndromic categories with natural language processing.

    PubMed

    Chapman, Wendy W; Christensen, Lee M; Wagner, Michael M; Haug, Peter J; Ivanov, Oleg; Dowling, John N; Olszewski, Robert T

    2005-01-01

    Develop and evaluate a natural language processing application for classifying chief complaints into syndromic categories for syndromic surveillance. Much of the input data for artificial intelligence applications in the medical field are free-text patient medical records, including dictated medical reports and triage chief complaints. To be useful for automated systems, the free-text must be translated into encoded form. We implemented a biosurveillance detection system from Pennsylvania to monitor the 2002 Winter Olympic Games. Because input data was in free-text format, we used a natural language processing text classifier to automatically classify free-text triage chief complaints into syndromic categories used by the biosurveillance system. The classifier was trained on 4700 chief complaints from Pennsylvania. We evaluated the ability of the classifier to classify free-text chief complaints into syndromic categories with a test set of 800 chief complaints from Utah. The classifier produced the following areas under the ROC curve: Constitutional = 0.95; Gastrointestinal = 0.97; Hemorrhagic = 0.99; Neurological = 0.96; Rash = 1.0; Respiratory = 0.99; Other = 0.96. Using information stored in the system's semantic model, we extracted from the Respiratory classifications lower respiratory complaints and lower respiratory complaints with fever with a precision of 0.97 and 0.96, respectively. Results suggest that a trainable natural language processing text classifier can accurately extract data from free-text chief complaints for biosurveillance.

  5. 20 CFR 658.401 - Types of complaints handled by the JS complaint system.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 3 2011-04-01 2011-04-01 false Types of complaints handled by the JS... § 658.401 Types of complaints handled by the JS complaint system. (a)(1) The types of complaints (JS related complaints) which shall be handled to resolution by the JS complaint system are as follows:...

  6. 20 CFR 658.412 - Complaint resolution.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System § 658.412... satisfaction with the outcome, or (2) The complainant chooses not to elevate the complaint to the next level...

  7. 20 CFR 658.412 - Complaint resolution.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System § 658.412... satisfaction with the outcome, or (2) The complainant chooses not to elevate the complaint to the next level...

  8. 14 CFR 13.5 - Formal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... matters within the jurisdiction of the Administrator. This section does not apply to complaints against... complaint. (e) Any complaint filed against a member of the Armed Forces of the United States acting in the...

  9. 37 CFR 4.3 - Submitting complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... complaint must be clearly marked, or otherwise identified, as a complaint under these rules. The complaint... addressed to: Mail Stop 24, Commissioner for Patents, P.O. Box 1450, Alexandria, Virginia 22313-1450....

  10. 20 CFR 658.412 - Complaint resolution.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System... indicates satisfaction with the outcome, or (2) The complainant chooses not to elevate the complaint to...

  11. 20 CFR 658.412 - Complaint resolution.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System... indicates satisfaction with the outcome, or (2) The complainant chooses not to elevate the complaint to...

  12. 20 CFR 658.412 - Complaint resolution.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System State Agency Js Complaint System... indicates satisfaction with the outcome, or (2) The complainant chooses not to elevate the complaint to...

  13. 48 CFR 422.1308 - Complaint procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Vietnam Era, and Other Eligible Veterans 422.1308 Complaint procedures. The contracting officer shall forward complaints received about the administration of the Vietnam Era Veterans Readjustment...

  14. 48 CFR 422.1308 - Complaint procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Vietnam Era, and Other Eligible Veterans 422.1308 Complaint procedures. The contracting officer shall forward complaints received about the administration of the Vietnam Era Veterans Readjustment...

  15. 48 CFR 422.1308 - Complaint procedures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Vietnam Era, and Other Eligible Veterans 422.1308 Complaint procedures. The contracting officer shall forward complaints received about the administration of the Vietnam Era Veterans Readjustment...

  16. 48 CFR 422.1308 - Complaint procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Vietnam Era, and Other Eligible Veterans 422.1308 Complaint procedures. The contracting officer shall forward complaints received about the administration of the Vietnam Era Veterans Readjustment...

  17. Gastrointestinal cancer

    SciTech Connect

    Levin, B.

    1988-01-01

    This book contains 33 selections. Some of the titles are: The natural history of colorectal cancer; opportunities for intervention; Radiotherapy for early rectal cancer; Intraoperative irradiation for gastrointestinal cancers; Hepatocellular carcinoma; clinical presentation, etiology, and prevention; and Current issues in the treatment of patients with gastric cancer.

  18. The Complaint Letter and Response.

    ERIC Educational Resources Information Center

    Shukla, P. K.

    1998-01-01

    Describes an assignment in which students write a letter of complaint, and discusses how this assignment aids students in seeing the importance of effective written communication to their daily lives. (SR)

  19. Is it an eating disorder, gastrointestinal disorder, or both?

    PubMed

    Bern, Elana M; O'Brien, Rebecca F

    2013-08-01

    The authors examine the differential diagnosis for gastrointestinal disorders that should be considered in individuals who present with nonspecific gastrointestinal and nutritional complaints suggestive of an eating disorder. This review first identifies diseases with which eating disorders are often confused and then explores features in the history, physical examination, and laboratory studies, which can provide clues to the cause of the patient's symptoms. In addition, it discusses the recommended evaluation and treatments for the gastrointestinal diseases that most commonly mimic the presentation of eating disorders including Crohn disease (CrD), celiac disease, gastroesophageal reflux disease (GERD), and eosinophilic esophagitis (EoE). The ubiquitous nature of the gastrointestinal complaints requires the clinician to consider a broad differential diagnosis when evaluating a patient for an eating disorder.

  20. 40 CFR 22.14 - Complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Complaint. 22.14 Section 22.14 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL CONSOLIDATED RULES OF PRACTICE GOVERNING... PERMITS Prehearing Procedures § 22.14 Complaint. (a) Content of complaint. Each complaint shall...

  1. 21 CFR 1271.320 - Complaint file.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Complaint file. 1271.320 Section 1271.320 Food and... CELLULAR AND TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.320 Complaint file. (a) Procedures... the investigation of complaints as appropriate. (b) Complaint file. You must maintain a record...

  2. 37 CFR 4.3 - Submitting complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Submitting complaints. 4.3... COMMERCE GENERAL COMPLAINTS REGARDING INVENTION PROMOTERS § 4.3 Submitting complaints. (a) A person may submit a complaint concerning an invention promoter with the Office. A person submitting a...

  3. [Gastrointestinal bezoars].

    PubMed

    Espinoza González, Ricardo

    2016-08-01

    Gastrointestinal bezoars are a concretion of indigested material that can be found in the gastrointestinal tract of humans and some animals. This material forms an intraluminal mass, more commonly located in the stomach. During a large period of history animal bezoars were considered antidotes to poisons and diseases. We report a historical overview since bezoars stones were thought to have medicinal properties. This magic conception was introduced in South America by Spanish conquerors. In Chile, bezoars are commonly found in a camelid named guanaco (Lama guanicoe). People at Central Chile and the Patagonia believed that bezoar stones had magical properties and they were traded at very high prices. In Santiago, during the eighteenth century the Jesuit apothecary sold preparations of bezoar stones. The human bezoars may be formed by non-digestible material like cellulose (phytobezoar), hair (trichobezoar), conglomerations of medications or his vehicles (pharmacobezoar or medication bezoar), milk and mucus component (lactobezoar) or other varieties of substances. This condition may be asymptomatic or can produce abdominal pain, ulceration, gastrointestinal bleeding, gastric outlet obstruction, perforation and mechanical intestinal obstruction. We report their classification, diagnostic modalities and treatment.

  4. Complaints related to smoking cessation.

    PubMed

    Can, Gamze; Oztuna, Funda; Topbaş, Murat

    2007-01-01

    Problems experienced during quitting smoking, particularly withdrawal symptoms, make giving up difficult. In this study the description of the complaints arising in individuals quitting smoking thus acts as a guide for health professional who dealt with smoking cessation. Data belonging to 194 patients applying to the smoking cessation clinic and quitting smoking were analysed. Behavioural counselling and nicotine support therapy are administered in the smoking cessation programme. Patients are followed up for at least two years after quitting cigarettes, and their complaints are determined. One hundred and two (52.6%) of the 194 patients quitting smoking had various complaints. One of the most frequently experienced problems was weight gain. According to patients' statements, an average weight gain of 6.8 +/- 3.8 kg, minimum 1 kg maximum 16 kg, occurred. Seventeen (8.7%) patients complain of increased appetite. Those with increased appetite gained the most weight, to a significant extent (p= 0.001). In terms of average weight gain, those with increased appetite gained 4.6 +/- 2.3 kg, while those without increased appetite gained 7.3 +/- 3.9 kg, and the difference was significant (p= 0.033). Thirty-eight (19.6%) patients complain of lesions in the mouth, gums or tongue. Twelve (6.1%) patients had complaints of tension, restlessness, nervousness or sleeplessness, 9 (4.6%) of a desire to smoke, 9 (4.6%) of headache, 8 (4.1%) of constipation, and 7 (3.6%) of drowsiness, numbness or concentration impairment. Forty-five (44.1%) of the 102 patients with smoking cessation related complaints and 57 (62%) of 92 patients with no complaints recommenced smoking. Significantly fewer of those with complaints began smoking (p= 0.013). Counselling services to be provided by health personnel regarding the frequency, intensity and resolutions of problems experienced by those quitting smoking will increase cessation success and duration.

  5. Customer complaints in the National Health Service.

    PubMed

    Reid, N; Reid, R; Morris, D

    1995-11-01

    This paper addresses the role of consumer complaints in the flourishing quality assurance industry within the National Health Service (NHS), and considers the traditional ethos of complaints within the service. The advent of the internal market is considered as one of a range of factors which may change attitudes of NHS staff to complaints. In evaluating how complaints services might develop relevant literature is reviewed and recent national data on complaints procedures are cited.

  6. Reproducibility in Chemical Research.

    PubMed

    Bergman, Robert G; Danheiser, Rick L

    2016-10-04

    "… To what extent is reproducibility a significant issue in chemical research? How can problems involving irreproducibility be minimized? … Researchers should be aware of the dangers of unconscious investigator bias, all papers should provide adequate experimental detail, and Reviewers have a responsibility to carefully examine papers for adequacy of experimental detail and support for the conclusions …" Read more in the Editorial by Robert G. Bergman and Rick L. Danheiser.

  7. Associations between long commutes and subjective health complaints among railway workers in Norway.

    PubMed

    Urhonen, Terhi; Lie, Arve; Aamodt, Geir

    2016-12-01

    Commuting is an important aspect of daily life for many employees, but there is little knowledge of how this affects individual commuters' health and well-being. The authors investigated the relationship between commuting and subjective health complaints, using data from a web-based questionnaire. In a sample of 2126 railway employees, 644 (30.3%) had long commute times. A 29-item inventory was used to measure the number and degree of the subjective health complaints. Those who commuted 60 min or more each way were characterized by significantly higher numbers and degrees of subjective health complaints compared with their peers with short commutes. The mean number of complaints was 7.5 among the former group and 6.4 for the latter group (p = 0.009). In a regression model, in which the authors controlled for age, gender, education, self-rated health, and coping, the employees with long commutes reported more complaints than those with short commutes. Significant associations were found between those with long commutes and the number and degree of incidences of self-reported musculoskeletal pain, pseudo-neurologic complaints, and gastrointestinal problems. Commuters who had had long commutes for more than 10 years reported more gastrointestinal and musculoskeletal complaints than those with long commutes for less than 2 years. Also, commuters with long commutes spent less time with their families and leisure activities compared with those with short commutes. The authors conclude that the association between long commute times and higher levels of subjective health complaints should attract the attention of transport planners, employers, and public health policymaker.

  8. Dysbiosis in gastrointestinal disorders.

    PubMed

    Chang, Christopher; Lin, Henry

    2016-02-01

    The recent development of advanced sequencing techniques has revealed the complexity and diverse functions of the gut microbiota. Furthermore, alterations in the composition or balance of the intestinal microbiota, or dysbiosis, are associated with many gastrointestinal diseases. The looming question is whether dysbiosis is a cause or effect of these diseases. In this review, we will evaluate the contribution of intestinal microbiota in obesity, fatty liver, inflammatory bowel disease, and irritable bowel syndrome. Promising results from microbiota or metabolite transfer experiments in animals suggest the microbiota may be sufficient to reproduce disease features in the appropriate host in certain disorders. Less compelling causal associations may reflect complex, multi-factorial disease pathogenesis, in which dysbiosis is a necessary condition. Understanding the contributions of the microbiota in GI diseases should offer novel insight into disease pathophysiology and deliver new treatment strategies such as therapeutic manipulation of the microbiota.

  9. 8 CFR 1003.104 - Filing of complaints; preliminary inquiries; resolutions; referral of complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... practice before the Board and the Immigration Courts. Complaints of criminal, unethical, or unprofessional.... (2) Practitioners authorized to practice before DHS. Complaints of criminal, unethical,...

  10. Reproducible research in palaeomagnetism

    NASA Astrophysics Data System (ADS)

    Lurcock, Pontus; Florindo, Fabio

    2015-04-01

    The reproducibility of research findings is attracting increasing attention across all scientific disciplines. In palaeomagnetism as elsewhere, computer-based analysis techniques are becoming more commonplace, complex, and diverse. Analyses can often be difficult to reproduce from scratch, both for the original researchers and for others seeking to build on the work. We present a palaeomagnetic plotting and analysis program designed to make reproducibility easier. Part of the problem is the divide between interactive and scripted (batch) analysis programs. An interactive desktop program with a graphical interface is a powerful tool for exploring data and iteratively refining analyses, but usually cannot operate without human interaction. This makes it impossible to re-run an analysis automatically, or to integrate it into a larger automated scientific workflow - for example, a script to generate figures and tables for a paper. In some cases the parameters of the analysis process itself are not saved explicitly, making it hard to repeat or improve the analysis even with human interaction. Conversely, non-interactive batch tools can be controlled by pre-written scripts and configuration files, allowing an analysis to be 'replayed' automatically from the raw data. However, this advantage comes at the expense of exploratory capability: iteratively improving an analysis entails a time-consuming cycle of editing scripts, running them, and viewing the output. Batch tools also tend to require more computer expertise from their users. PuffinPlot is a palaeomagnetic plotting and analysis program which aims to bridge this gap. First released in 2012, it offers both an interactive, user-friendly desktop interface and a batch scripting interface, both making use of the same core library of palaeomagnetic functions. We present new improvements to the program that help to integrate the interactive and batch approaches, allowing an analysis to be interactively explored and refined

  11. Patent Law's Reproducibility Paradox.

    PubMed

    Sherkow, Jacob S

    2017-01-01

    Clinical research faces a reproducibility crisis. Many recent clinical and preclinical studies appear to be irreproducible--their results cannot be verified by outside researchers. This is problematic for not only scientific reasons but also legal ones: patents grounded in irreproducible research appear to fail their constitutional bargain of property rights in exchange for working disclosures of inventions. The culprit is likely patent law’s doctrine of enablement. Although the doctrine requires patents to enable others to make and use their claimed inventions, current difficulties in applying the doctrine hamper or even actively dissuade reproducible data in patents. This Article assesses the difficulties in reconciling these basic goals of scientific research and patent law. More concretely, it provides several examples of irreproducibility in patents on blockbuster drugs--Prempro, Xigris, Plavix, and Avastin--and discusses some of the social costs of the misalignment between good clinical practice and patent doctrine. Ultimately, this analysis illuminates several current debates concerning innovation policy. It strongly suggests that a proper conception of enablement should take into account after-arising evidence. It also sheds light on the true purpose--and limits--of patent disclosure. And lastly, it untangles the doctrines of enablement and utility.

  12. Opening Reproducible Research

    NASA Astrophysics Data System (ADS)

    Nüst, Daniel; Konkol, Markus; Pebesma, Edzer; Kray, Christian; Klötgen, Stephanie; Schutzeichel, Marc; Lorenz, Jörg; Przibytzin, Holger; Kussmann, Dirk

    2016-04-01

    Open access is not only a form of publishing such that research papers become available to the large public free of charge, it also refers to a trend in science that the act of doing research becomes more open and transparent. When science transforms to open access we not only mean access to papers, research data being collected, or data being generated, but also access to the data used and the procedures carried out in the research paper. Increasingly, scientific results are generated by numerical manipulation of data that were already collected, and may involve simulation experiments that are completely carried out computationally. Reproducibility of research findings, the ability to repeat experimental procedures and confirm previously found results, is at the heart of the scientific method (Pebesma, Nüst and Bivand, 2012). As opposed to the collection of experimental data in labs or nature, computational experiments lend themselves very well for reproduction. Some of the reasons why scientists do not publish data and computational procedures that allow reproduction will be hard to change, e.g. privacy concerns in the data, fear for embarrassment or of losing a competitive advantage. Others reasons however involve technical aspects, and include the lack of standard procedures to publish such information and the lack of benefits after publishing them. We aim to resolve these two technical aspects. We propose a system that supports the evolution of scientific publications from static papers into dynamic, executable research documents. The DFG-funded experimental project Opening Reproducible Research (ORR) aims for the main aspects of open access, by improving the exchange of, by facilitating productive access to, and by simplifying reuse of research results that are published over the Internet. Central to the project is a new form for creating and providing research results, the executable research compendium (ERC), which not only enables third parties to

  13. 7 CFR 250.22 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... and shall have the final determination as to when a complaint has been properly handled. Complaints alleged on the basis of race, color, national origin, age, sex or handicap shall be handled in...

  14. 19 CFR 210.12 - The complaint.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... development, or licensing; or (ii) If the complaint alleges a violation of section 337 of the Tariff Act of..., state a specific theory and provide corroborating data to support the allegation(s) in the complaint...

  15. 21 CFR 226.115 - Complaint files.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... CURRENT GOOD MANUFACTURING PRACTICE FOR TYPE A MEDICATED ARTICLES Records and Reports § 226.115 Complaint... concerning the safety or efficacy of each Type A medicated article(s). Complaints shall be evaluated by...

  16. 28 CFR 42.408 - Complaint procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    .... In such cases, the agency shall ascertain the feasibility of referring the complaint to the primary... complainant by race, color, or national origin; the recipient; the nature of the complaint; the dates the...

  17. 45 CFR 1225.9 - Complaint procedure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Complaint procedure. (a) EO Director. (1) The EO Director must accept a complaint if the process set forth... Agency Decision; that the Peace Corps or ACTION will take no further action; and of the right, to file...

  18. Gastrointestinal involvement in Fabry disease. So important, yet often neglected.

    PubMed

    Politei, J; Thurberg, B L; Wallace, E; Warnock, D; Serebrinsky, G; Durand, C; Schenone, A B

    2016-01-01

    Fabry disease is an X-linked metabolic storage disorder due to the deficiency of lysosomal alpha-galactosidase A which causes accumulation of glycosphingolipids, primarily globotriaosylceramide, throughout the body. Gastrointestinal signs and symptoms-abdominal pain, nausea, diarrhea and diverticular disease--are some of the most frequently reported complaints in patients with Fabry disease but are often neglected. Gastrointestinal symptoms are due to intestinal dysmotility as well as impaired autonomic function, vasculopathy and myopathy. Since 2001, enzyme replacement therapy has been a mainstay in treatment of gastrointestinal symptoms of Fabry disease (FD), resulting in reduced gastrointestinal symptoms. Here, we report on four patients with Fabry disease (FD) who manifested early gastrointestinal involvement.

  19. 7 CFR 1.163 - The complaint.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 1 2011-01-01 2011-01-01 false The complaint. 1.163 Section 1.163 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Rules of Practice Governing Cease and Desist Proceedings Under Section 2 of the Capper-Volstead Act § 1.163 The complaint. The complaint shall...

  20. 7 CFR 1.163 - The complaint.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false The complaint. 1.163 Section 1.163 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Rules of Practice Governing Cease and Desist Proceedings Under Section 2 of the Capper-Volstead Act § 1.163 The complaint. The complaint shall...

  1. 7 CFR 1.163 - The complaint.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 1 2014-01-01 2014-01-01 false The complaint. 1.163 Section 1.163 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Rules of Practice Governing Cease and Desist Proceedings Under Section 2 of the Capper-Volstead Act § 1.163 The complaint. The complaint shall...

  2. 49 CFR 1503.801 - Formal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... designated official, determines that a complaint does not state facts that warrant an investigation or action... grounds exist, an informal investigation may be initiated. Each person named in the complaint will be... investigation. (j) If the investigation substantiates the allegations set forth in the complaint, a notice of...

  3. 49 CFR 1503.801 - Formal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... designated official, determines that a complaint does not state facts that warrant an investigation or action... grounds exist, an informal investigation may be initiated. Each person named in the complaint will be... investigation. (j) If the investigation substantiates the allegations set forth in the complaint, a notice of...

  4. 21 CFR 225.115 - Complaint files.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS Records and Reports § 225.115 Complaint files. (a... current good manufacturing practices. These complaints and experiences may reveal the existence of... investigations made by the manufacturer and of the method of disposition of the complaint. (2) For medicated...

  5. 21 CFR 1271.320 - Complaint file.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... CELLULAR AND TISSUE-BASED PRODUCTS Current Good Tissue Practice § 1271.320 Complaint file. (a) Procedures... as defined in § 1271.3(aa), relating to core current good tissue practice (CGTP) requirements, and the investigation of complaints as appropriate. (b) Complaint file. You must maintain a record of...

  6. 15 CFR 8.8 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 15 Commerce and Foreign Trade 1 2014-01-01 2014-01-01 false Complaints. 8.8 Section 8.8 Commerce and Foreign Trade Office of the Secretary of Commerce NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS... Compliance § 8.8 Complaints. (a) Filing complaints. Any person who believes himself or any specific class of...

  7. 29 CFR 1614.204 - Class complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., age, disability, or genetic information. (2) A class complaint is a written complaint of... media employed to give notice of the existence of the class complaint. The notice, where appropriate... the policy or practice was in effect. The agency shall issue a final decision on each such...

  8. 21 CFR 211.198 - Complaint files.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Complaint files. 211.198 Section 211.198 Food and... files. (a) Written procedures describing the handling of all written and oral complaints regarding a...) A written record of each complaint shall be maintained in a file designated for drug...

  9. 10 CFR 13.7 - Complaint.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Complaint. 13.7 Section 13.7 Energy NUCLEAR REGULATORY COMMISSION PROGRAM FRAUD CIVIL REMEDIES § 13.7 Complaint. (a) On or after the date the Department of Justice approves the issuance of a complaint in accordance with 31 U.S.C. 3803(b)(1), the reviewing official...

  10. 22 CFR 911.2 - Filing complaint.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Filing complaint. 911.2 Section 911.2 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD IMPLEMENTATION DISPUTES § 911.2 Filing complaint. If the dispute is not satisfactorily resolved at the agency level, the moving party may file a complaint within 45...

  11. 22 CFR 911.2 - Filing complaint.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 2 2013-04-01 2009-04-01 true Filing complaint. 911.2 Section 911.2 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD IMPLEMENTATION DISPUTES § 911.2 Filing complaint. If the dispute is not satisfactorily resolved at the agency level, the moving party may file a complaint within 45...

  12. 22 CFR 911.2 - Filing complaint.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 2 2011-04-01 2009-04-01 true Filing complaint. 911.2 Section 911.2 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD IMPLEMENTATION DISPUTES § 911.2 Filing complaint. If the dispute is not satisfactorily resolved at the agency level, the moving party may file a complaint within 45...

  13. 22 CFR 911.2 - Filing complaint.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 2 2012-04-01 2009-04-01 true Filing complaint. 911.2 Section 911.2 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD IMPLEMENTATION DISPUTES § 911.2 Filing complaint. If the dispute is not satisfactorily resolved at the agency level, the moving party may file a complaint within 45...

  14. 22 CFR 911.2 - Filing complaint.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 2 2014-04-01 2014-04-01 false Filing complaint. 911.2 Section 911.2 Foreign Relations FOREIGN SERVICE GRIEVANCE BOARD IMPLEMENTATION DISPUTES § 911.2 Filing complaint. If the dispute is not satisfactorily resolved at the agency level, the moving party may file a complaint within 45...

  15. 25 CFR 11.1000 - Complaint.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Complaint. 11.1000 Section 11.1000 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER COURTS OF INDIAN OFFENSES AND LAW AND ORDER CODE Juvenile Offender Procedure § 11.1000 Complaint. A complaint must be filed by a law enforcement officer or...

  16. 21 CFR 820.198 - Complaint files.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Complaint files. 820.198 Section 820.198 Food and... QUALITY SYSTEM REGULATION Records § 820.198 Complaint files. (a) Each manufacturer shall maintain complaint files. Each manufacturer shall establish and maintain procedures for receiving, reviewing, and...

