Increasing Understanding of Cultural Differences

ERIC Educational Resources Information Center

Creeden, Jack; Kelly-Aguirre, Eileen; Visser, Aric

2016-01-01

Many high school and university students return home from global programs and often report they have changed as a result of the experience. Global educators assume the act of participating in global education programs (such as high school study abroad) will open students' eyes to the complexities of another culture because students have been…

Automated Assessment and Experiences of Teaching Programming

ERIC Educational Resources Information Center

Higgins, Colin A.; Gray, Geoffrey; Symeonidis, Pavlos; Tsintsifas, Athanasios

2005-01-01

This article reports on the design, implementation, and usage of the CourseMarker (formerly known as CourseMaster) courseware Computer Based Assessment (CBA) system at the University of Nottingham. Students use CourseMarker to solve (programming) exercises and to submit their solutions. CourseMarker returns immediate results and feedback to the…

Implementing reduced-risk integrated pest management in fresh-market cabbage: improved net returns via scouting and timing of effective control.

PubMed

Burkness, Eric C; Hutchison, W D

2008-04-01

During 1998-2001, field studies were done to assess the efficacy of an integrated pest management (IPM) program using an action threshold and "reduced-risk" insecticides. The IPM program was compared with a conventional grower-based program. Program performance was evaluated based on management of Trichoplusia ni (Hiibner), Pieris (=Artogeia) rapae (L.), and Plutella xylostella (L.), as well as the economic impact of each program on net returns. The action threshold used in the IPM program consisted of 10% plants infested with T. ni larvae, based on previous small-plot experiment station trials. In all years of the study, the IPM program resulted in significantly lower percentages of plants infested than the conventional program or untreated check. The mean reduction in insecticide applications for the IPM program compared with the conventional program was 23.5%, whereas, on average, the costs of the IPM program were 46.0% higher than the conventional program. Pest reduction in the IPM program resulted in an average of 10.5% higher marketable yields than the conventional program. Percentages of marketable heads in the IPM program ranged from 82 to 99% and from 63 to 96% in the conventional program. Mean net returns for the IPM program exceeded the conventional program by $984.20/ha. These results indicated that the IPM program reduced insecticide use overall, even though costs of the IPM program, with either spinosad or indoxacarb, were sometimes higher. Overall, net returns of the IPM program were higher due to active pest scouting, improved application timing, and increases in marketable yield. Given the potential decrease in insecticide applications and increases in net profit resulting from this IPM program, additional analyses should be conducted to quantify the economic risk, or consistency of the results, to fully evaluate the benefits of the IPM program compared with a conventional program.

The challenges that employees who abuse substances experience when returning to work after completion of employee assistance programme (EAP).

PubMed

Soeker, Shaheed; Matimba, Tandokazi; Machingura, Last; Msimango, Henry; Moswaane, Bobo; Tom, Sinazo

2015-01-01

Employee assistance programs (EAPs) are responsible for helping employees cope with problems such as: mental distress, alcoholism and other drug dependencies, marital and financial difficulties--in short, the whole host of personal and family troubles endemic to the human condition. The study explored the challenges that employees who abuse substances experience when returning to work after the completion of an employee assistance program. The study used a qualitative exploratory descriptive research design. Three male participants and two key informants participated in the study. One semi structured interview was conducted with each one of the participants and one semi structured interview with the key informants. Four themes emerged: 1) Loss of one's worker role identity, 2) Negative influences of the community continues to effect the success of EAP, 3) EAP as a vehicle for change and, 4) Healthy occupations strengthen EAP. This study portrayed the following: how substance abuse effect the worker role of individuals employed in the open labor market, the challenges and facilitators experienced by employees who abuse substances when returning to their previous work roles and how occupation based interventions can be incorporated in EAP programs. Occupational therapists could use the health promotion approach, work simplification, energy conservation techniques and ergonomic analysis techniques.

Learning from Experience: A Guide to Social Impact Bond Investing

ERIC Educational Resources Information Center

Berlin, Gordon L.

2016-01-01

The social sector's hottest "impact investing" product--the social impact bond (SIB)--has generated a range of reactions, from excitement to angst. An SIB uses private funds to pay for a social, educational, or health program, and the government repays investors (plus a return) only if the program achieves prespecified results. The…

An Assessment of a Community College Reentry Program for Women.

ERIC Educational Resources Information Center

Forrest, Joy Davis

In 1980, a study was conducted to determine the characteristics, attitudes, and subsequent experiences of women who had completed the Women's Education Development Incentive (WENDI) re-entry program at Brevard Community College, Florida, in 1977. From the original mailing of 79 questionnaires, 33 usable responses were returned. Two-thirds of the…

How Financial Incentives Induce Disability Insurance Recipients to Return to Work.

PubMed

Kostol, Andreas Ravndal; Mogstad, Magne

2014-02-01

Using a local randomized experiment that arises from a sharp discontinuity in Disability Insurance (DI) policy in Norway, we provide transparent and credible identification of how financial incentives induce DI recipients to return to work. We find that many DI recipients have considerable capacity to work that can be effectively induced by providing financial work incentives. We further show that providing work incentives to DI recipients may both increase their disposable income and reduce program costs. Our findings also suggest that targeted policies may be the most effective in encouraging DI recipients to return to work.

The Professional Experiences of International Counseling Graduates upon Returning to Their Home Country

ERIC Educational Resources Information Center

Duenyas, Deborah Lynn

2017-01-01

This study investigated the first-person accounts of eight international counseling graduates (ICGs) upon re-entry to their home country to work after earning a university counseling degree from a program accredited by the Counsel for Accreditation and Counseling Related Educational Programs (CACREP) in the United States. An assumption of the…

Peer Teaching Experiences of Final Year Paramedic Students: 2011-2012

ERIC Educational Resources Information Center

Williams, Brett; Fellows, Holly; Eastwood, Kathryn; Wallis, Jamie

2014-01-01

Peer assisted learning (PAL) is one method of teaching which involves peers, or people from similar social groups, in reciprocal learning where one peer educates another and in return learns through the teaching experience. There have been many reported benefits of PAL programs. PAL has a long history of use in healthcare education; however, for…

Alumni of High School Internship Program Return for 25th Anniversary to Inspire Current Students | Poster

Cancer.gov

The Building 549 auditorium is often packed with high school interns eager to hear a scientific lecture. On April 22, however, the room swelled with interns spanning a wider age range. At the 25th Werner H. Kirsten Student Intern Program (WHK SIP) Anniversary Symposium, incoming, current, and former interns gathered to celebrate the program, which has provided biomedical research experience for local high school seniors.

The status of measurement technologies concerning micrometer and submicrometer space articulate matter capture, recovery, velocity and trajectory

NASA Technical Reports Server (NTRS)

Alexander, W. M.; Tanner, William G.; Mcdonald, R. A.; Schaub, G. E.; Stephenson, Stepheni L.; Mcdonnell, J. A. M.; Maag, Carl R.

1994-01-01

The return of a pristine sample from a comet would lead to greater understanding of cometary structures, as well as offering insights into exobiology. The paper presented at the Discovery Program Workshop outlined a set of measurements for what was identified as a SOCCER-like interplanetary mission. Several experiments comprised the total instrumentation. This paper presents a summary of CCSR with an overview of three of the four major instruments. Details of the major dust dynamics experiment including trajectory are given in this paper. The instrument proposed here offers the opportunity for the return of cometary dust particles gathered in situ. The capture process has been employed aboard the space shuttle with successful results in returning samples to Earth for laboratory analysis. In addition, the sensors will measure the charge, mass, velocity, and size of cometary dust grains during the encounter. This data will help our understanding of dusty plasmas.

Expert system isssues in automated, autonomous space vehicle rendezvous

NASA Technical Reports Server (NTRS)

Goodwin, Mary Ann; Bochsler, Daniel C.

1987-01-01

The problems involved in automated autonomous rendezvous are briefly reviewed, and the Rendezvous Expert (RENEX) expert system is discussed with reference to its goals, approach used, and knowledge structure and contents. RENEX has been developed to support streamlining operations for the Space Shuttle and Space Station program and to aid definition of mission requirements for the autonomous portions of rendezvous for the Mars Surface Sample Return and Comet Nucleus Sample return unmanned missions. The experience with REMEX to date and recommendations for further development are presented.

The Outcomes of Chinese Visiting Scholars' Experiences at Canadian Universities: Implications for Faculty Development at Chinese Universities

ERIC Educational Resources Information Center

Liu, Qin; Jiang, Yumei

2015-01-01

This article examines the outcomes of the overseas experiences of Chinese visiting scholars and the implications of visiting scholar programs for faculty development at Chinese universities. On the basis of semi-structured interviews with 17 returned Chinese visiting scholars who spent six to 12 months in a faculty of education at one of five…

Persisting Barriers to Employment for Recently Housed Adults with Mental Illness Who Were Homeless.

PubMed

Poremski, Daniel; Woodhall-Melnik, Julia; Lemieux, Ashley J; Stergiopoulos, Vicky

2016-02-01

Adults with mental illness who are homeless experience multiple barriers to employment, contributing to difficulties securing and maintaining housing. Housing First programs provide quick, low-barrier access to housing and support services for this population, but their success in improving employment outcomes has been limited. Supported employment interventions may augment Housing First programs and address barriers to employment for homeless adults with mental illness. The present paper presents data from qualitative interviews to shed light on the persisting barriers to employment among people formerly homeless. Once housed, barriers to employment persisted, including the following: (1) worries about disclosing sensitive information, (2) fluctuating motivation, (3) continued substance use, and (4) fears about re-experiencing homelessness-related trauma. Nevertheless, participants reported that their experiences of homelessness helped them develop interpersonal strength and resilience. Discussing barriers with an employment specialist helps participants develop strategies to overcome them, but employment specialists must be sensitive to specific homelessness-related experiences that may not be immediately evident. Supported housing was insufficient to help people return to employment. Supported employment may help people return to work by addressing persisting barriers.

Practical Nurses' Lived Experience of Returning to School.

PubMed

Chachula, Kathryn; Smith, Mary; Hyndman, Kathryn

2018-05-25

The lived experience of licensed practical nurses (LPNs) pursuing Bachelor of Nursing (BN) education is not commonly studied in Canada. The aim was to understand the transition experience of LPNs who bridged into a BN program. Max van Manen's phenomenological methodology was used through use of a semistructured interview guide to explore the lived experience of LPNs who pursued baccalaureate nursing education. Five themes were found: seeking advancement; stepping back into the student role; juggling work, school, and family; struggling to be understood; and seeing things differently. LPN-to-BN students have a well-developed sense of identity as nurses. These students can benefit from a specifically designed, stand-alone bridge course to situate them within a BN program.

Report of the Terrestrial Bodies Science Working Group. Volume 9: Complementary research and development

NASA Technical Reports Server (NTRS)

Fanale, F. P.; Kaula, W. M.; Mccord, T. B.; Trombka, J. L.

1977-01-01

Topics discussed include the need for: the conception and development of a wide spectrum of experiments, instruments, and vehicles in order to derive the proper return from an exploration program; the effective use of alternative methods of data acquisition involving ground-based, airborne and near Earth orbital techniques to supplement spacraft mission; and continued reduction and analysis of existing data including laboratory and theoretical studies in order to benefit fully from experiments and to build on the past programs toward a logical and efficient exploration of the solar system.

The Rate of Return to the High/Scope Perry Preschool Program.

PubMed

Heckman, James J; Moon, Seong Hyeok; Pinto, Rodrigo; Savelyev, Peter A; Yavitz, Adam

2010-02-01

This paper estimates the rate of return to the High/Scope Perry Preschool Program, an early intervention program targeted toward disadvantaged African-American youth. Estimates of the rate of return to the Perry program are widely cited to support the claim of substantial economic benefits from preschool education programs. Previous studies of the rate of return to this program ignore the compromises that occurred in the randomization protocol. They do not report standard errors. The rates of return estimated in this paper account for these factors. We conduct an extensive analysis of sensitivity to alternative plausible assumptions. Estimated annual social rates of return generally fall between 7-10 percent, with most estimates substantially lower than those previously reported in the literature. However, returns are generally statistically significantly different from zero for both males and females and are above the historical return on equity. Estimated benefit-to-cost ratios support this conclusion.

The Rate of Return to the High/Scope Perry Preschool Program

PubMed Central

Heckman, James J.; Moon, Seong Hyeok; Pinto, Rodrigo; Savelyev, Peter A.; Yavitz, Adam

2010-01-01

This paper estimates the rate of return to the High/Scope Perry Preschool Program, an early intervention program targeted toward disadvantaged African-American youth. Estimates of the rate of return to the Perry program are widely cited to support the claim of substantial economic benefits from preschool education programs. Previous studies of the rate of return to this program ignore the compromises that occurred in the randomization protocol. They do not report standard errors. The rates of return estimated in this paper account for these factors. We conduct an extensive analysis of sensitivity to alternative plausible assumptions. Estimated annual social rates of return generally fall between 7–10 percent, with most estimates substantially lower than those previously reported in the literature. However, returns are generally statistically significantly different from zero for both males and females and are above the historical return on equity. Estimated benefit-to-cost ratios support this conclusion. PMID:21804653

The medical story. [Skylab program

NASA Technical Reports Server (NTRS)

Johnston, R. S.; Dietlein, L. F.; Michel, E. L.

1974-01-01

An overview of the Skylab medical program is given. All medical subsystems provided in the orbital workshop functioned satisfactorily. Major systems included the food system, the waste management system, and provisions per personal hygiene. A series of lockers in the wardroom was used to stow the inflight medical support system. Cardiovascular counter pressure garments were launched in the orbital workshop for all three crews. Life services experiments were carried out. Two experiments were conducted in the Skylab missions to study the performance of the cardiovascular system during weightless flight and return to earth and the one g environment. A series of experiments was conducted to study mineral balance and the bioassay of body fluids.

The Corporate View. A Multicultural Workforce Can Be a Competitive Advantage.

ERIC Educational Resources Information Center

Wilcox, John

1991-01-01

Work force diversity programs are designed to protect the company's return on investment by bringing to the surface the subtle discomforts, fears, and biases most people experience when they find themselves working with people who are different from themselves. (Author)

Integration of Andragogy into Preceptorship

ERIC Educational Resources Information Center

Leigh, Katherine; Whitted, Kelli; Hamilton, Bernita

2015-01-01

Return of registered nurses to school dictates that mobility programs integrate principles and design elements of adult learning theory. The Decisional Matrix for Preceptorship Experiences (DMPE) was designed to support mutual needs assessment and identification of individualized clinical learning activities. Using the Andragogy in Practice…

The Basic Shelf Experience: a comprehensive evaluation.

PubMed

Dewolfe, Judith A; Greaves, Gaye

2003-01-01

The Basic Shelf Experience is a program designed to assist people living on limited incomes to make better use of their food resources. The purpose of this research was to learn if the Basic Shelf Experience program helps such people to 1. utilize food resources more effectively and 2. cope, through group support, with poverty-associated stressors that influence food security. Both quantitative and qualitative methods were used to evaluate the program objectives. Participants completed a questionnaire at the beginning and end of the six-week program. The questionnaire asked about their food access, food security, and feelings about themselves. Participants returned for a focus group discussion and completed the questionnaire again three months after the program ended. The focus group was designed to elicit information about perceived changes, if any, attributed to the program. Forty-two people completed the questionnaires pre-program and 20 post-program; 17 participated in the three-month follow-up session. While results from quantitative data analysis indicate that program objectives were not met, qualitative data provide evidence that the program did achieve its stated objectives. Our results suggest such programs as the Basic Shelf Experience can assist people living on limited incomes to achieve food security.

Patient participation in a clinic-based community pharmacy medication take-back program.

PubMed

Lystlund, Stefanie; Stevens, Eric; Planas, Lourdes G; Marcy, Todd R

2014-01-01

To describe patient interest and involvement in participating in a clinic-based community pharmacy drug take-back program to dispose of unused, unwanted, or expired (UUE) medications and to identify patients' reasons for participating in the program. A convenience sample of patients at the University of Oklahoma Family Medicine Pharmacy was recruited to complete a needs assessment survey regarding interest in drug take-back programs and current practices for handling UUE medications. Participants who purchased a postage-paid drug disposal envelope were asked to complete a program survey identifying sources of UUE medications, experience with drug take-back programs, and reasons for participation. These participants were later contacted for a follow-up telephone survey regarding their experience with the program and medications sent back. 62 needs assessment surveys were collected. 61% of patients reported interest in a drug take-back program. 57% reported having no UUE medications at home. Commonly reported UUE handling practices included disposal in the garbage (53.2%) or sewer (29.0%) and home storage (17.7%). 15 disposal envelopes were sold to 10 participants whose most common reasons for participation included concern about the safety of household members, accidental or intentional ingestion, and environmental impact. For 4 patients who returned a median of 9.5 prescriptions, the most common class of returned drugs was antibiotics (19.0%). Interest in drug take-back programs exists, but awareness and availability of continuous programs is limited. Programs may be more successful if offered at no cost to patients. Future studies are needed on the types of medications sent back and specific reasons for accumulation.

FORTRAN Programs for Aerodynamic Analyses on the Microvax/2000 CAD CAE Workstation

DTIC Science & Technology

1988-09-01

file exists, you must compile the program by typing, FOR DUBLET [Returni The next step is to link the program by entering, LINK DUBLET [Return] The...files DUBLET.EXE and DUBLET.OBJ will now exist and you will be able to run the program. Running the Program To run the program, type DUBLET [Return...by entering 0.1 [Return] Now enter the number of intervals you desire the doublet distribution to have by enter- ing 10 [Return] The screen should now

Implementing a collaborative return-to-work program: Lessons from a qualitative study in a large Canadian healthcare organization.

PubMed

Skivington, Kathryn; Lifshen, Marni; Mustard, Cameron

2016-11-22

Comprehensive workplace return-to-work policies, applied with consistency, can reduce length of time out of work and the risk of long-term disability. This paper reports on the findings from a qualitative study exploring managers' and return-to-work-coordinators' views on the implementation of their organization's new return-to-work program. To provide practical guidance to organizations in designing and implementing return-to-work programs for their employees. Semi-structured qualitative interviews were undertaken with 20 managers and 10 return-to-work co-ordinators to describe participants' perspectives on the progress of program implementation in the first 18 months of adoption. The study was based in a large healthcare organization in Ontario, Canada. Thematic analysis of the data was conducted. We identified tensions evident in the early implementation phase of the organization's return-to-work program. These tensions were attributed to uncertainties concerning roles and responsibilities and to circumstances where objectives or principles appeared to be in conflict. The implementation of a comprehensive and collaborative return-to-work program is a complex challenge. The findings described in this paper may provide helpful guidance for organizations embarking on the development and implementation of a return-to-work program.

Implementing a collaborative return-to-work program: Lessons from a qualitative study in a large Canadian healthcare organization

PubMed Central

Skivington, Kathryn; Lifshen, Marni; Mustard, Cameron

2016-01-01

BACKGROUND: Comprehensive workplace return-to-work policies, applied with consistency, can reduce length of time out of work and the risk of long-term disability. This paper reports on the findings from a qualitative study exploring managers’ and return-to-work-coordinators’ views on the implementation of their organization’s new return-to-work program. OBJECTIVES: To provide practical guidance to organizations in designing and implementing return-to-work programs for their employees. METHODS: Semi-structured qualitative interviews were undertaken with 20 managers and 10 return-to-work co-ordinators to describe participants’ perspectives on the progress of program implementation in the first 18 months of adoption. The study was based in a large healthcare organization in Ontario, Canada. Thematic analysis of the data was conducted. RESULTS: We identified tensions evident in the early implementation phase of the organization’s return-to-work program. These tensions were attributed to uncertainties concerning roles and responsibilities and to circumstances where objectives or principles appeared to be in conflict. CONCLUSIONS: The implementation of a comprehensive and collaborative return-to-work program is a complex challenge. The findings described in this paper may provide helpful guidance for organizations embarking on the development and implementation of a return-to-work program. PMID:27792035

Family practice residents' maternity leave experiences and benefits.

PubMed

Gjerdingen, D K; Chaloner, K M; Vanderscoff, J A

1995-09-01

A growing number of residents are having babies during residency training. While many businesses are working to improve maternity conditions and benefits for their employees, residency programs are often not prepared to accommodate pregnant residents. This study was conducted to examine the maternity leave experiences of women who delivered infants during their family practice residency training. Program directors from each of the 394 family practice residency programs listed in the 1993 Directory of Family Practice Residency Programs were asked to distribute surveys to female residents who gave birth during their residency training and had returned to work by the time of the study. Of 199 known eligible residents, 171 (86%) completed surveys; these women represented 127 programs located in 36 states and Puerto Rico. Only 56.8% of women were aware of their program having a written maternity leave policy. The average length of maternity leave was 8 weeks; 76% had leaves of 10 weeks or less. For many, the maternity leave was derived from more than one source, including vacation, sick time, or a mother-child elective. Nearly all (88.3%) the women breast-fed, and the mean duration of breast-feeding was more than 19 weeks. In general, participants believed that having a baby during residency was somewhat difficult. Problems frequently encountered by women after their return to work included sleep deprivation and tiredness, difficulty arranging for child care, guilt about child care, and breast-feeding. Factors that detracted most from the childbirth experience were too little sleep, problems arranging for child care, and lack of support from the partner, residency faculty, and other residents. Having a baby during residency is somewhat difficult for the average female resident. Factors that may ease this difficulty include getting adequate sleep and receiving support from one's partner, faculty, and other residents.

Skylab

NASA Image and Video Library

1973-01-01

This chart details Skylab's In-Flight Lower Body Negative Pressure experiment facility, a medical evaluation designed to monitor changes in astronauts' cardiovascular systems during long-duration space missions. This experiment collected in-flight data for predicting the impairment of physical capacity and the degree of orthostatic intolerance to be expected upon return to Earth. Data to be collected were blood pressure, heart rate, body temperature, vectorcardiogram, lower body negative pressure, leg volume changes, and body mass. The Marshall Space Flight Center had program management responsibility for the development of Skylab hardware and experiments.

Skylab

NASA Image and Video Library

1970-01-01

This 1970 photograph shows Skylab's In-Flight Lower Body Negative Pressure experiment facility, a medical evaluation designed to monitor changes in astronauts' cardiovascular systems during long-duration space missions. This experiment collected in-flight data for predicting the impairment of physical capacity and the degree of orthostatic intolerance to be expected upon return to Earth. Data to be collected were blood pressure, heart rate, body temperature, vectorcardiogram, lower body negative pressure, leg volume changes, and body mass. The Marshall Space Flight Center had program management responsibility for the development of Skylab hardware and experiments.

Perspectives of family and veterans on family programs to support reintegration of returning veterans with posttraumatic stress disorder.

PubMed

Fischer, Ellen P; Sherman, Michelle D; McSweeney, Jean C; Pyne, Jeffrey M; Owen, Richard R; Dixon, Lisa B

2015-08-01

Combat deployment and reintegration are challenging for service members and their families. Although family involvement in mental health care is increasing in the U.S. Department of Veterans Affairs (VA) system, little is known about family members' preferences for services. This study elicited the perspectives of returning Afghanistan and Iraq war veterans with posttraumatic stress disorder and their families regarding family involvement in veterans' mental health care. Semistructured qualitative interviews were conducted with 47 veterans receiving care for posttraumatic stress disorder at the Central Arkansas Veterans Healthcare System or Oklahoma City VA Medical Center and 36 veteran-designated family members. Interviews addressed perceived needs related to veterans' readjustment to civilian life, interest in family involvement in joint veteran/family programs, and desired family program content. Interview data were analyzed using content analysis and constant comparison. Both groups strongly supported inclusion of family members in programs to facilitate veterans' postdeployment readjustment and reintegration into civilian life. Both desired program content focused on information, practical skills, support, and gaining perspective on the other's experience. Although family and veteran perspectives were similar, family members placed greater emphasis on parenting-related issues and the kinds of support they and their children needed during and after deployment. To our knowledge, this is the first published report on preferences regarding VA postdeployment reintegration support that incorporates the perspectives of returning male and female veterans and those of their families. Findings will help VA and community providers working with returning veterans tailor services to the needs and preferences of this important-to-engage population. (c) 2015 APA, all rights reserved).