  17. 47 CFR 8.12 - Formal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Formal complaints. 8.12 Section 8.12 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.12 Formal complaints. Any person may file a formal complaint alleging a violation of the rules in this part....

  18. 47 CFR 8.12 - Formal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Formal complaints. 8.12 Section 8.12 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.12 Formal complaints. Any person may file a formal complaint alleging a violation of the rules in this part....

  19. 47 CFR 8.12 - Formal complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Formal complaints. 8.12 Section 8.12 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.12 Formal complaints. Any person may file a formal complaint alleging a violation of the rules in this part....

  20. 7 CFR 1.163 - The complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 1 2010-01-01 2010-01-01 false The complaint. 1.163 Section 1.163 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Rules of Practice Governing Cease and Desist Proceedings Under Section 2 of the Capper-Volstead Act § 1.163 The complaint. The complaint shall...

  1. 48 CFR 408.711 - Quality complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false Quality complaints. 408... People Who Are Blind or Severely Disabled 408.711 Quality complaints. Prior to attempting to resolve a complaint regarding the quality of goods or services provided by participating nonprofit agency with...

  2. 48 CFR 408.711 - Quality complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Quality complaints. 408... People Who Are Blind or Severely Disabled 408.711 Quality complaints. Prior to attempting to resolve a complaint regarding the quality of goods or services provided by participating nonprofit agency with...

  3. 48 CFR 408.711 - Quality complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 4 2014-10-01 2014-10-01 false Quality complaints. 408... People Who Are Blind or Severely Disabled 408.711 Quality complaints. Prior to attempting to resolve a complaint regarding the quality of goods or services provided by participating nonprofit agency with...

  4. 48 CFR 408.711 - Quality complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Quality complaints. 408... People Who Are Blind or Severely Disabled 408.711 Quality complaints. Prior to attempting to resolve a complaint regarding the quality of goods or services provided by participating nonprofit agency with...

  5. 48 CFR 408.711 - Quality complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false Quality complaints. 408... People Who Are Blind or Severely Disabled 408.711 Quality complaints. Prior to attempting to resolve a complaint regarding the quality of goods or services provided by participating nonprofit agency with...

  6. 12 CFR 268.105 - Individual complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... RULES REGARDING EQUAL OPPORTUNITY Board Program To Promote Equal Opportunity § 268.105 Individual... receipt of a complaint or an amendment to a complaint in writing and inform the complainant of the date on which the complaint or amendment was filed. The Board shall advise the complainant in the...

  7. 12 CFR 268.105 - Individual complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... (CONTINUED) RULES REGARDING EQUAL OPPORTUNITY Board Program To Promote Equal Opportunity § 268.105 Individual... receipt of a complaint or an amendment to a complaint in writing and inform the complainant of the date on which the complaint or amendment was filed. The Board shall advise the complainant in the...

  8. 12 CFR 268.105 - Individual complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... RULES REGARDING EQUAL OPPORTUNITY Board Program To Promote Equal Opportunity § 268.105 Individual... receipt of a complaint or an amendment to a complaint in writing and inform the complainant of the date on which the complaint or amendment was filed. The Board shall advise the complainant in the...

  9. 47 CFR 8.12 - Formal Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Formal Complaints. 8.12 Section 8.12 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.12 Formal Complaints. Any person may file a formal complaint alleging a violation of the rules in this part....

  10. 48 CFR 22.902 - Handling complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Handling complaints. 22.902 Section 22.902 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION SOCIOECONOMIC... Handling complaints. Agencies shall bring complaints regarding a contractor's compliance with this policy...

  11. 10 CFR 1040.89-5 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Rights and Diversity, may extend the time limit for filing a complaint. Complaints may be submitted to... and Diversity, Forrestal Building, 1000 Independence Avenue, SW., Washington, D.C. 20585. (b) The Director, Office of Civil Rights and Diversity, will attempt to facilitate the filing of complaints...

  12. 10 CFR 1040.89-5 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Rights and Diversity, may extend the time limit for filing a complaint. Complaints may be submitted to... and Diversity, Forrestal Building, 1000 Independence Avenue, SW., Washington, D.C. 20585. (b) The Director, Office of Civil Rights and Diversity, will attempt to facilitate the filing of complaints...

  13. 10 CFR 1040.89-5 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Rights and Diversity, may extend the time limit for filing a complaint. Complaints may be submitted to... and Diversity, Forrestal Building, 1000 Independence Avenue, SW., Washington, D.C. 20585. (b) The Director, Office of Civil Rights and Diversity, will attempt to facilitate the filing of complaints...

  14. 10 CFR 1040.89-5 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Rights and Diversity, may extend the time limit for filing a complaint. Complaints may be submitted to... and Diversity, Forrestal Building, 1000 Independence Avenue, SW., Washington, D.C. 20585. (b) The Director, Office of Civil Rights and Diversity, will attempt to facilitate the filing of complaints...

  15. 25 CFR 11.300 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false Complaints. 11.300 Section 11.300 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAW AND ORDER COURTS OF INDIAN OFFENSES AND LAW AND ORDER CODE Criminal Procedure § 11.300 Complaints. (a) A complaint is a written statement of the essential...

  16. 24 CFR 135.76 - Filing and processing complaints.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... complaint may be closed. (d) Contents of complaint—(1) Written complaints. Each complaint must be in writing... cure, technical defects or omissions, including failure to sign or affirm a complaint, to clarify or...

  17. Somatic complaints in childhood tic disorders.

    PubMed

    Frank, M S; Sieg, K G; Gaffney, G R

    1991-01-01

    Twenty-six children diagnosed with chronic tic disorders (18 with Gilles de la Tourette syndrome and 8 with chronic motor tic disorder) were studied for unexplained physical complaints. Compared to normal controls, an excess of somatic complaints was found in the tic disorders group; this was similar to an excess of somatic complaints in a mixed psychiatric clinic group. Medication produced no significant effect on somatic complaints for patients in the tic and psychiatric clinic groups. Within the tic disorders group, no significant correlation was found between the increased somatic complaints and the severity of anxiety, dysphoria, or movement disorder.

  18. Childhood functional gastrointestinal disorders

    PubMed Central

    Rasquin-Weber, A; Hyman, P; Cucchiara, S; Fleisher, D; Hyams, J; Milla, P; Staiano, A

    1999-01-01

    This is the first attempt at defining criteria for functional gastrointestinal disorders (FGIDs) in infancy, childhood, and adolescence. The decision-making process was as for adults and consisted of arriving at consensus, based on clinical experience. This paper is intended to be a quick reference. The classification system selected differs from the one used in the adult population in that it is organized according to main complaints instead of being organ-targeted. Because the child is still developing, some disorders such as toddler's diarrhea (or functional diarrhea) are linked to certain physiologic stages; others may result from behavioral responses to sphincter function acquisition such as fecal retention; others will only be recognizable after the child is cognitively mature enough to report the symptoms (e.g., dyspepsia). Infant regurgitation, rumination, and cyclic vomiting constitute the vomiting disorders. Abdominal pain disorders are classified as: functional dyspepsia, irritable bowel syndrome (IBS), functional abdominal pain, abdominal migraine, and aerophagia. Disorders of defecation include: infant dyschezia, functional constipation, functional fecal retention, and functional non-retentive fecal soiling. Some disorders, such as IBS and dyspepsia and functional abdominal pain, are exact replications of the adult criteria because there are enough data to confirm that they represent specific and similar disorders in pediatrics. Other disorders not included in the pediatric classification, such as functional biliary disorders, do occur in children; however, existing data are insufficient to warrant including them at the present time. For these disorders, it is suggested that, for the time being, clinicians refer to the criteria established for the adult population.


Keywords: infant vomiting; cyclic vomiting syndrome; functional dyspepsia in children; irritable bowel syndrome in children; functional abdominal pain in children; functional

  19. Gastrointestinal Physiology and Function.

    PubMed

    Greenwood-Van Meerveld, Beverley; Johnson, Anthony C; Grundy, David

    2017-02-08

    The gastrointestinal (GI) system is responsible for the digestion and absorption of ingested food and liquids. Due to the complexity of the GI tract and the substantial volume of material that could be covered under the scope of GI physiology, this chapter briefly reviews the overall function of the GI tract, and discusses the major factors affecting GI physiology and function, including the intestinal microbiota, chronic stress, inflammation, and aging with a focus on the neural regulation of the GI tract and an emphasis on basic brain-gut interactions that serve to modulate the GI tract. GI diseases refer to diseases of the esophagus, stomach, small intestine, colon, and rectum. The major symptoms of common GI disorders include recurrent abdominal pain and bloating, heartburn, indigestion/dyspepsia, nausea and vomiting, diarrhea, and constipation. GI disorders rank among the most prevalent disorders, with the most common including esophageal and swallowing disorders, gastric and peptic ulcer disease, gastroparesis or delayed gastric emptying, irritable bowel syndrome (IBS), and inflammatory bowel disease (IBD). Many GI disorders are difficult to diagnose and their symptoms are not effectively managed. Thus, basic research is required to drive the development of novel therapeutics which are urgently needed. One approach is to enhance our understanding of gut physiology and pathophysiology especially as it relates to gut-brain communications since they have clinical relevance to a number of GI complaints and represent a therapeutic target for the treatment of conditions including inflammatory diseases of the GI tract such as IBD and functional gut disorders such as IBS.

  20. Relationship between patient complaints and surgical complications

    PubMed Central

    Murff, H J; France, D J; Blackford, J; Grogan, E L; Yu, C; Speroff, T; Pichert, J W; Hickson, G B

    2006-01-01

    Background Patient complaints are associated with increased malpractice risk but it is unclear if complaints might be associated with medical complications. The purpose of this study was to determine whether an association exists between patient complaints and surgical complications. Methods A retrospective analysis of 16 713 surgical admissions was conducted over a 54 month period at a single academic medical center. Surgical complications were identified using administrative data. The primary outcome measure was unsolicited patient complaints. Results During the study period 0.9% of surgical admissions were associated with a patient complaint. 19% of admissions associated with a patient complaint included a postoperative complication compared with 12.5% of admissions without a patient complaint (p = 0.01). After adjusting for surgical specialty, co‐morbid illnesses and length of stay, admissions with complications had an odds ratio of 1.74 (95% confidence interval 1.01 to 2.98) of being associated with a complaint compared with admissions without complications. Conclusions Admissions with surgical complications are more likely to be associated with a complaint than surgical admissions without complications. Further research is necessary to determine if patient complaints might serve as markers for poor clinical outcomes. PMID:16456204

  1. The network organisation of consumer complaints

    NASA Astrophysics Data System (ADS)

    Rocha, L. E. C.; Holme, P.

    2010-07-01

    Interaction between consumers and companies can create conflict. When a consensus is unreachable there are legal authorities to resolve the case. This letter is a study of data from the Brazilian Department of Justice from which we build a bipartite network of categories of complaints linked to the companies receiving those complaints. We find the complaint categories organised in an hierarchical way where companies only get complaints of lower degree if they already got complaints of higher degree. The fraction of resolved complaints for a company appears to be nearly independent of the equity of the company but is positively correlated with the total number of complaints received. We construct feature vectors based on the edge-weight —the weight of an edge represents the times complaints of a category have been filed against that company— and use these vectors to study the similarity between the categories of complaints. From this analysis, we obtain trees mapping the hierarchical organisation of the complaints. We also apply principal component analysis to the set of feature vectors concluding that a reduction of the dimensionality of these from 8827 to 27 gives an optimal hierarchical representation.

  2. [Repetitive work and psychosomatic complaints].

    PubMed

    Liebrich, J; Geiger, L; Rupp, M

    1978-08-01

    200 workers of the Swiss watch industry were examined in an interdisciplinary study on the effect of repetitive work on the wellbeing of the worker. Women doing repetitive work with little autonomy complained more often about psychosomatic problems than the male workers doing non-repetitive work. This difference is interpreted as a difference of sexe rather than one of the work situation. However, there is a significant difference in the complaint about nervosity between women being paid monthly and women who were paid by piece or by hour with a premium.

  3. Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia

    PubMed Central

    Bismark, Marie M; Spittal, Matthew J; Gurrin, Lyle C; Ward, Michael; Studdert, David M

    2013-01-01

    Objectives (1) To determine the distribution of formal patient complaints across Australia's medical workforce and (2) to identify characteristics of doctors at high risk of incurring recurrent complaints. Methods We assembled a national sample of all 18 907 formal patient complaints filed against doctors with health service ombudsmen (‘Commissions’) in Australia over an 11-year period. We analysed the distribution of complaints among practicing doctors. We then used recurrent-event survival analysis to identify characteristics of doctors at high risk of recurrent complaints, and to estimate each individual doctor's risk of incurring future complaints. Results The distribution of complaints among doctors was highly skewed: 3% of Australia's medical workforce accounted for 49% of complaints and 1% accounted for a quarter of complaints. Short-term risks of recurrence varied significantly among doctors: there was a strong dose-response relationship with number of previous complaints and significant differences by doctor specialty and sex. At the practitioner level, risks varied widely, from doctors with <10% risk of further complaints within 2 years to doctors with >80% risk. Conclusions A small group of doctors accounts for half of all patient complaints lodged with Australian Commissions. It is feasible to predict which doctors are at high risk of incurring more complaints in the near future. Widespread use of this approach to identify high-risk doctors and target quality improvement efforts coupled with effective interventions, could help reduce adverse events and patient dissatisfaction in health systems. PMID:23576774

  4. 29 CFR 22.7 - Complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 1 2014-07-01 2013-07-01 true Complaint. 22.7 Section 22.7 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.7 Complaint. (a) On or after the date the Department of Justice approves the issuance of a complaint in accordance with 31 U.S.C. 3803(b)(1),...

  5. Reproducibility in a multiprocessor system

    DOEpatents

    Bellofatto, Ralph A; Chen, Dong; Coteus, Paul W; Eisley, Noel A; Gara, Alan; Gooding, Thomas M; Haring, Rudolf A; Heidelberger, Philip; Kopcsay, Gerard V; Liebsch, Thomas A; Ohmacht, Martin; Reed, Don D; Senger, Robert M; Steinmacher-Burow, Burkhard; Sugawara, Yutaka

    2013-11-26

    Fixing a problem is usually greatly aided if the problem is reproducible. To ensure reproducibility of a multiprocessor system, the following aspects are proposed; a deterministic system start state, a single system clock, phase alignment of clocks in the system, system-wide synchronization events, reproducible execution of system components, deterministic chip interfaces, zero-impact communication with the system, precise stop of the system and a scan of the system state.

  6. Sleep complaints and fatigue of airline pilots.

    PubMed

    Reis, Cátia; Mestre, Catarina; Canhão, Helena; Gradwell, David; Paiva, Teresa

    2016-01-01

    This work aimed to determine daytime sleepiness and sleep complaints prevalence and the corresponding influence on perceived fatigue and to evaluate the influence of sociodemographic parameters and labour variables on sleep complaints, sleepiness and fatigue. A questionnaire was developed including socio-economic and labour issues and instruments, focused in sleep and fatigue. The response rate was 32% and the final sample had 435 pilots. The prevalence of sleep complaints was 34.9%, daytime sleepiness 59.3% and fatigue 90.6%. The high prevalence of sleep complaints, sleepiness and fatigue was disclosed in pilots, with those who fly short/medium having an added risk of fatigue.

  7. Zinc and gastrointestinal disease

    PubMed Central

    Skrovanek, Sonja; DiGuilio, Katherine; Bailey, Robert; Huntington, William; Urbas, Ryan; Mayilvaganan, Barani; Mercogliano, Giancarlo; Mullin, James M

    2014-01-01

    This review is a current summary of the role that both zinc deficiency and zinc supplementation can play in the etiology and therapy of a wide range of gastrointestinal diseases. The recent literature describing zinc action on gastrointestinal epithelial tight junctions and epithelial barrier function is described. Zinc enhancement of gastrointestinal epithelial barrier function may figure prominently in its potential therapeutic action in several gastrointestinal diseases. PMID:25400994

  8. Gastrointestinal comorbidities which complicate the treatment of anorexia nervosa.

    PubMed

    Mascolo, Margherita; Geer, Bashir; Feuerstein, Joshua; Mehler, Philip S

    2017-01-01

    Patients with anorexia nervosa often voice a multitude of symptoms in regards to their gastrointestinal tract. These complaints can complicate the treatment of their eating disorder as they distract attention from the important goal of weight restoration. Moreover, the restricting of certain food groups also makes the task of weight restoration substantially more difficult, or may result in binging. Therefore a working knowledge of common gastrointestinal comorbidities, such as celiac disease, irritable bowel syndrome, inflammatory bowel disease, and gastroparesis, is useful when treating a patient who has anorexia nervosa.

  9. 8 CFR 1003.104 - Filing of complaints; preliminary inquiries; resolutions; referral of complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Filing of complaints; preliminary inquiries; resolutions; referral of complaints. 1003.104 Section 1003.104 Aliens and Nationality EXECUTIVE OFFICE FOR... submitted in writing and must state in detail the information that supports the basis for the complaint...

  10. 8 CFR 1003.104 - Filing of complaints; preliminary inquiries; resolutions; referral of complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Filing of complaints; preliminary inquiries; resolutions; referral of complaints. 1003.104 Section 1003.104 Aliens and Nationality EXECUTIVE OFFICE FOR... submitted in writing and must state in detail the information that supports the basis for the complaint...

  11. 8 CFR 1003.104 - Filing of complaints; preliminary inquiries; resolutions; referral of complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Filing of complaints; preliminary inquiries; resolutions; referral of complaints. 1003.104 Section 1003.104 Aliens and Nationality EXECUTIVE OFFICE FOR... submitted in writing and must state in detail the information that supports the basis for the complaint...

  12. 8 CFR 1003.104 - Filing of complaints; preliminary inquiries; resolutions; referral of complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Filing of complaints; preliminary inquiries; resolutions; referral of complaints. 1003.104 Section 1003.104 Aliens and Nationality EXECUTIVE OFFICE FOR... submitted in writing and must state in detail the information that supports the basis for the complaint...

  13. 20 CFR 658.401 - Types of complaints handled by the JS complaint system.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... (employer-related complaint) and (ii) complaints about Job Service actions or omissions under JS regulations..., DEPARTMENT OF LABOR (CONTINUED) ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service... follows: (i) Complaints against an employer about the specific job to which the applicant was referred...

  14. 20 CFR 658.401 - Types of complaints handled by the JS complaint system.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... (employer-related complaint) and (ii) complaints about Job Service actions or omissions under JS regulations..., DEPARTMENT OF LABOR (CONTINUED) ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service... follows: (i) Complaints against an employer about the specific job to which the applicant was referred...

  15. Parent attention versus distraction: impact on symptom complaints by children with and without chronic functional abdominal pain.

    PubMed

    Walker, Lynn S; Williams, Sara E; Smith, Craig A; Garber, Judy; Van Slyke, Deborah A; Lipani, Tricia A

    2006-05-01

    The objective of this study was to assess the impact of parent attention and distraction on symptom complaints by children with and without chronic functional abdominal pain. The water load symptom provocation task was used to induce visceral discomfort in pediatric patients with abdominal pain (N=104) and well children (N=119), ages 8-16 years. Parents were randomly assigned and trained to interact with their children according to one of three conditions: Attention, Distraction, or No Instruction. Children's symptom complaints and parents' responses were audiotaped and coded. Children completed a self-report measure of gastrointestinal (GI) symptoms before and after interacting with their parents. Parents' and children's perceptions of their interaction were assessed. Compared to the No Instruction condition, symptom complaints by pain patients and well children nearly doubled in the Attention condition and were reduced by half in the Distraction condition. The effect of attention on symptom complaints was greater for female pain patients than for male patients or well children. Findings for self-report GI symptoms were similar to those for audiotaped symptom complaints. Both pain patients and well children in the Distraction condition rated parents as making them feel better compared to ratings for the Attention condition. Parents of pain patients rated distraction as having greater potential negative impact on their children than attention. Parents' responses to children's symptom complaints can significantly increase or decrease those complaints. Girls with functional abdominal pain are particularly vulnerable to the symptom-reinforcing effects of parental attention.

  16. Parent attention versus distraction: Impact on symptom complaints by children with and without chronic functional abdominal pain

    PubMed Central

    Walker, Lynn S.; Williams, Sara E.; Smith, Craig A.; Garber, Judy; Van Slyke, Deborah A.; Lipani, Tricia A.

    2011-01-01

    The objective of this study was to assess the impact of parent attention and distraction on symptom complaints by children with and without chronic functional abdominal pain. The water load symptom provocation task was used to induce visceral discomfort in pediatric patients with abdominal pain (N = 104) and well children (N = 119), ages 8–16 years. Parents were randomly assigned and trained to interact with their children according to one of three conditions: Attention, Distraction, or No Instruction. Children's symptom complaints and parents’ responses were audiotaped and coded. Children completed a self-report measure of gastrointestinal (GI) symptoms before and after interacting with their parents. Parents’ and children's perceptions of their interaction were assessed. Compared to the No Instruction condition, symptom complaints by pain patients and well children nearly doubled in the Attention condition and were reduced by half in the Distraction condition. The effect of attention on symptom complaints was greater for female pain patients than for male patients or well children. Findings for self-report GI symptoms were similar to those for audiotaped symptom complaints. Both pain patients and well children in the Distraction condition rated parents as making them feel better compared to ratings for the Attention condition. Parents of pain patients rated distraction as having greater potential negative impact on their children than attention. Parents’ responses to children's symptom complaints can significantly increase or decrease those complaints. Girls with functional abdominal pain are particularly vulnerable to the symptom-reinforcing effects of parental attention. PMID:16495006

  17. Somatic complaints in anxious youth.

    PubMed

    Crawley, Sarah A; Caporino, Nicole E; Birmaher, Boris; Ginsburg, Golda; Piacentini, John; Albano, Anne Marie; Sherrill, Joel; Sakolsky, Dara; Compton, Scott N; Rynn, Moira; McCracken, James; Gosch, Elizabeth; Keeton, Courtney; March, John; Walkup, John T; Kendall, Philip C

    2014-08-01

    This study examined (a) demographic and clinical characteristics associated with physical symptoms in anxiety-disordered youth and (b) the impact of cognitive-behavioral therapy (Coping Cat), medication (sertraline), their combination, and pill placebo on physical symptoms. Youth (N = 488, ages 7-17 years) with a principal diagnosis of generalized anxiety disorder, separation anxiety disorder, or social phobia participated as part of a multi-site, randomized controlled trial and received treatment delivered over 12 weeks. Diagnostic status, symptom severity, and impairment were assessed at baseline and week 12. The total number and severity of physical symptoms was associated with age, principal diagnosis, anxiety severity, impairment, and the presence of comorbid internalizing disorders. Common somatic complaints were headaches, stomachaches, head cold or sniffles, sleeplessness, and feeling drowsy or too sleepy. Physical symptoms decreased over the course of treatment, and were unrelated to treatment condition. Clinical implications and directions for future research are discussed (ClinicalTrials.gov number, NCT00052078).

  18. 20 CFR 658.426 - Complaints against USES.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ...) ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System Federal Js Complaint System § 658.426 Complaints against USES. Complaints alleging that an ETA regional office or the national... allegations of wrong-doing, (b) the date of the incident, (c) location of the incident, (d) who the complaint...

  19. 22 CFR 96.70 - Operation of the Complaint Registry.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Operation of the Complaint Registry. 96.70... Complaints § 96.70 Operation of the Complaint Registry. (a) The Secretary will establish a Complaint Registry.... The Secretary may provide for the Complaint Registry to be funded in whole or in part from...

  20. 22 CFR 96.70 - Operation of the Complaint Registry.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Operation of the Complaint Registry. 96.70... Complaints § 96.70 Operation of the Complaint Registry. (a) The Secretary will establish a Complaint Registry.... The Secretary may provide for the Complaint Registry to be funded in whole or in part from...

  1. 22 CFR 96.70 - Operation of the Complaint Registry.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Operation of the Complaint Registry. 96.70... Complaints § 96.70 Operation of the Complaint Registry. (a) The Secretary will establish a Complaint Registry.... The Secretary may provide for the Complaint Registry to be funded in whole or in part from...

  2. 22 CFR 96.70 - Operation of the Complaint Registry.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Operation of the Complaint Registry. 96.70... Complaints § 96.70 Operation of the Complaint Registry. (a) The Secretary will establish a Complaint Registry.... The Secretary may provide for the Complaint Registry to be funded in whole or in part from...

  3. 32 CFR 776.79 - The complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 5 2011-07-01 2011-07-01 false The complaint. 776.79 Section 776.79 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES PROFESSIONAL CONDUCT OF ATTORNEYS PRACTICING UNDER THE COGNIZANCE AND SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint...

  4. 32 CFR 776.79 - The complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 5 2014-07-01 2014-07-01 false The complaint. 776.79 Section 776.79 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES PROFESSIONAL CONDUCT OF ATTORNEYS PRACTICING UNDER THE COGNIZANCE AND SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint...

  5. 32 CFR 776.79 - The complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 5 2013-07-01 2013-07-01 false The complaint. 776.79 Section 776.79 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES PROFESSIONAL CONDUCT OF ATTORNEYS PRACTICING UNDER THE COGNIZANCE AND SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint...

  6. 36 CFR 8.6 - Complaints; appeal.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Complaints; appeal. 8.6 Section 8.6 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR LABOR STANDARDS APPLICABLE TO EMPLOYEES OF NATIONAL PARK SERVICE CONCESSIONERS § 8.6 Complaints; appeal. Any...

  7. 36 CFR 8.6 - Complaints; appeal.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 36 Parks, Forests, and Public Property 1 2012-07-01 2012-07-01 false Complaints; appeal. 8.6 Section 8.6 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR LABOR STANDARDS APPLICABLE TO EMPLOYEES OF NATIONAL PARK SERVICE CONCESSIONERS § 8.6 Complaints; appeal. Any...

  8. 36 CFR 8.6 - Complaints; appeal.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 36 Parks, Forests, and Public Property 1 2014-07-01 2014-07-01 false Complaints; appeal. 8.6 Section 8.6 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR LABOR STANDARDS APPLICABLE TO EMPLOYEES OF NATIONAL PARK SERVICE CONCESSIONERS § 8.6 Complaints; appeal. Any...

  9. 10 CFR 590.317 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Complaints. 590.317 Section 590.317 Energy DEPARTMENT OF ENERGY (CONTINUED) NATURAL GAS (ECONOMIC REGULATORY ADMINISTRATION) ADMINISTRATIVE PROCEDURES WITH RESPECT TO THE IMPORT AND EXPORT OF NATURAL GAS Procedures § 590.317 Complaints. (a) Any person may file a...

  10. 29 CFR 1614.204 - Class complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., age, disability, or genetic information. (2) A class complaint is a written complaint of... relief awarded, if any, through the same media employed to give notice of the existence of the class... this part may be ordered for the time the policy or practice was in effect. The agency shall issue...

  11. 12 CFR 268.204 - Class complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., national origin, age or disability. (2) Class complaint is a written complaint of discrimination filed on... shall notify class members of the final decision and relief awarded, if any, through the same media... in effect. The Board shall issue a final decision on each such claim within 90 days of filing....

  12. 12 CFR 268.204 - Class complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., national origin, age or disability. (2) Class complaint is a written complaint of discrimination filed on... shall notify class members of the final decision and relief awarded, if any, through the same media... in effect. The Board shall issue a final decision on each such claim within 90 days of filing....

  13. 21 CFR 225.115 - Complaint files.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Complaint files. 225.115 Section 225.115 Food and... CURRENT GOOD MANUFACTURING PRACTICE FOR MEDICATED FEEDS Records and Reports § 225.115 Complaint files. (a... feed manufacturer shall maintain on the premises a file which contains the following information:...

  14. Complaints Soar over Student-Loan Collections

    ERIC Educational Resources Information Center

    Field, Kelly

    2012-01-01

    Over the past five years, the number of complaints filed against agencies collecting on behalf of the U.S. Department of Education has grown by 45 percent. The Federal Trade Commission, which oversees the entire industry, received 142,743 complaints involving debt-collection companies last year, though only some involved student loans. Consumer…

  15. 20 CFR 405.30 - Discrimination complaints.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false Discrimination complaints. 405.30 Section 405... INITIAL DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination... that an adjudicator has improperly discriminated against you, you may file a discrimination complaint...

  16. 20 CFR 405.30 - Discrimination complaints.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false Discrimination complaints. 405.30 Section 405... INITIAL DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination... that an adjudicator has improperly discriminated against you, you may file a discrimination complaint...

  17. 20 CFR 405.30 - Discrimination complaints.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false Discrimination complaints. 405.30 Section 405... INITIAL DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination... that an adjudicator has improperly discriminated against you, you may file a discrimination complaint...

  18. 20 CFR 405.30 - Discrimination complaints.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false Discrimination complaints. 405.30 Section 405... INITIAL DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination... that an adjudicator has improperly discriminated against you, you may file a discrimination complaint...

  19. 45 CFR 98.93 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Complaints. 98.93 Section 98.93 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Monitoring... for Children and Families, 370 L'Enfant Promenade, SW., Washington, DC 20447. The complaint...

  20. Responding to Complaints of Sexual Abuse.

    ERIC Educational Resources Information Center

    Shakeshaft, Charol

    1994-01-01

    Summarizes a study of 225 cases between 1990 and 1994 involving sexual abuse or harassment complaints against teachers. Interviews revealed how districts respond to complaints and the most effective preventive policies and procedures. School districts with rare occurrences screen prospective employees, have strong and clear policies, educate staff…

  1. Complaint intensity and health care services.

    PubMed

    Dolinsky, A L

    1995-01-01

    The author extends his Complaint Intensity Outcome Framework by including a customer-need component and applying the model to a sample of elderly health care consumers. The results indicate that immediate action should be taken to improve complaint mechanisms and performance related to the quality of physicians. Other attributes require less dramatic action, and some require none at all.

  2. 7 CFR 271.6 - Complaint procedure.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM GENERAL INFORMATION AND DEFINITIONS § 271.6 Complaint... its choosing for handling program complaints filed by participants, potential participants, or...

  3. 7 CFR 271.6 - Complaint procedure.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM GENERAL INFORMATION AND DEFINITIONS § 271.6 Complaint... its choosing for handling program complaints filed by participants, potential participants, or...

  4. 7 CFR 271.6 - Complaint procedure.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE FOOD STAMP AND FOOD DISTRIBUTION PROGRAM GENERAL INFORMATION AND DEFINITIONS § 271.6 Complaint... its choosing for handling program complaints filed by participants, potential participants, or...

  5. 32 CFR 776.79 - The complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false The complaint. 776.79 Section 776.79 National Defense Department of Defense (Continued) DEPARTMENT OF THE NAVY MISCELLANEOUS RULES PROFESSIONAL CONDUCT OF ATTORNEYS PRACTICING UNDER THE COGNIZANCE AND SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint...

  6. 45 CFR 98.93 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Complaints. 98.93 Section 98.93 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Monitoring... for Children and Families, 370 L'Enfant Promenade, SW., Washington, DC 20447. The complaint shall...

  7. 21 CFR 820.198 - Complaint files.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... designated complaint unit is located outside of the United States, records required by this section shall be reasonably accessible in the United States at either: (1) A location in the United States where the... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Complaint files. 820.198 Section 820.198 Food...

  8. 45 CFR 1225.9 - Complaint procedure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... which is not, directly or indirectly, under the jurisdiction of the head of that part of the agency in... resolution of the complaint. The investigator shall forward the investigative file to the EO Director and... determines that such an offer is inappropriate, the EO Director shall forward the complaint file with a...

  9. 45 CFR 1225.9 - Complaint procedure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... which is not, directly or indirectly, under the jurisdiction of the head of that part of the agency in... resolution of the complaint. The investigator shall forward the investigative file to the EO Director and... determines that such an offer is inappropriate, the EO Director shall forward the complaint file with a...

  10. 45 CFR 1225.9 - Complaint procedure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... which is not, directly or indirectly, under the jurisdiction of the head of that part of the agency in... resolution of the complaint. The investigator shall forward the investigative file to the EO Director and... determines that such an offer is inappropriate, the EO Director shall forward the complaint file with a...

  11. 10 CFR 1040.89-5 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Rights and Diversity, may extend the time limit for filing a complaint. Complaints may be submitted to... and Diversity, Forrestal Building, 1000 Independence Avenue, SW., Washington, D.C. 20585. (b) The Director, Office of Civil Rights and Diversity, will attempt to facilitate the filing of...

  12. 48 CFR 8.711 - Quality complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 1 2011-10-01 2011-10-01 false Quality complaints. 8.711... Blind or Severely Disabled 8.711 Quality complaints. (a) When the quality of supplies or services... the appropriate central nonprofit agency. (b) When quality problems cannot be resolved by the...

  13. 48 CFR 8.711 - Quality complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Quality complaints. 8.711... Blind or Severely Disabled 8.711 Quality complaints. (a) When the quality of supplies or services... the appropriate central nonprofit agency. (b) When quality problems cannot be resolved by the...

  14. 48 CFR 8.711 - Quality complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 1 2014-10-01 2014-10-01 false Quality complaints. 8.711... Blind or Severely Disabled 8.711 Quality complaints. (a) When the quality of supplies or services... the appropriate central nonprofit agency. (b) When quality problems cannot be resolved by the...

  15. 48 CFR 8.711 - Quality complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 1 2013-10-01 2013-10-01 false Quality complaints. 8.711... Blind or Severely Disabled 8.711 Quality complaints. (a) When the quality of supplies or services... the appropriate central nonprofit agency. (b) When quality problems cannot be resolved by the...

  16. 48 CFR 8.711 - Quality complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 1 2012-10-01 2012-10-01 false Quality complaints. 8.711... Blind or Severely Disabled 8.711 Quality complaints. (a) When the quality of supplies or services... the appropriate central nonprofit agency. (b) When quality problems cannot be resolved by the...

  17. 29 CFR 1614.106 - Individual complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Agency Program To Promote Equal Employment Opportunity § 1614.106 Individual... acknowledge receipt of a complaint or an amendment to a complaint in writing and inform the complainant of...

  18. 29 CFR 1614.106 - Individual complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Agency Program To Promote Equal Employment Opportunity § 1614.106 Individual... acknowledge receipt of a complaint or an amendment to a complaint in writing and inform the complainant of...

  19. 29 CFR 1614.106 - Individual complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Agency Program To Promote Equal Employment Opportunity § 1614.106 Individual... acknowledge receipt of a complaint or an amendment to a complaint in writing and inform the complainant of...

  20. 21 CFR 211.198 - Complaint files.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Complaint files. 211.198 Section 211.198 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Records and Reports § 211.198 Complaint...

  1. 7 CFR 1.307 - Complaint.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 1 2013-01-01 2013-01-01 false Complaint. 1.307 Section 1.307 Agriculture Office of the Secretary of Agriculture ADMINISTRATIVE REGULATIONS Procedures Related to Administrative Hearings Under the Program Fraud Civil Remedies Act of 1986 § 1.307 Complaint. (a) On or after the date...

  2. 41 CFR 105-70.007 - Complaint.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false Complaint. 105-70.007 Section 105-70.007 Public Contracts and Property Management Federal Property Management Regulations System...-IMPLEMENTATION OF THE PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 105-70.007 Complaint. (a) On or after the...

  3. 14 CFR 302.721 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false Complaints. 302.721 Section 302.721 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) PROCEDURAL... Analysis, X-50, Department of Transportation, Washington, DC 20590, a complaint with respect to the...

  4. 14 CFR 302.721 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false Complaints. 302.721 Section 302.721 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) PROCEDURAL... Analysis, X-50, Department of Transportation, Washington, DC 20590, a complaint with respect to the...

  5. 14 CFR 302.721 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Complaints. 302.721 Section 302.721 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) PROCEDURAL... Analysis, X-50, Department of Transportation, Washington, DC 20590, a complaint with respect to the...

  6. 40 CFR 7.120 - Complaint investigations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Compliance Procedures § 7.120 Complaint investigations. The OCR shall promptly investigate all complaints... alleged discriminatory acts, unless the OCR waives the time limit for good cause. The filing of a... of the alleged discriminatory acts. (c) Notification. The OCR will notify the complainant and...

  7. 30 CFR 270.5 - Complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 2 2011-07-01 2011-07-01 false Complaint. 270.5 Section 270.5 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE NONDISCRIMINATION IN THE OUTER CONTINENTAL SHELF § 270.5 Complaint. (a) Whenever any person...

  8. 14 CFR 302.721 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 4 2014-01-01 2014-01-01 false Complaints. 302.721 Section 302.721 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) PROCEDURAL... Analysis, X-50, Department of Transportation, Washington, DC 20590, a complaint with respect to...

  9. 21 CFR 226.115 - Complaint files.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR TYPE A MEDICATED ARTICLES Records and Reports § 226.115 Complaint... concerning the safety or efficacy of each Type A medicated article(s). Complaints shall be evaluated...

  10. 21 CFR 226.115 - Complaint files.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR TYPE A MEDICATED ARTICLES Records and Reports § 226.115 Complaint... concerning the safety or efficacy of each Type A medicated article(s). Complaints shall be evaluated...

  11. 21 CFR 226.115 - Complaint files.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR TYPE A MEDICATED ARTICLES Records and Reports § 226.115 Complaint... concerning the safety or efficacy of each Type A medicated article(s). Complaints shall be evaluated...

  12. Managing Complaints in Multilingual Care Encounters

    ERIC Educational Resources Information Center

    Jansson, Gunilla; Wadensjö, Cecilia; Plejert, Charlotta

    2017-01-01

    Troubles-telling and complaints are common in contexts of care for older people and need to be managed by care staff in a respectful manner. This paper examines the handling of an older person's complaints in multilingual care encounters that involve participants who do not share a common language. The data consist of video-recordings and…

  13. 28 CFR 35.170 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Complaints. 35.170 Section 35.170 Judicial Administration DEPARTMENT OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES Compliance Procedures § 35.170 Complaints. (a) Who may file. An individual...

  14. 28 CFR 35.170 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 28 Judicial Administration 1 2013-07-01 2013-07-01 false Complaints. 35.170 Section 35.170 Judicial Administration DEPARTMENT OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES Compliance Procedures § 35.170 Complaints. (a) Who may file. An individual...

  15. 28 CFR 35.170 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 28 Judicial Administration 1 2014-07-01 2014-07-01 false Complaints. 35.170 Section 35.170 Judicial Administration DEPARTMENT OF JUSTICE NONDISCRIMINATION ON THE BASIS OF DISABILITY IN STATE AND LOCAL GOVERNMENT SERVICES Compliance Procedures § 35.170 Complaints. (a) Who may file. An individual...

  16. Complaints Soar over Student-Loan Collections

    ERIC Educational Resources Information Center

    Field, Kelly

    2012-01-01

    Over the past five years, the number of complaints filed against agencies collecting on behalf of the U.S. Department of Education has grown by 45 percent. The Federal Trade Commission, which oversees the entire industry, received 142,743 complaints involving debt-collection companies last year, though only some involved student loans. Consumer…

  17. 45 CFR 98.93 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Complaints. 98.93 Section 98.93 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Monitoring... for Children and Families, 370 L'Enfant Promenade, SW., Washington, DC 20447. The complaint...

  18. 48 CFR 222.1308 - Complaint procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Complaint procedures. 222.1308 Section 222.1308 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM... Disabled Veterans, Veterans of the Vietnam Era, and Other Eligible Veterans 222.1308 Complaint...

  19. 48 CFR 222.1406 - Complaint procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 48 Federal Acquisition Regulations System 3 2014-10-01 2014-10-01 false Complaint procedures. 222.1406 Section 222.1406 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM... of Workers with Disabilites 222.1406 Complaint procedures. The contracting officer shall notify...

  20. 29 CFR 1614.204 - Class complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Provisions Applicable to Particular Complaints § 1614.204 Class complaints. (a... decision to the Equal Employment Opportunity Commission and include EEOC Form 573, Notice of Appeal...

  1. 44 CFR 7.941 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 44 Emergency Management and Assistance 1 2013-10-01 2013-10-01 false Complaints. 7.941 Section 7.941 Emergency Management and Assistance FEDERAL EMERGENCY MANAGEMENT AGENCY, DEPARTMENT OF HOMELAND... file a complaint within 180 days from the date the complainant first had knowledge of the alleged...

  2. 45 CFR 96.50 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... address is 200 Independence Avenue SW., Washington, DC 20201.) The complaint must identify the provision... the State within 60 days (or such longer period as may be agreed upon between the State and the... to complaints within 180 days after receipt. If a final resolution cannot be provided at that...

  3. 14 CFR 13.5 - Formal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Independence Avenue, S.W., Washington, DC 20591; (3) Set forth the name and address, if known, of each person... file an answer within 20 days after service of a copy of the complaint. (g) After the complaint has... the Chief Counsel, Federal Aviation Administration, 800 Independence Avenue, S.W., Washington, D....

  4. 38 CFR 42.7 - Complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Complaint. 42.7 Section 42.7 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) STANDARDS IMPLEMENTING THE PROGRAM FRAUD CIVIL REMEDIES ACT § 42.7 Complaint. (a) On or after the date the Department...

  5. 38 CFR 42.7 - Complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Complaint. 42.7 Section 42.7 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED) STANDARDS IMPLEMENTING THE PROGRAM FRAUD CIVIL REMEDIES ACT § 42.7 Complaint. (a) On or after the date the Department...

  6. Upper gastrointestinal issues in athletes.

    PubMed

    Waterman, Jason J; Kapur, Rahul

    2012-01-01

    Gastrointestinal (GI) complaints are common among athletes with rates in the range of 30% to 70%. Both the intensity of sport and the type of sporting activity have been shown to be contributing factors in the development of GI symptoms. Three important factors have been postulated as contributing to the pathophysiology of GI complaints in athletes: mechanical forces, altered GI blood flow, and neuroendocrine changes. As a result of those factors, gastroesophageal reflux disease (GERD), nausea, vomiting, gastritis, peptic ulcers, GI bleeding, or exercise-related transient abdominal pain (ETAP) may develop. GERD may be treated with changes in eating habits, lifestyle modifications, and training modifications. Nausea and vomiting may respond to simple training modifications, including no solid food 3 hours prior to an athletic event. Mechanical trauma, decreased splanchnic blood flow during exercise, and non-steroidal anti-inflammatory drugs (NSAID) contribute to gastritis, GI bleeding, and ulcer formation in athletes. Acid suppression with proton-pump inhibitors may be useful in athletes with persistence of any of the above symptoms. ETAP is a common, poorly-understood, self-limited acute abdominal pain which is difficult to treat. ETAP incidence increases in athletes beginning a new exercise program or increasing the intensity of their current exercise program. ETAP may respond to changes in breathing patterns or may resolve simply with continued training. Evaluation of the athlete with upper GI symptoms requires a thorough history, a detailed training log, a focused physical examination aimed at ruling out potentially serious causes of symptoms, and follow-up laboratory testing based on concerning physical examination findings.

  7. Contextual sensitivity in scientific reproducibility.

    PubMed

    Van Bavel, Jay J; Mende-Siedlecki, Peter; Brady, William J; Reinero, Diego A

    2016-06-07

    In recent years, scientists have paid increasing attention to reproducibility. For example, the Reproducibility Project, a large-scale replication attempt of 100 studies published in top psychology journals found that only 39% could be unambiguously reproduced. There is a growing consensus among scientists that the lack of reproducibility in psychology and other fields stems from various methodological factors, including low statistical power, researcher's degrees of freedom, and an emphasis on publishing surprising positive results. However, there is a contentious debate about the extent to which failures to reproduce certain results might also reflect contextual differences (often termed "hidden moderators") between the original research and the replication attempt. Although psychologists have found extensive evidence that contextual factors alter behavior, some have argued that context is unlikely to influence the results of direct replications precisely because these studies use the same methods as those used in the original research. To help resolve this debate, we recoded the 100 original studies from the Reproducibility Project on the extent to which the research topic of each study was contextually sensitive. Results suggested that the contextual sensitivity of the research topic was associated with replication success, even after statistically adjusting for several methodological characteristics (e.g., statistical power, effect size). The association between contextual sensitivity and replication success did not differ across psychological subdisciplines. These results suggest that researchers, replicators, and consumers should be mindful of contextual factors that might influence a psychological process. We offer several guidelines for dealing with contextual sensitivity in reproducibility.

  8. 29 CFR 1603.102 - Filing a complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... appear in 29 CFR 1610.4. (c) Contents of a complaint. A complaint shall be in writing, signed and... discriminatory action or practices. A complaint may be amended to cure technical defects or omissions, including...

  9. 18 CFR 343.4 - Procedure on complaints.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... PIPELINE PROCEEDINGS § 343.4 Procedure on complaints. (a) Responses. The carrier must file an answer to a... hearings or other proceedings, on a complaint will be limited to the issues raised in the complaint....

  10. 18 CFR 343.4 - Procedure on complaints.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PIPELINE PROCEEDINGS § 343.4 Procedure on complaints. (a) Responses. The carrier must file an answer to a... hearings or other proceedings, on a complaint will be limited to the issues raised in the complaint....

  11. 18 CFR 343.4 - Procedure on complaints.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... PIPELINE PROCEEDINGS § 343.4 Procedure on complaints. (a) Responses. The carrier must file an answer to a... hearings or other proceedings, on a complaint will be limited to the issues raised in the complaint....

  12. Open Science and Research Reproducibility

    PubMed Central

    Munafò, Marcus

    2016-01-01

    Many scientists, journals and funders are concerned about the low reproducibility of many scientific findings. One approach that may serve to improve the reliability and robustness of research is open science. Here I argue that the process of pre-registering study protocols, sharing study materials and data, and posting preprints of manuscripts may serve to improve quality control procedures at every stage of the research pipeline, and in turn improve the reproducibility of published work. PMID:27350794

  13. 29 CFR 1979.103 - Filing of discrimination complaint.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... behalf, a complaint alleging such discrimination. (b) Nature of filing. No particular form of complaint...). Normal procedures and timeliness requirements for investigations under the respective laws...

  14. 20 CFR 658.426 - Complaints against USES.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ...) ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System Federal Js Complaint... is against, and (e) any other relevant information available to the complainant. The Assistant...

  15. Gastrointestinal Morbidity in Obesity

    PubMed Central

    Acosta, Andres; Camilleri, Michael

    2014-01-01

    Obesity is a complex disease that results from increased energy intake and decreased energy expenditure. The gastrointestinal system plays a key role in the pathogenesis of obesity and facilitates caloric imbalance. Changes in gastrointestinal hormones and the inhibition of mechanisms that curtail caloric intake result in weight gain. It is not clear if the gastrointestinal role in obesity is a cause or an effect of this disease. Obesity is often associated with type 2 diabetes mellitus (T2DM) and cardiovascular diseases (CVD). Obesity is also associated with gastrointestinal disorders, which are more frequent and present earlier than T2DM and CVD. Diseases such as gastro-esophageal reflux disease, cholelithiasis or non-alcoholic steatohepatitis are directly related to body weight and abdominal adiposity. Our objective is to assess the role of each gastrointestinal organ in obesity and the gastrointestinal morbidity resulting in those organs from effects of obesity. PMID:24602085

  16. Enhancing reproducibility: Failures from Reproducibility Initiatives underline core challenges.

    PubMed

    Mullane, Kevin; Williams, Michael

    2017-08-15

    Efforts to address reproducibility concerns in biomedical research include: initiatives to improve journal publication standards and peer review; increased attention to publishing methodological details that enable experiments to be reconstructed; guidelines on standards for study design, implementation, analysis and execution; meta-analyses of multiple studies within a field to synthesize a common conclusion and; the formation of consortia to adopt uniform protocols and internally reproduce data. Another approach to addressing reproducibility are Reproducibility Initiatives (RIs), well-intended, high-profile, systematically peer-vetted initiatives that are intended to replace the traditional process of scientific self-correction. Outcomes from the RIs reported to date have questioned the usefulness of this approach, particularly when the RI outcome differs from other independent self-correction studies that have reproduced the original finding. As a failed RI attempt is a single outcome distinct from the original study, it cannot provide any definitive conclusions necessitating additional studies that the RI approach has neither the ability nor intent of conducting making it a questionable replacement for self-correction. A failed RI attempt also has the potential to damage the reputation of the author of the original finding. Reproduction is frequently confused with replication, an issue that is more than semantic with the former denoting "similarity" and the latter an "exact copy" - an impossible outcome in research because of known and unknown technical, environmental and motivational differences between the original and reproduction studies. To date, the RI framework has negatively impacted efforts to improve reproducibility, confounding attempts to determine whether a research finding is real. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Contextual sensitivity in scientific reproducibility

    PubMed Central

    Van Bavel, Jay J.; Mende-Siedlecki, Peter; Brady, William J.; Reinero, Diego A.