In-Flight Lower Body Negative Pressure - Skylab Experiment M092

NASA Technical Reports Server (NTRS)

1973-01-01

This chart details Skylab's In-Flight Lower Body Negative Pressure experiment facility, a medical evaluation designed to monitor changes in astronauts' cardiovascular systems during long-duration space missions. This experiment collected in-flight data for predicting the impairment of physical capacity and the degree of orthostatic intolerance to be expected upon return to Earth. Data to be collected were blood pressure, heart rate, body temperature, vectorcardiogram, lower body negative pressure, leg volume changes, and body mass. The Marshall Space Flight Center had program management responsibility for the development of Skylab hardware and experiments.

Lessons Learned Going Back to School

ERIC Educational Resources Information Center

Wernet, Jamie L. W.

2016-01-01

When the author returned to teaching after several years in graduate school, she came armed with knowledge and visions of a student-centered classroom. Her experiences in a doctoral program taught her much about effective mathematics instruction and rekindled her desire to teach. However, a student-centered classroom reflected a major shift in…

Student Veterans Returning to a Community College: Understanding Their Transitions

ERIC Educational Resources Information Center

Rumann, Corey Bradford

2010-01-01

Higher education and the military have been linked throughout history in the United States. Now, with the current wars in Afghanistan and Iraq the higher education community is beginning to realize again the importance of understanding student veterans' transition experiences into college and providing appropriate support programs. However, the…

Design-Based Research Principles for Student Orientation to Online Study: Capturing the Lessons Learnt

ERIC Educational Resources Information Center

Wozniak, Helen; Pizzica, Jenny; Mahony, Mary Jane

2012-01-01

Few institutions have reported research on students' "use" of orientation programs designed for mature students returning to study in contemporary learning environments now regularly amalgamating distance and online strategies. We report within a design-based research framework the student experience of "GetLearning," the third…

A Smart Break? College Tenure Interruption and Graduating Student Outcomes

ERIC Educational Resources Information Center

Routon, P. Wesley; Walker, Jay K.

2015-01-01

Using data from a longitudinal survey of college students from over 400 institutions, we examine the impacts of occupational internship programs and voluntary academic leave on returning academic achievement, post-college ambitions, and general facets of the college experience. Previous literature on college internships has focused on labor market…

Nursing Graduate Follow-Up, Catonsville Community College.

ERIC Educational Resources Information Center

Catonsville Community Coll., MD. Office of Institutional Research.

In 1989, a study was conducted at Catonsville Community College (CCC) to determine the post-graduation experiences and attitudes of the students who had graduated from the nursing program between June 1987 and December 1988. Of the 113 graduates surveyed, 24 responded to the questionnaire. In addition, 10 employers returned questionnaires…

Towards an understanding of an outdoor education program: Listening to participants' stories

NASA Astrophysics Data System (ADS)

Shanely, Shannon Dee

Today, human beings spend more than 90% of their lives indoors (Evans, 2003). Not long ago, both urban and rural children grew up mostly outdoors, and had direct experiences with plants, animals, and the ways in which the necessities of daily life were grown, made, and used. When they were not helping with household work, children spent much of their time exploring the outdoor environment, relatively free from adult interference. The lives of children today are much different. Children now have fewer opportunities for unstructured play and regular contact with the natural world. Outdoor education programs are one tool that can provide children with continued access to the natural world. This study was conducted to determine how outdoor education program participants interpret their experiences in the natural world, how participant engagement with an outdoor education program shapes their perception of the natural world, and how participant interpretation of an outdoor education program shapes their actions for caring for the natural world when they return home. Using qualitative research methods, my study was conducted with four sixth-grade students participating in a four-day residential outdoor education program. The participants, two females and two males, were given cameras to document the most important aspects of their outdoor education experience. The pictures were used to stimulate conversation and encourage reflection during the interview process. Data sources consisted of a pre-program interview with each student, daily interviews with students while they were participating in the outdoor education program, and a post-program interview conducted one week after the program ended. Critical incident technique analysis was used to delineate the most critical elements of each participant's outdoor education experience. My study found that participants interpreted their outdoor education program as a positive experience. Classes that were challenging and gave independence from adults were perceived as most important by study participants. Friends were considered an important part of the outdoor education program by all of the participants, but the natural world became more important as the week progressed. All four participants reported being more comfortable in the outdoors at the conclusion of the program, but their actions indicated otherwise. All four participants also viewed the natural world as something far removed and very different from their home life. Finally, after completing the outdoor education program, all four participants perceived their parents as being barriers to spending more time outside and they all had adopted one new action to care for the natural world once they returned home.

Return to work and cancer: the Australian experience.

PubMed

McKay, Georgina; Knott, Vikki; Delfabbro, Paul

2013-03-01

Research suggests that for many cancer survivors, returning to work has a range of benefits. However, considerable barriers have been identified as influencing the quality of return to work outcomes. This study explored the perspectives of Australian cancer survivors, managers and employee assistance program (EAP) professionals to gain an understanding of the return to work process and factors that affect the experience. Focus groups and interviews were conducted with cancer survivors (n = 15), managers (n = 12), and EAP professionals / psychologists (n = 4) from public and private sectors. Thematic analysis was used to analyse the data to identify common and unique themes from the three participant groups. A range of drivers were identified including maintaining normality and regaining identity, which could act positively or negatively depending on survivors' coping ability and self awareness. Analysis revealed communication difficulties in the workplace that impact on emotional and practical support. Negotiating an employee's return is complex, influenced by the level of consultation with the employee and use of an ad hoc or structured process. Direct and indirect ways of supporting employees with cancer were identified, as was the need for colleague and manager support. This study supports previous research findings of the impact of cancer on work, and reveals managers' lack of knowledge on how to respond appropriately. The process of returning to work is complex, influenced by employees' and managers' attitudes, communication skills and coping abilities. Areas for workplace interventions to optimise support for the cancer survivor are described.

Advancing Translational Space Research Through Biospecimen Sharing: Amplified Impact of Studies Utilizing Analogue Space Platforms

NASA Technical Reports Server (NTRS)

Staten, B.; Moyer, E.; Vizir, V.; Gompf, H.; Hoban-Higgins, T.; Lewis, L.; Ronca, A.; Fuller, C. A.

2016-01-01

Biospecimen Sharing Programs (BSPs) have been organized by NASA Ames Research Center since the 1960s with the goal of maximizing utilization and scientific return from rare, complex and costly spaceflight experiments. BSPs involve acquiring otherwise unused biological specimens from primary space research experiments for distribution to secondary experiments. Here we describe a collaboration leveraging Ames expertise in biospecimen sharing to magnify the scientific impact of research informing astronaut health funded by the NASA Human Research Program (HRP) Human Health Countermeasures (HHC) Element. The concept expands biospecimen sharing to one-off ground-based studies utilizing analogue space platforms (e.g., Hindlimb Unloading (HLU), Artificial Gravity) for rodent experiments, thereby significantly broadening the range of research opportunities with translational relevance for protecting human health in space and on Earth.

Retrospective Benefit-Cost Evaluation of U.S. DOE Wind Energy R&D Program: Impact of Selected Energy Technology Investments

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

Pelsoci, Thomas M.

This benefit-cost analysis focuses on the DOE Wind Energy Program's public sector R&D investments and returns. The analysis accounts for the program's additionality – that is, comparing what has happened as a result of the program to what would have happened without it. The analysis does not address the return on the investments of private companies ("private returns"). Public returns on the program's investments from 1976 to 2008 are identified and analyzed using retrospective analysis.

Instellar Gas Experiment (IGE): Testing interstellar gas particles to provide information on the processes of nucleosynthesis in the big bang stars and supernova

NASA Technical Reports Server (NTRS)

Lind, Don

1985-01-01

The Interstellar Gas Experiment (IGE) is designed to collect particles of the interstellar gas - a wind of interstellar media particles moving in the vicinity of the solar system. These particles will be returned to earth where the isotopic ratios of the noble gases among these particles will be measured. IGE was designed and programmed to expose 7 sets of six copper-beryllium metallic collecting foils to the flux of neutral interstellar gas particles which penetrate the heliosphere to the vicinity of the earth's orbit. These particles are trapped in the collecting foils and will be returned to earth for mass-spectrographic analysis when Long Duration Exposure Facility (LDEF) on which IGE was launched, is recovered.

Assessment and Planning Using Portfolio Analysis

ERIC Educational Resources Information Center

Roberts, Laura B.

2010-01-01

Portfolio analysis is a simple yet powerful management tool. Programs and activities are placed on a grid with mission along one axis and financial return on the other. The four boxes of the grid (low mission, low return; high mission, low return; high return, low mission; high return, high mission) help managers identify which programs might be…

Clementine, Deep Space Program Science Experiment

NASA Technical Reports Server (NTRS)

1993-01-01

Clementine, also called the Deep Space Program Science Experiment, is a joint Department of Defense (DoD)/National Aeronautics and Space Administration (NASA) mission with the dual goal of testing small spacecraft, subsystems, and sensors in the deep space environment and also providing a nominal science return. The Clementine mission will provide technical demonstrations of innovative lightweight spacecraft components and sensors, will be launced on a spacecraft developed within 2 years of program start, and will point a way for new planetary mission options under consideration by NASA. This booklet gives the background of the Clementine mission (including the agencies involved), the mission objectives, the mission scenario, the instruments that the mission will carry, and how the data will be analyzed and made accessible.

Updated Estimates of the Average Financial Return on Master's Degree Programs in the United States

ERIC Educational Resources Information Center

Gándara, Denisa; Toutkoushian, Robert K.

2017-01-01

In this study, we provide updated estimates of the private and social financial return on enrolling in a master's degree program in the United States. In addition to returns for all fields of study, we show estimated returns to enrolling in master's degree programs in business and education, specifically. We also conduct a sensitivity analysis to…

Flight Experiment Verification of Shuttle Boundary Layer Transition Prediction Tool

NASA Technical Reports Server (NTRS)

Berry, Scott A.; Berger, Karen T.; Horvath, Thomas J.; Wood, William A.

2016-01-01

Boundary layer transition at hypersonic conditions is critical to the design of future high-speed aircraft and spacecraft. Accurate methods to predict transition would directly impact the aerothermodynamic environments used to size a hypersonic vehicle's thermal protection system. A transition prediction tool, based on wind tunnel derived discrete roughness correlations, was developed and implemented for the Space Shuttle return-to-flight program. This tool was also used to design a boundary layer transition flight experiment in order to assess correlation uncertainties, particularly with regard to high Mach-number transition and tunnel-to-flight scaling. A review is provided of the results obtained from the flight experiment in order to evaluate the transition prediction tool implemented for the Shuttle program.

SUNY Campus Leadership as a Catalyst for Developing Virtual Community Learning Systems.

ERIC Educational Resources Information Center

Benson, Gregory M., Jr.

This paper reflects SUNY's (State University of New York) efforts at applying technology and telecommunications to improve the quality, accessibility, and productivity of educational programs and to enhance the return on the public investments in education. It is built upon the experiences of SUNY campuses, local schools, and industry which have…

Animal Enterprise Record Book. Agricultural Education.

ERIC Educational Resources Information Center

Ohio State Univ., Columbus. Agricultural Curriculum Materials Service.

This record book is intended for use by agricultural education students who have ownership arrangements in animal enterprise experience programs. A major purpose of this book is to aid in separating out or allocating the costs and returns to a specific enterprise. The financial, labor, and management aspects of each enterprise can then be studied…

PP prune users guide.

Treesearch

N.A. Bolon; R.D. Fight; J.M. Cahill

1992-01-01

The PP PRUNE program allows users to conduct a financial analysis of pruning ponderosa pine (Pinus ponderosa Dougl. ex Laws.). The increase in product value and rate of return from pruning the butt 16.5-foot log can be estimated. Lumber recovery information is based on actual mill experience with pruned and unpruned logs. Users supply lumber prices...

Planning and management of science programs on Skylab

NASA Technical Reports Server (NTRS)

Parker, R. A. R.; Sevier, J. R.

1974-01-01

Discussion of the experience gained in experiment operation planning during the Skylab mission. The Skylab flight planning activity allowed the experimenters to interact with the system and provided the flexibility to respond to contingencies both major and minor. Both these aspects contributed to make efficient use of crew time thus helping to increase the science return from the mission. Examples of the need for real time scheduling response and of the tradeoffs considered between conflicting experiment requirements are presented. General management principles derived from this experience are developed. The Skylab mission experiences, together with previous Apollo mission experiences, are shown to provide a good background for Shuttle flight planning.

Advancing Space Sciences through Undergraduate Research Experiences at UC Berkeley's Space Sciences Laboratory - a novel approach to undergraduate internships for first generation community college students

NASA Astrophysics Data System (ADS)

Raftery, C. L.; Davis, H. B.; Peticolas, L. M.; Paglierani, R.

2015-12-01

The Space Sciences Laboratory at UC Berkeley launched an NSF-funded Research Experience for Undergraduates (REU) program in the summer of 2015. The "Advancing Space Sciences through Undergraduate Research Experiences" (ASSURE) program recruited heavily from local community colleges and universities, and provided a multi-tiered mentorship program for students in the fields of space science and engineering. The program was focussed on providing a supportive environment for 2nd and 3rd year undergraduates, many of whom were first generation and underrepresented students. This model provides three levels of mentorship support for the participating interns: 1) the primary research advisor provides academic and professional support. 2) The program coordinator, who meets with the interns multiple times per week, provides personal support and helps the interns to assimilate into the highly competitive environment of the research laboratory. 3) Returning undergraduate interns provided peer support and guidance to the new cohort of students. The impacts of this program on the first generation students and the research mentors, as well as the lessons learned will be discussed.

Factors influencing the return rate in a direct mail campaign to inform minority women about prevention of cervical cancer.

PubMed Central

Dignan, M B; Michielutte, R; Jones-Lighty, D D; Bahnson, J

1994-01-01

The Forsyth County Cervical Cancer Prevention Project was a 5-year community-based health education program funded by the National Cancer Institute. The program was developed to reduce cervical cancer mortality among black women in Forsyth County, and it was targeted to those ages 18 and older. The program tried to educate the target population through a combination of mass media and direct education. This paper reports on an experiment conducted to investigate sources of influence on the effectiveness of direct mail, a technique used to augment mass media health education. Direct mail has shown promise as a method for reaching target populations that are difficult to reach with other mass media approaches. Using commercially prepared mailing lists sorted by zip code and other characteristics of the resident, health-related materials can be targeted to persons at their homes. A randomized experiment involving 1,000 households was carried out to estimate the influence of type of postage and address (name versus "resident or occupant") on the response rate to direct mail. Results indicated that there was no significant advantage from use of first class over bulk rate postage, but the return was significantly greater when the envelope bore a name rather than "resident or occupant." PMID:8041850

Factors influencing the return rate in a direct mail campaign to inform minority women about prevention of cervical cancer.

PubMed

Dignan, M B; Michielutte, R; Jones-Lighty, D D; Bahnson, J

1994-01-01

The Forsyth County Cervical Cancer Prevention Project was a 5-year community-based health education program funded by the National Cancer Institute. The program was developed to reduce cervical cancer mortality among black women in Forsyth County, and it was targeted to those ages 18 and older. The program tried to educate the target population through a combination of mass media and direct education. This paper reports on an experiment conducted to investigate sources of influence on the effectiveness of direct mail, a technique used to augment mass media health education. Direct mail has shown promise as a method for reaching target populations that are difficult to reach with other mass media approaches. Using commercially prepared mailing lists sorted by zip code and other characteristics of the resident, health-related materials can be targeted to persons at their homes. A randomized experiment involving 1,000 households was carried out to estimate the influence of type of postage and address (name versus "resident or occupant") on the response rate to direct mail. Results indicated that there was no significant advantage from use of first class over bulk rate postage, but the return was significantly greater when the envelope bore a name rather than "resident or occupant."

Survey of departments of health about PKU screening programs.

PubMed Central

Steiner, K C; Smith, H A

1975-01-01

Mailed questionnaires were used to examine the success of PKU (phenylketonuria) screening programs that were operated by departments of health and to examine differences between these programs. Of 55 departments, 44 were returned and 42 departments reported they had a PKU detection program. Thirty-eight respondents considered the PKU detection program to be effective, and 31 respondents indicated that the entire program cost $60,000 or less per year. The answers and comments on the questionnaires showed a generally positive view of the effectiveness about the value of the treatment program in general were also positive. However, a few departments indicated that more clinical evidence and experience were needed to fully evaluate the overall merits of PKU detection and screening programs. PMID:803697

Back home after an acquired brain injury: building a "low-cost" team to provide theory-driven cognitive rehabilitation after routine interventions.

PubMed

Pierini, Davide; Hoerold, Doreen

2014-01-01

Individuals with Acquired Brain Injury (ABI) could benefit from further cognitive rehabilitation, after they have returned home. However, a lack of specialist services to provide such rehabilitation often prevents this. This leads to reduced reintegration of patients, increased social disadvantages and ultimately, higher economic costs. 10 months post-stroke, a 69 year-old woman was discharged from an inpatient rehabilitation program and returned home with severe cognitive impairments. We describe a pilot project which provided an individualised, low cost rehabilitation program, supervised and trained by a neuropsychologist. Progress was monitored every 3 months in order to decide on continuation of the program, based on the achieved results and predicted costs. Post intervention, despite severe initial impairment, cognitive and most notably daily functioning had improved. Although the financial investment was moderately high for the family, the intervention was still considered cost-effective when compared with the required costs of care in a local non-specialist care home. Moreover, the pilot experience was used to build a "local expert team" available for other individuals requiring rehabilitation. These results encourage the development of similar local "low cost" teams in the community, to provide scientifically-grounded cognitive rehabilitation for ABI patients returning home.

The Returns to Quality in Graduate Education

ERIC Educational Resources Information Center

Stevenson, Adam

2016-01-01

This paper estimates the monetary return to quality in US graduate education, controlling for cognitive ability and self-selection across award level, program quality, and field-of-study. In most program types, I cannot reject the hypothesis of no returns to either degree completion or program quality. Important exceptions include master's…

The effect of financial incentives on chlamydia testing rates: evidence from a randomized experiment.

PubMed

Dolan, Paul; Rudisill, Caroline

2014-03-01

Financial incentives have been used in a variety of settings to motivate behaviors that might not otherwise be undertaken. They have been highlighted as particularly useful in settings that require a single behavior, such as appointment attendance or vaccination. They also have differential effects based on socioeconomic status in some applications (e.g. smoking). To further investigate these claims, we tested the effect of providing different types of non-cash financial incentives on the return rates of chlamydia specimen samples amongst 16-24 year-olds in England. In 2011 and 2012, we ran a two-stage randomized experiment involving 2988 young people (1489 in Round 1 and 1499 in Round 2) who requested a chlamydia screening kit from Freetest.me, an online and text screening service run by Preventx Limited. Participants were randomized to control, or one of five types of financial incentives in Round 1 or one of four financial incentives in Round 2. We tested the effect of five types of incentives on specimen sample return; reward vouchers of differing values, charity donation, participation in a lottery, choices between a lottery and a voucher and including vouchers of differing values in the test kit prior to specimen return. Financial incentives of any type, did not make a significant difference in the likelihood of specimen return. The more deprived individuals were, as calculated using Index of Multiple Deprivation (IMD), the less likely they were to return a sample. The extent to which incentive structures influenced sample return was not moderated by IMD score. Non-cash financial incentives for chlamydia testing do not seem to affect the specimen return rate in a chlamydia screening program where test kits are requested online, mailed to requestors and returned by mail. They also do not appear more or less effective in influencing test return depending on deprivation level. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Measures to facilitate the reintegration of returning migrant workers: international experiences.

PubMed

Lohrmann, R

1988-06-01

Bilateral and multilateral measures implemented to assist migrants who return to their country of origin have been designed to respond to a number of different but specific situations. 2 bilateral agreements are briefly described: 1) an agreement between the Federal Republic of Germany and the Republic of Turkey signed in the early 1970s, and 2) an agreement between France and Algeria signed in 1980. 3 different types of multilateral activities are described: 1) the operation of the so-called Return of Talent program by the Intergovernmental Committee for Migration, 2) the Transfer of KNow-how Through Expatriate Nationals program of the UN Development Programme, and 3) the elaboration of a model machinery on return migration by the Organization for Economic Cooperation and Development. While the 1st 2 activities are operational programs, by which annually between 1000-2000 professionals are assisted in their permanent return to or temporary sojourn in their developing countries of origin, with the financial support of both the developed and the developing countries concerned, the 3rd initiative is a conceptual effort aimed at assisting governments to implement policy measures designed to make return migration commensurate with national development goals. 3 recent proposals include 1) the proposal for an international labor compensatory facility, 2) an international fund for vocational training, and 3) an international fund for manpower resources. A common factor shared by all these programs is that they have all involved on 1 side industrial receiving countries which feel themselves obliged to observe a number of principles guaranteed by law and which govern employment conditions and working relations. The reintegration measures implemented or proposed in cooperation with them have been adopted in full consideration of the prevailing standards of these countries, as different as they may be from 1 country to another. A common consideration has been that the returning migrant should reintegrate in his country of origin as far as possible in conditions allowing the returnee to attain self-sufficiency and social security coverage. However, this underlying context does not necessarily prevail in all world regions where different forms of labor migration take place. Therefore the measures experienced in the relationship of specific countries cannot be easily copied for implementation in other countries. Multilateral measures benefited a rather limited number of individuals only, in many instances skilled and highly skilled migrants.

Economic return of clinical trials performed under the pediatric exclusivity program.

PubMed

Li, Jennifer S; Eisenstein, Eric L; Grabowski, Henry G; Reid, Elizabeth D; Mangum, Barry; Schulman, Kevin A; Goldsmith, John V; Murphy, M Dianne; Califf, Robert M; Benjamin, Daniel K

2007-02-07

In 1997, Congress authorized the US Food and Drug Administration (FDA) to grant 6-month extensions of marketing rights through the Pediatric Exclusivity Program if industry sponsors complete FDA-requested pediatric trials. The program has been praised for creating incentives for studies in children and has been criticized as a "windfall" to the innovator drug industry. This critique has been a substantial part of congressional debate on the program, which is due to expire in 2007. To quantify the economic return to industry for completing pediatric exclusivity trials. A cohort study of programs conducted for pediatric exclusivity. Nine drugs that were granted pediatric exclusivity were selected. From the final study reports submitted to the FDA (2002-2004), key elements of the clinical trial design and study operations were obtained, and the cost of performing each study was estimated and converted into estimates of after-tax cash outflows. Three-year market sales were obtained and converted into estimates of after-tax cash inflows based on 6 months of additional market protection. Net economic return (cash inflows minus outflows) and net return-to-costs ratio (net economic return divided by cash outflows) for each product were then calculated. Net economic return and net return-to-cost ratio. The indications studied reflect a broad representation of the program: asthma, tumors, attention-deficit/hyperactivity disorder, hypertension, depression/generalized anxiety disorder, diabetes mellitus, gastroesophageal reflux, bacterial infection, and bone mineralization. The distribution of net economic return for 6 months of exclusivity varied substantially among products (net economic return ranged from -$8.9 million to $507.9 million and net return-to-cost ratio ranged from -0.68 to 73.63). The economic return for pediatric exclusivity is variable. As an incentive to complete much-needed clinical trials in children, pediatric exclusivity can generate lucrative returns or produce more modest returns on investment.

Economic Return of Clinical Trials Performed Under the Pediatric Exclusivity Program

PubMed Central

Li, Jennifer S.; Eisenstein, Eric L.; Grabowski, Henry G.; Reid, Elizabeth D.; Mangum, Barry; Schulman, Kevin A.; Goldsmith, John V.; Murphy, M. Dianne; Califf, Robert M.; Benjamin, Daniel K.