    2016-01-01

    In recent years, scientists have paid increasing attention to reproducibility. For example, the Reproducibility Project, a large-scale replication attempt of 100 studies published in top psychology journals found that only 39% could be unambiguously reproduced. There is a growing consensus among scientists that the lack of reproducibility in psychology and other fields stems from various methodological factors, including low statistical power, researcher’s degrees of freedom, and an emphasis on publishing surprising positive results. However, there is a contentious debate about the extent to which failures to reproduce certain results might also reflect contextual differences (often termed “hidden moderators”) between the original research and the replication attempt. Although psychologists have found extensive evidence that contextual factors alter behavior, some have argued that context is unlikely to influence the results of direct replications precisely because these studies use the same methods as those used in the original research. To help resolve this debate, we recoded the 100 original studies from the Reproducibility Project on the extent to which the research topic of each study was contextually sensitive. Results suggested that the contextual sensitivity of the research topic was associated with replication success, even after statistically adjusting for several methodological characteristics (e.g., statistical power, effect size). The association between contextual sensitivity and replication success did not differ across psychological subdisciplines. These results suggest that researchers, replicators, and consumers should be mindful of contextual factors that might influence a psychological process. We offer several guidelines for dealing with contextual sensitivity in reproducibility. PMID:27217556

  18. Towards Reproducibility in Computational Hydrology

    NASA Astrophysics Data System (ADS)

    Hutton, Christopher; Wagener, Thorsten; Freer, Jim; Han, Dawei

    2016-04-01

    The ability to reproduce published scientific findings is a foundational principle of scientific research. Independent observation helps to verify the legitimacy of individual findings; build upon sound observations so that we can evolve hypotheses (and models) of how catchments function; and move them from specific circumstances to more general theory. The rise of computational research has brought increased focus on the issue of reproducibility across the broader scientific literature. This is because publications based on computational research typically do not contain sufficient information to enable the results to be reproduced, and therefore verified. Given the rise of computational analysis in hydrology over the past 30 years, to what extent is reproducibility, or a lack thereof, a problem in hydrology? Whilst much hydrological code is accessible, the actual code and workflow that produced and therefore documents the provenance of published scientific findings, is rarely available. We argue that in order to advance and make more robust the process of hypothesis testing and knowledge creation within the computational hydrological community, we need to build on from existing open data initiatives and adopt common standards and infrastructures to: first make code re-useable and easy to find through consistent use of metadata; second, publish well documented workflows that combine re-useable code together with data to enable published scientific findings to be reproduced; finally, use unique persistent identifiers (e.g. DOIs) to reference re-useable and reproducible code, thereby clearly showing the provenance of published scientific findings. Whilst extra effort is require to make work reproducible, there are benefits to both the individual and the broader community in doing so, which will improve the credibility of the science in the face of the need for societies to adapt to changing hydrological environments.

  19. Comparison of Subjective Health Complaints between Chinese and German University Students: A Cross-Sectional Study.

    PubMed

    Chu, Janet Junqing; Khan, Mobarak Hossain; Jahn, Heiko J; Kraemer, Alexander

    2015-12-10

    High rates of health complaints (HCs) with substantial variation are reported in different university populations, which can be linked to socio-demographic, lifestyle-related factors, and cultural differences. HCs can be categorized into distinct components. This study aimed to identify and compare underlying dimensions of HCs (HC components); to access and compare HC prevalence, and the associations between HC components, socio-demographic, lifestyle-related factors, and perceived stress in German and Chinese university students. Two health surveys were conducted among 5159 university students (1853 Chinese, 3306 German). Factor analysis and logistic regression were applied. The prevalence of HC ranged from 4.6% to 40.2% over the two countries. Germans reported at least three HCs more often (47.2% vs. 35.8%). Chinese students more often reported gastrointestinal complaints. Perceived stress was positively associated with all three HC components in both countries (OR = 1.03-1.50) with stronger associations among Germans. Women more often reported HCs (OR = 1.32-2.43) with stronger associations among the Germans. Having a father with a low educational level was associated with high psychological symptoms among the Chinese (OR = 1.51), but with low gastrointestinal complaints among the Germans (OR = 0.79). The high prevalence of HCs in students requires country-specific interventions.

  20. Comparison of Subjective Health Complaints between Chinese and German University Students: A Cross-Sectional Study

    PubMed Central

    Chu, Janet Junqing; Khan, Mobarak Hossain; Jahn, Heiko J.; Kraemer, Alexander

    2015-01-01

    High rates of health complaints (HCs) with substantial variation are reported in different university populations, which can be linked to socio-demographic, lifestyle-related factors, and cultural differences. HCs can be categorized into distinct components. This study aimed to identify and compare underlying dimensions of HCs (HC components); to access and compare HC prevalence, and the associations between HC components, socio-demographic, lifestyle-related factors, and perceived stress in German and Chinese university students. Two health surveys were conducted among 5159 university students (1853 Chinese, 3306 German). Factor analysis and logistic regression were applied. The prevalence of HC ranged from 4.6% to 40.2% over the two countries. Germans reported at least three HCs more often (47.2% vs. 35.8%). Chinese students more often reported gastrointestinal complaints. Perceived stress was positively associated with all three HC components in both countries (OR = 1.03–1.50) with stronger associations among Germans. Women more often reported HCs (OR = 1.32–2.43) with stronger associations among the Germans. Having a father with a low educational level was associated with high psychological symptoms among the Chinese (OR = 1.51), but with low gastrointestinal complaints among the Germans (OR = 0.79). The high prevalence of HCs in students requires country-specific interventions. PMID:26690463

  1. 7 CFR 271.6 - Complaint procedure.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... race, sex, age, religious creed, national origin, political beliefs or disability; such complaints..., Pennsylvania, Puerto Rico, Virginia, the Virgin Islands of the United States, and West Virginia: Mid-Atlantic...

  2. 7 CFR 271.6 - Complaint procedure.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... race, sex, age, religious creed, national origin, political beliefs or handicap; such complaints shall..., Pennsylvania, Puerto Rico, Virginia, the Virgin Islands of the United States, and West Virginia: Mid-Atlantic...

  3. 32 CFR 776.79 - The complaint.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... OF ATTORNEYS PRACTICING UNDER THE COGNIZANCE AND SUPERVISION OF THE JUDGE ADVOCATE GENERAL Complaint... Division of the Office of JAG (JAG (13)), or the Judge Advocate Research and Civil Law Branch, JA...

  4. 78 FR 52868 - Pole Attachment Complaint Procedures

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... From the Federal Register Online via the Government Publishing Office FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 1 Pole Attachment Complaint Procedures AGENCY: Federal Communications Commission... regulations concerning pole attachments outlined in the DATES section. DATES: Effective August 27, 2013,...

  5. 76 FR 52718 - Complaint About Postal Services

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    .... ADDRESSES: Submit comments electronically by accessing the ``Filing Online'' link in the banner at the top... impetus for the Complaint stems from three developments that span more than 5 years. The first was a...

  6. 40 CFR 22.14 - Complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ..., or any part thereof, without prejudice one time before the answer has been filed. After one... complaint, or any part thereof, without prejudice only upon motion granted by the Presiding Officer....

  7. Notification: Office of Water Hotline Complaint

    EPA Pesticide Factsheets

    July 5, 2012. This memorandum is notification that the Office of Inspector General (OIG) is initiating a review of a Hotline complaint alleging misconduct by an Office of Water (OW) employee in the performance of duties.

  8. 12 CFR 626.6030 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Congressional and Public Affairs, Farm Credit Administration, McLean, Virginia 22102-5090. (b) Complaints... shall be referred to the Office of Congressional and Public Affairs, Farm Credit Administration,...

  9. 12 CFR 626.6030 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Congressional and Public Affairs, Farm Credit Administration, McLean, Virginia 22102-5090. (b) Complaints... shall be referred to the Office of Congressional and Public Affairs, Farm Credit Administration,...

  10. 12 CFR 626.6030 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Congressional and Public Affairs, Farm Credit Administration, McLean, Virginia 22102-5090. (b) Complaints... shall be referred to the Office of Congressional and Public Affairs, Farm Credit Administration,...

  11. Rotary head type reproducing apparatus

    DOEpatents

    Takayama, Nobutoshi; Edakubo, Hiroo; Kozuki, Susumu; Takei, Masahiro; Nagasawa, Kenichi

    1986-01-01

    In an apparatus of the kind arranged to reproduce, with a plurality of rotary heads, an information signal from a record bearing medium having many recording tracks which are parallel to each other with the information signal recorded therein and with a plurality of different pilot signals of different frequencies also recorded one by one, one in each of the recording tracks, a plurality of different reference signals of different frequencies are simultaneously generated. A tracking error is detected by using the different reference signals together with the pilot signals which are included in signals reproduced from the plurality of rotary heads.

  12. Primary gastrointestinal lymphoma

    PubMed Central

    Ghimire, Prasanna; Wu, Guang-Yao; Zhu, Ling

    2011-01-01

    Gastrointestinal tract is the most common extranodal site involved by lymphoma with the majority being non-Hodgkin type. Although lymphoma can involve any part of the gastrointestinal tract, the most frequent sites in order of its occurrence are the stomach followed by small intestine and ileocecal region. Gastrointestinal tract lymphoma is usually secondary to the widespread nodal diseases and primary gastrointestinal tract lymphoma is relatively rare. Gastrointestinal lymphomas are usually not clinically specific and indistinguishable from other benign and malignant conditions. Diffuse large B-cell lymphoma is the most common pathological type of gastrointestinal lymphoma in essentially all sites of the gastrointestinal tract, although recently the frequency of other forms has also increased in certain regions of the world. Although some radiological features such as bulky lymph nodes and maintenance of fat plane are more suggestive of lymphoma, they are not specific, thus mandating histopathological analysis for its definitive diagnosis. There has been a tremendous leap in the diagnosis, staging and management of gastrointestinal lymphoma in the last two decades attributed to a better insight into its etiology and molecular aspect as well as the knowledge about its critical signaling pathways. PMID:21390139

  13. Advances in gastrointestinal bleeding.

    PubMed

    Lanas, Ángel

    2016-09-01

    The main innovations of the latest meeting of the Gastroenterological Association (2016) concerning upper gastrointestinal bleeding from the clinician's perspective can be summarised as follows: a) The Glasgow-Blatchford scale has the best accuracy in predicting the need for surgical intervention and hospital mortality; b) Prognostic scales for non-variceal upper gastrointestinal bleeding are also useful for lower gastrointestinal bleeding; c) Preliminary data suggest that treatment with hemospray does not seem to be superior to current standard treatment in controlling active peptic ulcer bleeding; d) Either famotidine or a proton pump inhibitor may be effective in preventing haemorrhagic recurrence in patients taking aspirin, but this finding needs to be confirmed in further studies; e) There was confirmation of the need to re-introduce antiplatelet therapy as early as possible in patients with antiplatelet-associated gastrointestinal bleeding in order to prevent cardiovascular mortality; f) Routine clinical practice suggests that gastrointestinal or cardiovascular complications with celecoxib or traditional NSAIDs are very low; g) Dabigatran is associated with an increased incidence of gastrointestinal bleeding compared with apixaban or warfarin. At least half of the episodes are located in the lower gastrointestinal tract; h) Implant devices for external ventricular circulatory support are associated with early gastrointestinal bleeding in up to one third of patients; the bleeding is often secondary to arteriovenous malformations. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  14. Psychometric properties of the MMPI-2-RF Somatic Complaints (RC1) scale.

    PubMed

    Thomas, Michael L; Locke, Dona E C

    2010-09-01

    The MMPI-2 Restructured Form (MMPI-2-RF; Tellegen & Ben-Porath, 2008) was designed to be psychometrically superior to its MMPI-2 counterpart. However, the test has yet to be extensively evaluated in diverse clinical settings. The purpose of this study was to examine the psychometric properties of the MMPI-2-RF Somatic Complaints (RC1) scale in a clinically relevant population. Participants were 399 patients diagnosed with either epilepsy or psychogenic nonepileptic seizures on the basis of video-electroencephalograph monitoring. The internal structure of the MMPI-2-RF was evaluated using taxometric, confirmatory factor analysis, and item response theory procedures. Data from 4 content-specific scales directly related to RC1 (Malaise, Gastrointestinal Complaints, Head Pain Complaints, and Neurological Complaints) indicated that the latent construct of somatization is a dimensional variable with a bifactor structure. However, consistent with the scale's construction, a unidimensional model also provided adequate fit. A 2-parameter logistic item response theory model better accounted for observed item responses than did 1- or 3-parameter models. Results suggest that the RC1 scale is most precise for T score estimates between 55 and 90. Overall, the scale appears to be well suited for the assessment of somatization.

  15. Radiologic diagnosis of gastrointestinal perforation.

    PubMed

    Rubesin, Stephen E; Levine, Marc S

    2003-11-01

    Perforations of the gastrointestinal tract have many causes. Holes in the wall of gastrointestinal organs can be created by blunt or penetrating trauma, iatrogenic injury, inflammatory conditions that penetrate the serosa or adventitia, extrinsic neoplasms that invade the gastrointestinal tract, or primary neoplasms that penetrate outside the wall of gastrointestinal organs. This article provides a radiologic approach for investigating the wide variety of gastrointestinal perforations. General principles about contrast agents and studies are reviewed, and then perforations in specific gastrointestinal organs are discussed.

  16. 29 CFR 2700.42 - Contents of complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Contents of complaint. 2700.42 Section 2700.42 Labor Regulations Relating to Labor (Continued) FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION PROCEDURAL RULES Complaints of Discharge, Discrimination or Interference § 2700.42 Contents of complaint. A discrimination complaint shall include a short and...

  17. 29 CFR 2700.36 - Contents of complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 9 2014-07-01 2014-07-01 false Contents of complaint. 2700.36 Section 2700.36 Labor Regulations Relating to Labor (Continued) FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION PROCEDURAL RULES Complaints for Compensation § 2700.36 Contents of complaint. A complaint for compensation shall include: (a) A short and plain statement of...

  18. 29 CFR 2700.36 - Contents of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Contents of complaint. 2700.36 Section 2700.36 Labor Regulations Relating to Labor (Continued) FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION PROCEDURAL RULES Complaints for Compensation § 2700.36 Contents of complaint. A complaint for compensation shall include: (a) A short and plain statement of...

  19. 29 CFR 2700.42 - Contents of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 9 2010-07-01 2010-07-01 false Contents of complaint. 2700.42 Section 2700.42 Labor Regulations Relating to Labor (Continued) FEDERAL MINE SAFETY AND HEALTH REVIEW COMMISSION PROCEDURAL RULES Complaints of Discharge, Discrimination or Interference § 2700.42 Contents of complaint. A discrimination complaint shall include a short and...

  20. 17 CFR 12.15 - Notification of complaint.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... will accomplish actual notice to the respondent. Should the Director determine to forward the complaint...) Determination not to forward complaint. The Director may, in his discretion, refuse to forward a complaint as to... reparations, or that grounds exist pursuant to § 12.24 (c) or (d) for refusing to forward the complaint. If...

  1. 17 CFR 12.15 - Notification of complaint.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... will accomplish actual notice to the respondent. Should the Director determine to forward the complaint...) Determination not to forward complaint. The Director may, in his discretion, refuse to forward a complaint as to... reparations, or that grounds exist pursuant to § 12.24 (c) or (d) for refusing to forward the complaint. If...

  2. 17 CFR 12.15 - Notification of complaint.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... will accomplish actual notice to the respondent. Should the Director determine to forward the complaint...) Determination not to forward complaint. The Director may, in his discretion, refuse to forward a complaint as to... reparations, or that grounds exist pursuant to § 12.24 (c) or (d) for refusing to forward the complaint. If...

  3. 25 CFR 141.59 - Customer complaint procedures.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false Customer complaint procedures. 141.59 Section 141.59... complaint procedures. (a) Any customer of a licensee may file a complaint with the Commissioner alleging that the licensee has committed a violation of this part. (b) Upon receipt of a customer complaint...

  4. 29 CFR 1954.20 - Complaints about State program administration.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... PLANS Complaints About State Program Administration (CASPA) § 1954.20 Complaints about State program... complaint concerning the operation or administration of any aspect of a State plan. The complaint may be... aspect or aspects of the administration or operation of the plan which is believed to be inadequate....

  5. 47 CFR 1.711 - Formal or informal complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Formal or informal complaints. 1.711 Section 1.711 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Complaints, Applications, Tariffs, and Reports Involving Common Carriers Complaints § 1.711 Formal or informal complaints...

  6. 47 CFR 1.711 - Formal or informal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Formal or informal complaints. 1.711 Section 1.711 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Complaints, Applications, Tariffs, and Reports Involving Common Carriers Complaints § 1.711 Formal or informal complaints...

  7. 47 CFR 1.711 - Formal or informal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Formal or informal complaints. 1.711 Section 1.711 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Complaints, Applications, Tariffs, and Reports Involving Common Carriers Complaints § 1.711 Formal or informal complaints...

  8. 47 CFR 1.711 - Formal or informal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Formal or informal complaints. 1.711 Section 1.711 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Complaints, Applications, Tariffs, and Reports Involving Common Carriers Complaints § 1.711 Formal or informal complaints...

  9. 47 CFR 1.711 - Formal or informal complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Formal or informal complaints. 1.711 Section 1.711 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Complaints, Applications, Tariffs, and Reports Involving Common Carriers Complaints § 1.711 Formal or informal complaints...

  10. 47 CFR 1.1406 - Dismissal of complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Dismissal of complaints. 1.1406 Section 1.1406 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRACTICE AND PROCEDURE Pole Attachment Complaint Procedures § 1.1406 Dismissal of complaints. (a) The complaint shall be dismissed for lack of jurisdiction...

  11. Managing patient complaints in China: a qualitative study in Shanghai

    PubMed Central

    Jiang, Yishi; Ying, Xiaohua; Zhang, Qian; Tang, Sirui Rae; Kane, Sumit; Mukhopadhyay, Maitrayee; Qian, Xu

    2014-01-01

    Objectives To examine the handling system for patient complaints and to identify existing barriers that are associated with effective management of patient complaints in China. Setting Key stakeholders of the handling system for patient complaints at the national, Shanghai municipal and hospital levels in China. Participants 35 key informants including policymakers, hospital managers, healthcare providers, users and other stakeholders in Shanghai. Primary and secondary outcome measures Semistructured interviews were conducted to understand the process of handling patient complaints and factors affecting the process and outcomes of patient complaint management. Results The Chinese handling system for patient complaints was established in the past decade. Hospitals shoulder the most responsibility of patient complaint handling. Barriers to effective management of patient complaints included service users’ low awareness of the systems in the initial stage of the process; poor capacity and skills of healthcare providers, incompetence and powerlessness of complaint handlers and non-transparent exchange of information during the process of complaint handling; conflicts between relevant actors and regulations and unjustifiable complaints by patients during solution settlements; and weak enforcement of regulations, deficient information for managing patient complaints and unwillingness of the hospitals to effectively handle complaints in the postcomplaint stage. Conclusions Barriers to the effective management of patient complaints vary at the different stages of complaint handling and perspectives on these barriers differ between the service users and providers. Information, procedure design, human resources, system arrangement, unified legal system and regulations and factors shaping the social context all play important roles in effective patient complaint management. PMID:25146715

  12. 22 CFR 96.70 - Operation of the Complaint Registry.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... resolution of complaints; (4) Generate reports designed to show possible patterns of complaints; and (5... will be accessible through the Department's website to persons who wish to file complaints. Such forms will be designed to ensure that each complaint complies with the requirements of § 96.69....

  13. 29 CFR 1691.7 - EEOC dismissals of complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 4 2011-07-01 2011-07-01 false EEOC dismissals of complaints. 1691.7 Section 1691.7 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COMPLAINTS OF... of complaints. If EEOC determines that the title VII allegations of a joint complaint should...

  14. 29 CFR 1691.7 - EEOC dismissals of complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 4 2014-07-01 2014-07-01 false EEOC dismissals of complaints. 1691.7 Section 1691.7 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR COMPLAINTS OF... of complaints. If EEOC determines that the title VII allegations of a joint complaint should...

  15. 32 CFR 1804.4 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Suggestions and complaints. 1804.4 Section 1804... EXECUTIVE ORDER 12958 General § 1804.4 Suggestions and complaints. NACIC welcomes suggestions or complaints... Order 12958. Letters of suggestion or complaint should identify the specific purpose and the issues...

  16. 32 CFR 1908.04 - Suggestions and complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Suggestions and complaints. 1908.04 Section 1908... ORDER 12958 General § 1908.04 Suggestions and complaints. The Agency welcomes suggestions or complaints... suggestion or complaint should identify the specific purpose and the issues for consideration. The...

  17. 32 CFR 1907.04 - Suggestions and complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Suggestions and complaints. 1907.04 Section 1907... General § 1907.04 Suggestions and complaints. The Agency welcomes suggestions or complaints with regard to its administration of the Executive Order. Letters of suggestion or complaint should identify...

  18. 32 CFR 1907.04 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Suggestions and complaints. 1907.04 Section 1907... General § 1907.04 Suggestions and complaints. The Agency welcomes suggestions or complaints with regard to its administration of the Executive Order. Letters of suggestion or complaint should identify...

  19. 32 CFR 1804.4 - Suggestions and complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Suggestions and complaints. 1804.4 Section 1804... EXECUTIVE ORDER 12958 General § 1804.4 Suggestions and complaints. NACIC welcomes suggestions or complaints... Order 12958. Letters of suggestion or complaint should identify the specific purpose and the issues...

  20. 32 CFR 1909.04 - Suggestions and complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 6 2011-07-01 2011-07-01 false Suggestions and complaints. 1909.04 Section 1909... 12958 General § 1909.04 Suggestions and complaints. The Agency welcomes suggestions or complaints with... 12958. Letters of suggestion or complaint should identify the specific purpose and the issues...

  1. 32 CFR 1909.04 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Suggestions and complaints. 1909.04 Section 1909... 12958 General § 1909.04 Suggestions and complaints. The Agency welcomes suggestions or complaints with... 12958. Letters of suggestion or complaint should identify the specific purpose and the issues...

  2. 29 CFR 1614.302 - Mixed case complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Related Processes § 1614.302 Mixed case complaints. (a) Definitions—(1) Mixed case complaint. A mixed case complaint is a complaint of employment discrimination filed with a federal agency...

  3. 29 CFR 1614.105 - Pre-complaint processing.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 4 2013-07-01 2013-07-01 false Pre-complaint processing. 1614.105 Section 1614.105 Labor... EMPLOYMENT OPPORTUNITY Agency Program To Promote Equal Employment Opportunity § 1614.105 Pre-complaint... in pre-complaint counseling) may be alleged in a subsequent complaint filed with the...

  4. 29 CFR 1614.105 - Pre-complaint processing.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 4 2012-07-01 2012-07-01 false Pre-complaint processing. 1614.105 Section 1614.105 Labor... EMPLOYMENT OPPORTUNITY Agency Program To Promote Equal Employment Opportunity § 1614.105 Pre-complaint... in pre-complaint counseling) may be alleged in a subsequent complaint filed with the...

  5. 14 CFR 16.21 - Pre-complaint resolution.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Pre-complaint resolution. 16.21 Section 16.21 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL... to Complaints § 16.21 Pre-complaint resolution. (a) Prior to filing a complaint under this part,...

  6. 29 CFR 1614.105 - Pre-complaint processing.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 4 2014-07-01 2014-07-01 false Pre-complaint processing. 1614.105 Section 1614.105 Labor... EMPLOYMENT OPPORTUNITY Agency Program To Promote Equal Employment Opportunity § 1614.105 Pre-complaint... in pre-complaint counseling) may be alleged in a subsequent complaint filed with the...

  7. 14 CFR 16.21 - Pre-complaint resolution.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Pre-complaint resolution. 16.21 Section 16.21 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL... to Complaints § 16.21 Pre-complaint resolution. (a) Prior to filing a complaint under this part,...

  8. 14 CFR 16.21 - Pre-complaint resolution.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Pre-complaint resolution. 16.21 Section 16.21 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL... to Complaints § 16.21 Pre-complaint resolution. (a) Prior to filing a complaint under this part,...

  9. 12 CFR 227.2 - Consumer complaint procedure.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Consumer complaint procedure. 227.2 Section 227... SYSTEM UNFAIR OR DECEPTIVE ACTS OR PRACTICES (REGULATION AA) General Provisions § 227.2 Consumer complaint procedure. (a) Submission of complaints. (1) Any consumer having a complaint regarding a...

  10. Reproducible research in computational science.

    PubMed

    Peng, Roger D

    2011-12-02

    Computational science has led to exciting new developments, but the nature of the work has exposed limitations in our ability to evaluate published findings. Reproducibility has the potential to serve as a minimum standard for judging scientific claims when full independent replication of a study is not possible.

  11. [Reproducibility of subjective refraction measurement].

    PubMed

    Grein, H-J; Schmidt, O; Ritsche, A

    2014-11-01

    Reproducibility of subjective refraction measurement is limited by various factors. The main factors affecting reproducibility include the characteristics of the measurement method and of the subject and the examiner. This article presents the results of a study on this topic, focusing on the reproducibility of subjective refraction measurement in healthy eyes. The results of previous studies are not all presented in the same way by the respective authors and cannot be fully standardized without consulting the original scientific data. To the extent that they are comparable, the results of our study largely correspond largely with those of previous investigations: During repeated subjective refraction measurement, 95% of the deviation from the mean value was approximately ±0.2 D to ±0.65 D for the spherical equivalent and cylindrical power. The reproducibility of subjective refraction measurement in healthy eyes is limited, even under ideal conditions. Correct assessment of refraction results is only feasible after identifying individual variability. Several measurements are required. Refraction cannot be measured without a tolerance range. The English full-text version of this article is available at SpringerLink (under supplemental).

  12. Reproducible Bioinformatics Research for Biologists

    USDA-ARS?s Scientific Manuscript database

    This book chapter describes the current Big Data problem in Bioinformatics and the resulting issues with performing reproducible computational research. The core of the chapter provides guidelines and summaries of current tools/techniques that a noncomputational researcher would need to learn to pe...

  13. CBT for anxiety and associated somatic complaints in pediatric medical settings: an open pilot study.

    PubMed

    Masia Warner, Carrie; Reigada, Laura C; Fisher, Paige H; Saborsky, Amy L; Benkov, Keith J

    2009-06-01

    To examine the initial feasibility and potential efficacy of a cognitive-behavioral intervention for youth with anxiety disorders and non-medical somatic symptoms. Based on a strong relationship between somatic complaints and anxiety disorders, screening youngsters seeking medical care due to physical symptoms with no organic basis may enhance the recognition of anxiety disorders and facilitate access to appropriate services. Seven boys and girls, ages 8 through 15, with medically unexplained gastrointestinal complaints and anxiety disorders received a 12-session cognitive-behavioral intervention targeting anxiety and physical symptoms. Assessments were conducted at baseline and following treatment. All participants were classified as treatment responders. Three of the seven participants no longer met diagnostic criteria for their principal anxiety disorder. Children's physical discomfort decreased from a moderate to minimal level based on self- and parent-reports. Our modified cognitive-behavioral approach has promise for reducing anxiety and somatic symptoms in children seeking medical care.

  14. 5 CFR 2423.20 - Issuance and contents of the complaint; answer to the complaint; amendments; role of Office of...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ...; answer to the complaint; amendments; role of Office of Administrative Law Judges. 2423.20 Section 2423.20... Administrative Law Judges. (a) Complaint. Whenever formal proceedings are deemed necessary, the Regional Director... Administrative Law Judges. The decision to issue a complaint shall not be subject to review. Any complaint may...

  15. 34 CFR 300.140 - Due process complaints and State complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Parents in Private Schools § 300.140 Due process complaints and State complaints. (a) Due process not.... (b) Child find complaints—to be filed with the LEA in which the private school is located. (1) The... filed with the LEA in which the private school is located and a copy must be forwarded to the SEA. (c...

  16. 47 CFR 6.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Formal complaints based on unsatisfied informal complaints. 6.22 Section 6.22 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO TELECOMMUNICATIONS SERVICE, TELECOMMUNICATIONS EQUIPMENT AND CUSTOMER PREMISES EQUIPMENT BY PERSONS WITH...

  17. 20 CFR 658.401 - Types of complaints handled by the JS complaint system.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ...) Complaints against an employer about the specific job to which the applicant was referred by the JS involving violations of the terms and conditions of the job order or employment-related law (employer-related complaint... employment-related Federal, State or local laws other than JS regulations by employers, their agents, or DOL...

  18. 14 CFR 302.506 - Complaints requesting suspension of tariffs; answers to such complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Complaints requesting suspension of tariffs; answers to such complaints. 302.506 Section 302.506 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) PROCEDURAL REGULATIONS RULES OF PRACTICE IN PROCEEDINGS Rules Applicable to Proceedings With...

  19. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false Formal complaints based on unsatisfied informal complaints. 7.22 Section 7.22 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.22 Formal...

  20. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false Formal complaints based on unsatisfied informal complaints. 7.22 Section 7.22 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.22 Formal...

  1. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Formal complaints based on unsatisfied informal complaints. 7.22 Section 7.22 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.22 Formal...

  2. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false Formal complaints based on unsatisfied informal complaints. 7.22 Section 7.22 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.22 Formal...

  3. 47 CFR 7.22 - Formal complaints based on unsatisfied informal complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false Formal complaints based on unsatisfied informal complaints. 7.22 Section 7.22 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL ACCESS TO VOICEMAIL AND INTERACTIVE MENU SERVICES AND EQUIPMENT BY PEOPLE WITH DISABILITIES Enforcement § 7.22 Formal...

  4. 49 CFR 821.55 - Complaint, answer to complaint, motions and discovery.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Complaint, answer to complaint, motions and discovery. 821.55 Section 821.55 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable...

  5. 49 CFR 821.55 - Complaint, answer to complaint, motions and discovery.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 7 2011-10-01 2011-10-01 false Complaint, answer to complaint, motions and discovery. 821.55 Section 821.55 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable...

  6. 49 CFR 821.55 - Complaint, answer to complaint, motions and discovery.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 7 2014-10-01 2014-10-01 false Complaint, answer to complaint, motions and discovery. 821.55 Section 821.55 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable...

  7. 49 CFR 821.55 - Complaint, answer to complaint, motions and discovery.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 7 2012-10-01 2012-10-01 false Complaint, answer to complaint, motions and discovery. 821.55 Section 821.55 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable...

  8. 49 CFR 821.55 - Complaint, answer to complaint, motions and discovery.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 7 2013-10-01 2013-10-01 false Complaint, answer to complaint, motions and discovery. 821.55 Section 821.55 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable...

  9. Somatic Complaints Are Significantly Associated with Chronic Uninvestigated Dyspepsia and Its Symptoms: A Large Cross-sectional Population Based Study

    PubMed Central

    Heidari, Zahra; Keshteli, Ammar Hassanzadeh; Feizi, Awat; Afshar, Hamid; Adibi, Payman

    2017-01-01

    Background/Aims Somatization may influence persistence and severity of symptoms in gastrointestinal diseases. Some studies suggest that somatization is associated with chronic uninvestigated dyspepsia (CUD); however, the association is unclear. We aimed to determine the association between the profiles of somatic complaints with CUD and its symptoms. Methods In a cross-sectional study conducted on 4763 Iranian adults, somatic complaints were assessed using a comprehensive 31-items questionnaire. Patients with CUD were identified by the Rome III diagnostic criteria. Profiles of somatic complaints were derived from factor analysis. Logistic regression analysis was used to assess the relationship between extracted profiles with CUD and its symptoms. Results CUD, bothersome postprandial fullness, early satiation, and epigastric pain or burning was identified in 723 (15.2%), 384 (8.1%), 302 (6.3%), and 371 (7.8%) of the study population. The frequency of all 31 somatic complaints was significantly higher in patients with CUD compared with controls (P < 0.001), and the most frequent was severe fatigue (45.1%). The profiles of somatic complaints were extracted in 4 domains, including “psychological”, “gastrointestinal”, “neuro-skeletal”, and “pharyngeal-respiratory”. The psychological (OR, 1.49; 95% CI, 1.44–1.54), gastrointestinal (OR, 2.22; 95% CI, 2.09–2.37), neuro-skeletal (OR, 1.52; 95% CI, 1.44–1.59), and pharyngeal-respiratory (OR, 2.09; 95% CI, 1.94–2.25) profiles were significantly associated with greater odds of CUD. Conclusions CUD and its symptoms are strongly associated with higher levels of somatic complaints and their related extracted profiles. This perhaps explains that why it can be difficult to treat, however further prospective investigations are required to confirm these associations. PMID:27503912

  10. Gastrointestinal Parasitic Infections

    PubMed Central

    Embil, Juan A.; Embil, John M.

    1988-01-01

    This article surveys the most important gastrointestinal parasites that affect humans. The modes of acquisition, pathology, epidemiology, diagnosis, and treatment are all briefly examined. Gastrointestinal parasites have become increasingly important in the differential diagnosis of gastrointestinal disease, as a result of a number of circumstances. These circumstances include: increasing travel to developing countries; increased numbers, for one reason or another, of immunocompromised individuals; increased consumption of raw or partially cooked ethnic delicacies; more crowding in day-care centres; increased immigration from developing countries; and an endemic pocket of individuals with certain unhygienic or unsanitary practices. PMID:21253148

  11. Reproducibility of NIF hohlraum measurements

    NASA Astrophysics Data System (ADS)

    Moody, J. D.; Ralph, J. E.; Turnbull, D. P.; Casey, D. T.; Albert, F.; Bachmann, B. L.; Doeppner, T.; Divol, L.; Grim, G. P.; Hoover, M.; Landen, O. L.; MacGowan, B. J.; Michel, P. A.; Moore, A. S.; Pino, J. E.; Schneider, M. B.; Tipton, R. E.; Smalyuk, V. A.; Strozzi, D. J.; Widmann, K.; Hohenberger, M.

    2015-11-01

    The strategy of experimentally ``tuning'' the implosion in a NIF hohlraum ignition target towards increasing hot-spot pressure, areal density of compressed fuel, and neutron yield relies on a level of experimental reproducibility. We examine the reproducibility of experimental measurements for a collection of 15 identical NIF hohlraum experiments. The measurements include incident laser power, backscattered optical power, x-ray measurements, hot-electron fraction and energy, and target characteristics. We use exact statistics to set 1-sigma confidence levels on the variations in each of the measurements. Of particular interest is the backscatter and laser-induced hot-spot locations on the hohlraum wall. Hohlraum implosion designs typically include variability specifications [S. W. Haan et al., Phys. Plasmas 18, 051001 (2011)]. We describe our findings and compare with the specifications. This work was performed under the auspices of the U.S. Department of Energy by University of California, Lawrence Livermore National Laboratory under Contract W-7405-Eng-48.

  12. Cloning to reproduce desired genotypes.

    PubMed

    Westhusin, M E; Long, C R; Shin, T; Hill, J R; Looney, C R; Pryor, J H; Piedrahita, J A

    2001-01-01

    Cloned sheep, cattle, goats, pigs and mice have now been produced using somatic cells for nuclear transplantation. Animal cloning is still very inefficient with on average less than 10% of the cloned embryos transferred resulting in a live offspring. However successful cloning of a variety of different species and by a number of different laboratory groups has generated tremendous interest in reproducing desired genotypes. Some of these specific genotypes represent animal cell lines that have been genetically modified. In other cases there is a significant demand for cloning animals characterized by their inherent genetic value, for example prize livestock, household pets and rare or endangered species. A number of different variables may influence the ability to reproduce a specific genotype by cloning. These include species, source of recipient ova, cell type of nuclei donor, treatment of donor cells prior to nuclear transfer, and the techniques employed for nuclear transfer. At present, there is no solid evidence that suggests cloning will be limited to only a few specific animals, and in fact, most data collected to date suggests cloning will be applicable to a wide variety of different animals. The ability to reproduce any desired genotype by cloning will ultimately depend on the amount of time and resources invested in research.

  13. Towards Reproducibility in Computational Hydrology

    NASA Astrophysics Data System (ADS)

    Hutton, Christopher; Wagener, Thorsten; Freer, Jim; Han, Dawei; Duffy, Chris; Arheimer, Berit

    2017-04-01

    Reproducibility is a foundational principle in scientific research. The ability to independently re-run an experiment helps to verify the legitimacy of individual findings, and evolve (or reject) hypotheses and models of how environmental systems function, and move them from specific circumstances to more general theory. Yet in computational hydrology (and in environmental science more widely) the code and data that produces published results are not regularly made available, and even if they are made available, there remains a multitude of generally unreported choices that an individual scientist may have made that impact the study result. This situation strongly inhibits the ability of our community to reproduce and verify previous findings, as all the information and boundary conditions required to set up a computational experiment simply cannot be reported in an article's text alone. In Hutton et al 2016 [1], we argue that a cultural change is required in the computational hydrological community, in order to advance and make more robust the process of knowledge creation and hypothesis testing. We need to adopt common standards and infrastructures to: (1) make code readable and re-useable; (2) create well-documented workflows that combine re-useable code together with data to enable published scientific findings to be reproduced; (3) make code and workflows available, easy to find, and easy to interpret, using code and code metadata repositories. To create change we argue for improved graduate training in these areas. In this talk we reflect on our progress in achieving reproducible, open science in computational hydrology, which are relevant to the broader computational geoscience community. In particular, we draw on our experience in the Switch-On (EU funded) virtual water science laboratory (http://www.switch-on-vwsl.eu/participate/), which is an open platform for collaboration in hydrological experiments (e.g. [2]). While we use computational hydrology as

  14. Osteoporosis and Gastrointestinal Disease

    PubMed Central

    Weinerman, Stuart

    2010-01-01

    Gastrointestinal disease is often overlooked or simply forgotten as a cause of osteoporosis. Yet, the consequences of osteoporotic fractures can be devastating. Although the bulk of the published experience regarding osteoporosis is derived from the postmenopausal population, this review will focus on gastrointestinal disorders implicated in osteoporosis, with an emphasis on inflammatory bowel disease and celiac disease. The unique aspects of gastrointestinal diseases associated with osteoporosis include early onset of disease (and, therefore, prolonged exposure to risk factors for developing osteoporosis, particularly with inflammatory bowel disease and celiac disease), malabsorption, and maldigestion of nutrients necessary for bone health and maintenance (eg, calcium, vitamin D), as well as the impact of glucocorticoids. These factors, when added to smoking, a sedentary lifestyle, hypogonadism, and a family history of osteoporosis, accumulate into an imposing package of predictors for osteoporotic fracture. This paper will review the identification and treatment strategies for patients with gastrointestinal disorders and osteoporosis. PMID:20978554

  15. Animal models of gastrointestinal inflammation and cancer.

    PubMed

    Lu, L; Chan, Ruby L Y; Luo, X M; Wu, William K K; Shin, Vivian Y; Cho, C H

    2014-07-11

    Inflammation and cancer are the two major disorders in the gastrointestinal tract. They are causally related in their pathogenesis. It is important to study animal models' causal relationship and, in particular, to discover new therapeutic agents for such diseases. There are several criteria for these models in order to make them useful in better understanding the etiology and treatment of the said diseases in humans. In this regard, animal models should be similar as possible to human diseases and also be easy to produce and reproducible and also economic to allow a continuous replication in different laboratories. In this review, we summarize the various animal models for inflammatory and cancerous disorders in the upper and lower gastrointestinal tract. Experimental approaches are as simple as by giving a single oral dose of alcohol or other noxious agents or by injections of multiple dosages of ulcer inducing agents or by parenteral administration or in drinking water of carcinogens or by modifying the genetic makeups of animals to produce relatively long-term pathological changes in particular organs. With these methods they could induce consistent inflammatory responses or tumorigenesis in the gastrointestinal mucosa. These animal models are widely used in laboratories in understanding the pathogenesis as well as the mechanisms of action for therapeutic agents in the treatment of gastrointestinal inflammation and cancer.

  16. Vasculitis and gastrointestinal involvement.

    PubMed

    Casella, G; Bronzino, B; Cutrino, L; Montani, N; Somma, A; Baldini, V

    2006-06-01

    The incidence of gastrointestinal involvement is relatively observed in patients with vasculitis processes. Vasculitis can be primary (necrotising or hypersensitivity) or secondary to another primary disease. Gastrointestinal involvement is present in up to 50% of the various forms of systemic vasculitis. Primary or secondary vasculitic process, according to the classification in necrotizing and hypersensitivity vasculitis, are described in this paper. A review of the literature on the the subject is also presented.

  17. Musicians' illness perceptions of musculoskeletal complaints.

    PubMed

    Kok, Laura M; Vliet Vlieland, Theodora P M; Fiocco, Marta; Kaptein, Ad A; Nelissen, Rob G H H

    2013-04-01

    The purpose of this study is to know the views of people about their illness, i.e., illness perceptions, determine coping strategies, and outcome. Previous research suggests a higher prevalence and a different perception of musculoskeletal complaints between musicians and nonmusicians. The aim of this study is to compare illness perceptions related to musculoskeletal complaints between musicians and nonmusicians. In this cross-sectional study, students from three music academies (n = 345) and one university medical center (n = 2,870) in the Netherlands received an electronic questionnaire concerning questions on sociodemographic characteristics, use of musical instruments, occurrence and characteristics of musculoskeletal complaints in the past year, and the Brief Illness Perception Questionnaire (B-IPQ). Baseline and B-IPQ scores were compared between the samples by means of t tests, chi-square tests, and regression models to adjust for differences in sociodemographic characteristics. Eighty-three music academy students and 494 medical students completed the questionnaire (response rates, 25.5 and 17.6 %, respectively). Seventy-four (89 %) persons in the musician group and 382 (78 %) persons in the nonmusician group reported occurrence of musculoskeletal complaints during the last 12 months. Adjusted for sociodemographic characteristics, the B-IPQ scores of the domains consequences (my illness is a serious condition), concern (I am extremely concerned about my illness), and emotions (my illness makes me scared) were significantly higher among musicians, whereas personal control (there is little I can do to improve my illness), identity (number of symptoms patient sees as part of illness) were not significantly different. Music academy students had a significant more positive score on treatment control. Music academy students report more negative perceptions of their musculoskeletal complaints compared to medical students. Although some selection bias is

  18. Mycobiota in gastrointestinal diseases.

    PubMed

    Mukherjee, Pranab K; Sendid, Boualem; Hoarau, Gautier; Colombel, Jean-Frédéric; Poulain, Daniel; Ghannoum, Mahmoud A

    2015-02-01

    New insights gained through the use of state-of-the-art technologies, including next-generation sequencing, are starting to reveal that the association between the gastrointestinal tract and the resident mycobiota (fungal community) is complex and multifaceted, in which fungi are active participants influencing health and disease. Characterizing the human mycobiome (the fungi and their genome) in healthy individuals showed that the gastrointestinal tract contains 66 fungal genera and 184 fungal species, with Candida as the dominant fungal genera. Although fungi have been associated with a number of gastrointestinal diseases, characterization of the mycobiome has mainly been focused on patients with IBD and graft-versus-host disease. In this Review, we summarize the findings from studies investigating the relationship between the gut mycobiota and gastrointestinal diseases, which indicate that fungi contribute to the aggravation of the inflammatory response, leading to increased disease severity. A model explaining the mechanisms underlying the role of the mycobiota in gastrointestinal diseases is also presented. Our understanding of the contribution of the mycobiota to health and disease is still in its infancy and leaves a number of questions to be addressed. Answering these questions might lead to novel approaches to prevent and/or manage acute as well as chronic gastrointestinal disease.

  19. Pertuzumab in gastrointestinal cancer.

    PubMed

    Oh, Do-Youn; Bang, Yung-Jue

    2016-01-01

    Human epidermal growth factor receptor 2 (HER2) and HER3 are altered in multiple tumor types, including gastrointestinal cancer. The HER2/HER3 dimer is crucial for HER2-mediated signaling in HER2-positive tumors. HER2-targeting agents, including trastuzumab, lapatinib, trastuzumab emtansine, and pertuzumab, have been approved for the treatment of HER2-positive breast cancer, with trastuzumab also approved for the treatment of HER2-positive gastric cancer. Pertuzumab, a recombinant humanized immunoglobulin (Ig) G1 monoclonal antibody targeting HER-2, binds to the dimerization domain (extracellular domain II) of HER2, which leads to blocking of ligand-induced HER2 heterodimerization. It is under investigation in gastrointestinal cancers, including HER2-positive gastric cancer. In this review, the authors summarize the biology of HER2/HER3 and its alterations in gastrointestinal cancers. The authors focus specifically on the current status of development of pertuzumab in gastrointestinal cancers. The HER2/HER3 alteration in gastrointestinal cancers is quite interesting. In HER2-positive gastric cancer, the dual blockade of HER2 and HER3 using trastuzumab and pertuzumab is being tested in an international phase III trial, the JACOB study. This strategy may benefit HER2-positive gastric cancer patients more as in the case of HER2-positive breast cancer. In other gastrointestinal cancers, including biliary tract cancer, esophageal cancer, pancreatic cancer, and colorectal cancer, there is huge room for the development of pertuzumab.

  20. Asbestos and Gastrointestinal Cancer

    PubMed Central

    Morgan, Robert W.; Foliart, Donna E.; Wong, Otto

    1985-01-01

    Exposure to asbestos is among several factors cited as possible causes of esophageal, gastric and colorectal cancer. More than 45 published studies have presented mortality data on asbestos-exposed workers. For each cohort, we listed the observed and expected rates of deaths from types of gastrointestinal cancer based on the latest published follow-up. Summary standardized mortality ratios (SMRs) were then derived. Finally, we calculated summary SMRs for total gastrointestinal tract cancer for three occupational groups: asbestos factory workers, insulators/shipyard workers and asbestos miners. Statistically significant elevations in summary SMRs were found for esophageal, stomach and total gastrointestinal tract cancer in all asbestos-exposed workers. Esophageal cancer summary SMRs remained significantly elevated when data were reanalyzed to include only those cohorts with death certificate diagnoses for cause of observed deaths. However, summary SMRs were not statistically significant for stomach and total gastrointestinal tract cancer after reanalysis. Summary SMRs by occupational group showed a significant elevation for total gastrointestinal cancer in insulators/shipyard workers. The elevation was not significant after reanalysis. Based on the results after reanalysis, the elevations in summary SMRs for stomach and total gastrointestinal tract cancer are of a magnitude that could result from diagnostic and investigator error. We conclude that more studies are required before stomach and colorectal cancers are documented as asbestos-related diseases. PMID:4036114

  1. Achieving patient satisfaction: resolving patient complaints.

    PubMed

    Oxler, K F

    1997-07-01

    Patients demand to be active participants on and partners with the health care team to design their care regimen. Patients bring unique perceptions and expectations and use these to evaluate service quality and satisfaction. If customer satisfaction is not achieved and a patient complaint results, staff must have the skills to respond and launch a service recovery program. Service recovery, when done with style and panache, can retain loyal customers. Achieving patient satisfaction and resolving patient complaints require commitment from top leadership and commitment from providers to dedicate the time to understand their patients' needs.

  2. Emergency department complaints: a one-year analysis.

    PubMed

    Schwartz, L R; Overton, D T

    1987-08-01

    We conducted an analysis of all complaints received in a busy suburban emergency department during 1985. All complaints were handled in a standardized fashion, and were categorized as billing, physician, nursing, or miscellaneous. Data were expressed as a "complaint frequency" (complaints per 1,000 patient visits). Complaints were analyzed for the following characteristics: reason, gender of the patient, gender of the complaining party, relationship of the complaining party to the patient, health care provider, patient age, and patient disposition. The chi-square method was used to identify characteristics associated with a high risk for complaints. There were a total of 244 complaints, arising from 64,910 patient visits, yielding an overall complaint frequency of 3.8. The largest number of complaints (135), involved billing (frequency, 2.0). The most common (60) was insurance carrier rejection of the bill as a nonemergency. The next most common billing complaint (25) was a charge mistakenly billed too high by the ED. There were 70 complaints regarding emergency physicians, for a complaint frequency of 1.1. Of these, 17 were due to a perceived lack of communication with the patient, the patient's family, or the patient's private physician. Eighteen complaints were regarding a perceived misdiagnosis. One physician had a significantly higher complaint frequency than the group as a whole (P less than .005). There were 17 complaints regarding the nursing staff, for a complaint frequency of 0.2. Twenty-two complaints were classified as miscellaneous. Expressing data as complaint frequencies allows comparison of trends in a department, staff members, and different EDs with varied patient populations.(ABSTRACT TRUNCATED AT 250 WORDS)

  3. Angiography and the gastrointestinal bleeder

    SciTech Connect

    Baum, S.

    1982-05-01

    The role of angiography in the diagnosis and treatment of gastrointestinal hemorrhage is discussed. Three categories of gastrointestinal bleeding are considered: upper gastrointestinal bleeding due to gastroesophageal varices, upper gastrointestinal bleeding of arterial or capillary origin, and lower gastrointestinal bleeding. The advantages and disadvantages of angiography are compared with those of radionuclide scanning and endoscopy or colonoscopy. It is anticipated that, as radionuclide scans are more widely employed, angiography will eventually be performed only in those patients with positive scans.