2009-01-01

Context In 1997, Congress authorized the Food and Drug Administration (FDA) to grant 6 month extensions of marketing rights through the Pediatric Exclusivity program if industry sponsors complete FDA-requested pediatric trials. The program has been praised for creating incentives for studies in children; it has been criticized as a “windfall” to the innovator drug industry. This critique has been a substantial part of Congressional debate on the program, which is due to sunset in 2007. Objective To quantify the economic return to industry for completing Pediatric Exclusivity. Design Cohort study of programs conducted for Pediatric Exclusivity. We selected 9 drugs that were granted Pediatric Exclusivity. From the final study reports submitted to FDA, we obtained key elements of the clinical trial design and study operations. We estimated the cost of performing each study and converted these into estimates of after-tax cash outflows. We obtained 3-year market sales and converted these into estimates of after-tax cash inflows based upon 6 months of additional market protection. We then calculated the net economic return (cash inflows less outflows) and ratio net return to costs (net economic return divided by cash outflows) for each product. Main Outcome Measures Net economic return and ratio of net return to cost. Results The indications studied reflected a broad representation of the program: asthma, tumors, attention deficit disorder, hypertension, depression/generalized anxiety disorder, diabetes, gastroesophageal reflux, bacterial infection, and bone mineralization. The distribution of net economic return for 6 months of exclusivity varied substantially among products [net return ranged from (−)$8.9 million to (+)$507.9 million; ratio of return to cost ranged from −0.68 to 73.6] Conclusions The economic return for pediatric exclusivity is highly variable. Pediatric Exclusivity, as an incentive to complete much-needed clinical trials in children, can generate lucrative returns, but more frequently produces more modest return on investment. PMID:17284698

Lunar Plant Biology - A Review of the Apollo Era

NASA Astrophysics Data System (ADS)

Ferl, Robert J.; Paul, Anna-Lisa

2010-04-01

Recent plans for human return to the Moon have significantly elevated scientific interest in the lunar environment with emphasis on the science to be done in preparation for the return and while on the lunar surface. Since the return to the Moon is envisioned as a dedicated and potentially longer-term commitment to lunar exploration, questions of the lunar environment and particularly its impact on biology and biological systems have become a significant part of the lunar science discussion. Plants are integral to the discussion of biology on the Moon. Plants are envisioned as important components of advanced habitats and fundamental components of advanced life-support systems. Moreover, plants are sophisticated multicellular eukaryotic life-forms with highly orchestrated developmental processes, well-characterized signal transduction pathways, and exceedingly fine-tuned responses to their environments. Therefore, plants represent key test organisms for understanding the biological impact of the lunar environment on terrestrial life-forms. Indeed, plants were among the initial and primary organisms that were exposed to returned lunar regolith from the Apollo lunar missions. This review discusses the original experiments involving plants in association with the Apollo samples, with the intent of understanding those studies within the context of the first lunar exploration program and drawing from those experiments the data to inform the studies critical within the next lunar exploration science agenda.

Lunar plant biology--a review of the Apollo era.

PubMed

Ferl, Robert J; Paul, Anna-Lisa

2010-04-01

Recent plans for human return to the Moon have significantly elevated scientific interest in the lunar environment with emphasis on the science to be done in preparation for the return and while on the lunar surface. Since the return to the Moon is envisioned as a dedicated and potentially longer-term commitment to lunar exploration, questions of the lunar environment and particularly its impact on biology and biological systems have become a significant part of the lunar science discussion. Plants are integral to the discussion of biology on the Moon. Plants are envisioned as important components of advanced habitats and fundamental components of advanced life-support systems. Moreover, plants are sophisticated multicellular eukaryotic life-forms with highly orchestrated developmental processes, well-characterized signal transduction pathways, and exceedingly fine-tuned responses to their environments. Therefore, plants represent key test organisms for understanding the biological impact of the lunar environment on terrestrial life-forms. Indeed, plants were among the initial and primary organisms that were exposed to returned lunar regolith from the Apollo lunar missions. This review discusses the original experiments involving plants in association with the Apollo samples, with the intent of understanding those studies within the context of the first lunar exploration program and drawing from those experiments the data to inform the studies critical within the next lunar exploration science agenda.

Importance Of Quality Control in Reducing System Risk, a Lesson Learned From The Shuttle and a Recommendation for Future Launch Vehicles

NASA Technical Reports Server (NTRS)

Safie, Fayssal M.; Messer, Bradley P.

2006-01-01

This paper presents lessons learned from the Space Shuttle return to flight experience and the importance of these lessons learned in the development of new the NASA Crew Launch Vehicle (CLV). Specifically, the paper discusses the relationship between process control and system risk, and the importance of process control in improving space vehicle flight safety. It uses the External Tank (ET) Thermal Protection System (TPS) experience and lessons learned from the redesign and process enhancement activities performed in preparation for Return to Flight after the Columbia accident. The paper also, discusses in some details, the Probabilistic engineering physics based risk assessment performed by the Shuttle program to evaluate the impact of TPS failure on system risk and the application of the methodology to the CLV.

Fuzzy Random λ-Mean SAD Portfolio Selection Problem: An Ant Colony Optimization Approach

NASA Astrophysics Data System (ADS)

Thakur, Gour Sundar Mitra; Bhattacharyya, Rupak; Mitra, Swapan Kumar

2010-10-01

To reach the investment goal, one has to select a combination of securities among different portfolios containing large number of securities. Only the past records of each security do not guarantee the future return. As there are many uncertain factors which directly or indirectly influence the stock market and there are also some newer stock markets which do not have enough historical data, experts' expectation and experience must be combined with the past records to generate an effective portfolio selection model. In this paper the return of security is assumed to be Fuzzy Random Variable Set (FRVS), where returns are set of random numbers which are in turn fuzzy numbers. A new λ-Mean Semi Absolute Deviation (λ-MSAD) portfolio selection model is developed. The subjective opinions of the investors to the rate of returns of each security are taken into consideration by introducing a pessimistic-optimistic parameter vector λ. λ-Mean Semi Absolute Deviation (λ-MSAD) model is preferred as it follows absolute deviation of the rate of returns of a portfolio instead of the variance as the measure of the risk. As this model can be reduced to Linear Programming Problem (LPP) it can be solved much faster than quadratic programming problems. Ant Colony Optimization (ACO) is used for solving the portfolio selection problem. ACO is a paradigm for designing meta-heuristic algorithms for combinatorial optimization problem. Data from BSE is used for illustration.

Voices of Informal Caregivers and Community Stakeholders: Whether and How to Develop an Informal Caregiver Training Program

PubMed Central

Phillips, Sara S.; Ragas, Daiva M.; Tom, Laura S.; Hajjar, Nadia; Dong, XinQi; Simon, Melissa A.

2015-01-01

Our primary objective was to gather pilot data from caregivers and stakeholders to guide the development of a training program to assist informal caregivers in re-entering the job market. The goal of the program would be to help caregivers rebound from their incurred economic burden by transitioning into a paid caregiving or other health-service role. The economic burden they bear often necessitates a return to the workforce following caregiving; yet the act of returning is complicated by an extended absence from the workforce and a lack of experience in other verifiably skilled and paid roles. We interviewed 37 stakeholders and 25 caregivers of a chronically or terminally ill family member or friend in a suburban collar county close to Chicago. The interview questions considered the economic impact of illness, as well as the feasibility, logistics, and options of a training program for caregivers. Our data gathered from caregivers and leaders within this community support the acceptability of such a training program for informal caregivers, and also provide practical advice for development and implementation related to training cost, length, content, and instructional practices. PMID:26607814

Voices of Informal Caregivers and Community Stakeholders: Whether and How to Develop an Informal Caregiver Training Program.

PubMed

Phillips, Sara S; Ragas, Daiva M; Tom, Laura S; Hajjar, Nadia; Dong, XinQi; Simon, Melissa A

2016-06-01

Our primary objective was to gather pilot data from caregivers and stakeholders to guide the development of a training program to assist informal caregivers in re-entering the job market. The goal of the program would be to help caregivers rebound from their incurred economic burden by transitioning into a paid caregiving or other health-service role. The economic burden they bear often necessitates a return to the workforce following caregiving; yet the act of returning is complicated by an extended absence from the workforce and a lack of experience in other verifiably skilled and paid roles. We interviewed 37 stakeholders and 25 caregivers of a chronically or terminally ill family member or friend in a suburban collar county close to Chicago. The interview questions considered the economic impact of illness, as well as the feasibility, logistics, and options of a training program for caregivers. Our data gathered from caregivers and leaders within this community support the acceptability of such a training program for informal caregivers, and also provide practical advice for development and implementation related to training cost, length, content, and instructional practices.

Supporting Women Returning to Work: A European Perspective.

ERIC Educational Resources Information Center

Shepherd, Jan; Saxby-Smith, Sue

A 2-year project examined the effectiveness of courses for returning workers in enabling women to make a sustained return to paid employment in the following countries: France; Spain; Ireland; and the United Kingdom. In each country, a short foundation-level program and a longer accredited return-to-work program were selected for evaluation.…

Do employee health management programs work?

PubMed

Serxner, Seth; Gold, Daniel; Meraz, Angela; Gray, Ann

2009-01-01

Current peer review literature clearly documents the economic return and Return-on-Investment (ROI) for employee health management (EHM) programs. These EHM programs are defined as: health promotion, self-care, disease management, and case management programs. The evaluation literature for the sub-set of health promotion and disease management programs is examined in this article for specific evidence of the level of economic return in medical benefit cost reduction or avoidance. The article identifies the methodological challenges associated with determination of economic return for EHM programs and summarizes the findings from 23 articles that included 120 peer review study results. The article identifies the average ROI and percent health plan cost impact to be expected for both types of EHM programs, the expected time period for its occurrence, and caveats related to its measurement.

Does graded return-to-work improve sick-listed workers' chance of returning to regular working hours?

PubMed

Høgelund, Jan; Holm, Anders; McIntosh, James

2010-01-01

Using Danish register and survey data, we examine the effect of a national graded return-to-work program on the probability of sick-listed workers returning to regular working hours. During program participation, the sick-listed worker works fewer hours and receives the normal hourly wage for the hours worked and sickness benefit for the hours off work. When the worker's health improves, working hours are increased until the sick-listed worker is able to work regular hours. Taking account of unobserved differences between program participants and non-participants, we find that participation in the program significantly increases the probability of returning to regular working hours. Copyright 2009 Elsevier B.V. All rights reserved.

Eggs: The role of gravity in the establishment of the dorso-ventral axis in the amphibian embryo (7-IML-1)

NASA Technical Reports Server (NTRS)

Ubbels, Geertje A.

1992-01-01

The purpose of this experiment is to fertilize frog (Xenopus laevis) eggs under microgravity, to perform histological fixations at two different programmed times, and after return to Earth, to determine whether timing and pattern of egg cleavages and axis formation are normal. Because of the limited viability of the gametes, this experiment will be the very first to be activated in the Biorack. Various aspects of this investigation are discussed.

Variables Influencing the Return on Investment in Management Training Programs: A Utility Analysis of 10 Swiss Cases

ERIC Educational Resources Information Center

Chochard, Yves; Davoine, Eric

2011-01-01

In this article, we present the utility analysis approach as an alternative and promising approach to measure the return on investment in managerial training programs. This approach, linking economic value with competencies developed by trainees, enables researchers and decision-makers to compare the return on investment from different programs in…

Project Return and Babygram Hospital Outreach, 1993-94.

ERIC Educational Resources Information Center

Weiler, Jeanne

Project Return, a dropout recovery program to assist pregnant and parenting teenagers and parents of elementary school children to return to school, was first implemented in 1989-90, and by 1993-94 had expanded to serve 19 sites in New York City. The Babygram Hospital Outreach program, an outgrowth of Project Return, operated in 12 hospitals and…

The Plasma Interaction Experiment (PIX) description and test program. [electrometers

NASA Technical Reports Server (NTRS)

Ignaczak, L. R.; Haley, F. A.; Domino, E. J.; Culp, D. H.; Shaker, F. J.

1978-01-01

The plasma interaction experiment (PIX) is a battery powered preprogrammed auxiliary payload on the LANDSAT-C launch. This experiment is part of a larger program to investigate space plasma interactions with spacecraft surfaces and components. The varying plasma densities encountered during available telemetry coverage periods are deemed sufficient to determine first order interactions between the space plasma environment and the biased experimental surfaces. The specific objectives of the PIX flight experiment are to measure the plasma coupling current and the negative voltage breakdown characteristics of a solar array segment and a gold plated steel disk. Measurements will be made over a range of surface voltages up to plus or minus kilovolt. The orbital environment will provide a range of plasma densities. The experimental surfaces will be voltage biased in a preprogrammed step sequence to optimize the data returned for each plasma region and for the available telemetry coverage.

Experiment module concepts study. Volume 5 book 1, appendix A: Shuttle only task

NASA Technical Reports Server (NTRS)

1970-01-01

Results of a preliminary investigation of the effect on the candidate experiment program implementation of experiment module operations in the absence of an orbiting space station and with the availability of the space shuttle orbiter vehicle only are presented. The fundamental hardware elements for shuttle-only operation of the program are: (1) integrated common experiment modules CM-1, CM-3, and CM-4, together with the propulsion slice; (2) support modules capable of supplying on-orbit crew life support, power, data management, and other services normally provided by a space station; (3) dormancy kits to enable normally attached modules to remain in orbit while shuttle returns to earth; and (4) shuttle orbiter. Preliminary cost estimates for 30 day on-orbit and 5 day on-orbit capabilities for a four year implementation period are $4.2 billion and $2.1 billion, respectively.

EPSS Needs Assessment: Oops, I Forgot How to Do That!

ERIC Educational Resources Information Center

Nguyen, Frank

2005-01-01

How many times have you attended a marathon training class only to return to your job and promptly forget what you learned? How many times have you programmed your VCR, only to find yourself searching for the manual six months later? The reality is that humans accumulate a vast amount of life experience and knowledge. Adult learning theory…

Elders' Experiences During Return Visits to the Emergency Department: A Phenomenographic Study in Taiwan.

PubMed

Han, Chin-Yen; Lin, Chun-Chih; Goopy, Suzanne; Hsiao, Ya-Chu; Barnard, Alan

Elders often experience multiple chronic diseases associated with frequent early return visits to emergency departments (EDs). There is limited knowledge of the experiences and concerns of elders during ED return visits. The purpose of the research was to explore the experiences of elders during ED return visits, with a view toward identifying factors that contribute to return visits. The qualitative approach of phenomenography was used. Data were collected at one ED in a 3,000-bed medical center in Taiwan. Inclusion criteria were aged 65 or above and return visits to the ED within 72 hours of discharge from an index ED visit. The seven steps of qualitative data analysis for a phenomenographic study were employed to develop understanding of participants' experiences. Thirty return-visit elders were interviewed in 2014. Four categories of description were established from the participants' accounts. These were "being tricked by ED staff," "doctor shopping," "a sign of impending death," and "feeling fatalistic." The outcome space of elders with early return visits to ED was characterized as "seeking the answer." Index ED visits are linked to return visits for Taiwanese elders through physiological, psychological, and social factors.

Propulsion Technology Development for Sample Return Missions Under NASA's ISPT Program

NASA Technical Reports Server (NTRS)

Anderson, David J.; Pencil, Eric J.; Vento, Daniel; Dankanich, John W.; Munk, Michelle M.; Hahne, David

2011-01-01

The In-Space Propulsion Technology (ISPT) Program was tasked in 2009 to start development of propulsion technologies that would enable future sample return missions. Sample return missions could be quite varied, from collecting and bringing back samples of comets or asteroids, to soil, rocks, or atmosphere from planets or moons. The paper will describe the ISPT Program s propulsion technology development activities relevant to future sample return missions. The sample return propulsion technology development areas for ISPT are: 1) Sample Return Propulsion (SRP), 2) Planetary Ascent Vehicles (PAV), 3) Entry Vehicle Technologies (EVT), and 4) Systems/mission analysis and tools that focuses on sample return propulsion. The Sample Return Propulsion area is subdivided into: a) Electric propulsion for sample return and low cost Discovery-class missions, b) Propulsion systems for Earth Return Vehicles (ERV) including transfer stages to the destination, and c) Low TRL advanced propulsion technologies. The SRP effort will continue work on HIVHAC thruster development in FY2011 and then transitions into developing a HIVHAC system under future Electric Propulsion for sample return (ERV and transfer stages) and low-cost missions. Previous work on the lightweight propellant-tanks will continue under advanced propulsion technologies for sample return with direct applicability to a Mars Sample Return (MSR) mission and with general applicability to all future planetary spacecraft. A major effort under the EVT area is multi-mission technologies for Earth Entry Vehicles (MMEEV), which will leverage and build upon previous work related to Earth Entry Vehicles (EEV). The major effort under the PAV area is the Mars Ascent Vehicle (MAV). The MAV is a new development area to ISPT, and builds upon and leverages the past MAV analysis and technology developments from the Mars Technology Program (MTP) and previous MSR studies.

Free float and stochastic volatility: the experience of a small open economy

NASA Astrophysics Data System (ADS)

Selçuk, Faruk

2004-11-01

Following a dramatic collapse of a fixed exchange rate based inflation stabilization program, Turkey moved into a free floating exchange rate system in February 2001. In this paper, an asymmetric stochastic volatility model of the foreign exchange rate in Turkey is estimated for the floating period. It is shown that there is a positive relation between the exchange return and its volatility. Particularly, an increase in the return at time t results in an increase in volatility at time t+1. However, the effect is asymmetric: a decrease in the exchange rate return at time t causes a relatively less decrease in volatility at time t+1. The results imply that a central bank with a volatility smoothing policy would be biased in viewing the shocks to the exchange rate in favor of appreciation. The bias would increase if the bank is also following an inflation targeting policy.

Execution of a participatory supportive return to work program within the Dutch social security sector: a qualitative evaluation of stakeholders' perceptions.

PubMed

Lammerts, Lieke; Schaafsma, Frederieke G; van Mechelen, Willem; Anema, Johannes R

2016-04-14

A process evaluation of a participatory supportive return to work program, aimed at workers without a (permanent) employment contract who are sick-listed due to a common mental disorder, revealed that this program was executed less successfully than similar programs evaluated in earlier studies. The program consisted of a participatory approach, integrated care and direct placement in competitive employment. Aim of this study was to get a better understanding of the execution of the program by evaluating stakeholders' perceptions. In the absence of an employer, the program was applied by the Dutch Social Security Agency, in collaboration with vocational rehabilitation agencies. Together with the sick-listed workers, these were the main stakeholders. Our research questions involved stakeholders' perceptions of the function(s) of the program, and their perceptions of barriers and facilitators for a successful execution of the program within the Dutch social security sector. Semi-structured interviews were held with five sick-listed workers, eight professionals of the Social Security Agency, and two case managers of vocational rehabilitation agencies. Interview topics were related to experiences with different components of the program. Selection of respondents was based on purposive sampling and continued until data saturation was reached. Content analysis was applied to identify patterns in the data. Two researchers developed a coding system, based on predefined topics and themes emerging from the data. Although perceived functions of some components of the program were as intended, all stakeholders stressed that the program often had not resulted in return to work. Perceived barriers for a successful execution were related to a poor collaboration between the Dutch Social Security Agency, vocational rehabilitation agencies and healthcare providers, the type of experienced (health) problems, time constraints, and limited job opportunities. For future implementation of the program, it will be important to consider how a better integration of services by the Dutch Social Security Agency, vocational rehabilitation agencies and the mental healthcare sector can be improved in order to address treatment and vocational needs simultaneously, and to better match the sick-listed worker with the limited opportunities in the Dutch labor market. NTR3563.

Russian Planetary Program: Phobos and the Moon

NASA Astrophysics Data System (ADS)

Galimov, E. M.; Marov, M. Ya.; Politshuk, G. M.; Zeleniy, L. M.

2006-08-01

Planetary exploration is a cornerstone of space science and technology development. Russia has a great legacy of the world recognized former space missions to the Moon and planets. Strategy of the Russian Federal Space Agency and the Russian Academy of Sciences planetary program for the coming decade is focused on space vehicle of new generation. The basic concept of this spacecraft development is the modern technology utilization, significant cost reduction and meeting objectives of the important science return. The bottom line is the use of middle class Soyuz-type launcher, which places the principal constraint on mass of the vehicle and mission profile. Flexibility in the design of space vehicle, including a possibility of SEP technology utilization, facilitates its adaptability for extended program of the solar system exploration. As the first step, the project is optimized around sample return mission from satellite of Mars Phobos ("Phobos-Grunt" or PSR) which is in the list of the Russian Federal Space Program for 2006 to 2015. It is to be launched in 2009 and completed in 2012. The experience gained from the former Russian "Phobos 88" serves as a clue to provide an important basis for the mission concept enabling solution of many problems of the project design and its implementation. There is a challenge to return relic matter from such small body like Phobos for the ground labs comprehensive study. The payload is also targeted for in-flight and extended remote sensing and in situ measurements using the capable instrument packages. The project is addressed as a milestone in the Russian program of the solar system study, with a potential for future ambitious missions to asteroids and comets pooling international efforts. Also endorsed by the Russian Federal Space Program is "Luna-Glob" mission to the Moon tentatively scheduled for 2011. The goal is to advance lunar science with the well instrumented orbiter, lander, and the network of penetrators. Return back to the Moon with the new modern technology utilization is a great challenge in the current phase of the solar system exploration.

Peer tutoring program for academic success of returning nursing students.

PubMed

Bryer, Jennifer

2012-01-01

High attrition rates among students in associate degree nursing programs are a concern for faculty, administrators, and students. Programs offering academic and emotional support for students at risk for failing a clinical course may decrease attrition rates and improve academic performance. A peer tutoring program was developed for returning nursing students who were unsuccessful in a previous clinical course. Peer tutors met with returning students weekly to review course work, complete case studies and practice NCLEX questions. Trusting, supportive relationships developed among students and a significant increase in grades was noted at the end of the course for 79% of students. Implementation of peer tutoring was beneficial for returning students, tutors, and the nursing program and may be valuable in other courses where academic achievement is a concern.

Spur Gear Wear Investigated in Support of Space Shuttle Return-To-Flight Efforts

NASA Technical Reports Server (NTRS)

Krantz, Timothy L.; Oswald, Fred B.

2005-01-01

As part of NASA s Return-To-Flight efforts, the Space Operations Program investigated the condition of actuators for the orbiter s rudder speed brake. The actuators control the position of the rudder panels located in the tail of the orbiter, providing both steering control and braking during reentry, approach, and landing. Inspections of flight hardware revealed fretting and wear damage to the critical working surfaces of the actuator gears. To best understand the root cause of the observed damage and to help establish an appropriate reuse and maintenance plan for these safety critical parts, researchers completed a set of gear wear experiments at the NASA Glenn Research Center.

Motorized Migrations: the Future or Mere Fantasy?

USGS Publications Warehouse

Ellis, D.H.; Sladen, William J. L.; Lishman, W.A.; Clegg, K.R.; Duff, J.W.; Gee, G.F.; Lewis, J.C.

2003-01-01

In 15 experiments from 1993-2002, we led cranes, geese, or swans on their first southward migration with either ultralight aircraft or vehicles on the ground. These experiments reveal that large birds can be readily trained to follow and most will return north (and south) in subsequent migrations unassisted. These techniques can now be used to teach birds new (or forgotten) migration paths. Although we are constantly improving our training techniques, we now have an operational program that can be broadly applied to those species where juveniles learn migration routes from their parents.

Return-to-Work Program for Injured Workers: Factors of Successful Return to Employment.

PubMed

Awang, Halimah; Shahabudin, Sharifah Muhairah; Mansor, Norma

2016-11-01

This study examined the factors of successful return to employment among participants in the return to work program (RTW) following work-related injury. Data were obtained from the Social Security Organization database containing 9850 injured workers who underwent RTW in 2010 to 2013. About 65% had successfully returned to employment. Significant factors of successful return include gender, employer interest, motivation, age, intervention duration, and type of injury. Male and motivated employees were more likely to return to employment compared with female and unmotivated employees, respectively. Participants from interested employers were 23.22 times more likely to return to work than those from uninterested employers, whereas participants whose intervention period exceeded 5 months were 41% less likely to return to work compared with those whose intervention period was within 3 months. Appropriate strategy and enhanced collaboration between the stakeholders would improve the proportion of successful return to employment. © 2016 APJPH.

Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan.