  4. 36 CFR 8.6 - Complaints; appeal.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Section 8.6 Parks, Forests, and Public Property NATIONAL PARK SERVICE, DEPARTMENT OF THE INTERIOR LABOR STANDARDS APPLICABLE TO EMPLOYEES OF NATIONAL PARK SERVICE CONCESSIONERS § 8.6 Complaints; appeal. Any... referred for review by any of the parties concerned to the Director, National Park Service. Any person...

  5. 12 CFR 528.8 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., Washington, DC 20410 for processing under the Fair Housing Act, and to the Director, Consumer Affairs, Office of Thrift Supervision, Washington, DC 20552 for processing under Office regulations. Complaints... Opportunity Commission, Washington, DC 20506 and a copy, for information only, sent to the Director,...

  6. 12 CFR 528.8 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., Washington, DC 20410 for processing under the Fair Housing Act, and to the Director, Consumer Affairs, Office of Thrift Supervision, Washington, DC 20552 for processing under Office regulations. Complaints... Opportunity Commission, Washington, DC 20506 and a copy, for information only, sent to the Director,...

  7. 21 CFR 211.198 - Complaint files.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Records and Reports § 211.198 Complaint... investigation in accordance with § 211.192. Such procedures shall include provisions for review to determine... to complainant. (2) Where an investigation under § 211.192 is conducted, the written record shall...

  8. 34 CFR 110.31 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Complaints. 110.31 Section 110.31 Education Regulations of the Offices of the Department of Education OFFICE FOR CIVIL RIGHTS, DEPARTMENT OF EDUCATION NONDISCRIMINATION ON THE BASIS OF AGE IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL FINANCIAL ASSISTANCE Investigation...

  9. 7 CFR 15d.4 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... filed with the Director of the Office of Civil Rights, United States Department of Agriculture... the Secretary of Agriculture NONDISCRIMINATION IN PROGRAMS OR ACTIVITIES CONDUCTED BY THE UNITED STATES DEPARTMENT OF AGRICULTURE § 15d.4 Complaints. (a) Any person who believes that he or she (or...

  10. 7 CFR 15d.4 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... filed with the Director of the Office of Civil Rights, United States Department of Agriculture... the Secretary of Agriculture NONDISCRIMINATION IN PROGRAMS OR ACTIVITIES CONDUCTED BY THE UNITED STATES DEPARTMENT OF AGRICULTURE § 15d.4 Complaints. (a) Any person who believes that he or she (or...

  11. 21 CFR 226.115 - Complaint files.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Complaint files. 226.115 Section 226.115 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL... files. Records shall be maintained for a period of 2 years of all written or verbal...

  12. Assessing Workability Complaints in Mass Concrete Construction

    DTIC Science & Technology

    1993-04-01

    IL 171 Improper consolidation equipment/procedures 33 5216 Pegs 5 of 5 able 2 Survey Results of Contractor Staff 1. PROBLEMS RELATING TO MATERIALS A...plant and placement. Ap"encrm D Deta • d D"edpto of Complaint D29 Workability problems Usually a plant problem (excessive variation in concrete

  13. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS... 180 days from the date the complainant first had knowledge of the alleged act of discrimination... is signed by the complainant. If an insufficient complaint is amended within 10 working days...

  14. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS... 180 days from the date the complainant first had knowledge of the alleged act of discrimination... is signed by the complainant. If an insufficient complaint is amended within 10 working days...

  15. How to File a Consumer Credit Complaint.

    ERIC Educational Resources Information Center

    Board of Governors of the Federal Reserve System, Washington, DC.

    Designed for the general public and possibly suitable also for high school economics students, this pamphlet explains how a complaint against a Federal Reserve bank concerning a possible violation of any of the federal consumer credit laws can be filed. Seven consumer credit laws are listed with a brief statement about the major protections of…

  16. 45 CFR 98.32 - Parental complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Parental complaints. 98.32 Section 98.32 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Parental Rights and Responsibilities § 98.32 Parental...

  17. 45 CFR 98.32 - Parental complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 45 Public Welfare 1 2011-10-01 2011-10-01 false Parental complaints. 98.32 Section 98.32 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Parental Rights and Responsibilities § 98.32 Parental...

  18. 45 CFR 98.32 - Parental complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 45 Public Welfare 1 2013-10-01 2013-10-01 false Parental complaints. 98.32 Section 98.32 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Parental Rights and Responsibilities § 98.32 Parental...

  19. 45 CFR 98.32 - Parental complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 45 Public Welfare 1 2014-10-01 2014-10-01 false Parental complaints. 98.32 Section 98.32 Public Welfare Department of Health and Human Services GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Parental Rights and Responsibilities § 98.32 Parental...

  20. 45 CFR 98.32 - Parental complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 45 Public Welfare 1 2012-10-01 2012-10-01 false Parental complaints. 98.32 Section 98.32 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Program Operations (Child Care Services)-Parental Rights and Responsibilities § 98.32 Parental...

  1. 41 CFR 50-201.1202 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Complaints. 50-201.1202 Section 50-201.1202 Public Contracts and Property Management Other Provisions Relating to Public Contracts... officer or employee of the United States Government or of any agency thereof has any knowledge of,...

  2. 45 CFR 96.50 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... the terms of the act establishing the block grant or the certifications and assurances made by the... of the act, assurance, or certification that was allegedly violated; must specify the basis for the... block grant programs. In resolving any issue raised by a complaint or a Federal audit the...

  3. 20 CFR 405.30 - Discrimination complaints.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Discrimination complaints. 405.30 Section 405... INITIAL DISABILITY CLAIMS Introduction, General Description, and Definitions § 405.30 Discrimination... that an adjudicator has improperly discriminated against you, you may file a discrimination...

  4. 29 CFR 458.60 - Actionable complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 2 2010-07-01 2010-07-01 false Actionable complaint. 458.60 Section 458.60 Labor Regulations Relating to Labor OFFICE OF LABOR-MANAGEMENT STANDARDS, DEPARTMENT OF LABOR STANDARDS OF CONDUCT STANDARDS OF CONDUCT Proceedings for Enforcing Standards of Conduct Procedures Involving Bill of Rights Or...

  5. 9 CFR 162.13 - Formal complaint.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... ACCREDITATION OF VETERINARIANS AND SUSPENSION OR REVOCATION OF SUCH ACCREDITATION RULES OF PRACTICE GOVERNING REVOCATION OR SUSPENSION OF VETERINARIANS' ACCREDITATION Supplemental Rules of Practice § 162.13 Formal complaint. If a consent order has not been issued, or if, after an informal conference, the Veterinarian-in...

  6. 9 CFR 162.13 - Formal complaint.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... ACCREDITATION OF VETERINARIANS AND SUSPENSION OR REVOCATION OF SUCH ACCREDITATION RULES OF PRACTICE GOVERNING REVOCATION OR SUSPENSION OF VETERINARIANS' ACCREDITATION Supplemental Rules of Practice § 162.13 Formal complaint. If a consent order has not been issued, or if, after an informal conference, the Veterinarian-in...

  7. 9 CFR 162.13 - Formal complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ACCREDITATION OF VETERINARIANS AND SUSPENSION OR REVOCATION OF SUCH ACCREDITATION RULES OF PRACTICE GOVERNING REVOCATION OR SUSPENSION OF VETERINARIANS' ACCREDITATION Supplemental Rules of Practice § 162.13 Formal complaint. If a consent order has not been issued, or if, after an informal conference, the Veterinarian-in...

  8. 9 CFR 162.13 - Formal complaint.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... ACCREDITATION OF VETERINARIANS AND SUSPENSION OR REVOCATION OF SUCH ACCREDITATION RULES OF PRACTICE GOVERNING REVOCATION OR SUSPENSION OF VETERINARIANS' ACCREDITATION Supplemental Rules of Practice § 162.13 Formal complaint. If a consent order has not been issued, or if, after an informal conference, the Veterinarian-in...

  9. 9 CFR 162.13 - Formal complaint.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... ACCREDITATION OF VETERINARIANS AND SUSPENSION OR REVOCATION OF SUCH ACCREDITATION RULES OF PRACTICE GOVERNING REVOCATION OR SUSPENSION OF VETERINARIANS' ACCREDITATION Supplemental Rules of Practice § 162.13 Formal complaint. If a consent order has not been issued, or if, after an informal conference, the Veterinarian-in...

  10. 21 CFR 1271.320 - Complaint file.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Complaint file. 1271.320 Section 1271.320 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) REGULATIONS UNDER CERTAIN OTHER ACTS ADMINISTERED BY THE FOOD AND DRUG ADMINISTRATION HUMAN CELLS, TISSUES, AND...

  11. 10 CFR 590.317 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... applicable to an existing import or export authorization over which FE has jurisdiction. No particular form is required. The complaint must be filed with FE in writing and must contain the name and address of... original import or export authorization proceeding either by the complainant or by FE if the...

  12. 10 CFR 590.317 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... applicable to an existing import or export authorization over which FE has jurisdiction. No particular form is required. The complaint must be filed with FE in writing and must contain the name and address of... original import or export authorization proceeding either by the complainant or by FE if the...

  13. 10 CFR 590.317 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... applicable to an existing import or export authorization over which FE has jurisdiction. No particular form is required. The complaint must be filed with FE in writing and must contain the name and address of... original import or export authorization proceeding either by the complainant or by FE if the...

  14. 10 CFR 590.317 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... applicable to an existing import or export authorization over which FE has jurisdiction. No particular form is required. The complaint must be filed with FE in writing and must contain the name and address of... original import or export authorization proceeding either by the complainant or by FE if the...

  15. 41 CFR 105-70.007 - Complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Complaint. 105-70.007 Section 105-70.007 Public Contracts and Property Management Federal Property Management Regulations System (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General Services Administration...

  16. 40 CFR 7.120 - Complaint investigations.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Complaint investigations. 7.120 Section 7.120 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL NONDISCRIMINATION IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL ASSISTANCE FROM THE ENVIRONMENTAL PROTECTION AGENCY...

  17. 40 CFR 7.120 - Complaint investigations.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Complaint investigations. 7.120 Section 7.120 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL NONDISCRIMINATION IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL ASSISTANCE FROM THE ENVIRONMENTAL PROTECTION AGENCY...

  18. 40 CFR 7.120 - Complaint investigations.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Complaint investigations. 7.120 Section 7.120 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL NONDISCRIMINATION IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL ASSISTANCE FROM THE ENVIRONMENTAL PROTECTION AGENCY...

  19. 48 CFR 222.1406 - Complaint procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 48 Federal Acquisition Regulations System 3 2011-10-01 2011-10-01 false Complaint procedures. 222.1406 Section 222.1406 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Employment...

  20. 48 CFR 422.1406 - Complaint procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Complaint procedures. 422.1406 Section 422.1406 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Employment of Workers With Disabilities 422...

  1. 48 CFR 222.1406 - Complaint procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Complaint procedures. 222.1406 Section 222.1406 Federal Acquisition Regulations System DEFENSE ACQUISITION REGULATIONS SYSTEM, DEPARTMENT OF DEFENSE SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Employment...

  2. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS... with NSF, alleging discrimination prohibited by the Act. A complainant shall file a complaint within 180 days from the date the complainant first had knowledge of the alleged act of...

  3. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS... with NSF, alleging discrimination prohibited by the Act. A complainant shall file a complaint within 180 days from the date the complainant first had knowledge of the alleged act of...

  4. 45 CFR 617.9 - Complaints.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION NONDISCRIMINATION ON THE BASIS... with NSF, alleging discrimination prohibited by the Act. A complainant shall file a complaint within 180 days from the date the complainant first had knowledge of the alleged act of...

  5. 45 CFR 98.93 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION CHILD CARE AND DEVELOPMENT FUND Monitoring... for Children and Families, 370 L'Enfant Promenade, SW., Washington, DC 20447. The complaint shall... for alleging the violation(s), and include all relevant information known to the person submitting it...

  6. 12 CFR 528.8 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., Washington, DC 20410 for processing under the Fair Housing Act, and to the Director, Consumer Affairs, Office of Thrift Supervision, Washington, DC 20552 for processing under Office regulations. Complaints... Opportunity Commission, Washington, DC 20506 and a copy, for information only, sent to the Director, Consumer...

  7. 12 CFR 528.8 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., Washington, DC 20410 for processing under the Fair Housing Act, and to the Director, Consumer Affairs, Office of Thrift Supervision, Washington, DC 20552 for processing under Office regulations. Complaints... Opportunity Commission, Washington, DC 20506 and a copy, for information only, sent to the Director, Consumer...

  8. 12 CFR 528.8 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., Washington, DC 20410 for processing under the Fair Housing Act, and to the Director, Consumer Affairs, Office of Thrift Supervision, Washington, DC 20552 for processing under Office regulations. Complaints... Opportunity Commission, Washington, DC 20506 and a copy, for information only, sent to the Director, Consumer...

  9. 10 CFR 1040.104 - Complaint investigation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... requests another Federal agency to act on the complaint. DOE is to monitor the progress of the matter... the matter, DOE is to institute appropriate proceedings as required by this part. (d) Intimidatory or...; and (7) Civil rights provisions of statutes administered pursuant to the DOE Organization Act, Pub....

  10. 45 CFR 704.2 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Regulations Relating to Public Welfare (Continued) COMMISSION ON CIVIL RIGHTS INFORMATION DISCLOSURE AND.... This shall be done by submitting a complaint in writing to the Office of Civil Rights Evaluation, U.S. Commission on Civil Rights, 9th Street, NW., Washington, DC 20425. Allegations falling under section...

  11. 45 CFR 704.2 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Regulations Relating to Public Welfare (Continued) COMMISSION ON CIVIL RIGHTS INFORMATION DISCLOSURE AND.... This shall be done by submitting a complaint in writing to the Office of Civil Rights Evaluation, U.S. Commission on Civil Rights, 9th Street, NW., Washington, DC 20425. Allegations falling under section...

  12. 45 CFR 704.2 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Regulations Relating to Public Welfare (Continued) COMMISSION ON CIVIL RIGHTS INFORMATION DISCLOSURE AND.... This shall be done by submitting a complaint in writing to the Office of Civil Rights Evaluation, U.S. Commission on Civil Rights, 9th Street, NW., Washington, DC 20425. Allegations falling under section 3(a)(1...

  13. 48 CFR 422.1406 - Complaint procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 48 Federal Acquisition Regulations System 4 2013-10-01 2013-10-01 false Complaint procedures. 422.1406 Section 422.1406 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Employment of Workers With Disabilities 422...

  14. 48 CFR 422.1406 - Complaint procedures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 48 Federal Acquisition Regulations System 4 2012-10-01 2012-10-01 false Complaint procedures. 422.1406 Section 422.1406 Federal Acquisition Regulations System DEPARTMENT OF AGRICULTURE SOCIOECONOMIC PROGRAMS APPLICATION OF LABOR LAWS TO GOVERNMENT ACQUISITIONS Employment of Workers With Disabilities 422...

  15. 30 CFR 570.5 - Complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 2 2014-07-01 2014-07-01 false Complaint. 570.5 Section 570.5 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE NONDISCRIMINATION IN THE... denied a contract or subcontract to which this part applies on the grounds of race, creed, color...

  16. 30 CFR 570.5 - Complaint.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 2 2012-07-01 2012-07-01 false Complaint. 570.5 Section 570.5 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE NONDISCRIMINATION IN THE... denied a contract or subcontract to which this part applies on the grounds of race, creed, color...

  17. 30 CFR 570.5 - Complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 2 2013-07-01 2013-07-01 false Complaint. 570.5 Section 570.5 Mineral Resources BUREAU OF OCEAN ENERGY MANAGEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE NONDISCRIMINATION IN THE... denied a contract or subcontract to which this part applies on the grounds of race, creed, color...

  18. 13 CFR 117.11 - Complaint procedures.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 13 Business Credit and Assistance 1 2013-01-01 2013-01-01 false Complaint procedures. 117.11 Section 117.11 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION NONDISCRIMINATION IN FEDERALLY ASSISTED PROGRAMS OR ACTIVITIES OF SBA-EFFECTUATION OF THE AGE DISCRIMINATION ACT OF 1975, AS AMENDED §...

  19. 30 CFR 270.5 - Complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Complaint. 270.5 Section 270.5 Mineral Resources MINERALS MANAGEMENT SERVICE, DEPARTMENT OF THE INTERIOR OFFSHORE NONDISCRIMINATION IN THE OUTER... contract or subcontract to which this part applies on the grounds of race, creed, color, national origin...

  20. 12 CFR 626.6030 - Complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... shall be referred to the Office of Congressional and Public Affairs, Farm Credit Administration, McLean... States Department of Housing and Urban Development, Washington, DC 20410, and to the Office of Congressional and Public Affairs, Farm Credit Administration, McLean, Virginia 22102-5090. (b) Complaints...

  1. 12 CFR 626.6030 - Complaints.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... shall be referred to the Office of Congressional and Public Affairs, Farm Credit Administration, McLean... States Department of Housing and Urban Development, Washington, DC 20410, and to the Office of Congressional and Public Affairs, Farm Credit Administration, McLean, Virginia 22102-5090. (b) Complaints...

  2. Detecting Contaminated Drinking Water: Harnessing Consumer Complaints

    DTIC Science & Technology

    2004-11-10

    their causes determined. Chemicals Detected by Consumers Several chemical agents change water quality properties when present. The consumer can...no single device can detect all chemical , biological, and radiological contaminants in the distribution system. The absence of a universal detector...consumers report complaints, (2) a list of chemical and biological contaminants and their physiochemical and aesthetic water quality effects, (3

  3. 29 CFR 1614.106 - Individual complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 4 2010-07-01 2010-07-01 false Individual complaints. 1614.106 Section 1614.106 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION FEDERAL SECTOR EQUAL EMPLOYMENT OPPORTUNITY Agency Program To Promote Equal Employment Opportunity § 1614.106 Individual...

  4. 41 CFR 50-201.1202 - Complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 41 Public Contracts and Property Management 1 2012-07-01 2009-07-01 true Complaints. 50-201.1202 Section 50-201.1202 Public Contracts and Property Management Other Provisions Relating to Public Contracts... officer or employee of the United States Government or of any agency thereof has any knowledge of,...

  5. 41 CFR 50-201.1202 - Complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 41 Public Contracts and Property Management 1 2014-07-01 2014-07-01 false Complaints. 50-201.1202 Section 50-201.1202 Public Contracts and Property Management Other Provisions Relating to Public Contracts... officer or employee of the United States Government or of any agency thereof has any knowledge of,...

  6. 5 CFR 185.107 - Complaint.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Complaint. 185.107 Section 185.107 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS PROGRAM FRAUD CIVIL REMEDIES... amount of penalties and assessments for which the defendant may be held liable; (3) Instructions for...

  7. 10 CFR 1040.104 - Complaint investigation.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... official more than 180 days after the date of the alleged discrimination, unless the time for filing is... or activities affected by the complaint; (iii) The opportunity to make, at any time prior to receipt... during DOE's investigation, the trial of that suit would be in progress, DOE will consult with the...

  8. 10 CFR 1040.104 - Complaint investigation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... official more than 180 days after the date of the alleged discrimination, unless the time for filing is... or activities affected by the complaint; (iii) The opportunity to make, at any time prior to receipt... during DOE's investigation, the trial of that suit would be in progress, DOE will consult with the...

  9. 40 CFR 7.120 - Complaint investigations.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Complaint investigations. 7.120 Section 7.120 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY GENERAL NONDISCRIMINATION IN PROGRAMS OR ACTIVITIES RECEIVING FEDERAL ASSISTANCE FROM THE ENVIRONMENTAL PROTECTION AGENCY...

  10. 49 CFR 821.31 - Complaint procedure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 7 2010-10-01 2010-10-01 false Complaint procedure. 821.31 Section 821.31 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable to Proceedings Under 49 U.S.C...

  11. 49 CFR 821.31 - Complaint procedure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 7 2014-10-01 2014-10-01 false Complaint procedure. 821.31 Section 821.31 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable to Proceedings Under 49 U.S.C...

  12. 49 CFR 821.31 - Complaint procedure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 7 2013-10-01 2013-10-01 false Complaint procedure. 821.31 Section 821.31 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable to Proceedings Under 49 U.S.C...

  13. 49 CFR 821.31 - Complaint procedure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 7 2011-10-01 2011-10-01 false Complaint procedure. 821.31 Section 821.31 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable to Proceedings Under 49 U.S.C...

  14. 49 CFR 821.31 - Complaint procedure.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 7 2012-10-01 2012-10-01 false Complaint procedure. 821.31 Section 821.31 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL TRANSPORTATION SAFETY BOARD RULES OF PRACTICE IN AIR SAFETY PROCEEDINGS Special Rules Applicable to Proceedings Under 49 U.S.C...

  15. 19 CFR 210.12 - The complaint.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    .... Relevant information includes but is not limited to: (A) Significant investment in plant and equipment; (B..., state a specific theory and provide corroborating data to support the allegation(s) in the complaint... United States. The information that should ordinarily be provided includes the volume and trend of...

  16. 19 CFR 210.12 - The complaint.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    .... Relevant information includes but is not limited to: (A) Significant investment in plant and equipment; (B..., state a specific theory and provide corroborating data to support the allegation(s) in the complaint... United States. The information that should ordinarily be provided includes the volume and trend of...

  17. 19 CFR 210.12 - The complaint.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... future), and including the relevant operations of any licensees. Relevant information includes but is not... a specific theory and provide corroborating data to support the allegation(s) in the complaint... United States. The information that should ordinarily be provided includes the volume and trend of...

  18. 19 CFR 210.12 - The complaint.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    .... Relevant information includes but is not limited to: (A) Significant investment in plant and equipment; (B..., state a specific theory and provide corroborating data to support the allegation(s) in the complaint... United States. The information that should ordinarily be provided includes the volume and trend of...

  19. Asbestos and gastrointestinal cancer

    SciTech Connect

    Morgan, R.W.; Foliart, D.E.; Wong, O.

    1985-07-01

    Exposure to asbestos is among several factors cited as possible causes of esophageal, gastric and colorectal cancer. More than 45 published studies have presented mortality data on asbestos-exposed workers. For each cohort, the authors listed the observed and expected rates of deaths from types of gastrointestinal cancer based on the latest published follow-up. Summary standardized mortality ratios (SMRs) were then derived. Finally, summary SMRs were calculated for total gastrointestinal tract cancer for three occupational groups: asbestos factory workers, insulators/shipyard workers and asbestos miners. Statistically significant elevations in summary SMRs were found for esophageal, stomach and total gastrointestinal tract cancer in all asbestos-exposed workers. Esophageal cancer summary SMR remained significantly elevated when data were reanalyzed to include only those cohorts with death certificate diagnoses for cause of observed deaths. However, summary SMRs were not statistically significant for stomach and total gastrointestinal tract cancer after reanalysis. Summary SMRs by occupational group showed a significant elevation for total gastrointestinal cancer in insulators/shipyard workers. The elevation was not significant after reanalysis. 59 references, 5 tables.

  20. 20 CFR 658.426 - Complaints against USES.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System Federal Js Complaint System § 658... USES has violated JS regulations should be mailed to the Assistant Secretary for Employment...

  1. 20 CFR 658.426 - Complaints against USES.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ...) ADMINISTRATIVE PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System Federal Js Complaint... office of USES has violated JS regulations should be mailed to the Assistant Secretary for Employment...

  2. 29 CFR 1983.103 - Filing of retaliation complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... complainant is unable to file the complaint in English, OSHA will accept the complaint in any language. (c... directories and at the following Internet address: http://www.osha.gov. (d) Time for filing. Within 180 days...

  3. 20 CFR 658.426 - Complaints against USES.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... PROVISIONS GOVERNING THE JOB SERVICE SYSTEM Job Service Complaint System Federal Js Complaint System § 658... is against, and (e) any other relevant information available to the complainant. The Assistant...

  4. 12 CFR 268.302 - Mixed case complaints.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... complaint is a complaint of employment discrimination filed with the Board based on race, color, religion... whole or in part, because of discrimination on the basis of race, color, religion, sex, national origin...

  5. 39 CFR 3031.12 - Treatment as a complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Inquiry Forms and Procedures § 3031.12 Treatment as a complaint. If the Commission receives a volume of... treatment as a complaint, it may appoint an investigator to review the matter under § 3030.21 of this... matter....

  6. 39 CFR 3031.12 - Treatment as a complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Inquiry Forms and Procedures § 3031.12 Treatment as a complaint. If the Commission receives a volume of... treatment as a complaint, it may appoint an investigator to review the matter under § 3030.21 of this... matter....

  7. 39 CFR 3031.12 - Treatment as a complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Inquiry Forms and Procedures § 3031.12 Treatment as a complaint. If the Commission receives a volume of... treatment as a complaint, it may appoint an investigator to review the matter under § 3030.21 of this... matter....

  8. Genetics Home Reference: gastrointestinal stromal tumor

    MedlinePlus

    ... Treatment of Gastrointestinal Stromal Tumours (Review of NICE Technology Appraisal Guidance 196) (National Institute for Health and ... Society: Treating Gastrointestinal Stromal Tumor (GIST) Cancer.Net: Gastrointestinal ...

  9. Gastrointestinal Stent Update

    PubMed Central

    2010-01-01

    The use of self-expanding metallic stents in the upper gastrointestinal tract, placed under radiologic imaging or endoscopic guidance, is the current treatment of choice for the palliation of malignant gastrointestinal outlet obstructions. Advances in metallic stent design and delivery systems have progressed to the stage where this treatment is now considered a minimally invasive therapy. Metallic stent placement will broaden further into the field of nonsurgical therapy for the gastrointestinal tract. To date, metallic stents placed in the esophagus, gastric outlet, colorectum, and bile ducts are not intended to be curative, but rather to provide a palliative treatment for obstructions. The evolution of metallic stent technology will render such procedures not only palliative but also therapeutic, by enabling local drug delivery, and the use of biodegradable materials will reduce procedure-related complications. PMID:21103290

  10. Psychosocial Working Conditions and Cognitive Complaints among Swedish Employees

    PubMed Central

    Stenfors, Cecilia U. D.; Magnusson Hanson, Linda; Oxenstierna, Gabriel; Theorell, Töres; Nilsson, Lars-Göran

    2013-01-01

    Background Cognitive complaints involving problems with concentration, memory, decision-making and thinking are relatively common in the work force. The sensitivity of both subjective and objective cognitive functioning to common psychiatric conditions, stress levels and to cognitive load makes it plausible that psychosocial working conditions play a role in cognitive complaints. Thus, this study aimed to test the associations between psychosocial work factors and cognitive complaints in nationally representative samples of the Swedish work force. Cross-sectional (n = 9751) and prospective (n = 3644; two time points two years apart) sequential multiple regression analyses were run, adjusting for general confounders, depressive- and sleeping problems. Additional prospective analyses were run adjusting for baseline cognitive complaints. Cross-sectional results High quantitative demands, information and communication technology (ICT) demands, underqualification and conflicts were positively associated with cognitive complaints, while social support, good resources at work and overqualification were negatively associated with cognitive complaints in all models. Skill discretion and decision authority were weakly associated with cognitive complaints. Conflicts were more strongly associated with cognitive complaints in women than in men, after adjustment for general confounders. Prospective results Quantitative job demands, ICT demands and underqualification were positively associated with future cognitive complaints in all models, including when adjusted for baseline cognitive complaints. Decision authority was weakly positively associated with future cognitive complaints, only after adjustment for depressive- and sleeping problems respectively. Social support was negatively associated with future cognitive complaints after adjustment for general confounders and baseline cognitive complaints. Skill discretion and resources were negatively associated with future

  11. Factors influencing the pathways in response to complaints.

    PubMed

    Hsieh, Sophie Yahui

    2010-01-01

    The purpose of this paper is to explore hospital staff response to patient complaints and the factors influencing the response pathway. The paper uses an exploratory study in a large Taiwanese hospital purposefully chosen as a case study site. The critical incident technique (CIT) is implemented, using a questionnaire along with non-participant observations in which the results have been triangulated. A total of 59 cases were collected. The study found when facing "humaneness" complaints, hospital staff attempted to investigate the event and then explain the facts to the complainant or empathise with him/her and then refer the problem to the relevant unit. In response to complaints combining "communication" and "care/treatment and humaneness", staff tended to investigate the event's details and then directly explain them to the complainant. When complaints involved "care/treatment", staff tended to empathise with the complainant, investigate the facts and explain them to the complainant. Additionally, the organisational response to complaints was influenced by who made complaints; its type, severity, complaining method and patient status. The literature revealed that the case study is the most common organisational study method. However, this approach is criticised for not offering findings that can be generalised. Complaint nature is the major factor influencing the response pathway. If healthcare managers intend to reduce complaint rates then they need to carefully classify the complaint's nature. Different complaints have different handling procedures and guidelines to help managers resolve complaints in the first place. There are extensive studies focusing on investigating complaints and their resolution. These studies tend not to demonstrate various means of handling patient complaints. Neither do they describe how different complaints might lead to different outcomes. Therefore, this paper explores hospital staff response to patient complaints and the factors

  12. Gastrointestinal protectants and cathartics.

    PubMed

    Tillotson, Kirsten; Traub-Dargatz, Josie L

    2003-12-01

    The purpose of this article is to provide the reader with an overview of gastrointestinal cathartics and protectants and to point out possible applications for use in the horse with gastrointestinal disease. Most of the treatments described in this article have been used by the authors with apparent success; however, controlled studies with subsequent publication in the scientific literature with respect to these treatments in the horse are, for the most part, lacking. The authors view this emerging field of treatment as exciting and look forward to substantiating the efficacy of several of the treatments discussed.

  13. Lower Gastrointestinal Bleeding & Intussusception.

    PubMed

    Padilla, Benjamin E; Moses, Willieford

    2017-02-01

    Relatively uncommon compared with the adult population, lower gastrointestinal bleeding in children requires expeditious evaluation and management because of the variety of causes ranging from benign to life-threatening conditions. The causes of lower gastrointestinal bleeding (LGIB) vary with patient age. This review focuses on the differential diagnosis and management of LGIB in children. Because intussusception is one of the most common sources of LGIB, particular attention will be given to its diagnosis and management. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. 77 FR 47820 - Invention Promoters/Promotion Firms Complaints

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-10

    ... United States Patent and Trademark Office Invention Promoters/Promotion Firms Complaints ACTION: Proposed... participate in any legal proceedings against invention promoters or promotion firms. Complaints submitted to... promotion firm, explain the basis for the complaint, and include the signature of the complainant....

  15. 39 CFR 3031.12 - Treatment as a complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Treatment as a complaint. 3031.12 Section 3031.12... Inquiry Forms and Procedures § 3031.12 Treatment as a complaint. If the Commission receives a volume of... treatment as a complaint, it may appoint an investigator to review the matter under § 3030.21 of...

  16. 18 CFR 343.4 - Procedure on complaints.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 1 2011-04-01 2011-04-01 false Procedure on complaints. 343.4 Section 343.4 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION... hearings or other proceedings, on a complaint will be limited to the issues raised in the complaint....

  17. 77 FR 37616 - Disclosure of Consumer Complaint Data

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-22

    ... OF CONSUMER FINANCIAL PROTECTION 12 CFR Chapter X Disclosure of Consumer Complaint Data AGENCY... statement regarding the Bureau's disclosure of data from consumer complaints about financial products and... complaint data. The present notice (the ``Concurrent Notice'') describes the Bureau's plan to duplicate the...

  18. 76 FR 76628 - Disclosure of Certain Credit Card Complaint Data

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-08

    .... CFPB-2011-0040] Disclosure of Certain Credit Card Complaint Data AGENCY: Bureau of Consumer Financial... ``Policy Statement'') that addresses the CFPB's proactive disclosure of credit card complaint data. The... credit card complaint data. It also identifies additional ways that the CFPB may disclose credit card...

  19. 10 CFR 13.6 - Prerequisities for issuing a complaint.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Prerequisities for issuing a complaint. 13.6 Section 13.6 Energy NUCLEAR REGULATORY COMMISSION PROGRAM FRAUD CIVIL REMEDIES § 13.6 Prerequisities for issuing a complaint. (a) The reviewing official may issue a complaint under § 13.7 only if— (1) The Department...

  20. 10 CFR 13.8 - Service of complaint.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Service of complaint. 13.8 Section 13.8 Energy NUCLEAR REGULATORY COMMISSION PROGRAM FRAUD CIVIL REMEDIES § 13.8 Service of complaint. (a) Service of a complaint must be made by certified or registered mail or by delivery in any manner authorized by Rule 4(d)...

  1. 29 CFR 24.103 - Filing of retaliation complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... complaint may be filed in any language. (c) Place of Filing. The complaint should be filed with the OSHA...://www.osha.gov. (d) Time for Filing. (1) Except as provided in paragraph (d)(2) of this section, within... considered the date of filing. The time for filing a complaint may be tolled for reasons warranted by...

  2. 29 CFR 1980.103 - Filing of retaliation complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... complaint in any language. (c) Place of filing. The complaint should be filed with the OSHA office...) Time for filing. Within 180 days after an alleged violation of the Act occurs or after the date on... at an OSHA office will be considered the date of filing. The time for filing a complaint may be...

  3. 29 CFR 1983.103 - Filing of retaliation complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... file the complaint in English, OSHA will accept the complaint in any language. (c) Place of filing. The... Internet address: http://www.osha.gov. (d) Time for filing. Within 180 days after an alleged violation of... be considered the date of filing. The time for filing a complaint may be tolled for reasons warranted...

  4. 29 CFR 1984.103 - Filing of retaliation complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... complaint in any language. (c) Place of filing. The complaint should be filed with the OSHA office...) Time for filing. Within 180 days after an alleged violation of section 18C of the FLSA occurs, any... considered the date of filing. The time for filing a complaint may be tolled for reasons warranted by...

  5. 29 CFR 24.103 - Filing of retaliation complaint.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... complaint may be filed in any language. (c) Place of Filing. The complaint should be filed with the OSHA...://www.osha.gov. (d) Time for Filing. (1) Except as provided in paragraph (d)(2) of this section, within... considered the date of filing. The time for filing a complaint may be tolled for reasons warranted by...

  6. 29 CFR 1978.103 - Filing of retaliation complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... in English, OSHA will accept the complaint in any language. (c) Place of Filing. The complaint should... Internet address: http://www.osha.gov. (d) Time for Filing. Within 180 days after an alleged violation... of filing. The time for filing a complaint may be tolled for reasons warranted by applicable case law...

  7. 29 CFR 24.103 - Filing of retaliation complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... complaint may be filed in any language. (c) Place of Filing. The complaint should be filed with the OSHA...://www.osha.gov. (d) Time for Filing. (1) Except as provided in paragraph (d)(2) of this section, within... considered the date of filing. The time for filing a complaint may be tolled for reasons warranted by...

  8. 29 CFR 1980.103 - Filing of retaliation complaints.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... complaint in any language. (c) Place of filing. The complaint should be filed with the OSHA office...) Time for filing. Within 180 days after an alleged violation of the Act occurs or after the date on... at an OSHA office will be considered the date of filing. The time for filing a complaint may be...

  9. 39 CFR 3030.2 - Scope and nature of complaints.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 39 Postal Service 1 2014-07-01 2014-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including a duly appointed officer of the...

  10. 39 CFR 3030.2 - Scope and nature of complaints.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including a duly appointed officer of the...

  11. 39 CFR 3030.2 - Scope and nature of complaints.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 39 Postal Service 1 2011-07-01 2011-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including a duly appointed officer of the...

  12. 39 CFR 3030.2 - Scope and nature of complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including a duly appointed officer of the...

  13. 39 CFR 3030.2 - Scope and nature of complaints.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 39 Postal Service 1 2013-07-01 2013-07-01 false Scope and nature of complaints. 3030.2 Section 3030.2 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS General § 3030.2 Scope and nature of complaints. Any interested person (including a duly appointed officer of the...

  14. 29 CFR 1981.103 - Filing of discrimination complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Filing of discrimination complaint. 1981.103 Section 1981..., DEPARTMENT OF LABOR (CONTINUED) PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 6 OF... Orders § 1981.103 Filing of discrimination complaint. (a) Who may file. An employee who believes that...

  15. 29 CFR 1979.103 - Filing of discrimination complaint.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 9 2013-07-01 2013-07-01 false Filing of discrimination complaint. 1979.103 Section 1979..., DEPARTMENT OF LABOR (CONTINUED) PROCEDURES FOR THE HANDLING OF DISCRIMINATION COMPLAINTS UNDER SECTION 519 OF..., Findings and Preliminary Orders § 1979.103 Filing of discrimination complaint. (a) Who may file....

  16. 24 CFR 7.33 - Contents of the complaint.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.33... discriminates against the group on the basis of their common race, color, religion, sex, national origin, age... complaint is a complaint of employment discrimination filed with a Federal agency based on race, color...

  17. 24 CFR 7.33 - Contents of the complaint.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.33... discriminates against the group on the basis of their common race, color, religion, sex, national origin, age... complaint is a complaint of employment discrimination filed with a Federal agency based on race, color...

  18. 24 CFR 7.33 - Contents of the complaint.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.33... discriminates against the group on the basis of their common race, color, religion, sex, national origin, age... complaint is a complaint of employment discrimination filed with a Federal agency based on race, color...

  19. 24 CFR 7.33 - Contents of the complaint.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Complaints § 7.33... discriminates against the group on the basis of their common race, color, religion, sex, national origin, age... complaint is a complaint of employment discrimination filed with a Federal agency based on race, color...

  20. 47 CFR 6.16 - Informal or formal complaints.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Informal or formal complaints. 6.16 Section 6..., TELECOMMUNICATIONS EQUIPMENT AND CUSTOMER PREMISES EQUIPMENT BY PERSONS WITH DISABILITIES Enforcement § 6.16 Informal or formal complaints. Complaints against manufacturers or providers, as defined under this...

  1. Complying with US and European complaint handling requirements.

    PubMed

    Donawa, M E

    1997-09-01

    The importance of customer complaints for providing valuable information on the use of medical devices is clearly reflected in United States (US) and European quality system requirements for handling complaints. However, there are significant differences in US and European complaint handling requirements. This article will discuss those differences and methods for ensuring compliance.

  2. 47 CFR 6.17 - Informal complaints; form and content.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 47 Telecommunication 1 2010-10-01 2010-10-01 false Informal complaints; form and content. 6.17... SERVICE, TELECOMMUNICATIONS EQUIPMENT AND CUSTOMER PREMISES EQUIPMENT BY PERSONS WITH DISABILITIES Enforcement § 6.17 Informal complaints; form and content. (a) An informal complaint alleging a violation...

  3. 32 CFR 1908.04 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Suggestions and complaints. 1908.04 Section 1908... ORDER 12958 General § 1908.04 Suggestions and complaints. The Agency welcomes suggestions or complaints... Executive Order 12958. Many requesters will receive pre-paid, customer satisfaction survey cards. Letters...

  4. 32 CFR 1901.04 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... pre-paid, customer satisfaction survey cards. Letters of suggestion or complaint should identify the... 32 National Defense 6 2010-07-01 2010-07-01 false Suggestions and complaints. 1901.04 Section 1901... RIGHTS UNDER THE PRIVACY ACT OF 1974 General § 1901.04 Suggestions and complaints. The Agency...

  5. 47 CFR 3.52 - Complaint/inquiry resolution procedures.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Operations § 3.52 Complaint/inquiry resolution procedures. (a) Accounting authorities must maintain procedures for resolving complaints and/or inquiries from its contractual customers (vessels for which it... 47 Telecommunication 1 2010-10-01 2010-10-01 false Complaint/inquiry resolution procedures....

  6. 47 CFR 8.14 - General formal complaint procedures.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 47 Telecommunication 1 2014-10-01 2014-10-01 false General formal complaint procedures. 8.14 Section 8.14 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.14 General formal complaint procedures. (a) Complaints. In addition to the general...

  7. 47 CFR 8.14 - General formal complaint procedures.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 47 Telecommunication 1 2013-10-01 2013-10-01 false General formal complaint procedures. 8.14 Section 8.14 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.14 General formal complaint procedures. (a) Complaints. In addition to the general...

  8. 47 CFR 8.14 - General formal complaint procedures.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 1 2012-10-01 2012-10-01 false General formal complaint procedures. 8.14 Section 8.14 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.14 General formal complaint procedures. (a) Complaints. In addition to the general...

  9. 34 CFR 303.433 - Minimum State complaint procedures.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... the complaint and contains— (i) Findings of fact and conclusions; and (ii) The reasons for the lead... complaint procedures. (a) Time limit; minimum procedures. Each lead agency must include in its complaint... independent on-site investigation, if the lead agency determines that an investigation is necessary; (2)...

  10. 34 CFR 303.433 - Minimum State complaint procedures.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... the complaint and contains— (i) Findings of fact and conclusions; and (ii) The reasons for the lead... complaint procedures. (a) Time limit; minimum procedures. Each lead agency must include in its complaint... independent on-site investigation, if the lead agency determines that an investigation is necessary; (2)...

  11. 34 CFR 303.433 - Minimum State complaint procedures.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... the complaint and contains— (i) Findings of fact and conclusions; and (ii) The reasons for the lead... complaint procedures. (a) Time limit; minimum procedures. Each lead agency must include in its complaint... independent on-site investigation, if the lead agency determines that an investigation is necessary; (2)...

  12. 34 CFR 303.441 - Due process complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Section 615 of the Act § 303.441 Due process complaint. (a) General. (1) The lead agency must have... must forward a copy of the due process complaint to the lead agency. (b) Content of complaint. The due... proposed or refused initiation or change, including facts relating to the problem; and (6) A...

  13. 10 CFR 501.161 - Filing a complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Filing a complaint. 501.161 Section 501.161 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.161 Filing a complaint. (a) A complaint under this subpart must be submitted in writing over the...

  14. 10 CFR 501.162 - Contents of a complaint.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Contents of a complaint. 501.162 Section 501.162 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.162 Contents of a complaint. A complaint must contain a complete statement of all relevant facts...

  15. 10 CFR 501.162 - Contents of a complaint.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Contents of a complaint. 501.162 Section 501.162 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.162 Contents of a complaint. A complaint must contain a complete statement of all relevant facts...

  16. 10 CFR 501.161 - Filing a complaint.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 4 2011-01-01 2011-01-01 false Filing a complaint. 501.161 Section 501.161 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.161 Filing a complaint. (a) A complaint under this subpart must be submitted in writing over the...

  17. 10 CFR 501.161 - Filing a complaint.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Filing a complaint. 501.161 Section 501.161 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.161 Filing a complaint. (a) A complaint under this subpart must be submitted in writing over the...

  18. 10 CFR 501.162 - Contents of a complaint.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Contents of a complaint. 501.162 Section 501.162 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.162 Contents of a complaint. A complaint must contain a complete statement of all relevant facts...

  19. 10 CFR 501.162 - Contents of a complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Contents of a complaint. 501.162 Section 501.162 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.162 Contents of a complaint. A complaint must contain a complete statement of all relevant facts...

  20. 10 CFR 501.161 - Filing a complaint.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 4 2013-01-01 2013-01-01 false Filing a complaint. 501.161 Section 501.161 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.161 Filing a complaint. (a) A complaint under this subpart must be submitted in writing over the...

  1. 10 CFR 501.161 - Filing a complaint.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 4 2014-01-01 2014-01-01 false Filing a complaint. 501.161 Section 501.161 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.161 Filing a complaint. (a) A complaint under this subpart must be submitted in writing over the...

  2. 10 CFR 501.162 - Contents of a complaint.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 4 2012-01-01 2012-01-01 false Contents of a complaint. 501.162 Section 501.162 Energy DEPARTMENT OF ENERGY (CONTINUED) ALTERNATE FUELS ADMINISTRATIVE PROCEDURES AND SANCTIONS Enforcement § 501.162 Contents of a complaint. A complaint must contain a complete statement of all relevant facts...

  3. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Consumer complaint and information... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information referral. When a...

  4. 39 CFR 3030.30 - Beginning proceedings on complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Beginning proceedings on complaints. 3030.30 Section 3030.30 Postal Service POSTAL REGULATORY COMMISSION PERSONNEL RULES FOR COMPLAINTS Proceedings § 3030.30 Beginning proceedings on complaints. (a) Within 90 days after receiving a properly filed...

  5. 41 CFR 105-8.170-4 - Filing a complaint.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Regulations System (Continued) GENERAL SERVICES ADMINISTRATION 8-ENFORCEMENT OF NONDISCRIMINATION ON THE BASIS... Filing a complaint. (a) Who may file a complaint. Any person who believes that he or she has been... representative file a complaint with the Official. Any persons who believes that any specific class of persons...

  6. 19 CFR 111.55 - Investigation of complaints.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Investigation of complaints. 111.55 Section 111.55 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE... in Lieu of Suspension or Revocation § 111.55 Investigation of complaints. Every complaint or charge...

  7. 31 CFR 16.8 - Service of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Service of complaint. 16.8 Section 16.8 Money and Finance: Treasury Office of the Secretary of the Treasury REGULATIONS IMPLEMENTING THE PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 16.8 Service of complaint. (a) Service of a complaint must...

  8. 14 CFR § 1264.107 - Service of complaint.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 5 2014-01-01 2014-01-01 false Service of complaint. § 1264.107 Section § 1264.107 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION IMPLEMENTATION OF THE PROGRAM FRAUD CIVIL PENALTIES ACT OF 1986 § 1264.107 Service of complaint. (a) Service of a complaint...

  9. 29 CFR 22.6 - Prerequisites for issuing a complaint.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 1 2014-07-01 2013-07-01 true Prerequisites for issuing a complaint. 22.6 Section 22.6 Labor Office of the Secretary of Labor PROGRAM FRAUD CIVIL REMEDIES ACT OF 1986 § 22.6 Prerequisites for issuing a complaint. (a) The reviewing official may issue a complaint under § 22.7 only if— (1)...

  10. 14 CFR 1264.107 - Service of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 5 2010-01-01 2010-01-01 false Service of complaint. 1264.107 Section 1264.107 Aeronautics and Space NATIONAL AERONAUTICS AND SPACE ADMINISTRATION IMPLEMENTATION OF THE PROGRAM FRAUD CIVIL PENALTIES ACT OF 1986 § 1264.107 Service of complaint. (a) Service of a complaint must...

  11. 17 CFR 12.14 - Withdrawal of complaint.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... consideration of the complaint without prejudice to complainant's right to re-file a reparations complaint based... withdrawal of complaint shall terminate the case with prejudice to complainant's rights to re-file a... Commission as without prejudice to complainant's right to seek redress in such alternative forums as may...

  12. 17 CFR 12.14 - Withdrawal of complaint.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... consideration of the complaint without prejudice to complainant's right to re-file a reparations complaint based... withdrawal of complaint shall terminate the case with prejudice to complainant's rights to re-file a... Commission as without prejudice to complainant's right to seek redress in such alternative forums as may...

  13. 17 CFR 12.14 - Withdrawal of complaint.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... consideration of the complaint without prejudice to complainant's right to re-file a reparations complaint based... withdrawal of complaint shall terminate the case with prejudice to complainant's rights to re-file a... Commission as without prejudice to complainant's right to seek redress in such alternative forums as may...

  14. 29 CFR 1903.11 - Complaints by employees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... that the complaint meets the requirements set forth in paragraph (a) of this section, and that there... 29 Labor 5 2010-07-01 2010-07-01 false Complaints by employees. 1903.11 Section 1903.11 Labor... INSPECTIONS, CITATIONS AND PROPOSED PENALTIES § 1903.11 Complaints by employees. (a) Any employee or...

  15. 47 CFR 8.14 - General formal complaint procedures.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 47 Telecommunication 1 2011-10-01 2011-10-01 false General formal complaint procedures. 8.14 Section 8.14 Telecommunication FEDERAL COMMUNICATIONS COMMISSION GENERAL PRESERVING THE OPEN INTERNET § 8.14 General formal complaint procedures. (a) Complaints. In addition to the general...

  16. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 5 2014-04-01 2014-04-01 false Consumer complaint and information... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information referral. (a) Retailer...

  17. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Consumer complaint and information... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information referral. When a consumer...

  18. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Consumer complaint and information... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information referral. When a consumer...

  19. 24 CFR 7.30 - Presentation of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 1 2010-04-01 2010-04-01 false Presentation of complaint. 7.30 Section 7.30 Housing and Urban Development Office of the Secretary, Department of Housing and Urban... Presentation of complaint. At any stage in the presentation of a complaint, including the counseling stage,...

  20. 39 CFR 3031.12 - Treatment as a complaint.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 39 Postal Service 1 2012-07-01 2012-07-01 false Treatment as a complaint. 3031.12 Section 3031.12... Inquiry Forms and Procedures § 3031.12 Treatment as a complaint. If the Commission receives a volume of... treatment as a complaint, it may appoint an investigator to review the matter under § 3030.21 of this...