PubMed

Hoge, Charles W; Auchterlonie, Jennifer L; Milliken, Charles S

2006-03-01

The US military has conducted population-level screening for mental health problems among all service members returning from deployment to Afghanistan, Iraq, and other locations. To date, no systematic analysis of this program has been conducted, and studies have not assessed the impact of these deployments on mental health care utilization after deployment. To determine the relationship between combat deployment and mental health care use during the first year after return and to assess the lessons learned from the postdeployment mental health screening effort, particularly the correlation between the screening results, actual use of mental health services, and attrition from military service. Population-based descriptive study of all Army soldiers and Marines who completed the routine postdeployment health assessment between May 1, 2003, and April 30, 2004, on return from deployment to Operation Enduring Freedom in Afghanistan (n = 16,318), Operation Iraqi Freedom (n = 222,620), and other locations (n = 64,967). Health care utilization and occupational outcomes were measured for 1 year after deployment or until leaving the service if this occurred sooner. Screening positive for posttraumatic stress disorder, major depression, or other mental health problems; referral for a mental health reason; use of mental health care services after returning from deployment; and attrition from military service. The prevalence of reporting a mental health problem was 19.1% among service members returning from Iraq compared with 11.3% after returning from Afghanistan and 8.5% after returning from other locations (P<.001). Mental health problems reported on the postdeployment assessment were significantly associated with combat experiences, mental health care referral and utilization, and attrition from military service. Thirty-five percent of Iraq war veterans accessed mental health services in the year after returning home; 12% per year were diagnosed with a mental health problem. More than 50% of those referred for a mental health reason were documented to receive follow-up care although less than 10% of all service members who received mental health treatment were referred through the screening program. Combat duty in Iraq was associated with high utilization of mental health services and attrition from military service after deployment. The deployment mental health screening program provided another indicator of the mental health impact of deployment on a population level but had limited utility in predicting the level of mental health services that were needed after deployment. The high rate of using mental health services among Operation Iraqi Freedom veterans after deployment highlights challenges in ensuring that there are adequate resources to meet the mental health needs of returning veterans.

Does Aggregated Returns Disclosure Increase Portfolio Risk Taking?

PubMed

Beshears, John; Choi, James J; Laibson, David; Madrian, Brigitte C

2017-06-01

Many experiments have found that participants take more investment risk if they see returns less frequently, see portfolio-level returns (rather than each individual asset's returns), or see long-horizon (rather than one-year) historical return distributions. In contrast, we find that such information aggregation treatments do not affect total equity investment when we make the investment environment more realistic than in prior experiments. Previously documented aggregation effects are not robust to changes in the risky asset's return distribution or the introduction of a multi-day delay between portfolio choice and return realizations.

KSC-2014-4115

NASA Image and Video Library

2014-09-25

CAPE CANAVERAL, Fla. – NASA astronaut Rick Mastracchio recounts his experiences conducting the Slosh experiment on the International Space Station to employees attending the Launch Services Program's All Hands meeting in the Neil Armstrong Operations and Checkout Building Mission Briefing Room at NASA's Kennedy Space Center in Florida. An Expedition 38/39 crew member, Mastracchio launched to the station from the Baikonur Cosmodrome in Kazakhstan on Nov. 6, 2013, and returned to Earth on May 13, 2014, after 188 days in space. To read Mastracchio's biography, visit http://www.jsc.nasa.gov/Bios/htmlbios/mastracc.html. For more information on the Slosh experiment, visit http://www.nasa.gov/content/slosh-experiment-designed-to-improve-rocket-safety-efficiency/. Photo credit: NASA/Daniel Casper

Return to work of workers without a permanent employment contract, sick-listed due to a common mental disorder: design of a randomised controlled trial.

PubMed

Lammerts, Lieke; Vermeulen, Sylvia J; Schaafsma, Frederieke G; van Mechelen, Willem; Anema, Johannes R

2014-06-12

Workers without a permanent employment contract represent a vulnerable group within the working population. Mental disorders are a major cause of sickness absence within this group. Common mental disorders are stress-related, depressive and anxiety disorders. To date, little attention has been paid to effective return to work interventions for this type of sick-listed workers. Therefore, a participatory supportive return to work program has been developed. It combines elements of a participatory return to work program, integrated care and direct placement in a competitive job.The objective of this paper is to describe the design of a randomised controlled trial to evaluate the cost-effectiveness of this program compared to care as usual. The cost-effectiveness of the participatory supportive return to work program will be examined in a randomised controlled trial with a follow-up of twelve months.The program strongly involves the sick-listed worker in the identification of obstacles for return to work and possible solutions, resulting in a consensus based action plan. This plan will be used as a starting point for the search of suitable competitive employment with support of a rehabilitation agency. During this process the insurance physician of the sick-listed worker contacts other caregivers to promote integrated care.Workers eligible to participate in this study have no permanent employment contract, have applied for a sickness benefit at the Dutch Social Security Agency and are sick-listed between two and fourteen weeks due to mental health problems.The primary outcome measure is the duration until first sustainable return to work in a competitive job. Outcomes are measured at baseline and after three, six, nine and twelve months. If the participatory supportive return to work program proves to be cost-effective, the social security system, the sick-listed worker and society as a whole will benefit. A cost-effective return to work program will lead to a reduction of costs related to sickness absence. For the sick-listed worker a cost-effective program results in earlier sustainable return to work, which can be associated with both social and health benefits. The trial registration number and date is NTR3563, August 7, 2012.

Return to work of workers without a permanent employment contract, sick-listed due to a common mental disorder: design of a randomised controlled trial

PubMed Central

2014-01-01

Background Workers without a permanent employment contract represent a vulnerable group within the working population. Mental disorders are a major cause of sickness absence within this group. Common mental disorders are stress-related, depressive and anxiety disorders. To date, little attention has been paid to effective return to work interventions for this type of sick-listed workers. Therefore, a participatory supportive return to work program has been developed. It combines elements of a participatory return to work program, integrated care and direct placement in a competitive job. The objective of this paper is to describe the design of a randomised controlled trial to evaluate the cost-effectiveness of this program compared to care as usual. Methods/Design The cost-effectiveness of the participatory supportive return to work program will be examined in a randomised controlled trial with a follow-up of twelve months. The program strongly involves the sick-listed worker in the identification of obstacles for return to work and possible solutions, resulting in a consensus based action plan. This plan will be used as a starting point for the search of suitable competitive employment with support of a rehabilitation agency. During this process the insurance physician of the sick-listed worker contacts other caregivers to promote integrated care. Workers eligible to participate in this study have no permanent employment contract, have applied for a sickness benefit at the Dutch Social Security Agency and are sick-listed between two and fourteen weeks due to mental health problems. The primary outcome measure is the duration until first sustainable return to work in a competitive job. Outcomes are measured at baseline and after three, six, nine and twelve months. Discussion If the participatory supportive return to work program proves to be cost-effective, the social security system, the sick-listed worker and society as a whole will benefit. A cost-effective return to work program will lead to a reduction of costs related to sickness absence. For the sick-listed worker a cost-effective program results in earlier sustainable return to work, which can be associated with both social and health benefits. Trial registration The trial registration number and date is NTR3563, August 7, 2012. PMID:24919561

Status of Sample Return Propulsion Technology Development Under NASA's ISPT Program

NASA Technical Reports Server (NTRS)

Anderson, David J.; Glaab, Louis J.; Munk, Michelle M.; Pencil, Eric; Dankanich, John; Peterson, Todd T.

2012-01-01

The In-Space Propulsion Technology (ISPT) program was tasked in 2009 to start development of propulsion technologies that would enable future sample return missions. ISPT s sample return technology development areas are diverse. Sample Return Propulsion (SRP) addresses electric propulsion for sample return and low cost Discovery-class missions, propulsion systems for Earth Return Vehicles (ERV) including transfer stages to the destination, and low technology readiness level (TRL) advanced propulsion technologies. The SRP effort continues work on HIVHAC thruster development to transition into developing a Hall-effect propulsion system for sample return (ERV and transfer stages) and low-cost missions. Previous work on the lightweight propellant-tanks continues for sample return with direct applicability to a Mars Sample Return (MSR) mission with general applicability to all future planetary spacecraft. The Earth Entry Vehicle (EEV) work focuses on building a fundamental base of multi-mission technologies for Earth Entry Vehicles (MMEEV). The main focus of the Planetary Ascent Vehicles (PAV) area is technology development for the Mars Ascent Vehicle (MAV), which builds upon and leverages the past MAV analysis and technology developments from the Mars Technology Program (MTP) and previous MSR studies

Enhanced index tracking modeling in portfolio optimization with mixed-integer programming z approach

NASA Astrophysics Data System (ADS)

Siew, Lam Weng; Jaaman, Saiful Hafizah Hj.; Ismail, Hamizun bin

2014-09-01

Enhanced index tracking is a popular form of portfolio management in stock market investment. Enhanced index tracking aims to construct an optimal portfolio to generate excess return over the return achieved by the stock market index without purchasing all of the stocks that make up the index. The objective of this paper is to construct an optimal portfolio using mixed-integer programming model which adopts regression approach in order to generate higher portfolio mean return than stock market index return. In this study, the data consists of 24 component stocks in Malaysia market index which is FTSE Bursa Malaysia Kuala Lumpur Composite Index from January 2010 until December 2012. The results of this study show that the optimal portfolio of mixed-integer programming model is able to generate higher mean return than FTSE Bursa Malaysia Kuala Lumpur Composite Index return with only selecting 30% out of the total stock market index components.

Sample Return: What Happens to the Samples on Earth?

NASA Technical Reports Server (NTRS)

McNamara, Karen

2010-01-01

As space agencies throughout the world turn their attention toward human exploration of the Moon, Mars, and the solar system beyond, there has been an increase in the number of robotic sample return missions proposed as precursors to these human endeavors. In reality, however, we, as a global community, have very little experience with robotic sample return missions: 3 of the Russian Luna Missions successfully returned lunar material in the 1970s; 28 years later, in 2004, NASA s Genesis Mission returned material from the solar wind; and in 2006, NASA s Stardust Mission returned material from the Comet Wild2. [Note: The Japanese Hyabusa mission continues in space with the hope of returning material from the asteroid 25143 Itokawa.] We launch many spacecraft to LEO and return them to Earth. We also launch spacecraft beyond LEO to explore the planets, our solar system, and beyond. Some even land on these bodies. But these do not return. So as we begin to contemplate the sample return missions of the future, some common questions arise: "What really happens when the capsule returns?" "Where does it land?" "Who retrieves it and just how do they do that?" "Where does it go after that?" "How do the scientists get the samples?" "Do they keep them?" "Who is in charge?" The questions are nearly endless. The goal of this paper/presentation is to uncover many of the mysteries of the post-return phase of a mission - from the time the return body enters the atmosphere until the mission ends and the samples become part of a long term collection. The discussion will be based largely on the author s own experience with both the Genesis and Stardust missions. Of course, these two missions have a great deal in common, being funded by the same NASA Program (Discovery) and having similar team composition. The intent, however, is to use these missions as examples in order to highlight the general requirements and the challenges in defining and meeting those requirements for the final phase of sample return missions. The choices made by the Genesis and Stardust teams regarding recovery and sample handling will be discussed. These will be compared with the handling of returned lunar samples and the proposed handling of the Hyabusa samples as well. Finally, though none of these recent missions have been restricted within NASA s Planetary Protection Protocol, this is likely to change as missions venture farther from Earth. The implementation of Planetary Protection requirements will vary significantly based on mission scenario, however some of the potential implications of restricted Earth return will be considered.

Radar target classification studies: Software development and documentation

NASA Astrophysics Data System (ADS)

Kamis, A.; Garber, F.; Walton, E.

1985-09-01

Three computer programs were developed to process and analyze calibrated radar returns. The first program, called DATABASE, was developed to create and manage a random accessed data base. The second program, called FTRAN DB, was developed to process horizontal and vertical polarizations radar returns into different formats (i.e., time domain, circular polarizations and polarization parameters). The third program, called RSSE, was developed to simulate a variety of radar systems and to evaluate their ability to identify radar returns. Complete computer listings are included in the appendix volumes.

Mission Possible: BioMedical Experiments on the Space Shuttle

NASA Technical Reports Server (NTRS)

Bopp, E.; Kreutzberg, K.

2011-01-01

Biomedical research, both applied and basic, was conducted on every Shuttle mission from 1981 to 2011. The Space Shuttle Program enabled NASA investigators and researchers from around the world to address fundamental issues concerning living and working effectively in space. Operationally focused occupational health investigations and tests were given priority by the Shuttle crew and Shuttle Program management for the resolution of acute health issues caused by the rigors of spaceflight. The challenges of research on the Shuttle included: limited up and return mass, limited power, limited crew time, and requirements for containment of hazards. The sheer capacity of the Shuttle for crew and equipment was unsurpassed by any other launch and entry vehicle and the Shuttle Program provided more opportunity for human research than any program before or since. To take advantage of this opportunity, life sciences research programs learned how to: streamline the complicated process of integrating experiments aboard the Shuttle, design experiments and hardware within operational constraints, and integrate requirements between different experiments and with operational countermeasures. We learned how to take advantage of commercial-off-the-shelf hardware and developed a hardware certification process with the flexibility to allow for design changes between flights. We learned the importance of end-to-end testing for experiment hardware with humans-in-the-loop. Most importantly, we learned that the Shuttle Program provided an excellent platform for conducting human research and for developing the systems that are now used to optimize research on the International Space Station. This presentation will include a review of the types of experiments and medical tests flown on the Shuttle and the processes that were used to manifest and conduct the experiments. Learning Objective: This paper provides a description of the challenges related to launching and implementing biomedical experiments aboard the Space Shuttle.

Experiences of occupational therapists returning to work after maternity leave.

PubMed

Parcsi, Lisa; Curtin, Michael

2013-08-01

Returning to work after maternity leave can be a challenging, anxious and fraught experience for women, and has been portrayed in the literature as a generally negative experience. Interestingly, although occupational therapists were predominantly women, no research was found focussing on their experiences of returning to work after maternity leave. The aim of this research was to gain an insight into occupational therapists' experiences of returning to work following maternity leave. Principles of interpretive phenomenological analysis were used to explore the individual experiences of six Australian occupational therapists returning to work after a period of maternity leave. Individual semi-structured interviews lasting up to 90 minutes were conducted. Interviews were audio-recorded, transcribed and then analysed. Two major themes emerged from the analysis of interviews: compromise and feeling valued. The experience of returning to work was a process of compromise in which women found strategies to cope with their changing roles and demands, to find a balance between home and work life. The women wanted to feel valued by their managers and co-workers, as this enabled them to feel comfortable and confident with some of the compromises they made. Occupational therapists returning to work after maternity leave will make compromises so that they can balance their home and work life. Occupational therapists value managers and co-workers who understand the compromises women make when returning to work following maternity leave and who create a supportive workplace that acknowledges and values their contribution. © 2013 Occupational Therapy Australia.

The Recovery Process When Participating in Cancer Support and Rehabilitation Programs in Sweden

PubMed Central

Melin-Johansson, Christina; Öhlén, Joakim; Koinberg, Ingalill; Berg, Linda; Nolbris, Margaretha Jenholt

2015-01-01

The aim was to illuminate the meaning of participating in support and rehabilitation programs described by people diagnosed with cancer. Nineteen persons were interviewed in focus groups and face-to-face. Data were analyzed with a qualitative phenomenological hermeneutical method for researching lived experiences. Interpretation proceeded through three phases: naïve reading, structural analysis, and comprehensive understanding. Three themes were disclosed: receiving support for recovery when being most vulnerable, recapturing capabilities through supportive activities, and searching to find stability and well-being in a changed life situation. Participating in the programs was an existential transition from living in an unpredictable situation that was turned into something meaningful. Recovery did not mean the return to a state of normality; rather, it meant a continuing recovery from cancer treatments and symptoms involving recapturing capabilities and searching for a balance in a forever changed life. This study provides new insights about the experiences of participating in cancer support and rehabilitation programs. PMID:28462312

Perceived Effects of Scholarships on STEM Majors' Commitment to Teaching in High Need Schools

NASA Astrophysics Data System (ADS)

Liou, Pey-Yan; Kirchhoff, Allison; Lawrenz, Frances

2010-06-01

This study examines the Noyce Program, which provides scholarships for STEM majors in return for teaching in high need schools. The perceptions of 555 scholarship recipients were investigated using hierarchical cluster analysis, confirmatory factor analysis, and Rasch analysis to determine how the scholarship influenced their commitments to teaching in high need schools. The analyses indicated that recipients perceived the scholarship in two ways: it influenced their commitment to complete their certification program and to teach in high need schools. Implications for teacher education programs include that recruitment strategies should identify candidates who are committed to teaching in high need schools and programs should provide experiences to encourage this commitment not just to become certified.

Does Aggregated Returns Disclosure Increase Portfolio Risk Taking?

PubMed Central

Beshears, John; Choi, James J.; Laibson, David; Madrian, Brigitte C.

2016-01-01

Many experiments have found that participants take more investment risk if they see returns less frequently, see portfolio-level returns (rather than each individual asset’s returns), or see long-horizon (rather than one-year) historical return distributions. In contrast, we find that such information aggregation treatments do not affect total equity investment when we make the investment environment more realistic than in prior experiments. Previously documented aggregation effects are not robust to changes in the risky asset’s return distribution or the introduction of a multi-day delay between portfolio choice and return realizations. PMID:28553012

Effects of a tailor-made exercise program on exercise adherence and health outcomes in patients with knee osteoarthritis: a mixed-methods pilot study.

PubMed

Lee, Fung-Kam Iris; Lee, Tze-Fan Diana; So, Winnie Kwok-Wei

2016-01-01

Previous studies showed that exercise intervention was effective in symptoms control of knee osteoarthritis (OA) but poor intervention adherence reduced the exercise effect. It has been suspected that the design of exercise intervention mainly from the health care professionals' perspective could not address the patients' barriers to exercise. Therefore, a tailor-made exercise program which incorporated the patient's perspective in the design was developed and ready for evaluation. This pilot study estimated the effects of a tailor-made exercise program on exercise adherence and health outcomes, and explored the participants' perception and experience of the program. The intervention of this study was a 4-week community-based group exercise program, which required the participants to attend a 1-hour session each week. Thirty-four older people with knee OA were recruited to the program. Mixed-methods study design was used to estimate the effects of this program and explore the participants' perception and experience of the program. Exercise adherence and performance in return-demonstration of the exercise were assessed at 12 weeks after the program. Disease-specific health status (Western Ontario and McMaster Universities Osteoarthritis Index), general health status (12-item Short Form of the Medical Outcome Study Questionnaire), knee range of motion, muscle strength, and endurance of the lower extremities (Timed-Stands Test) were measured at the beginning of the program and 12 weeks after. Six participants were interviewed individually on the 12th week. Thirty-three participants (75.0±7.3 years) completed the one-group pretest and post-test study. The participants' exercise adherence was 91.4%±14.54%, and their correct performance in return-demonstration was 76.7%±21.75%. Most of the participants' health outcomes significantly improved at posttests except the 12-item Short Form of the Medical Outcome Study Questionnaire physical health summary score. The qualitative findings provided rich information to explain and support the quantitative results. The results of this study showed that a tailor-made exercise program could improve exercise adherence and health outcomes in older people with knee OA.

Effects of a tailor-made exercise program on exercise adherence and health outcomes in patients with knee osteoarthritis: a mixed-methods pilot study

PubMed Central

Lee, Fung-Kam Iris; Lee, Tze-Fan Diana; So, Winnie Kwok-Wei

2016-01-01

Introduction Previous studies showed that exercise intervention was effective in symptoms control of knee osteoarthritis (OA) but poor intervention adherence reduced the exercise effect. It has been suspected that the design of exercise intervention mainly from the health care professionals’ perspective could not address the patients’ barriers to exercise. Therefore, a tailor-made exercise program which incorporated the patient’s perspective in the design was developed and ready for evaluation. Objectives This pilot study estimated the effects of a tailor-made exercise program on exercise adherence and health outcomes, and explored the participants’ perception and experience of the program. Methods The intervention of this study was a 4-week community-based group exercise program, which required the participants to attend a 1-hour session each week. Thirty-four older people with knee OA were recruited to the program. Mixed-methods study design was used to estimate the effects of this program and explore the participants’ perception and experience of the program. Exercise adherence and performance in return-demonstration of the exercise were assessed at 12 weeks after the program. Disease-specific health status (Western Ontario and McMaster Universities Osteoarthritis Index), general health status (12-item Short Form of the Medical Outcome Study Questionnaire), knee range of motion, muscle strength, and endurance of the lower extremities (Timed-Stands Test) were measured at the beginning of the program and 12 weeks after. Six participants were interviewed individually on the 12th week. Results Thirty-three participants (75.0±7.3 years) completed the one-group pretest and post-test study. The participants’ exercise adherence was 91.4%±14.54%, and their correct performance in return-demonstration was 76.7%±21.75%. Most of the participants’ health outcomes significantly improved at posttests except the 12-item Short Form of the Medical Outcome Study Questionnaire physical health summary score. The qualitative findings provided rich information to explain and support the quantitative results. Conclusion The results of this study showed that a tailor-made exercise program could improve exercise adherence and health outcomes in older people with knee OA. PMID:27785001

GeneLab: Multi-Omics Investigation of Rodent Research-1 Bio-Banked Tissues

NASA Technical Reports Server (NTRS)

Lai, San-Huei; Boyko, Valery; Chakravarty, Kaushik; Chen, Rick; Dueck, Sandra; Berrios, Daniel C.; Fogle, Homer; Marcu, Oana; Timucin, Linda; Reinsch, Sigrid;

Return on Investment (ROI): Calculating the Monetary Return of a Leadership Development Program

ERIC Educational Resources Information Center

Rohs, Frederick R.

2004-01-01

Measuring the Return on Investment (ROI) in training and development has consistently earned a place among the critical issues in the human resource development (HRD) field. Leadership educators may soon find that program sponsors and administrators asking for ROI information as well. This paper reports the ROI of the Southern Extension Leadership…

Investigation of abort procedures for space shuttle-type vehicles

NASA Technical Reports Server (NTRS)

Powell, R. W.; Eide, D. G.

1974-01-01

An investigation has been made of abort procedures for space shuttle-type vehicles using a point mass trajectory optimization program known as POST. This study determined the minimum time gap between immediate and once-around safe return to the launch site from a baseline due-East launch trajectory for an alternate space shuttle concept which experiences an instantaneous loss of 25 percent of the total main engine thrust.

Engaging College Students at Two-year Campuses in Aerospace Research

NASA Astrophysics Data System (ADS)

Dirienzo, William

2018-01-01

College students at two-year campuses have unique challenges to their learning and are often "nontraditional" students, including first-generation and/or returning adult students. They have little or no exposure to research, related to science and aerospace or otherwise, and so they do not think of these fields as possible careers or understand how the disciplines operate. Exposing these students to real research projects, especially ones that include rocket payloads, have a dramatic effect on the interests and academic success of students. Projects such as these can be quite large and expensive, perhaps prohibitively so for small institutions. We engaged a group of these students through the RockOn and RockSat programs lead by the Colorado Space Grant Consortium, which are programs for postsecondary students to access space with relatively easy access and low cost. The student team designed, built, and flew a scientific payload on a suborbital sounding rocket launched at NASA's Wallops Flight Facility in Virginia. The experiment sent E. coli DNA samples into space to assess the damage and measured the radiation exposure with and without radiation shielding, and assessed the samples for DNA damage upon their return. We report on the process and the effects on the students as part of their experience.

Work reintegration and cardiovascular disease: medical and rehabilitation influences.

PubMed

O'Hagan, F T; Coutu, M F; Thomas, S G; Mertens, D J

2012-06-01

Research into work reintegration following cardiovascular disease onset is limited in its clinical and individual focus. There is no research examining worker experience in context during the return to work process. Qualitative case study method informed by applied ethnography. Worker experience was assessed through longitudinal in-depth interviews with 12 workers returning to work following disabling cardiac illness. Workplace context (Canadian auto manufacturing plant) was assessed through site visits and meetings with stakeholders including occupational health personnel. Data was analyzed using constant comparison and progressive coding. Twelve men (43-63 years) participated in the study. Results revealed that unyielding production demands and performance monitoring pushed worker capacities and caused "insidious stress". Medical reassurance was important in the workers' decisions to return to work and stay on the job but medical restrictions were viewed as having limited relevance owing to limited understanding of work demands. Medical sanction was important for transient absence from the workplace as well as permanent disability. Cardiac rehabilitation programs were beneficial for lifestyle modification and building exercise capacity, but had limited benefit on work reintegration. Occupational health provided monitoring and support during work reintegration. Medical reassurance can be an important influence on worker representations of disease threat. Medical advice as it pertained to work activities was less valued as it lacked considerations of work conditions. Cardiac rehabilitation lacked intensity and relevance to work demands. Occupational health was reassuring for workers and played an important role in developing return to work plans.

Portfolio optimization in enhanced index tracking with goal programming approach

NASA Astrophysics Data System (ADS)

Siew, Lam Weng; Jaaman, Saiful Hafizah Hj.; Ismail, Hamizun bin

2014-09-01

Enhanced index tracking is a popular form of passive fund management in stock market. Enhanced index tracking aims to generate excess return over the return achieved by the market index without purchasing all of the stocks that make up the index. This can be done by establishing an optimal portfolio to maximize the mean return and minimize the risk. The objective of this paper is to determine the portfolio composition and performance using goal programming approach in enhanced index tracking and comparing it to the market index. Goal programming is a branch of multi-objective optimization which can handle decision problems that involve two different goals in enhanced index tracking, a trade-off between maximizing the mean return and minimizing the risk. The results of this study show that the optimal portfolio with goal programming approach is able to outperform the Malaysia market index which is FTSE Bursa Malaysia Kuala Lumpur Composite Index because of higher mean return and lower risk without purchasing all the stocks in the market index.

Pine Ridge Indian Health Service Primary Care Resident Rotation: an update.

PubMed

Vogt, H B; Jerde, O M

1994-04-01

The Pine Ridge Indian Health Service Primary Care Resident Rotation has been in existence for 2 years. It was conceived in an effort to help address the problem of recruitment and retention of physicians at Pine Ridge in the long term, while offering a unique educational experience for primary care residents. Twenty-five residents from family practice, general internal medicine, and general pediatric residency programs across the country have participated in calendar years 1992 and 1993. Three of the original 12 residents have returned following completion of their residency programs to join the Pine Ridge medical staff.

KSC-2009-5140

NASA Image and Video Library

2009-09-15

EDWARDS AIR FORCE BASE, Calif. – While on the space station, Buzz Lightyear supported NASA’s education outreach program – STEM (Science, Technology, Engineering and Mathematics) -- by creating a series of fun, educational online outreach programs. Following his return, Disney is partnering with NASA to create a new online educational game and an online mission patch competition for school kids across America. NASA will fly the winning patch in space. In addition, NASA plans to announce on Oct. 2 the details of a new exciting educational competition that will give students the opportunity to design an experiment for the astronauts on the space station.

KSC-03PD-0554

NASA Technical Reports Server (NTRS)

2003-01-01

KENNEDY SPACE CENTER, FLA. - At the KSC Launch Control Complex, former astronauts Jim Lovell (center) and Wally Schirra (right) talk with Mike Wetmore, director of Shuttle Processing (left). Lovell and Schirra visited KSC to talk about the space program and their experiences, as well as offer encouragement to workers to help get the space program 'back on its feet.' They visited several sites around the Center, including the RLV Hangar where Columbia debris is being collected and examined as part of the investigation into the tragedy that claimed the orbiter and lives of seven astronauts returning from mission STS-107.

Early experience in establishing and evaluating an ACGME-approved international general surgery rotation.

PubMed

Tarpley, Margaret; Hansen, Erik; Tarpley, John L

2013-01-01

In 2011, the Accreditation Council for Graduate Medical Education Surgery Residency Review Committee first provided guidelines for elective international general surgery rotations. The Vanderbilt general surgery residency program received Surgery Residency Review Committee approval for a fourth-year elective in Kenya beginning in the 2011-2012 academic year. Because this rotation would break ground culturally and geographically, and as an educational partnership, a briefing and debriefing process was developed for this ground-breaking year. Our objectives were to prepare residents to maximize the experience without competing for cases with local trainees or overburdening the host institution and to perform continuous quality assessment and improvement as each resident returned back. Briefing included health protection strategies, a procedures manual containing step-by-step preparation activities, and cultural-sensitivity training. Institutional Review Board exemption approval was obtained to administer a questionnaire created for returning residents concerning educational value, relations with local trainees, physical environment, and personal perceptions that would provide the scaffold for the debriefing conference. The questionnaire coupled with the debriefing discussion for the first 9 participants revealed overall satisfaction with the rotation and the briefing process, good health, and no duty hours or days-off issues. Other findings include the following: (1) emotional effect of observing African families weigh cost in medical decision making; (2) satisfactory access to educational resources; (3) significant exposure to specialties such as urology and radiology; and (4) toleration of 4 weeks as a single and expressed need for leisure activity materials such as books, DVDs, or games. The responses triggered adjustments in the briefing sessions and travel preparation. The host institution invited the residents to return for the 2012-2013 year as well as 2013-2014. Detailed preparation and the follow-up evaluation for assessment and improvement of this nascent international surgery experience are associated with resident satisfaction and the host institution has agreed to continue the rotation. Copyright © 2013 Association of Program Directors in Surgery. All rights reserved.

25 CFR 1000.318 - When will the Secretary return management of a reassumed program?

Code of Federal Regulations, 2014 CFR

2014-04-01

... management of a reassumed program? A reassumed program may be included in future AFAs, but the Secretary may... 25 Indians 2 2014-04-01 2014-04-01 false When will the Secretary return management of a reassumed program? 1000.318 Section 1000.318 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN AFFAIRS, DEPARTMENT...

25 CFR 1000.318 - When will the Secretary return management of a reassumed program?

Code of Federal Regulations, 2013 CFR

2013-04-01

... management of a reassumed program? A reassumed program may be included in future AFAs, but the Secretary may... 25 Indians 2 2013-04-01 2013-04-01 false When will the Secretary return management of a reassumed program? 1000.318 Section 1000.318 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN AFFAIRS, DEPARTMENT...

25 CFR 1000.318 - When will the Secretary return management of a reassumed program?

Code of Federal Regulations, 2011 CFR

2011-04-01

... management of a reassumed program? A reassumed program may be included in future AFAs, but the Secretary may... 25 Indians 2 2011-04-01 2011-04-01 false When will the Secretary return management of a reassumed program? 1000.318 Section 1000.318 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN AFFAIRS, DEPARTMENT...

25 CFR 1000.318 - When will the Secretary return management of a reassumed program?

Code of Federal Regulations, 2012 CFR

2012-04-01

... management of a reassumed program? A reassumed program may be included in future AFAs, but the Secretary may... 25 Indians 2 2012-04-01 2012-04-01 false When will the Secretary return management of a reassumed program? 1000.318 Section 1000.318 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN AFFAIRS, DEPARTMENT...

25 CFR 1000.318 - When will the Secretary return management of a reassumed program?

Code of Federal Regulations, 2010 CFR

2010-04-01

... management of a reassumed program? A reassumed program may be included in future AFAs, but the Secretary may... 25 Indians 2 2010-04-01 2010-04-01 false When will the Secretary return management of a reassumed program? 1000.318 Section 1000.318 Indians OFFICE OF THE ASSISTANT SECRETARY, INDIAN AFFAIRS, DEPARTMENT...

Experiences of contemplating returning to work for people living with HIV/AIDS.

PubMed

Nixon, Stephanie; Renwick, Rebecca

2003-11-01

In the mid-1990s, medical advances dramatically altered the experience of living with HIV/AIDS. The shifting medical climate spurred new social and financial questions, such as the possibility of returning to work. In this qualitative study, the authors examine how people living with HIV/AIDS perceive, attach meaning to, and approach the experience of returning to work. Findings demonstrate that the participants are influenced by, and wrestle with, both the dominant societal perspective that "people should return to work," and the oppositional perspective that people living with HIV/AIDS "should not return to work." Theoretical understanding of the results is enhanced using the concepts of the "sick role" and the "hierarchy of identities." Findings have conceptual and methodological implications for literature in HIV/AIDS, return to work, and identity.

Economic feasibility analysis of conventional and dedicated energy crop production

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

Nelson, R.G.; Langemeier, M.R.; Krehbiel, L.R.

Economic feasibilities (net return per acre) associated with conventional agricultural crop production versus that of dedicated bioenergy crop (herbaceous energy crops) were investigated for northeastern Kansas. Conventional agricultural crops examined were corn, soybeans, wheat, sorghum and alfalfa and dedicated herbaceous energy crops included big bluestem/indiangrass, switchgrass, eastern gamagrass, brome, fescue and cane hay. Costs, prices and government program information from public and private sources were used to project the net return per acre over a six-year period beginning in 1997. Three soil productivity levels (low, average and high), which had a direct effect on the net return per acre, weremore » used to model differences in expected yield. In all three soil productivity cases, big bluestem/indiangrass, switchgrass and brome hay provided a higher net return per acre versus conventional crops grown on both program and non-program acres. Eastern gamagrass, fescue hay and cane hay had returns that were similar or less than returns provided by conventional crops.« less

Evaluating the Generality and Limits of Blind Return-Oriented Programming Attacks

DTIC Science & Technology

2015-12-01

consider a recently proposed information disclosure vulnerability called blind return-oriented programming (BROP). Under certain conditions, this...implementation disclosure attacks 15. NUMBER OF PAGES 75 16. PRICE CODE 17. SECURITY CLASSIFICATION OF REPORT Unclassified 18. SECURITY CLASSIFICATION OF...Science iii THIS PAGE INTENTIONALLY LEFT BLANK iv ABSTRACT We consider a recently proposed information disclosure vulnerability called blind return

Suspension of enrollment in the Federal Employees Health Benefits (FEHB) Program for Peace Corps volunteers. Final rule.

PubMed

2006-11-17

The Office of Personnel Management is issuing a final regulation to allow Peace Corps volunteers who are FEHB Program enrolled annuitants, survivors, and former spouses to suspend their FEHB enrollments and then return to the FEHB Program during the Open Season, or return to FEHB coverage immediately, if they involuntarily lose health benefits coverage under the Peace Corps. The intent of this final rule is to allow these beneficiaries to avoid the expense of continuing to pay FEHB Program premiums while they have other health coverage as Peace Corps volunteers, without endangering their ability to return to the FEHB Program in the future.

Young Finnish Unemployed Men's Experiences of Having Participated in a Specific Active Labor Market Program.

PubMed

Björklund, Ove; Häggström, Elisabeth; Nyström, Lisbet

2017-09-01

The purpose of the present study was to describe young Finnish unemployed men's experiences of having participated in a specific active labor market program, intended to fight unemployment and offered at a resource center. Fifteen young unemployed Finnish men in the age range 18 to 27 years were interviewed face-to-face. Purposive sampling was used to increase the variation among informants. The interview texts were analyzed using both manifest and latent qualitative content analysis. The present results reported that the young men felt that they, thanks to the program at the resource center, had acquired daily routines and could ultimately believe in the future. The young men described how they now had a structure, economic support, and that they could return to their daily life. The informants also described how they could see new possibilities and believe in oneself. There is a lack of empirical studies assessing the possible impact of active labor market programs on the unemployed based on participants' own experiences. Further research is needed to describe and elucidate in more detail the effects of targeted support measures and the needs of unemployed men of different ages and living in different contexts.

Second Wind: A Program for Returning Women Students.

ERIC Educational Resources Information Center

Carter, Jane O., Ed.

Since most college programs are designed for young people, new programs need to be developed that overcome personal and institutional barriers, including sex-role stereotyping and sex-role socialization, that restrict returning women's educational opportunities on the college campus. This project establishes a model low-cost, self-perpetuating…

Early Learning: Return on Investment. Annotated Bibliography

ERIC Educational Resources Information Center

Hite, Jenny

2014-01-01

Today's researchers seek to determine if contemporary pre-K programs provide the strong return on investment found by researchers in the 1960's High/Scope Perry Preschool Program and 1970's North Carolina Abecedarian Project. Research then showed that these two programs created positive academic effects that accompanied their students as they…

Family members facilitating community re-integration and return to productivity following traumatic brain injury - motivations, roles and challenges.

PubMed

Gagnon, Alicia; Lin, Jenny; Stergiou-Kita, Mary

2016-01-01

This study explores the experiences of family members in supporting community re-integration and return to productive occupations of the traumatic brain injury (TBI) survivor in order to: (i) describe family members' supportive roles, (ii) determine challenges family members experience in supporting the TBI survivor; and (iii) identify supports that family members require to maintain and enhance their roles. This qualitative descriptive study involved 14 interviews with immediate family members of TBI survivors. Data was analyzed using thematic analysis. Family members expressed strong motivation and engaged in six key roles to support TBI survivors: researcher, case manager, advocate, coach, activities of daily living (ADL)/instrumental ADLs and emotional supporter. Personal and family stressors and challenges navigating the health care system were perceived as challenges in meeting demands of their supportive roles. Stigma also presented a barrier to successful community and vocational re-integration. Subsequently, family members desired more education related to the functional implications of TBI, to be connected to health care and community resources, and sought a greater family-centred care approach. Family members require on-going counseling and community supports to prevent burnout and allow for their continued engagement in their supportive roles. Further education on how to navigate the health care system, access community programs and rights to workplace accommodation is also warranted. Family members are strongly motivated to support survivors' return to productive occupation following a traumatic brain injury, but require counseling and community support to enable their on-going engagement and prevent burnout. Family members can be further empowered through the implementation of family-centred care. Family members requested further education on the long-term functional implications of TBI, how to navigate the health care system, how to access community programs and workers' rights to workplace accommodations.

Portfolios with fuzzy returns: Selection strategies based on semi-infinite programming

NASA Astrophysics Data System (ADS)

Vercher, Enriqueta

2008-08-01

This paper provides new models for portfolio selection in which the returns on securities are considered fuzzy numbers rather than random variables. The investor's problem is to find the portfolio that minimizes the risk of achieving a return that is not less than the return of a riskless asset. The corresponding optimal portfolio is derived using semi-infinite programming in a soft framework. The return on each asset and their membership functions are described using historical data. The investment risk is approximated by mean intervals which evaluate the downside risk for a given fuzzy portfolio. This approach is illustrated with a numerical example.

An overview of Korean astronaut’s space experiments

NASA Astrophysics Data System (ADS)

Lee, J. H.; Kim, Y. K.; Yi, S. Y.; Kim, K. S.; Kang, S. W.; Choi, G. H.; Sim, E. S.

2010-10-01

The paper presents an overview of the scientific space experiments in the Korean Astronaut Program (KAP) that were conducted on the International Space Station (ISS), beginning with launch of the Soyuz TMA-12 spacecraft with the first Korean astronaut and two Russian astronauts on April 8, 2008 and returning to Earth on April 19, 2008. During the 10 days aboard the ISS, the Korean astronaut successfully completed thirteen scientific experiments in biology, life science, material science, earth science, and system engineering, five educational space experiments, and three kinds of international collaboration experiments. These experiments were the first Korean manned space experiments and these missions were the first steps toward the manned space exploration by Korea. In this paper, we briefly discuss the descriptions, conduct, and results of the space experiments and discuss future plans. In addition, the lessons learned with respect to the performing of these manned space experiments on the ISS are presented.

Management of return-to-work programs for workers with musculoskeletal disorders: a qualitative study in three Canadian provinces.

PubMed

Baril, R; Clarke, J; Friesen, M; Stock, S; Cole, D

2003-12-01

In this qualitative research project, researchers in three Canadian provinces explored the perceptions of many different actors involved in return-to-work (RTW) programs for injured workers, studying their views on successful RTW strategies and barriers to/facilitators of the RTW process, then analyzing the underlying dynamics driving their different experiences. Each research team recruited actors in a variety of different workplaces and key informants in the RTW system, and used a combination of in-depth, semi-structured interviews and focus groups to collect data, which were coded using an open coding system. Analysis took a social constructionist perspective. The roles and mandates of the different groups of actors (injured workers; other workplace actors; actors outside the workplace), while sometimes complementary, could also differ, leading to tension and conflict. Characteristics of injured workers described as influencing RTW success included personal and sociodemographic factors, beliefs and attitudes, and motivation. Human resources managers and health care professionals tended to attribute workers' motivation to their individual characteristics, whereas injured workers, worker representatives and health and safety managers described workplace culture and the degree to which workers' well-being was considered as having a strong influence on workers' motivation. Some supervisors experienced role conflict when responsible for both production quotas and RTW programs, but difficulties were alleviated by innovations such as consideration of RTW program responsibilities in the determination of production quotas and in performance evaluations. RTW program success seemed related to labor-management relations and top management commitment to Health and Safety. Non-workplace issues included confusion stemming from the compensation system itself, communication difficulties with some treating physicians, and role conflict on the part of physicians wishing to advocate for patients whose problems were non-compensable. Several common themes emerged from the experiences related by the wide range of actors including the importance of trust, respect, communication and labor relations in the failure or success of RTW programs for injured workers.

KSC-2014-4117

NASA Image and Video Library

2014-09-25

CAPE CANAVERAL, Fla. – NASA astronaut Rick Mastracchio takes questions on the execution of the Slosh experiment from employees attending the Launch Services Program's All Hands meeting in the Neil Armstrong Operations and Checkout Building Mission Briefing Room at NASA's Kennedy Space Center in Florida. An Expedition 38/39 crew member, Mastracchio launched to the station from the Baikonur Cosmodrome in Kazakhstan on Nov. 6, 2013, and returned to Earth on May 13, 2014, after 188 days in space. To read Mastracchio's biography, visit http://www.jsc.nasa.gov/Bios/htmlbios/mastracc.html. For more information on the Slosh experiment, visit http://www.nasa.gov/content/slosh-experiment-designed-to-improve-rocket-safety-efficiency/. Photo credit: NASA/Daniel Casper

The PIX-2 experiment: An overview

NASA Astrophysics Data System (ADS)

Purvis, C. K.

1985-03-01

The second Plasma Interactions Experiment (PIX-2) was launched in January 1983 as a piggyback on the second stage of the Delta launch vehicle that carried IRAS into orbit. Placed in a 870 km circular polar orbit, it returned 18 hrs of data on the plasma current collection and arcing behavior of solar arrays biased to +/-1000 V in steps. The four 500 sq cm solar array segments were biased singly and in combinations. In addition to the array segments PIX-2 carried a Sun sensor, a Langmuir probe to measure electron currents, and a hot-wire filament electron emitter to control vehicle potential during positive array bias sequences. The PIX-2 experiment is reviewed from program and operational perspectives.

Development of a Countermeasure to Enhance Postflight Locomotor Adaptability

NASA Technical Reports Server (NTRS)

Bloomberg, Jacob J.

2006-01-01

Astronauts returning from space flight experience locomotor dysfunction following their return to Earth. Our laboratory is currently developing a gait adaptability training program that is designed to facilitate recovery of locomotor function following a return to a gravitational environment. The training program exploits the ability of the sensorimotor system to generalize from exposure to multiple adaptive challenges during training so that the gait control system essentially learns to learn and therefore can reorganize more rapidly when faced with a novel adaptive challenge. We have previously confirmed that subjects participating in adaptive generalization training programs using a variety of visuomotor distortions can enhance their ability to adapt to a novel sensorimotor environment. Importantly, this increased adaptability was retained even one month after completion of the training period. Adaptive generalization has been observed in a variety of other tasks requiring sensorimotor transformations including manual control tasks and reaching (Bock et al., 2001, Seidler, 2003) and obstacle avoidance during walking (Lam and Dietz, 2004). Taken together, the evidence suggests that a training regimen exposing crewmembers to variation in locomotor conditions, with repeated transitions among states, may enhance their ability to learn how to reassemble appropriate locomotor patterns upon return from microgravity. We believe exposure to this type of training will extend crewmembers locomotor behavioral repertoires, facilitating the return of functional mobility after long duration space flight. Our proposed training protocol will compel subjects to develop new behavioral solutions under varying sensorimotor demands. Over time subjects will learn to create appropriate locomotor solution more rapidly enabling acquisition of mobility sooner after long-duration space flight. Our laboratory is currently developing adaptive generalization training procedures and the associated flight hardware to implement such a training program during regular inflight treadmill operations. A visual display system will provide variation in visual flow patterns during treadmill exercise. Crewmembers will be exposed to a virtual scene that can translate and rotate in six-degrees-of freedom during their regular treadmill exercise period. Associated ground based studies are focused on determining optimal combinations of sensory manipulations (visual flow, body loading and support surface variation) and training schedules that will produce the greatest potential for adaptive flexibility in gait function during exposure to challenging and novel environments. An overview of our progress in these areas will be discussed during the presentation.

Phase 1 research program overview

NASA Technical Reports Server (NTRS)

Uri, J. J.; Lebedev, O. N.

2001-01-01

The Phase 1 research program was unprecedented in its scope and ambitious in its objectives. The National Aeronautics and Space Administration committed to conducting a multidisciplinary long-duration research program on a platform whose capabilities were not well known, not to mention belonging to another country. For the United States, it provided the first opportunity to conduct research in a long-duration space flight environment since the Skylab program in the 1970's. Multiple technical as well as cultural challenges were successfully overcome through the dedicated efforts of a relatively small cadre of individuals. The program developed processes to successfully plan, train for and execute research in a long-duration environment, with significant differences identified from short-duration space flight science operations. Between August 1994 and June 1998, thousands of kilograms of research hardware was prepared and launched to Mir, and thousands of kilograms of hardware and data products were returned to Earth. More than 150 Principal Investigators from eight countries were involved in the program in seven major research disciplines: Advanced Technology; Earth Sciences; Fundamental Biology; Human Life Sciences; International Space Station Risk Mitigation; Microgravity; and Space Sciences. Approximately 75 long-duration investigations were completed on Mir, with additional investigations performed on the Shuttle flights that docked with Mir. The flight phase included the participation of seven US astronauts and 20 Russian cosmonauts. The successful completion of the Phase 1 research program not only resulted in high quality science return but also in numerous lessons learned to make the ISS experience more productive. The cooperation developed during the program was instrumental in its success. c2001 AIAA. Published by Elsevier Science Ltd.

Phase 1 research program overview.

PubMed

Uri, J J; Lebedev, O N

2001-01-01

The Phase 1 research program was unprecedented in its scope and ambitious in its objectives. The National Aeronautics and Space Administration committed to conducting a multidisciplinary long-duration research program on a platform whose capabilities were not well known, not to mention belonging to another country. For the United States, it provided the first opportunity to conduct research in a long-duration space flight environment since the Skylab program in the 1970's. Multiple technical as well as cultural challenges were successfully overcome through the dedicated efforts of a relatively small cadre of individuals. The program developed processes to successfully plan, train for and execute research in a long-duration environment, with significant differences identified from short-duration space flight science operations. Between August 1994 and June 1998, thousands of kilograms of research hardware was prepared and launched to Mir, and thousands of kilograms of hardware and data products were returned to Earth. More than 150 Principal Investigators from eight countries were involved in the program in seven major research disciplines: Advanced Technology; Earth Sciences; Fundamental Biology; Human Life Sciences; International Space Station Risk Mitigation; Microgravity; and Space Sciences. Approximately 75 long-duration investigations were completed on Mir, with additional investigations performed on the Shuttle flights that docked with Mir. The flight phase included the participation of seven US astronauts and 20 Russian cosmonauts. The successful completion of the Phase 1 research program not only resulted in high quality science return but also in numerous lessons learned to make the ISS experience more productive. The cooperation developed during the program was instrumental in its success. c2001 AIAA. Published by Elsevier Science Ltd.

An Economic Analysis and Approach for Health Care Preparedness in a Substate Region.

PubMed

Stryckman, Benoit; Grace, Thomas L; Schwarz, Peter; Marcozzi, David

2015-08-01

To demonstrate the application of economics to health care preparedness by estimating the financial return on investment in a substate regional emergency response team and to develop a financial model aimed at sustaining community-level disaster readiness. Economic evaluation methods were applied to the experience of a regional Pennsylvania response capability. A cost-benefit analysis was performed by using information on funding of the response team and 17 real-world events the team responded to between 2008 and 2013. By use of the results of the cost-benefit analysis as well as information on the response team's catchment area, a risk-based insurance-like membership model was built. The cost-benefit analysis showed a positive return after 6 years of investment in the regional emergency response team. Financial modeling allowed for the calculation of premiums for 2 types of providers within the emergency response team's catchment area: hospitals and long-term care facilities. The analysis indicated that preparedness activities have a positive return on their investment in this substate region. By applying economic principles, communities can estimate their return on investment to make better business decisions in an effort to increase the sustainability of emergency preparedness programs at the regional level.

Development and Implementation of a Combined Master of Science and PGY1/PGY2 Health-System Pharmacy Administration Residency Program at a Large Community Teaching Hospital.