  1. 40 CFR 374.5 - Copy of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Copy of complaint. 374.5 Section 374.5... COMMUNITY RIGHT-TO-KNOW PROGRAMS PRIOR NOTICE OF CITIZEN SUITS § 374.5 Copy of complaint. At the time of filing an action under this Act, the plaintiff must provide a copy of the complaint to the Attorney...

  2. 41 CFR 60-1.23 - Contents of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Contents of complaint. 60-1.23 Section 60-1.23 Public Contracts and Property Management Other Provisions Relating to Public... Procedure § 60-1.23 Contents of complaint. (a) The complaint shall include the name, address, and...

  3. 22 CFR 12.1 - No cognizance taken of complaint.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false No cognizance taken of complaint. 12.1 Section 12.1 Foreign Relations DEPARTMENT OF STATE PERSONNEL COMPLAINTS AGAINST EMPLOYEES BY ALLEGED... complaint against an employee by an alleged creditor, so far as the complainant is concerned, beyond...

  4. 22 CFR 12.1 - No cognizance taken of complaint.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false No cognizance taken of complaint. 12.1 Section 12.1 Foreign Relations DEPARTMENT OF STATE PERSONNEL COMPLAINTS AGAINST EMPLOYEES BY ALLEGED... complaint against an employee by an alleged creditor, so far as the complainant is concerned, beyond...

  5. 32 CFR 1803.4 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 6 2010-07-01 2010-07-01 false Suggestions and complaints. 1803.4 Section 1803... SECTION 3.6 OF EXECUTIVE ORDER 12958 General § 1803.4 Suggestions and complaints. NACIC welcomes suggestions or complaints with regard to its administration of the mandatory declassification review...

  6. 21 CFR 1402.7 - Suggestions and complaints.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 9 2011-04-01 2011-04-01 false Suggestions and complaints. 1402.7 Section 1402.7 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY MANDATORY DECLASSIFICATION REVIEW § 1402.7 Suggestions and complaints. Suggestions and complaints regarding the information security program of...

  7. 17 CFR 12.13 - Complaint; election of procedure.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... affirmation under penalty of law attesting either that he knows the facts set forth in the complaint to be... complaint shall be filed by delivering a copy thereof, in proper form, to the Commission at its principal... the United States, the complaint shall not be considered duly filed in proper form unless it is...

  8. Development of the Ghent Multidimensional Somatic Complaints Scale

    ERIC Educational Resources Information Center

    Beirens, Koen; Fontaine, Johnny R. J.

    2010-01-01

    The present study aimed at developing a new scale that operationalizes a hierarchical model of somatic complaints. First, 63 items representing a wide range of symptoms and sensations were compiled from somatic complaints scales and emotion literature. These complaints were rated by Belgian students (n = 307) and Belgian adults (n = 603).…

  9. 34 CFR 98.8 - Notice of the complaint.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 34 Education 1 2011-07-01 2011-07-01 false Notice of the complaint. 98.8 Section 98.8 Education Office of the Secretary, Department of Education STUDENT RIGHTS IN RESEARCH, EXPERIMENTAL PROGRAMS, AND TESTING § 98.8 Notice of the complaint. (a) If the Office receives a complaint that meets the requirements...

  10. 34 CFR 98.8 - Notice of the complaint.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Notice of the complaint. 98.8 Section 98.8 Education Office of the Secretary, Department of Education STUDENT RIGHTS IN RESEARCH, EXPERIMENTAL PROGRAMS, AND TESTING § 98.8 Notice of the complaint. (a) If the Office receives a complaint that meets the requirements...

  11. 21 CFR 1402.7 - Suggestions and complaints.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Suggestions and complaints. 1402.7 Section 1402.7 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY MANDATORY DECLASSIFICATION REVIEW § 1402.7 Suggestions and complaints. Suggestions and complaints regarding the information security program of ONDCP...

  12. 21 CFR 1402.7 - Suggestions and complaints.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 9 2012-04-01 2012-04-01 false Suggestions and complaints. 1402.7 Section 1402.7 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY MANDATORY DECLASSIFICATION REVIEW § 1402.7 Suggestions and complaints. Suggestions and complaints regarding the information security program of ONDCP...

  13. 21 CFR 1402.7 - Suggestions and complaints.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 9 2013-04-01 2013-04-01 false Suggestions and complaints. 1402.7 Section 1402.7 Food and Drugs OFFICE OF NATIONAL DRUG CONTROL POLICY MANDATORY DECLASSIFICATION REVIEW § 1402.7 Suggestions and complaints. Suggestions and complaints regarding the information security program of ONDCP...

  14. 29 CFR 42.7 - Complaint/directed action logs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 1 2012-07-01 2012-07-01 false Complaint/directed action logs. 42.7 Section 42.7 Labor Office of the Secretary of Labor COORDINATED ENFORCEMENT § 42.7 Complaint/directed action logs. (a) To... operation of a system of coordinated Complaint/Directed Action Logs (logs). The logs shall be maintained...

  15. 29 CFR 42.7 - Complaint/directed action logs.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 1 2014-07-01 2013-07-01 true Complaint/directed action logs. 42.7 Section 42.7 Labor Office of the Secretary of Labor COORDINATED ENFORCEMENT § 42.7 Complaint/directed action logs. (a) To... operation of a system of coordinated Complaint/Directed Action Logs (logs). The logs shall be maintained...

  16. 29 CFR 42.7 - Complaint/directed action logs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 1 2013-07-01 2013-07-01 false Complaint/directed action logs. 42.7 Section 42.7 Labor Office of the Secretary of Labor COORDINATED ENFORCEMENT § 42.7 Complaint/directed action logs. (a) To... operation of a system of coordinated Complaint/Directed Action Logs (logs). The logs shall be maintained...

  17. 29 CFR 42.7 - Complaint/directed action logs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 1 2011-07-01 2011-07-01 false Complaint/directed action logs. 42.7 Section 42.7 Labor Office of the Secretary of Labor COORDINATED ENFORCEMENT § 42.7 Complaint/directed action logs. (a) To... operation of a system of coordinated Complaint/Directed Action Logs (logs). The logs shall be maintained...

  18. 29 CFR 42.7 - Complaint/directed action logs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 1 2010-07-01 2010-07-01 true Complaint/directed action logs. 42.7 Section 42.7 Labor Office of the Secretary of Labor COORDINATED ENFORCEMENT § 42.7 Complaint/directed action logs. (a) To... operation of a system of coordinated Complaint/Directed Action Logs (logs). The logs shall be maintained...

  19. 14 CFR 302.507 - Computing time for filing complaints.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Computing time for filing complaints. 302... Proceedings With Respect to Rates, Fares and Charges for Foreign Air Transportation § 302.507 Computing time for filing complaints. In computing the time for filing formal complaints pursuant to § 302.506,...

  20. 14 CFR 16.21 - Pre-complaint resolution.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Pre-complaint resolution. 16.21 Section 16.21 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURAL... to Complaints § 16.21 Pre-complaint resolution. (a) Except for those persons filing under 49 CFR...

  1. 24 CFR 7.25 - Pre-complaint processing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 1 2014-04-01 2014-04-01 false Pre-complaint processing. 7.25... Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Pre-Complaint Processing § 7.25 Pre-complaint processing. (a) An “aggrieved person” must request counseling in...

  2. 24 CFR 7.25 - Pre-complaint processing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 24 Housing and Urban Development 1 2013-04-01 2013-04-01 false Pre-complaint processing. 7.25... Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Pre-Complaint Processing § 7.25 Pre-complaint processing. (a) An “aggrieved person” must request counseling in...

  3. 24 CFR 7.25 - Pre-complaint processing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 1 2011-04-01 2011-04-01 false Pre-complaint processing. 7.25... Regard to Race, Color Religion, Sex, National Origin, Age, Disability or Reprisal Pre-Complaint Processing § 7.25 Pre-complaint processing. (a) An “aggrieved person” must request counseling in...

  4. 24 CFR 3282.403 - Consumer complaint and information referral.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Consumer complaint and information... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME PROCEDURAL AND ENFORCEMENT REGULATIONS Consumer Complaint Handling and Remedial Actions § 3282.403 Consumer complaint and information referral. When a...

  5. Unusual etiology of gastrointestinal symptoms: the case of jojoba butter

    PubMed Central

    Minckler, Michael R; Fisher, Joseph; Bowers, Rachel; Amini, Richard

    2017-01-01

    Background Jojoba butter is cyanogenic and has gained attention among herbal supplement consumers due to claims that it may aid in weight loss. Jojoba butter is extracted from the seeds of jojoba shrubs found in the Sonoran Desert. The seeds have long been recognized as inedible, however clinical symptoms following ingestion are not well documented. Case report This report describes a patient who developed restlessness and gastrointestinal complaints following ingestion of homemade jojoba seed butter. The patient’s presentation following ingestion is discussed, as well as effective workup and treatment. In our case, the patient was monitored and received fluid resuscitation, lorazepam, and diphenhydramine for symptomatic therapy. Conclusion This case describes the gastrointestinal sequela and effective management following ingestion of jojoba butter. PMID:28223850

  6. Emergency department complaints: a ten-year review.

    PubMed

    Ooi, S B

    1997-03-01

    This 10-year (May 1986-31 December 1995) retrospective study was done to analyse the types of complaints received by the National University Hospital's Emergency Department (NUH EMD), so as to take remedial measures. It was done by reviewing three sources of complaints received by the department, namely formal written complaints, verbal feedback received by the Corporate Affairs Department, and via feedback forms. The areas of complaints looked for included the nature, number, validity, whether remediable and triage priority of the patients. One hundred and eighty-eight subcategories of complaints were received from 169 complaints. The complaint frequency was 0.26 per 1,000 visits or 1 complaint per 3,846 visits. The complaint frequency over the 10 years did not vary much (range 0 to 0.44). Most of the complaints are divided into 4 broad categories ie medical, doctor-patient/paramedical staff-patient relationship, patient flow/logistics at EMD and in-house complaints. The majority (71.3%) of the complaints were due to medical and doctor-patient relationship problems. Complaints tend to arise from Priority 2 and 3 rather than Priority 1 patients. 33.7% of the complaints were considered valid, 21.6% not valid while in the remaining 44.7%, validity could not be determined. 48.4% of complaints were likely to be remediable. Based on this study, we have since instituted a compulsory emergency department-driven "Customer Service Training Programme" and weekly teaching sessions for each incoming group of medical officers posted to the NUH EMD.

  7. 31 CFR 10.63 - Service of complaint; service of other papers; service of evidence in support of complaint...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... complaint may be made on the respondent by mailing the complaint by certified mail to the last known address... respondent. Where service is by certified mail, the returned post office receipt duly signed by the... complaint is addressed to the respondent at the respondent's last known address as determined under section...

  8. Toward vocabulary control for chief complaint.

    PubMed

    Haas, Stephanie W; Travers, Debbie; Tintinalli, Judith E; Pollock, Daniel; Waller, Anna; Barthell, Edward; Burt, Catharine; Chapman, Wendy; Coonan, Kevin; Kamens, Donald; McClay, James

    2008-05-01

    The chief complaint (CC) is the data element that documents the patient's reason for visiting the emergency department (ED). The need for a CC vocabulary has been acknowledged at national meetings and in multiple publications, but to our knowledge no groups have specifically focused on the requirements and development plans for a CC vocabulary. The national consensus meeting "Towards Vocabulary Control for Chief Complaint" was convened to identify the potential uses for ED CC and to develop the framework for CC vocabulary control. The 10-point consensus recommendations for action were 1) begin to develop a controlled vocabulary for CC, 2) obtain funding, 3) establish an infrastructure, 4) work with standards organizations, 5) address CC vocabulary characteristics for all user communities, 6) create a collection of CC for research, 7) identify the best candidate vocabulary for ED CCs, 8) conduct vocabulary validation studies, 9) establish beta test sites, and 10) plan publicity and marketing for the vocabulary.

  9. Coping strategies in teachers with vocal complaint.

    PubMed

    Zambon, Fabiana; Moreti, Felipe; Behlau, Mara

    2014-05-01

    To understand the coping strategies used by teachers with vocal complaints, compare the differences between those who seek and those who do not seek voice therapy, and investigate the relationships among coping and voice perceptual analysis, coping and signs and symptoms of voice, and coping and participation restrictions and limitations in vocal activities. Cross-sectional nonrandomized prospective study with control group. Ninety female teachers participated in the study, of similar ages, divided into three groups: group 1 (G1) comprised 30 teachers with vocal complaints who sought voice therapy, group 2 (G2) comprised 30 teachers with vocal complaints who never sought voice therapy, and group 3 (G3) comprised 30 teachers without vocal complaints. The following analysis were conducted: identification and characterization questionnaire, addressing personal and occupational description, recording speech material for voice perceptual analysis, Voice Signs and Symptoms Questionnaire, Voice Activity and Participation Profile (VAPP), and Voice Disability Coping Questionnaire (VDCQ)-Brazilian Version. In relation to the voice perceptual analysis, there was statistically significant difference between the groups with vocal complaint (G1+G2), which had showed voices with mild-to-moderate deviation, and the group without vocal complaint (G1), which showed voices within the normal variability of voice quality (mean for G1 = 49.9, G2 = 43.7, and G3 = 32.3, P < 0.001). G1 had higher mean of voice signs and symptoms (G1 = 8.6, G2 = 6.6, and G3 = 2.0, P < 0.001) and higher scores in almost all dimensions of VAPP (P < 0.001), except for the aspects effect on job and effect on social communication. Individuals with vocal complaints who looked for voice therapy (G1) tended to use more problem-focused strategies and had higher scores in VDCQ (G1 = 45.4, G2 = 38.5, and G3 = 9.5, P < 0.001). The aspects that were correlated with VDCQ in the three groups were

  10. Study of Medicare beneficiary complaint procedures.

    PubMed

    Harrington, C; Hanawi, N; Ramirez, T; Parker, M; Giammona, M; Tantaros, M; Newman, J

    2001-01-01

    New procedures for reviewing a sample of Medicare beneficiary complaints about quality of care are compared with traditional procedures at a peer review organization (PRO) for 1998-1999. These new procedures included: (1) expanded communications with complainants and providers, (2) changed data collection methods, (3) integrated concurrent review findings from other agencies, (4) expedited review procedures, and (5) changed the medical review procedures. The findings showed improved beneficiary satisfaction with the new procedures over the traditional procedures and shorter time periods for processing the reviews. Even with the new procedures, beneficiaries continued to be concerned that the review time frames were too lengthy, the reviews generally failed to confirm their complaints, and the PROs generally did not disclose the findings to the beneficiaries.

  11. Gastrointestinal Bleeding in Athletes.

    ERIC Educational Resources Information Center

    Eichner, Edward R.

    1989-01-01

    Describes the scope and importance of gastrointestinal bleeding in runners and other athletes, discussing causes, sites, and implications of exercise-related bleeding. Practical tips to mitigate the problem, potentially more troublesome in women because of lower iron stores, are presented (e.g., gradual conditioning and avoidance of prerace…

  12. Apollo gastrointestinal analysis

    NASA Technical Reports Server (NTRS)

    Nichols, B. L.; Huang, C. T. L.

    1975-01-01

    Fecal bile acid patterns for the Apollo 17 flight were studied to determine the cause of diarrhea on the mission. The fecal sterol analysis gave no indication of an infectious diarrhea, or specific, or nonspecific etiology occurring during the entire flight. It is assumed that the gastrointestinal problems encountered are the consequences of altered physiology, perhaps secondary to physical or emotional stress of flight.

  13. Gastrointestinal endoscopy in pregnancy.

    PubMed

    Savas, Nurten

    2014-11-07

    Gastrointestinal endoscopy has a major diagnostic and therapeutic role in most gastrointestinal disorders; however, limited information is available about clinical efficacy and safety in pregnant patients. The major risks of endoscopy during pregnancy include potential harm to the fetus because of hypoxia, premature labor, trauma and teratogenesis. In some cases, endoscopic procedures may be postponed until after delivery. When emergency or urgent indications are present, endoscopic procedures may be considered with some precautions. United States Food and Drug Administration category B drugs may be used in low doses. Endoscopic procedures during pregnancy may include upper gastrointestinal endoscopy, percutaneous endoscopic gastrostomy, sigmoidoscopy, colonoscopy, enteroscopy of the small bowel or video capsule endoscopy, endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography. All gastrointestinal endoscopic procedures in pregnant patients should be performed in hospitals by expert endoscopists and an obstetrician should be informed about all endoscopic procedures. The endoscopy and flexible sigmoidoscopy may be safe for the fetus and pregnant patient, and may be performed during pregnancy when strong indications are present. Colonoscopy for pregnant patients may be considered for strong indications during the second trimester. Although therapeutic endoscopic retrograde cholangiopancreatography may be considered during pregnancy, this procedure should be performed only for strong indications and attempts should be made to minimize radiation exposure.

  14. Gastrointestinal endoscopy in pregnancy

    PubMed Central

    Savas, Nurten

    2014-01-01

    Gastrointestinal endoscopy has a major diagnostic and therapeutic role in most gastrointestinal disorders; however, limited information is available about clinical efficacy and safety in pregnant patients. The major risks of endoscopy during pregnancy include potential harm to the fetus because of hypoxia, premature labor, trauma and teratogenesis. In some cases, endoscopic procedures may be postponed until after delivery. When emergency or urgent indications are present, endoscopic procedures may be considered with some precautions. United States Food and Drug Administration category B drugs may be used in low doses. Endoscopic procedures during pregnancy may include upper gastrointestinal endoscopy, percutaneous endoscopic gastrostomy, sigmoidoscopy, colonoscopy, enteroscopy of the small bowel or video capsule endoscopy, endoscopic retrograde cholangiopancreatography and endoscopic ultrasonography. All gastrointestinal endoscopic procedures in pregnant patients should be performed in hospitals by expert endoscopists and an obstetrician should be informed about all endoscopic procedures. The endoscopy and flexible sigmoidoscopy may be safe for the fetus and pregnant patient, and may be performed during pregnancy when strong indications are present. Colonoscopy for pregnant patients may be considered for strong indications during the second trimester. Although therapeutic endoscopic retrograde cholangiopancreatography may be considered during pregnancy, this procedure should be performed only for strong indications and attempts should be made to minimize radiation exposure. PMID:25386072

  15. Pediatric functional gastrointestinal disorders

    USDA-ARS?s Scientific Manuscript database

    Functional gastrointestinal disorders continue to be a prevalent set of conditions faced by the healthcare team and have a significant emotional and economic impact. In this review, the authors highlight some of the common functional disorders seen in pediatric patients (functional dyspepsia, irrita...

  16. Gastrointestinal Bleeding in Athletes.

    ERIC Educational Resources Information Center

    Eichner, Edward R.

    1989-01-01

    Describes the scope and importance of gastrointestinal bleeding in runners and other athletes, discussing causes, sites, and implications of exercise-related bleeding. Practical tips to mitigate the problem, potentially more troublesome in women because of lower iron stores, are presented (e.g., gradual conditioning and avoidance of prerace…

  17. Symptoms and health complaints and their association with perceived stress at university: survey of students at eleven faculties in Egypt.

    PubMed

    El Ansari, Walid; Oskrochi, Reza; Labeeb, Shokria; Stock, Christiane

    2014-06-01

    This study examined the relationships between perceived stress and a range of self reported symptoms and health complaints in a representative sample of students at one university in Egypt. The data (3,271 students) was collected during the academic year 2009-2010 at eleven faculties at the university of Assiut city, Egypt. A self-administered questionnaire measured health complaints (22 symptoms) and Cohen's Perceived Stress Scale. Socio-demographic and lifestyle data were also collected. Factor analysis generated four groups of health complaints: psychological, circulatory/breathing, gastrointestinal, and pains/aches, and the internal consistency of each group of symptoms was computed using reliability analyses (Cronbach's alpha). Perceived stress was categorized into four levels based on quartiles. Multiple binomial or multinomial logistic regression analyses analysed the relationship between each of the four groups of symptoms and other students' general characteristics adjusted for the effect of all other groups of symptoms. The symptoms most often reported as having occurred sometimes/very often in the last 12 months were fatigue (85.3%), difficulties to concentrate (78.1%), headache (77.9%), and mood swings (74.5%), while nervousness/anxiety (63.2%) and sleep disorder (63.7%) affected many students. Multinominal logistic regression revealed a clear association and a linear trend between increasing level of stress and a higher frequency of psychological symptoms that remained significant after adjustment for other groups of symptoms. There were no associations between perceived stress and circulatory/breathing symptoms, gastrointestinal symptoms, or for pains/aches. Poor health was consistently associated with higher frequency of symptoms across all symptom groups except for gastrointestinal symptoms. Higher health awareness was associated with lower frequency of psychological and circulatory/breathing symptoms but not for the other two symptom groups. Better

  18. Civilian Personnel: Equal Employment Opportunity Discrimination Complaints

    DTIC Science & Technology

    1989-09-18

    in an appropriate U.S. District Court, if the complaint is based on a violation of the Age Discrimination in Employment Act of 1967, as amended, after...of intent to file a civil action under section 15(d) of the Age Discrimination in Employment Act of 1967 (ADEA), as amended; b. Your name, address, and... Discrimination in Employment Act (ADEA) of 1967, as amended, EEO counselors must fully inform aggrieved persons of the procedures applicable to processing age

  19. Esophageal subepithelial lesion diagnosed as malignant gastrointestinal neuroectodermal tumor.

    PubMed

    Kim, Sung Bum; Lee, Si Hyung; Gu, Mi Jin

    2015-05-14

    A 21-year-old male visited our hospital with a complaint of aggravating dysphagia and odynophagia for a few days. Esophagogastroduodenoscopy showed huge bulging mucosa with an intact surface causing luminal narrowing at 35 cm from the incisor teeth. Endoscopic ultrasonography showed an about 35 mm sized irregular margined in-homogenous hypoechoic lesion with an obscure layer of origin. Endoscopic ultrasonography fine needle aspiration revealed spindle cell proliferation without immunoreactivity for CD117, SMA, and cytokeratin. The patient underwent excision of the subepithelial lesion at the distal esophagus. On pathologic examination of the specimen, the tumor was composed of short fascicles of oval to spindle cells with eosinophilic and clear cytoplasm and vesicular nuclei. The tumor cells were positive for S-100 and SOX10 and negative for CD117, SMA, HMB-45, melan-A, cytokeratin, and CD99. The split-apart signal was detected in EWSR1 on FISH, suggesting a malignant gastrointestinal neuroectodermal tumor. At the time of writing, the patient is on radiation therapy at the operated site of esophagus and doing well, with no recurrence for three months. Malignant gastrointestinal neuroectodermal tumor is a rare gastrointestinal tumor with features of clear cell sarcoma, without melanocytic differentiation, and shows a poor prognosis. This is the first reported case of malignant gastrointestinal neuroectodermal tumor arising as subepithelial lesion in the esophagus.

  20. Fasting for haemostasis in children with gastrointestinal bleeding.

    PubMed

    Luo, Shuang-Hong; Guo, Qin; Liu, Guan J; Wan, Chaomin

    2016-05-19

    Gastrointestinal bleeding refers to loss of blood from any site of the digestive tract. In paediatric clinical practice, it is usually a complaint of children attending the emergency department as a symptom of diseases such as ulcers, gastric or oesophageal varices, gastritis, Mallory-Weiss tears, anorectal fissures, allergic colitis, infectious colitis, intussusception, Henoch-Schonlein purpura, and Meckel's diverticulum; it also occurs with high incidence in critically ill children hospitalised in intensive care units and is caused by stress-induced gastropathy. No matter what the cause of gastrointestinal bleeding, fasting is believed to be necessary due to the fear that eating may affect haemostasis or aggravate bleeding. To assess the effects and safety of fasting for haemostasis in gastrointestinal bleeding in children. We searched EBM Reviews - the Cochrane Central Register of Controlled Trials (CENTRAL) (May 2016), Ovid MEDLINE(R) (1946 to 3 May 2016), EMBASE (1980 to 2016 Week 18), Chinese Biomedical Database (CBM) (1978 to 3 May 2016), China National Knowledge Infrastructure (CNKI) (1979 to 3 May 2016), VIP Database (1989 to 4 May 2016) and Wanfang Data (1990 to 4 May 2016). We used no restrictions on language or study setting and limited searches in CNKI and Wanfang Data to the medical field. Randomised controlled trials (RCTs) or quasi-RCTs in children with gastrointestinal bleeding that compared fasting with feeding. Two review authors independently screened the literature search results, and there were no disagreements. We identified no RCTs or quasi-RCTs that compared the effects and safety of fasting with feeding for haemostasis in children with gastrointestinal bleeding. No study fulfilled the criteria for considering studies for our review. There is currently no information available from RCTs or quasi-RCTs to support or refute the use of fasting for haemostasis in children with gastrointestinal bleeding.