PubMed

Gazda, Nicholas P; Griffin, Emily; Hamrick, Kasey; Baskett, Jordan; Mellon, Meghan M; Eckel, Stephen F; Granko, Robert P

2018-04-01

Purpose: The purpose of this article is to share experiences after the development of a health-system pharmacy administration residency with a MS degree and express the need for additional programs in nonacademic medical center health-system settings. Summary: Experiences with the development and implementation of a health-system pharmacy administration residency at a large community teaching hospital are described. Resident candidates benefit from collaborations with other health-systems through master's degree programs and visibility to leaders at your health-system. Programs benefit from building a pipeline of future pharmacy administrators and by leveraging the skills of residents to contribute to projects and department-wide initiatives. Tools to assist in the implementation of a new pharmacy administration program are also described and include rotation and preceptor development, marketing and recruiting, financial evaluation, and steps to prepare for accreditation. Conclusion: Health-system pharmacy administration residents provide the opportunity to build a pipeline of high-quality leaders, provide high-level project involvement, and produce a positive return on investment (ROI) for health-systems. These programs should be explored in academic and nonacademic-based health-systems.

Children Moving "Home"? Everyday Experiences of Return Migration in Highly Skilled Households

ERIC Educational Resources Information Center

Hatfield, Madeleine E.

2010-01-01

Through its focus on children and return migration, this article addresses two invisibilities within migration research. It presents the experiences of children as equal movers in returning households, drawing on research with them in their domestic spaces. Exploring how children negotiate coming "home" and highlighting their experiences…

Returning to work after electrical injuries: workers' perspectives and advice to others.

PubMed

Stergiou-Kita, Mary; Mansfield, Elizabeth; Bayley, Mark; Cassidy, J David; Colantonio, Angela; Gomez, Manuel; Jeschke, Marc; Kirsh, Bonnie; Kristman, Vicki; Moody, Joel; Vartanian, Oshin

2014-01-01

The objective of this study was to gain an understanding of workers' experiences with returning to work, the challenges they experienced, and the supports they found most beneficial when returning to work after a workplace electrical injury. Thirteen semistructured qualitative telephone interviews were conducted with individuals who experienced an electrical injury at the workplace. Participants were recruited from specialized burns rehabilitation programs in Ontario, Canada. Interviews were transcribed verbatim and thematic analysis used to analyze the qualitative interviews. Data regarding workers' demographics, injury events, and occupational categories were also gathered to characterize the sample.Participants identified three distinct categories of challenges: 1) physical, cognitive, and psychosocial impairments and their effects on their work performance; 2) feelings of guilt, blame, and responsibility for the injury; and 3) having to return to the workplace or worksite where the injury took place. The most beneficial supports identified by the injured workers included: 1) support from family, friends, and coworkers; and 2) the receipt of rehabilitation services specialized in electrical injury. The most common advice to others after electrical injuries included: 1) avoiding electrical injury; 2) feeling ready to return to work; 3) filing a Workplace Safety and Insurance Board injury/claims report;4) proactive self-advocacy; and 5) garnering the assistance of individuals who understood electrical injuries to advocate on their behalf. Immediate and persistent physical, cognitive, psychosocial, and support factors can affect individuals' abilities to successfully return to work after an electrical injury. Specialized services and advocacy were viewed as beneficial to successful return to work.

WORK RELATED INJURY AND ILLNESS: EXPLORING THE RETURN-TO-WORK PROGRAM IN MALAYSIA.

PubMed

Awang, Halimah; Mansor, Norma; Rodrigo, Shamsulbahriah K A

2015-11-01

Illness and injury have a significant impact on employees, their families and employers. The consequences faced by an injured worker could lead to disability, which could then lead to inability to work. This study examined the patterns of the Return to Work (RTW) using data from The Social Security Organisation (SOCSO) of Malaysia RTW database from 2010 to 2013. Factors of successful return to work, employees' salary upon returning to formal employment were also investigated. Gender, age, year of injury, industry, and job hierarchy were found to be significant predictors of employees' salary upon returning to work. Although there are other costs involved on the part of employers and employees, themselves, in the long term the financial returns that can be brought back by injured workers who have successfully returned to work combined with the qualitative benefits substantially outweighs the costs of RTW program.

Integrated Portfolio Analysis: Return on Investment and Real Options Analysis of Intelligence Information Systems (Cryptologic Carry On Program)

DTIC Science & Technology

2006-09-30

unlimited. Prepared for: Naval Postgraduate School, Monterey, California 93943 Integrated Portfolio Analysis : Return on Investment and Real Options... Analysis of Intelligence Information Systems (Cryptologic Carry On Program) 30 September 2006 by LCDR Cesar G. Rios, Jr., Naval Postgraduate...October 2005 – 30 September 2006 4. TITLE AND SUBTITLE Integrated Portfolio Analysis : Return on Investment and Real Options Analysis of Intelligence

What Happens to the Farm? Australian Farmers' Experiences after a Serious Farm Injury.

PubMed

Beattie, Jessica; McLeod, Candis; Murray, Meg; Pedler, Daryl; Brumby, Susan; Gabbe, Belinda

2018-01-01

To investigate the experiences of farmers on returning to farming following a serious farm-related injury. Patients who had sustained major trauma on a farm in Victoria, Australia, were identified using the Victorian State Trauma Registry (VSTR). In depth, semistructured phone interviews were conducted with 31 participants. Interview data were subjected to thematic analysis to identify important recurring themes. Interviews continued until data saturation was achieved. Interviewees included self-employed full-time farmers, part-time farmers with a supplementary income, and agricultural employees. Analysis of participant responses connected to returning to farming after a serious farm-related injury identified five major interconnected themes: (i) effect on farm work, (ii) farming future, (iii) safety advocacy, (iv) changes to farming practices, and (v) financial ramifications. Farmers who have sustained a serious farm-related injury are an important resource; their experiences and perspectives could assist in the development of educational and transitional support services from recovery back to working at a preinjury level, while ensuring farming production is sustainable during this period. Furthermore, farm safety programs can be enhanced by the engagement of farmers, such as participants in this study as advocates for improved farm safety practices.

Computer program for discounted cash flow/rate of return evaluations

NASA Technical Reports Server (NTRS)

Robson, W. D.

1971-01-01

Technique, incorporated into set of three computer programs, provides economic methodology for reducing all parameters to financially sound common denominator of present worth, and calculates resultant rate of return on new equipment, processes, or systems investments.

Motherhood during residency training: challenges and strategies.

PubMed

Walsh, Allyn; Gold, Michelle; Jensen, Phyllis; Jedrzkiewicz, Michelle

2005-07-01

To determine what factors enable or impede women in a Canadian family medicine residency program from combining motherhood with residency training. To determine how policies can support these women, given that in recent decades the number of female family medicine residents has increased. Qualitative study using in-person interviews. McMaster University Family Medicine Residency Program. Twenty-one of 27 family medicine residents taking maternity leave between 1994 and 1999. Semistructured interviews. The research team reviewed transcripts of audiotaped interviews for emerging themes; consensus was reached on content and meaning. NVIVO software was used for data analysis. Long hours, unpredictable work demands, guilt because absences from work increase workload for colleagues, and residents' high expectations of themselves cause pregnant residents severe stress. This stress continues upon return to work; finding adequate child care is an added stress. Residents report receiving less support from colleagues and supervisors upon return to work; they associate this with no longer being visibly pregnant. Physically demanding training rotations put additional strain on pregnant residents and those newly returned to work. Flexibility in scheduling rotations can help accommodate needs at home. Providing breaks, privacy, and refrigerators at work can help maintain breastfeeding. Allowing residents to remain involved in academic and clinical work during maternity leave helps maintain clinical skills, build new knowledge, and promote peer support. Pregnancy during residency training is common and becoming more common. Training programs can successfully enhance the experience of motherhood during residency by providing flexibility at work to facilitate a healthy balance among the competing demands of family, work, and student life.

Placement from community-based mental retardation programs: how well do clients do?

PubMed

Schalock, R L; Harper, R S

1978-11-01

Mentally retarded clients (N = 131) placed during a 2-year period from either an independent living or competitive employment training program were evaluated as to placement success. Thirteen percent returned to the training program. Successful independent living placement was related to intelligence and demonstrated skills in symbolic operations, personal maintenance, clothing care and use, socially appropriate behavior, and functional academics. Successful employment was related to sensorimotor, visual-auditory processing, language, and symbolic-operations skills. Major reasons for returning from a job to the competitive employment training program included inappropriate behavior or need for more training; returning from community living placement was related to money management, apartment cleanliness, social behavior, and meal preparation.

Population characteristics of feral cats admitted to seven trap-neuter-return programs in the United States.

PubMed

Wallace, Jennifer L; Levy, Julie K

2006-08-01

Internationally, large populations of feral cats constitute an important and controversial issue due to their impact on cat overpopulation, animal welfare, public health, and the environment, and to disagreement about what are the best methods for their control. Trap-neuter-return (TNR) programs are an increasingly popular alternative to mass euthanasia. The objective of this study was to determine the population characteristics of feral cats admitted to large-scale TNR programs from geographically diverse locations in the United States. Data from 103,643 feral cats admitted to TNR programs from 1993 to 2004 were evaluated. All groups reported more intact females (53.4%) than intact males (44.3%); only 2.3% of the cats were found to be previously sterilized. Overall, 15.9% of female cats were pregnant at the time of surgery. Pregnancy was highly seasonal and peaked between March and April for all of the groups. The average prenatal litter size was 4.1+/-0.1 fetuses per litter. Cryptorchidism was observed in 1.3% of male cats admitted for sterilization. A total of 0.4% of cats was euthanased because of the presence of debilitating conditions, and 0.4% died during the TNR clinics. Remarkably similar populations of cats with comparable seasonal variability were seen at each program, despite their wide geographical distribution. These results suggest that it is feasible to safely sterilize large numbers of feral cats and that the experiences of existing programs are a consistent source of information upon which to model new TNR programs.

Evaluation of X-38 Crew Return Vehicle Input Control Devices in a Microgravity Environment

NASA Technical Reports Server (NTRS)

Welge, Kirsten; Moore, Alicia; Pope, Ruth Ann; Shivers, Suzette; Fox, Jeffrey

2000-01-01

This report was created by students from Longview High School, Longview, Texas. Longview High School was selected from a group of Texas high schools to participate in the 1999 Texas Fly High Program. This program gives Texas high school students a chance to work with NASA engineers to design and fly a real-world experiment aboard the KC-135 during zero-g parabolas. Jeffrey Fox's role was to provide a concept for the experiment and to mentor the students in its design and testing. The students were responsible for executing all phases of the project. The X-38 Project Office at the Lyndon B. Johnson Space Center Johnson Space is designing a crew return vehicle (CRV) to be docked at the International Space Station for crew rescue in an emergency. Vehicle controls will be almost completely automated, but a few functions will be manually controlled. Four crew input control devices were selected for evaluation by Longview High School students as part of the 1999 Texas Fly High program. These were (1) Logitech Trackman Marble (optical trackball), (2) Smart Cat Touchpad. (3) Microsoft SideWinder 3D-Pro Joystick, and (4) Microsoft SideWinder Gamepad. In two flight tests in the KC-135 aircraft and a series of ground tests, the devices were evaluated for ability to maneuver an on-screen cursor, level of accuracy, ease of handling blind operations, and level of user comfort in microgravity. The tests results led to recommendation of further tests with the Joystick and the Trackman by astronauts and actual space station residents.

Entrepreneurship of dietetic program graduates.

PubMed

Mann, Linda L; Blum, Ilya

2004-01-01

Successful dietetic program graduates must have an entrepreneurial mindset and skills to respond to environmental changes and consumer trends. The purpose of this study was to determine current or intended entrepreneurship by graduates of a Dietitians of Canada accredited university program, as influenced by self-efficacy stemming from entrepreneurial experiences in education or early career, as well as by internal and external factors. This study employed an exploratory descriptive methodology with a questionnaire mailed to a discrete sample. Ninety graduates completed and returned the questionnaire for a response rate of 55%. Data analysis included descriptive statistics, two-way table analysis, the chi-square test for independence, and Fisher's exact test. Significant relationships were found between self-efficacy scores and entrepreneurial action, specific entrepreneurial experiences and entrepreneurial intent and action, dietetic internship and intent, and belief in the importance of business skills and intent. Those with entrepreneurial intent and/or action identified creativity, dietetic education/internship, persistence, business skills, and family/friend support as helping factors. These results suggest that undergraduate, internship, and continuing education programs for dietitians should incorporate activities that develop entrepreneurial skills and contribute toward an entrepreneurial mindset.

An interval kicking progression for return to soccer following lower extremity injury.

PubMed

Arundale, Amelia; Silvers, Holly; Logerstedt, David; Rojas, Jaime; Snyder-Mackler, Lynn

2015-02-01

The majority of all soccer injuries affect the lower extremities. Regardless of whether the injured limb is an athlete's preferred kicking or stance leg, a lower extremity injury may affect their ability to impact the ball. Sport-specific biomechanical progressions to augment loading and gradually reintroduce a player to the demands of sport have been developed for upper extremity sports such as baseball, softball, tennis, and golf. Generalized return to soccer progressions have also been published in order to assist clinicians in safely returning athletes to sport; however, there are no specific progressions for the early stages of kicking designed to introduce stance leg loading and kicking leg impact. Thus, the purpose of this clinical commentary was to review the existing literature elucidating the biomechanics of kicking a soccer ball and propose a progressive kicking program to support clinicians in safely returning their soccer athletes to the demands of sport. The interval kicking program (IKP) describes clinical guidelines for readiness to begin a kicking program as well as possible readiness to return to sport measures. The program is performed on alternate days integrating therapeutic exercise and cardiovascular fitness. The IKP gradually introduces a player to the loading and impact of kicking. The progression increases kicking distance (using the markings of a soccer field as a guide), volume, and intensity and uses proposed soreness rules, effusion guidelines, and player feedback in order to assist clinicians in determining readiness for advancement though the stages. The IKP also recommends utility of specific tests and measures to determine readiness for return to sport. Gradual reintroduction to sport specific demands is essential for a safe return to soccer. This return to sport progression provides a framework integrating injury specific therapeutic exercise, cardiovascular fitness, and the return to kicking progression, to assist clinicians in initiating an athletes' return to soccer. Level 5.

Apparatus, Method, and Computer Program for a Resolution-Enhanced Pseudo-Noise Code Technique

NASA Technical Reports Server (NTRS)

Li, Steven X. (Inventor)

2015-01-01

An apparatus, method, and computer program for a resolution enhanced pseudo-noise coding technique for 3D imaging is provided. In one embodiment, a pattern generator may generate a plurality of unique patterns for a return to zero signal. A plurality of laser diodes may be configured such that each laser diode transmits the return to zero signal to an object. Each of the return to zero signal includes one unique pattern from the plurality of unique patterns to distinguish each of the transmitted return to zero signals from one another.

Effectiveness of a multidisciplinary care program on recovery and return to work of patients after gynaecological surgery; design of a randomized controlled trial

PubMed Central

2012-01-01

Background Return to work after gynaecological surgery takes much longer than expected, irrespective of the level of invasiveness. In order to empower patients in recovery and return to work, a multidisciplinary care program consisting of an e-health intervention and integrated care management including participatory workplace intervention was developed. Methods/Design We designed a randomized controlled trial to assess the effect of the multidisciplinary care program on full sustainable return to work in patients after gynaecological surgery, compared to usual clinical care. Two hundred twelve women (18-65 years old) undergoing hysterectomy and/or laparoscopic adnexal surgery on benign indication in one of the 7 participating (university) hospitals in the Netherlands are expected to take part in this study at baseline. The primary outcome measure is sick leave duration until full sustainable return to work and is measured by a monthly calendar of sickness absence during 26 weeks after surgery. Secondary outcome measures are the effect of the care program on general recovery, quality of life, pain intensity and complications, and are assessed using questionnaires at baseline, 2, 6, 12 and 26 weeks after surgery. Discussion The discrepancy between expected physical recovery and actual return to work after gynaecological surgery contributes to the relevance of this study. There is strong evidence that long periods of sick leave can result in work disability, poorer general health and increased risk of mental health problems. We expect that this multidisciplinary care program will improve peri-operative care, contribute to a faster return to work of patients after gynaecological surgery and, as a consequence, will reduce societal costs considerably. Trial registration Netherlands Trial Register (NTR): NTR2087 PMID:22296950

Effectiveness of a multidisciplinary care program on recovery and return to work of patients after gynaecological surgery; design of a randomized controlled trial.

PubMed

Vonk Noordegraaf, Antonie; Huirne, Judith A F; Brölmann, Hans A M; Emanuel, Mark H; van Kesteren, Paul J M; Kleiverda, Gunilla; Lips, Jos P; Mozes, Alexander; Thurkow, Andreas L; van Mechelen, Willem; Anema, Johannes R

2012-02-01

Return to work after gynaecological surgery takes much longer than expected, irrespective of the level of invasiveness. In order to empower patients in recovery and return to work, a multidisciplinary care program consisting of an e-health intervention and integrated care management including participatory workplace intervention was developed. We designed a randomized controlled trial to assess the effect of the multidisciplinary care program on full sustainable return to work in patients after gynaecological surgery, compared to usual clinical care. Two hundred twelve women (18-65 years old) undergoing hysterectomy and/or laparoscopic adnexal surgery on benign indication in one of the 7 participating (university) hospitals in the Netherlands are expected to take part in this study at baseline. The primary outcome measure is sick leave duration until full sustainable return to work and is measured by a monthly calendar of sickness absence during 26 weeks after surgery. Secondary outcome measures are the effect of the care program on general recovery, quality of life, pain intensity and complications, and are assessed using questionnaires at baseline, 2, 6, 12 and 26 weeks after surgery. The discrepancy between expected physical recovery and actual return to work after gynaecological surgery contributes to the relevance of this study. There is strong evidence that long periods of sick leave can result in work disability, poorer general health and increased risk of mental health problems. We expect that this multidisciplinary care program will improve peri-operative care, contribute to a faster return to work of patients after gynaecological surgery and, as a consequence, will reduce societal costs considerably. Netherlands Trial Register (NTR): NTR2087.

Reduction and analysis of data collected during the electromagnetic tornado experiment

NASA Technical Reports Server (NTRS)

Davisson, L. D.

1976-01-01

Techniques for data processing and analysis are described to support tornado detection by analysis of radio frequency interference in various frequency bands, and sea state determination from short pulse radar measurements. Activities include: strip chart recording of tornado data; the development and implementation of computer programs for digitalization and analysis of the data; data reduction techniques for short pulse radar data, and the simulation of radar returns from the sea surface by computer models.

What can a pilot congestive heart failure disease management program tell us about likely return on investment?: A case study from a program offered to federal employees.

PubMed

vanVonno, Catherine J; Ozminkowski, Ronald J; Smith, Mark W; Thomas, Eileen G; Kelley, Doniece; Goetzel, Ron; Berg, Gregory D; Jain, Susheel K; Walker, David R

2005-12-01

In 1999, the Blue Cross and Blue Shield Federal Employee Program (FEP) implemented a pilot disease management program to manage congestive heart failure (CHF) among members. The purpose of this project was to estimate the financial return on investment in the pilot CHF program, prior to a full program rollout. A cohort of 457 participants from the state of Maryland was matched to a cohort of 803 nonparticipants from a neighboring state where the CHF program was not offered. Each cohort was followed for 12 months before the program began and 12 months afterward. The outcome measures of primary interest were the differences over time in medical care expenditures paid by FEP and by all payers. Independent variables included indicators of program participation, type of heart disease, comorbidity measures, and demographics. From the perspective of the funding organization (FEP), the estimated return on investment for the pilot CHF disease management program was a savings of $1.08 in medical expenditure for every dollar spent on the program. Adding savings to other payers as well, the return on investment was a savings of $1.15 in medical expenditures per dollar spent on the program. The amount of savings depended upon CHF risk levels. The value of a pilot initiative and evaluation is that lessons for larger-scale efforts can be learned prior to full-scale rollout.

Description and User Manual for a Web-Based Interface to a Transit-Loss Accounting Program for Monument and Fountain Creeks, El Paso and Pueblo Counties, Colorado

USGS Publications Warehouse

Kuhn, Gerhard; Krammes, Gary S.; Beal, Vivian J.

2007-01-01

The U.S. Geological Survey, in cooperation with Colorado Springs Utilities, the Colorado Water Conservation Board, and the El Paso County Water Authority, began a study in 2004 with the following objectives: (1) Apply a stream-aquifer model to Monument Creek, (2) use the results of the modeling to develop a transit-loss accounting program for Monument Creek, (3) revise an existing accounting program for Fountain Creek to easily incorporate ongoing and future changes in management of return flows of reusable water, and (4) integrate the two accounting programs into a single program and develop a Web-based interface to the integrated program that incorporates simple and reliable data entry that is automated to the fullest extent possible. This report describes the results of completing objectives (2), (3), and (4) of that study. The accounting program for Monument Creek was developed first by (1) using the existing accounting program for Fountain Creek as a prototype, (2) incorporating the transit-loss results from a stream-aquifer modeling analysis of Monument Creek, and (3) developing new output reports. The capabilities of the existing accounting program for Fountain Creek then were incorporated into the program for Monument Creek and the output reports were expanded to include Fountain Creek. A Web-based interface to the new transit-loss accounting program then was developed that provided automated data entry. An integrated system of 34 nodes and 33 subreaches was integrated by combining the independent node and subreach systems used in the previously completed stream-aquifer modeling studies for the Monument and Fountain Creek reaches. Important operational criteria that were implemented in the new transit-loss accounting program for Monument and Fountain Creeks included the following: (1) Retain all the reusable water-management capabilities incorporated into the existing accounting program for Fountain Creek; (2) enable daily accounting and transit-loss computations for a variable number of reusable return flows discharged into Monument Creek at selected locations; (3) enable diversion of all or a part of a reusable return flow at any selected node for purposes of storage in off-stream reservoirs or other similar types of reusable water management; (4) and provide flexibility in the accounting program to change the number of return-flow entities, the locations at which the return flows discharge into Monument or Fountain Creeks, or the locations to which the return flows are delivered. The primary component of the Web-based interface is a data-entry form that displays data stored in the accounting program input file; the data-entry form allows for entry and modification of new data, which then is rewritten to the input file. When the data-entry form is displayed, up-to-date discharge data for each station are automatically computed and entered on the data-entry form. Data for native return flows, reusable return flows, reusable return flow diversions, and native diversions also are entered automatically or manually, if needed. In computing the estimated quantities of reusable return flow and the associated transit losses, the accounting program uses two sets of computations. The first set of computations is made between any two adjacent streamflow-gaging stations (termed 'stream-segment loop'); the primary purpose of the stream-segment loop is to estimate the loss or gain in native discharge between the two adjacent streamflow-gaging stations. The second set of computations is made between any two adjacent nodes (termed 'subreach loop'); the actual transit-loss computations are made in the subreach loop, using the result from the stream-segment loop. The stream-segment loop is completed for a stream segment, and then the subreach loop is completed for each subreach within the segment. When the subreach loop is completed for all subreaches within a stream segment, the stream-segment loop is initiated for the ne

Partial Return Yoke for MICE Step IV and Final Step

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

Witte, Holger; Plate, Stephen; Berg, J.Scott

2015-06-01

This paper reports on the progress of the design and construction of a retro-fitted return yoke for the international Muon Ionization Cooling Experiment (MICE). MICE is a proof-of-principle experiment aiming to demonstrate ionization cooling experimentally. In earlier studies we outlined how a partial return yoke can be used to mitigate stray magnetic field in the experimental hall; we report on the progress of the construction of the partial return yoke for MICE Step IV. We also discuss an extension of the Partial Return Yoke for the final step of MICE; we show simulation results of the expected performance.

Partial return yoke for MICE step IV and final step

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

Witte, H.; Plate, S.; Berg, J. S.

2015-05-03

This paper reports on the progress of the design and construction of a retro-fitted return yoke for the international Muon Ionization Cooling Experiment (MICE). MICE is a proof-of-principle experiment aiming to demonstrate ionization cooling experimentally. In earlier studies we outlined how a partial return yoke can be used to mitigate stray magnetic field in the experimental hall; we report on the progress of the construction of the partial return yoke for MICE Step IV. We also discuss an extension of the Partial Return Yoke for the final step of MICE; we show simulation results of the expected performance.

Optimal one-way and roundtrip journeys design by mixed-integer programming

NASA Astrophysics Data System (ADS)

Ribeiro, Isabel M.; Vale, Cecília

2017-12-01

The introduction of multimodal/intermodal networks in transportation problems, especially when considering roundtrips, adds complexity to the models. This article presents two models for the optimization of intermodal trips as a contribution to the integration of transport modes in networks. The first model is devoted to one-way trips while the second one is dedicated to roundtrips. The original contribution of this research to transportation is mainly the consideration of roundtrips in the optimization process of intermodal transport, especially because the transport mode between two nodes on the return trip should be the same as the one on the outward trip if both nodes are visited on the return trip, which is a valuable aspect for transport companies. The mathematical formulations of both models leads to mixed binary linear programs, which is not a common approach for this type of problem. In this article, as well as the model description, computational experience is included to highlight the importance and efficiency of the proposed models, which may provide a valuable tool for transport managers.

A Simple Model of the Pulmonary Circulation for Hemodynamic Study and Examination.

ERIC Educational Resources Information Center

Gaar, Kermit A., Jr.

1983-01-01

Describes a computer program allowing students to study such circulatory variables as venus return, cardiac output, mean circulatory filling pressure, resistance to venous return, and equilibrium point. Documentation for this Applesoft program (or diskette) is available from author. (JM)

KSC-2014-4116

NASA Image and Video Library

2014-09-25

CAPE CANAVERAL, Fla. – NASA astronaut Rick Mastracchio, standing at left, illustrates the fine points of conducting the Slosh experiment on the International Space Station for employees attending the Launch Services Program's All Hands meeting in the Neil Armstrong Operations and Checkout Building Mission Briefing Room at NASA's Kennedy Space Center in Florida. An Expedition 38/39 crew member, Mastracchio launched to the station from the Baikonur Cosmodrome in Kazakhstan on Nov. 6, 2013, and returned to Earth on May 13, 2014, after 188 days in space. To read Mastracchio's biography, visit http://www.jsc.nasa.gov/Bios/htmlbios/mastracc.html. For more information on the Slosh experiment, visit http://www.nasa.gov/content/slosh-experiment-designed-to-improve-rocket-safety-efficiency/. Photo credit: NASA/Daniel Casper

Life Science Research Facility materials management requirements and concepts

NASA Technical Reports Server (NTRS)

Johnson, Catherine C.

1986-01-01

The Advanced Programs Office at NASA Ames Research Center has defined hypothetical experiments for a 90-day mission on Space Station to allow analysis of the materials necessary to conduct the experiments and to assess the impact on waste processing of recyclable materials and storage requirements of samples to be returned to earth for analysis as well as of nonrecyclable materials. The materials include the specimens themselves, the food, water, and gases necessary to maintain them, the expendables necessary to conduct the experiments, and the metabolic products of the specimens. This study defines the volumes, flow rates, and states of these materials. Process concepts for materials handling will include a cage cleaner, trash compactor, biological stabilizer, and various recycling devices.

Estimating Returns to Education Using Different Natural Experiment Techniques

ERIC Educational Resources Information Center

Leigh, Andrew; Ryan, Chris

2008-01-01

How much do returns to education differ across different natural experiment methods? To test this, we estimate the rate of return to schooling in Australia using two different instruments for schooling: month of birth and changes in compulsory schooling laws. With annual pre-tax income as our measure of income, we find that the naive ordinary…

Snakes or Ladders? An Examination of the Experiences of Two Teacher Leaders Returning to Classroom Teaching

ERIC Educational Resources Information Center

Munroe, Elizabeth

2014-01-01

Teachers who have held leadership roles at the school, district, or provincial level have the potential to contribute to student and school success when they return to classroom teaching. The contrasting experiences of two teacher leaders who returned voluntarily to classroom teaching are analyzed using Owens's (2004) social constructivist theory…

Implementation of a laboratory quality assurance program: the Louisville experience.

PubMed

Metz, Michael J; Abdel-Azim, Tamer; Miller, Cynthia J; Lin, Wei-Shao; ZandiNejad, Amirali; Oliveira, Gustavo M; Morton, Dean

2014-02-01

Remakes, or the refabrication of dental prostheses, can occur as a result of inherent inaccuracies in both clinical and laboratory procedures. Because dental schools manage large numbers of predoctoral dental students with limited familiarity and expertise as related to clinical prosthodontic techniques, it is likely these schools will experience an elevated incidence of laboratory remakes and their ramifications. The University of Louisville School of Dentistry, not unlike other dental schools, has experienced remakes associated with both fixed and removable prosthodontic procedures. Limitations in faculty standardization and variable enforcement of established preclinical protocols have been identified as variables associated with the high percentage of remakes documented. The purpose of this study was to introduce the implementation of a new multidepartmental quality assurance program designed to increase consistency and quality in both information provided to commercial dental laboratories and the prostheses returned. The program has shown to be advantageous in terms of cost-effectiveness and treatment outcomes. A statistically significant decrease in remake percentages has been recorded from inception of this program in December 2010 until December 2012. Furthermore, this program has resulted in more consistent communication between the dental school and commercial dental laboratories, among faculty members, and between faculty and students.

Planetary protection requirements for orbiter and netlander elements of the CNES/NASA Mars sample return mission

NASA Astrophysics Data System (ADS)

Debus, A.

In the framework of Mars exploration, particularly for missions dedicated to the search for life or for traces of ancient forms of life, NASA and CNES have decided to join their efforts in order to build a Mars sample return mission. Taking into account article IX of the OUTER SPACE TREATY (Treaty on principles governing the activities of states in the exploration and use of outer space, including the Moon and other celestial, referenced 610 UNTS 205 - resolution 2222(XXI) of December 1966, ratified in London / Washington January 27, 1967) and in order to comply with the COSPAR planetary protection recommendations, a common planetary protection program has to be established. Mars in-situ experimentations are limited by the size and the mass of the instruments necessary to perform exobiology investigations and, consequently, it appears that the best way to conduct such experiments is to bring back Mars samples to Earth. A sample return mission enables the use of a very large number of instruments and analysis protocols, giving exobiologists the best chance to find living entities or organic compounds related to life. Such a mission is complicated from a planetary protection point of view, it combines constraints for the protection of both the Mars environment as well as Earth, including the preservation of samples to ensure the validity of exobiological experiments.

INDOT Research Program Benefit Cost Analysis—Return on Investment for Projects Completed in FY 2016

DOT National Transportation Integrated Search

2017-12-01

The Governors Office requested an annual financial analysis of the INDOT Research Program to determine the return on the research investment (ROI). The current financial analysis is for research projects that completed in FY 2016. Analyses on prev...

7 CFR 247.26 - Return of administrative funds.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS COMMODITY SUPPLEMENTAL FOOD PROGRAM § 247.26 Return of administrative... legislatively mandated grant per assigned caseload slot. (Approved by the Office of Management and Budget under...

7 CFR 247.26 - Return of administrative funds.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS COMMODITY SUPPLEMENTAL FOOD PROGRAM § 247.26 Return of administrative... legislatively mandated grant per assigned caseload slot. (Approved by the Office of Management and Budget under...

7 CFR 247.26 - Return of administrative funds.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS COMMODITY SUPPLEMENTAL FOOD PROGRAM § 247.26 Return of administrative... legislatively mandated grant per assigned caseload slot. (Approved by the Office of Management and Budget under...

7 CFR 247.26 - Return of administrative funds.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS COMMODITY SUPPLEMENTAL FOOD PROGRAM § 247.26 Return of administrative... legislatively mandated grant per assigned caseload slot. (Approved by the Office of Management and Budget under...

7 CFR 247.26 - Return of administrative funds.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS COMMODITY SUPPLEMENTAL FOOD PROGRAM § 247.26 Return of administrative... legislatively mandated grant per assigned caseload slot. (Approved by the Office of Management and Budget under...

Building uncertainty into cost-effectiveness rankings: portfolio risk-return tradeoffs and implications for decision rules.

PubMed

O'Brien, B J; Sculpher, M J

2000-05-01

Current principles of cost-effectiveness analysis emphasize the rank ordering of programs by expected economic return (eg, quality-adjusted life-years gained per dollar expended). This criterion ignores the variance associated with the cost-effectiveness of a program, yet variance is a common measure of risk when financial investment options are appraised. Variation in health care program return is likely to be a criterion of program selection for health care managers with fixed budgets and outcome performance targets. Characterizing health care resource allocation as a risky investment problem, we show how concepts of portfolio analysis from financial economics can be adopted as a conceptual framework for presenting cost-effectiveness data from multiple programs as mean-variance data. Two specific propositions emerge: (1) the current convention of ranking programs by expected return is a special case of the portfolio selection problem in which the decision maker is assumed to be indifferent to risk, and (2) for risk-averse decision makers, the degree of joint risk or covariation in cost-effectiveness between programs will create incentives to diversify an investment portfolio. The conventional normative assumption of risk neutrality for social-level public investment decisions does not apply to a large number of health care resource allocation decisions in which health care managers seek to maximize returns subject to budget constraints and performance targets. Portfolio theory offers a useful framework for studying mean-variance tradeoffs in cost-effectiveness and offers some positive predictions (and explanations) of actual decision making in the health care sector.

The Point of No Return

PubMed Central

Logan, Gordon D.

2015-01-01

Bartlett (1958) described the point of no return as a point of irrevocable commitment to action, which was preceded by a period of gradually increasing commitment. As such, the point of no return reflects a fundamental limit on the ability to control thought and action. I review the literature on the point of no return, taking three perspectives. First, I consider the point of no return from the perspective of the controlled act, as a locus in the architecture and anatomy of the underlying processes. I review experiments from the stop-signal paradigm that suggest that the point of no return is located late in the response system. Then I consider the point of no return from the perspective of the act of control that tries to change the controlled act before it becomes irrevocable. From this perspective, the point of no return is a point in time that provides enough “lead time” for the act of control to take effect. I review experiments that measure the response time to the stop signal as the lead time required for response inhibition in the stop-signal paradigm. Finally, I consider the point of no return in hierarchically controlled tasks, in which there may be many points of no return at different levels of the hierarchy. I review experiments on skilled typing that suggest different points of no return for the commands that determine what is typed and the countermands that inhibit typing, with increasing commitment to action the lower the level in the hierarchy. I end by considering the point of no return in perception and thought as well as action. PMID:25633089

Rethink, Reform, Reenter: An Entrepreneurial Approach to Prison Programming.

PubMed

Keena, Linda; Simmons, Chris

2015-07-01

The purpose of this article was to present a description and first-stage evaluation of the impact of the Ice House Entrepreneurship Program on the learning experience of participating prerelease inmates at a Mississippi maximum-security prison and their perception of the transfer of skills learned in program into securing employment upon reentry. The Ice House Entrepreneurship Program is a 12-week program facilitated by volunteer university professors to inmates in a prerelease unit of a maximum-security prison in Mississippi. Participants' perspectives were examined through content analysis of inmates' answers to program Reflection and Response Assignments and interviews. The analyses were conducted according to the constant comparative method. Findings reveal the emergent of eight life-lessons and suggest that this is a promising approach to prison programming for prerelease inmates. This study discusses three approaches to better prepare inmates for a mindset change. The rethink, reform, and reenter approaches help break the traditional cycle of release, reoffend, and return. © The Author(s) 2014.

Project Return: Community Education Initiative and Babygram Hospital Outreach, 1991-92.

ERIC Educational Resources Information Center

New York City Board of Education, Brooklyn, NY. Office of Research, Evaluation, and Assessment.

Project Return, a dropout recovery program to assist pregnant and parenting teenagers and parents of elementary school children to return to school, was first implemented in 1989-90. By 1991-92, there were two components of Project Return: its community education initiative in seven elementary schools, and the Babygram Hospital Outreach Program…

The effect of financial incentives on chlamydia testing rates: Evidence from a randomized experiment☆

PubMed Central

Dolan, Paul; Rudisill, Caroline

2014-01-01

Financial incentives have been used in a variety of settings to motivate behaviors that might not otherwise be undertaken. They have been highlighted as particularly useful in settings that require a single behavior, such as appointment attendance or vaccination. They also have differential effects based on socioeconomic status in some applications (e.g. smoking). To further investigate these claims, we tested the effect of providing different types of non-cash financial incentives on the return rates of chlamydia specimen samples amongst 16–24 year-olds in England. In 2011 and 2012, we ran a two-stage randomized experiment involving 2988 young people (1489 in Round 1 and 1499 in Round 2) who requested a chlamydia screening kit from Freetest.me, an online and text screening service run by Preventx Limited. Participants were randomized to control, or one of five types of financial incentives in Round 1 or one of four financial incentives in Round 2. We tested the effect of five types of incentives on specimen sample return; reward vouchers of differing values, charity donation, participation in a lottery, choices between a lottery and a voucher and including vouchers of differing values in the test kit prior to specimen return. Financial incentives of any type, did not make a significant difference in the likelihood of specimen return. The more deprived individuals were, as calculated using Index of Multiple Deprivation (IMD), the less likely they were to return a sample. The extent to which incentive structures influenced sample return was not moderated by IMD score. Non-cash financial incentives for chlamydia testing do not seem to affect the specimen return rate in a chlamydia screening program where test kits are requested online, mailed to requestors and returned by mail. They also do not appear more or less effective in influencing test return depending on deprivation level. PMID:24373390

Return to normal activities and work after living donor laparoscopic nephrectomy.

PubMed

Larson, Dawn B; Jacobs, Cheryl; Berglund, Danielle; Wiseman, Jennifer; Garvey, Catherine; Gillingham, Kristen; Ibrahim, Hassan N; Matas, Arthur J

2017-01-01

Transplant programs inform potential donors that they should be able to return to normal activities within ~2 weeks and to work by 6 weeks after laparoscopic nephrectomy. We studied actual time. Between 10/2004 and 9/2014, 911 donors having laparoscopic nephrectomy were surveyed 6 months post-donation. Surveys asked questions specific to their recovery experience, including time to return to normal activities and work and a description of their recovery time relative to pre-donation expectations. Of the 911, 646 (71%) responded: mean age at donation was 43.5±10.6 years; 65% were female, 95% were white, 51% were biologically related to their recipient, and 83% reported education beyond high school. Of the 646 respondents, a total of 35% returned to normal activities by 2 weeks post-donation; 79% by 4 weeks post-donation; 94% by 5-6 weeks; however, 6% took >6 weeks. Of the 646, 551 (85%) were working for pay; of these, mean time to return to work was 5.3±2.8 weeks; median, 5 weeks. Of the 551, a total of 14% returned to work in 1-2 weeks, 46% by 3-4 weeks, and 76% by 5-6 weeks. Importantly, 24% required >6 weeks before returning to work with the highest rates for donors in manual labor or a skilled trade. Significantly longer return to work was reported by females (vs males; P=.01), those without (vs those with) post-high school education (P=.010, those with longer hospital stay (P=.01), and those with a postoperative complication (P=.02). Of respondents, 37% described their recovery time as longer than expected. During the donor informed consent process, additional emphasis on realistic expectations around recovery to baseline activities and return to work is warranted. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Women's experiences after Planned Parenthood's exclusion from a family planning program in Texas.

PubMed

Woo, C Junda; Alamgir, Hasanat; Potter, Joseph E

2016-04-01

We assessed the impact on depot medroxyprogesterone continuation when a large care provider was banned from a state-funded family planning program. We used three methods to assess the effect of the ban: (a) In a records review, we compared how many state program participants returned to two Planned Parenthood affiliates for a scheduled dose of depot medroxyprogesterone acetate (DMPA) immediately after the ban; (b) We conducted phone interviews with 224 former Planned Parenthood patients about DMPA use and access to contraception immediately after the ban; (c) We compared current contraceptive method of our interviewees to that of comparable DMPA users in the National Survey of Family Growth 2006-2010 (NSFG). (a) Fewer program clients returned for DMPA at a large urban Planned Parenthood, compared to a remotely located affiliate (14.4%, vs. 64.8%), reflecting different levels of access to alternative providers in the two cities. (b) Among program participants who went elsewhere for the injection, only 56.8% obtained it at no cost and on time. More than one in five women missed a dose because of barriers, most commonly due to difficulty finding a provider. (c) Compared to NSFG participants, our interviewees used less effective methods of contraception, even more than a year after the ban went into effect. Injectable contraception use was disrupted during the rollout of the state-funded family planning program. Women living in a remote area of Texas encountered more barriers. Requiring low-income family planning patients to switch healthcare providers has adverse consequences. Copyright © 2016 Elsevier Inc. All rights reserved.

Women’s experiences after Planned Parenthood’s exclusion from a family planning program in Texas☆

PubMed Central

Woo, C. Junda; Alamgir, Hasanat; Potter, Joseph E.

2016-01-01

Objective We assessed the impact on depot medroxyprogesterone continuation when a large care provider was banned from a state-funded family planning program. Study Design We used three methods to assess the effect of the ban: (a) In a records review, we compared how many state program participants returned to two Planned Parenthood affiliates for a scheduled dose of depot medroxyprogesterone acetate (DMPA) immediately after the ban; (b) We conducted phone interviews with 224 former Planned Parenthood patients about DMPA use and access to contraception immediately after the ban; (c) We compared current contraceptive method of our interviewees to that of comparable DMPA users in the National Survey of Family Growth 2006–2010 (NSFG). Results (a) Fewer program clients returned for DMPA at a large urban Planned Parenthood, compared to a remotely located affiliate (14.4%, vs. 64.8%), reflecting different levels of access to alternative providers in the two cities. (b) Among program participants who went elsewhere for the injection, only 56.8% obtained it at no cost and on time. More than one in five women missed a dose because of barriers, most commonly due to difficulty finding a provider. (c) Compared to NSFG participants, our interviewees used less effective methods of contraception, even more than a year after the ban went into effect. Conclusions Injectable contraception use was disrupted during the rollout of the state-funded family planning program. Women living in a remote area of Texas encountered more barriers. Implications Requiring low-income family planning patients to switch healthcare providers has adverse consequences. PMID:26680757

Space Radiation Program Element Tissue Sharing Initiative

NASA Technical Reports Server (NTRS)

Wu, H.; Huff, J. L.; Simonsen, L. C.

2014-01-01

Over the years, a large number of animal experiments have been conducted at the NASA Space Radiation Laboratory and other facilities under the support of the NASA Space Radiation Program Element (SRPE). Studies using rodents and other animal species to address the space radiation risks will remain a significant portion of the research portfolio of the Element. In order to maximize scientific return of the animal studies, SRPE is taking the initiative to promote tissue sharing among the scientists in the space radiation research community. This initiative is enthusiastically supported by the community members as voiced in the responses to a recent survey. For retrospective tissue samples, an online platform will be established for the PIs to post a list of the available samples, and to exchange information with the potential recipients. For future animal experiments, a tissue sharing policy is being developed by SRPE.

A Simulation Modeling Framework to Optimize Programs Using Financial Incentives to Motivate Health Behavior Change.

PubMed

Basu, Sanjay; Kiernan, Michaela

2016-01-01

While increasingly popular among mid- to large-size employers, using financial incentives to induce health behavior change among employees has been controversial, in part due to poor quality and generalizability of studies to date. Thus, fundamental questions have been left unanswered: To generate positive economic returns on investment, what level of incentive should be offered for any given type of incentive program and among which employees? We constructed a novel modeling framework that systematically identifies how to optimize marginal return on investment from programs incentivizing behavior change by integrating commonly collected data on health behaviors and associated costs. We integrated "demand curves" capturing individual differences in response to any given incentive with employee demographic and risk factor data. We also estimated the degree of self-selection that could be tolerated: that is, the maximum percentage of already-healthy employees who could enroll in a wellness program while still maintaining positive absolute return on investment. In a demonstration analysis, the modeling framework was applied to data from 3000 worksite physical activity programs across the nation. For physical activity programs, the incentive levels that would optimize marginal return on investment ($367/employee/year) were higher than average incentive levels currently offered ($143/employee/year). Yet a high degree of self-selection could undermine the economic benefits of the program; if more than 17% of participants came from the top 10% of the physical activity distribution, the cost of the program would be expected to always be greater than its benefits. Our generalizable framework integrates individual differences in behavior and risk to systematically estimate the incentive level that optimizes marginal return on investment. © The Author(s) 2015.

A simulation modeling framework to optimize programs using financial incentives to motivate health behavior change

PubMed Central

Basu, Sanjay; Kiernan, Michaela

2015-01-01

Introduction While increasingly popular among mid- to large-size employers, using financial incentives to induce health behavior change among employees has been controversial, in part due to poor quality and generalizability of studies to date. Thus, fundamental questions have been left unanswered: to generate positive economic returns on investment, what level of incentive should be offered for any given type of incentive program and among which employees? Methods We constructed a novel modeling framework that systematically identifies how to optimize marginal return on investment from programs incentivizing behavior change by integrating commonly-collected data on health behaviors and associated costs. We integrated “demand curves” capturing individual differences in response to any given incentive with employee demographic and risk factor data. We also estimated the degree of self-selection that could be tolerated, i.e., the maximum percentage of already-healthy employees who could enroll in a wellness program while still maintaining positive absolute return on investment. In a demonstration analysis, the modeling framework was applied to data from 3,000 worksite physical activity programs across the nation. Results For physical activity programs, the incentive levels that would optimize marginal return on investment ($367/employee/year) were higher than average incentive levels currently offered ($143/employee/year). Yet a high degree of self-selection could undermine the economic benefits of the program; if more than 17% of participants came from the top 10% of the physical activity distribution, the cost of the program would be expected to always be greater than its benefits. Discussion Our generalizable framework integrates individual differences in behavior and risk to systematically estimate the incentive level that optimizes marginal return on investment. PMID:25977362

Exercise modulates chloride homeostasis after spinal cord injury.

PubMed

Côté, Marie-Pascale; Gandhi, Sapan; Zambrotta, Marina; Houlé, John D

2014-07-02

Activity-based therapies are routinely integrated in spinal cord injury (SCI) rehabilitation programs because they result in a reduction of hyperreflexia and spasticity. However, the mechanisms by which exercise regulates activity in spinal pathways to reduce spasticity and improve functional recovery are poorly understood. Persisting alterations in the action of GABA on postsynaptic targets is a signature of CNS injuries, including SCI. The action of GABA depends on the intracellular chloride concentration, which is determined largely by the expression of two cation-chloride cotransporters (CCCs), KCC2 and NKCC1, which serve as chloride exporters and importers, respectively. We hypothesized that the reduction in hyperreflexia with exercise after SCI relies on a return to chloride homeostasis. Sprague Dawley rats received a spinal cord transection at T12 and were assigned to SCI-7d, SCI-14d, SCI-14d+exercise, SCI-28d, SCI-28d+exercise, or SCI-56d groups. During a terminal experiment, H-reflexes were recorded from interosseus muscles after stimulation of the tibial nerve and the low-frequency-dependent depression (FDD) was assessed. We provide evidence that exercise returns spinal excitability and levels of KCC2 and NKCC1 toward normal levels in the lumbar spinal cord. Acutely altering chloride extrusion using the KCC2 blocker DIOA masked the effect of exercise on FDD, whereas blocking NKCC1 with bumetanide returned FDD toward intact levels after SCI. Our results indicate that exercise contributes to reflex recovery and restoration of endogenous inhibition through a return to chloride homeostasis after SCI. This lends support for CCCs as part of a pathway that could be manipulated to improve functional recovery when combined with rehabilitation programs. Copyright © 2014 the authors 0270-6474/14/348976-12$15.00/0.

Between unemployment and employment: experience of unemployed long-term pain sufferers.

PubMed

Glavare, Maria; Löfgren, Monika; Schult, Marie-Louise

2012-01-01

This study explored and analysed how patients experienced possibilities for, and barriers to, work return after participation in a multi-professional pain-rehabilitation program followed by a coached work-training program (CWT). Eleven informants (8 women/3 men) with long-term musculoskeletal pain who had participated in the CWT program for 4-21 months (mean=11) comprised the study. A qualitative emergent design was used. Data collected with interviews were analysed using the constant comparison method of grounded theory. Triangulation in researchers were used. The analyses of the interviews resulted in the development of a three-category theoretical model, which was named "a way back to work". The main category "Experience of a way back to work" consisted of the informants' experience during the process between unemployment and employment. The category "Support" describes the help the informants received from various actors, and the category "Negative response" describes negative responses from the actors involved, which was an important barrier in the process between unemployment and employment. Professional individualised support, participants feeling involved in their rehabilitation process, coaching at real workplaces and multi-professional team including health care personnel, were valuable during the process towards work.

Fuzzy bi-objective linear programming for portfolio selection problem with magnitude ranking function

NASA Astrophysics Data System (ADS)

Kusumawati, Rosita; Subekti, Retno

2017-04-01

Fuzzy bi-objective linear programming (FBOLP) model is bi-objective linear programming model in fuzzy number set where the coefficients of the equations are fuzzy number. This model is proposed to solve portfolio selection problem which generate an asset portfolio with the lowest risk and the highest expected return. FBOLP model with normal fuzzy numbers for risk and expected return of stocks is transformed into linear programming (LP) model using magnitude ranking function.

On the petrological, geochemical, and geophysical characterization of a returned Mars surface sample and the impact of biological sterilization on the analyses

NASA Technical Reports Server (NTRS)

1974-01-01

A study was conducted: to identify those experiments that could and should be done on a returned Martian sample in order to characterize its inorganic properties; to evaluate, insofar as can be done, the effects of potential biological sterilization of the sample by heating prior to its return; to identify particular analytical techniques needing further improvement in order to make optimum use of a returned sample; and to identify experiments to be done on simulants, with and without sterilization, that better define the limits of information available about the planet from analyses of returned samples.

The Relative Value of Skills, Knowledge, and Teaching Methods in Explaining Master of Business Administration (MBA) Program Return on Investment

ERIC Educational Resources Information Center

van Auken, Stuart; Wells, Ludmilla Gricenko; Chrysler, Earl

2005-01-01

In this article, the authors provide insight into alumni perceptions of Master of Business Administration (MBA) program return on investment (ROI). They sought to assess the relative value of skills, knowledge, and teaching methods in explaining ROI. By developing insight into the drivers of ROI, the real utility of MBA program ingredients can be…

Return on Investment for Digital Behavioral Counseling in Patients With Prediabetes and Cardiovascular Disease.

PubMed

Su, Wenqing; Chen, Fang; Dall, Timothy M; Iacobucci, William; Perreault, Leigh

2016-01-28

We calculated the health and economic impacts of participation in a digital behavioral counseling service that is designed to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with prediabetes and cardiovascular disease risk factors (Prevent, Omada Health, San Francisco, California). This program enhances the Centers for Disease Control and Prevention's Diabetes Prevention Recognition Program. Participants completed a 16-week core program followed by an ongoing maintenance program. Analysis was conducted for 2 populations meeting criteria for lifestyle intervention: 1) prediabetes (n = 1,663), and 2) high cardiovascular disease risk (n = 2,152). The Markov-based model simulated clinical and economic outcomes related to obesity and diabetes annually over 10 years for the 2 defined populations. Comparisons were made between participants and propensity-matched controls from the community. The return-on-investment break-even point was 3 years in both populations. Simulated return on investment for the population with prediabetes was $9 and $1,565 at years 3 and 5, respectively. Simulated return on investment for the population with cardiovascular disease risk was $96 and $1,512 at years 3 and 5, respectively. Results suggest that program participation reduces diabetes incidence by 30% to 33% and stroke by 11% to 16% over 5 years. Digital Behavioral Counseling provides significant health benefits to patients with prediabetes and cardiovascular disease and a positive return on investment.

Development of Testing Methodologies to Evaluate Postflight Locomotor Performance

NASA Technical Reports Server (NTRS)

Mulavara, A. P.; Peters, B. T.; Cohen, H. S.; Richards, J. T.; Miller, C. A.; Brady, R.; Warren, L. E.; Bloomberg, J. J.

2006-01-01

Crewmembers experience locomotor and postural instabilities during ambulation on Earth following their return from space flight. Gait training programs designed to facilitate recovery of locomotor function following a transition to a gravitational environment need to be accompanied by relevant assessment methodologies to evaluate their efficacy. The goal of this paper is to demonstrate the operational validity of two tests of locomotor function that were used to evaluate performance after long duration space flight missions on the International Space Station (ISS).

Forward Technology Solar Cell Experiment First On-Orbit Data

NASA Technical Reports Server (NTRS)

Walters, R. J.; Garner, J. C.; Lam, S. N.; Vazquez, J. A.; Braun, W. R.; Ruth, R. E.; Warner, J. H.; Lorentzen, J. R.; Messenger, S. R.; Bruninga, R.;

Efficacy of Aedes aegypti control by indoor Ultra Low Volume (ULV) insecticide spraying in Iquitos, Peru

PubMed Central

Okamoto, Kenichi W.; Astete, Helvio; Vasquez, Gissella M.; Del Aguila, Clara; Pinedo, Raul; Cardenas, Roldan; Pacheco, Carlos; Chalco, Enrique; Rodriguez-Ferruci, Hugo; Scott, Thomas W.; Lloyd, Alun L.; Gould, Fred

2018-01-01

Background Aedes aegypti is a primary vector of dengue, chikungunya, Zika, and urban yellow fever viruses. Indoor, ultra low volume (ULV) space spraying with pyrethroid insecticides is the main approach used for Ae. aegypti emergency control in many countries. Given the widespread use of this method, the lack of large-scale experiments or detailed evaluations of municipal spray programs is problematic. Methodology/Principal findings Two experimental evaluations of non-residual, indoor ULV pyrethroid spraying were conducted in Iquitos, Peru. In each, a central sprayed sector was surrounded by an unsprayed buffer sector. In 2013, spray and buffer sectors included 398 and 765 houses, respectively. Spraying reduced the mean number of adults captured per house by ~83 percent relative to the pre-spray baseline survey. In the 2014 experiment, sprayed and buffer sectors included 1,117 and 1,049 houses, respectively. Here, the sprayed sector’s number of adults per house was reduced ~64 percent relative to baseline. Parity surveys in the sprayed sector during the 2014 spray period indicated an increase in the proportion of very young females. We also evaluated impacts of a 2014 citywide spray program by the local Ministry of Health, which reduced adult populations by ~60 percent. In all cases, adult densities returned to near-baseline levels within one month. Conclusions/Significance Our results demonstrate that densities of adult Ae. aegypti can be reduced by experimental and municipal spraying programs. The finding that adult densities return to approximately pre-spray densities in less than a month is similar to results from previous, smaller scale experiments. Our results demonstrate that ULV spraying is best viewed as having a short-term entomological effect. The epidemiological impact of ULV spraying will need evaluation in future trials that measure capacity of insecticide spraying to reduce human infection or disease. PMID:29624581

Cost-effectiveness of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders: design of a randomised controlled trial.

PubMed

Vermeulen, Sylvia J; Anema, Johannes R; Schellart, Antonius J M; van Mechelen, Willem; van der Beek, Allard J

2010-03-28

Within the working population there is a vulnerable group: workers without an employment contract and workers with a flexible labour market arrangement, e.g. temporary agency workers. In most cases, when sick-listed, these workers have no workplace/employer to return to. Also, for these workers access to occupational health care is limited or even absent in many countries. For this vulnerable working population there is a need for tailor-made occupational health care, including the presence of an actual return-to-work perspective. Therefore, a participatory return-to-work program has been developed based on a successful return-to-work intervention for workers, sick-listed due to low back pain.The objective of this paper is to describe the design of a randomised controlled trial to study the (cost-)effectiveness of this newly developed participatory return-to-work program adapted for temporary agency workers and unemployed workers, sick-listed due to musculoskeletal disorders, compared to usual care. The design of this study is a randomised controlled trial with one year of follow-up. The study population consists of temporary agency workers and unemployed workers sick-listed between 2 and 8 weeks due to musculoskeletal disorders. The new return-to-work program is a stepwise program aimed at making a consensus-based return-to-work implementation plan with the possibility of a (therapeutic) workplace to return-to-work. Outcomes are measured at baseline, 3, 6, 9 and 12 months. The primary outcome measure is duration of the sickness benefit period after the first day of reporting sick. Secondary outcome measures are: time until first return-to-work, total number of days of sickness benefit during follow-up; functional status; intensity of musculoskeletal pain; pain coping; and attitude, social influence and self-efficacy determinants. Cost-benefit is evaluated from an insurer's perspective. A process evaluation is part of this study. For sick-listed workers without an employment contract there can be gained a lot by improving occupational health care, including return-to-work guidance, and by minimising the 'labour market handicap' by creating a return-to-work perspective. In addition, reduction of sickness absence and work disability, i.e. a reduction of disability claims, may result in substantial benefits for the Dutch Social Security System. NTR1047.

Factors influencing donor return.

PubMed

Schlumpf, Karen S; Glynn, Simone A; Schreiber, George B; Wright, David J; Randolph Steele, Whitney; Tu, Yongling; Hermansen, Sigurd; Higgins, Martha J; Garratty, George; Murphy, Edward L

2008-02-01

To predict future blood donation behavior and improve donor retention, it is important to understand the determinants of donor return. A self-administered questionnaire was completed in 2003 by 7905 current donors. With data mining methods, all factors measured by the survey were ranked as possible predictors of actual return within 12 months. Significant factors were analyzed with logistic regression to determine predictors of intention and of actual return. Younger and minority donors were less likely to return in 12 months. Predictors of donor return were higher prior donation frequency, higher intention to return, a convenient place to donate, and having a good donation experience. Most factors associated with actual donor return were also associated with a high intention to return. Although not significant for actual return, feeling a responsibility to help others, higher empathetic concern, and a feeling that being a blood donor means more than just donating blood were related to high intention to return. Prior donation frequency, intention to return, donation experience, and having a convenient location appear to significantly predict donor return. Clearly, donor behavior is dependent on more than one factor alone. Altruistic behavior, empathy, and social responsibility items did not enter our model to predict actual return. A donor's stated intention to give again is positively related to actual return and, while not a perfect measure, might be a useful proxy when donor return cannot be determined.

Workplace Breastfeeding Support Varies by Employment Type: The Service Workplace Disadvantage.

PubMed

Snyder, Kailey; Hansen, Kelli; Brown, Sara; Portratz, Amy; White, Kate; Dinkel, Danae

The majority of women are returning to work full-time after childbirth, and support within their place of employment may influence intention and duration for breastfeeding, but more research is needed. Therefore, the purpose of this study was to explore the influence of employment type on breastfeeding duration upon return to work by examining informal (i.e., verbal encouragement) and direct (i.e., lactation space, flexible time) factors of support. This was a retrospective survey of women's returning-to-work experiences while breastfeeding. Survey contents included respondent demographics as well as questions surrounding perceptions of employer support, work environment, and goal/satisfaction regarding breastfeeding. Data were analyzed via crosstabs and chi-square goodness of fit tests. A total of 1,002 women completed the survey. Significant differences were seen across different employment types. Women within the professional/management industry were most likely to receive informal and direct support for breastfeeding upon return to work. Women within the service industry and production/transportation industry reported receiving the lowest levels of informal and direct support. Workplace support varies by employment type and women in the service and production/transportation industry appear to be at a disadvantage compared with other employment types. There is a need for more breastfeeding support programs to be developed that target specific workplace characteristics.

Educational Experiences and the Professional Reintegration of Registered Nurses Returning for Baccalaureate Degrees

ERIC Educational Resources Information Center

Einhellig, Katrina

2012-01-01

The purpose of this phenomenological research study was to understand the experiences of RN to BSN graduates within their educational experience and their subsequent reintegration into professional practice. The goal of the study was to elucidate the experiences of nurses as they returned for a baccalaureate degree in order to more fully…

Evaluation of an occupational rehabilitation program.

PubMed

Goodman, Glenn; Browning, Margaret; Campbell, Sims; Hudak, Huison

2005-01-01

The purpose of this study was to report the findings of a program evaluation for an occupational rehabilitation program in the Midwest. An ex-post facto chart review was performed on 50 charts using demographic data, results from tests of performance and pain measures, and data from patient satisfaction questionnaires to find evidence of excellence in the program, and to identify areas for improvement. Over 97% of the participants actually completed the program and 76% returned to work within 3 months after program completion. Ninety-two percent indicated overall satisfaction with the program, and all aspects of the program were rated with a mean score of 4.25 or above on a 1 to 5 Likert scale. Evaluation of perceived pain scales of the participants indicate no discernable relationship between intensity of pain and successful return to work. The program showed a high completion rate, a high return to work rate, and high levels of patient satisfaction. Suggestions for improvement include an increase in use of real and simulated work activities, better documentation of pain measures, better programs to address psychosocial issues, lengthening the program, and increased communication with case managers and professionals outside of the work program.

Aeroassist Key to Returning From Space and the Case for AFE

NASA Technical Reports Server (NTRS)

Williams, Louis J.; Putnam, Terrill W.; Morris, Robert

1997-01-01

The Aeroassist Flight Experiment (AFE) is important in the development of a substantial and cost-competitive space industry. It is a research program to develop the technology base needed to design a new class of advanced entry vehicles that will play a key role in establishing a mature U.S. space presence in the next century. A dynamic and economical space program in the 21st century will include many operations involving the return of satellites, materials, and products from high Earth orbits (HEO), lunar bases, and planetary missions. The common and dominant characteristics of vehicles returning from such missions will be their very high speed as they approach the Earth. This high speed must be reduced substantially before the returning vehicle can be landed safely on Earth or placed in low Earth orbit (LEO), where the Space Shuttle operates now and the Space Station Freedom will operate in the future. LEO is a strategic that will always play a critical role in any space program. Its location just beyond earth's appreciable atmosphere can be reached from earth with the lowest cost in energy, and it is the natural and convenient spaceport location. In the next century LEO will contain a broad complex of assembly, research, repair, and production facilities. Their effective and cost-competitive use will require a class of routine workhorse transportation vehicles whose importance might be over-looked at a time when dramatic space exploration is occurring. Yet it is these vehicles, the Aeroassisted Space Transfer Vehicles (ASTV's) that will provide that solid transportation base on which a productive space industry will grow. The ASTV's will be assembled in orbit and will never return to earth's surface. They will be used to transfer people and material from high locations to LEO. They will reduce their high velocities in the outer reaches of the earth's atmosphere where aerodynamic drag will slow them to the appropriate speed for LEO. They will then maneuver out of the atmosphere and into a desired orbit. The present consensus is that this is the only cost-effective method of reducing the speed of such vehicles to the required level. The ASTV's will operate at very high altitudes where the atmosphere is exceptionally thin and the flight data need for their safe and efficient design are not adequately known. Much critical scientific research must be done to build the technology base needed to make such a design. The research program discussed in this publication, the AFE, is specifically aimed at acquiring the knowledge for this technology base.

Return on Investment in Disease Management: A Review

PubMed Central

Goetzel, Ron Z.; Ozminkowski, Ronald J.; Villagra, Victor G.; Duffy, Jennifer

2005-01-01

The results of 44 studies investigating financial impact and return on investment (ROI) from disease management (DM) programs for asthma, congestive heart failure (CHF), diabetes, depression, and multiple illnesses were examined. A positive ROI was found for programs directed at CHF and multiple disease conditions. Some evidence suggests that diabetes programs may save more than they cost, but additional studies are needed. Results are mixed for asthma management programs. Depression management programs cost more than they save in medical expenses, but may save money when considering productivity outcomes. PMID:17288065

Return on investment in disease management: a review.

PubMed

Goetzel, Ron Z; Ozminkowski, Ronald J; Villagra, Victor G; Duffy, Jennifer

2005-01-01

The results of 44 studies investigating financial impact and return on investment (ROI) from disease management (DM) programs for asthma, congestive heart failure (CHF), diabetes, depression, and multiple illnesses were examined. A positive ROI was found for programs directed at CHF and multiple disease conditions. Some evidence suggests that diabetes programs may save more than they cost, but additional studies are needed. Results are mixed for asthma management programs. Depression management programs cost more than they save in medical expenses, but may save money when considering productivity outcomes.

A truly healthy bottom line: improving financial results through effective health and productivity programs.

PubMed

Wolff, Shelly

2008-01-01

Financially speaking, an effective, comprehensive, properly executed health and productivity (H&P) program can drive significant business results. Unfortunately, many companies are not getting the same return on their investments in H&P programs as their peers. This article defines program effectiveness and describes the specific activities of employers that have implemented successful H&P strategies leading to improved health, increased productivity and lower benefit costs-and, in turn, higher levels of performance, returns to shareholders and market premium.

Construction of a General Purpose Command Language for Use in Computer Dialog.

DTIC Science & Technology

1980-09-01

Page 1 Skeletal Command Action File...............35 2 Sample from Cyber Action File.................36 3 Program MONITOR Structure Chart...return indicates subroutine call and no return Fig 3. Program MONITOR Structure Chart 48 IV. Validation The general purpose command language was...executive control of these functions, in C addition to its role as interpreter. C C The structure , concept, design, and implementation of program C

SSA Disability: Other Programs May Provide Lessons for Improving Return-to-Work Efforts. Testimony before the Subcommittee on Social Security, Committee on Ways and Means, House of Representatives.

ERIC Educational Resources Information Center

Bovbjerg, Barbara D.

This report compares the Social Security Administration's Disability Insurance (DI) program and the practices of the private sector and other countries in helping people with severe disabilities return to work. Information was gathered in in-depth interviews and a review of policy documents and program data at three private sector disability…

The point of no return: A fundamental limit on the ability to control thought and action.

PubMed

Logan, Gordon D

2015-01-01

Bartlett (1958. Thinking. New York: Basic Books) described the point of no return as a point of irrevocable commitment to action, which was preceded by a period of gradually increasing commitment. As such, the point of no return reflects a fundamental limit on the ability to control thought and action. I review the literature on the point of no return, taking three perspectives. First, I consider the point of no return from the perspective of the controlled act, as a locus in the architecture and anatomy of the underlying processes. I review experiments from the stop-signal paradigm that suggest that the point of no return is located late in the response system. Then I consider the point of no return from the perspective of the act of control that tries to change the controlled act before it becomes irrevocable. From this perspective, the point of no return is a point in time that provides enough "lead time" for the act of control to take effect. I review experiments that measure the response time to the stop signal as the lead time required for response inhibition in the stop-signal paradigm. Finally, I consider the point of no return in hierarchically controlled tasks, in which there may be many points of no return at different levels of the hierarchy. I review experiments on skilled typing that suggest different points of no return for the commands that determine what is typed and the countermands that inhibit typing, with increasing commitment to action the lower the level in the hierarchy. I end by considering the point of no return in perception and thought as well as action.

Clinical effectiveness of behavioral signs for screening chronic low-back pain patients in a work-oriented physical rehabilitation program.

PubMed

Werneke, M W; Harris, D E; Lichter, R L

1993-12-01

This prospective study investigated the relationship between behavioral sign scores (from Waddell) and the return to work status of chronic low-back pain patients who completed a work-oriented physical rehabilitation program without formal facility-related psychologic or social services. Further, the authors monitored the effect of this program on changing these scores. The program consisted of physical reconditioning through resistive exercises, flexibility and aerobic training, posture and body mechanics education, and progressive work simulation tasks and activities of daily living. One hundred eighty-three nonworking or partially disabled low-back pain patients with an average duration of 8.7 months' disability were included in the study. The presence of each of eight behavioral signs was tested for on entry and again on completion of the program. Analysis showed a significant drop in behavioral sign scores for patients who successfully returned to work. There was no significant reduction in scores for patients who did not return to work. The results suggest these signs may predict the effectiveness of treating chronic low-back pain patients in a return-to-work physical rehabilitation program. Conversely, screening for behavioral signs may identify low-back pain patients who would benefit from intensive behavioral and psychiatric testing and intervention efforts.

Return to drug use and overdose after release from prison: a qualitative study of risk and protective factors.

PubMed

Binswanger, Ingrid A; Nowels, Carolyn; Corsi, Karen F; Glanz, Jason; Long, Jeremy; Booth, Robert E; Steiner, John F

2012-01-01

Former inmates are at high risk for death from drug overdose, especially in the immediate post-release period. The purpose of the study is to understand the drug use experiences, perceptions of overdose risk, and experiences with overdose among former prisoners. This qualitative study included former prison inmates (N=29) who were recruited within two months after their release. Interviewers conducted in-person, semi-structured interviews which explored participants' experiences and perceptions. Transcripts were analyzed utilizing a team-based method of inductive analysis. The following themes emerged: 1) Relapse to drugs and alcohol occurred in a context of poor social support, medical co-morbidity and inadequate economic resources; 2) former inmates experienced ubiquitous exposure to drugs in their living environments; 3) intentional overdose was considered "a way out" given situational stressors, and accidental overdose was perceived as related to decreased tolerance; and 4) protective factors included structured drug treatment programs, spirituality/religion, community-based resources (including self-help groups), and family. Former inmates return to environments that strongly trigger relapse to drug use and put them at risk for overdose. Interventions to prevent overdose after release from prison may benefit from including structured treatment with gradual transition to the community, enhanced protective factors, and reductions of environmental triggers to use drugs.

Tailoring science education graduate programs to the needs of science educators in low-income countries

NASA Astrophysics Data System (ADS)

Lunetta, Vincent N.; van den Berg, Euwe

Science education graduate programs in high-income countries frequently enroll students from low-income countries. Upon admission these students have profiles of knowledge, skills, and experiences which can be quite different from those of students from the host high-income countries. Upon graduation, they will normally return to work in education systems with conditions which differ greatly from those in high-income countries. This article attempts to clarify some of the differences and similarities between such students. It offers suggestions for making graduate programs more responsive to the special needs of students from low-income countries and to the opportunities they offer for enhancing cross-cultural sensitivity. Many of the suggestions can be incorporated within existing programs through choices of elective courses and topics for papers, projects, and research. Many references are provided to relevant literature on cultural issues and on science education in low-income countries.

Anterior cruciate ligament- specialized post-operative return-to-sports (ACL-SPORTS) training: a randomized control trial

PubMed Central

2013-01-01

Background Anterior cruciate ligament reconstruction (ACLR) is standard practice for athletes that wish to return to high-level activities; however functional outcomes after ACLR are poor. Quadriceps strength weakness, abnormal movement patterns and below normal knee function is reported in the months and years after ACLR. Second ACL injuries are common with even worse outcomes than primary ACLR. Modifiable limb-to-limb asymmetries have been identified in individuals who re-injure after primary ACLR, suggesting a neuromuscular training program is needed to improve post-operative outcomes. Pre-operative perturbation training, a neuromuscular training program, has been successful at improving limb symmetry prior to surgery, though benefits are not lasting after surgery. Implementing perturbation training after surgery may be successful in addressing post-operative deficits that contribute to poor functional outcomes and second ACL injury risk. Methods/Design 80 athletes that have undergone a unilateral ACLR and wish to return to level 1 or 2 activities will be recruited for this study and randomized to one of two treatment groups. A standard care group will receive prevention exercises, quadriceps strengthening and agility exercises, while the perturbation group will receive the same exercise program with the addition of perturbation training. The primary outcomes measures will include gait biomechanics, clinical and functional measures, and knee joint loading. Return to sport rates, return to pre-injury level of activity rates, and second injury rates will be secondary measures. Discussion The results of this ACL-Specialized Post-Operative Return To Sports (ACL-SPORTS) Training program will help clinicians to better determine an effective post-operative treatment program that will improve modifiable impairments that influence outcomes after ACLR. Trial registration Randomized Control Trial NIH 5R01AR048212-07. ClinicalTrials.gov: NCT01773317 PMID:23522373

Return-to-work success despite conflicts: an exploration of decision-making during a work rehabilitation program.

PubMed

Gouin, Marie-Michelle; Coutu, Marie-France; Durand, Marie-José

2017-11-12

Collective decision-making by stakeholders appears important to return-to-work success, yet few studies have explored the processes involved. This study aims to explore the influence of decision-making on return-to-work for workers with musculoskeletal or common mental disorders. This study is a secondary analysis using data from three earlier multiple-case studies that documented decision-making during similar and comparable work rehabilitation programs. Individual interviews were conducted at the end of the program with stakeholders, namely, the disabled workers and representatives of health care professionals, employers, unions and insurers. Verbatims were analysed inductively. The 28 decision-making processes (cases) led to 115 different decisions-making instances and included the following components: subjects of the decisions, stakeholders' concerns and powers, and types of decision-making. No differences were found in decision-making processes relative to the workers' diagnoses or return-to-work status. However, overall analysis of decision-making revealed that stakeholder agreement on a return-to-work goal and acceptance of an intervention plan in which the task demands aligned with the worker's capacities were essential for return-to-work success. These results support the possibility of return-to-work success despite conflictual decision-making processes. In addition to facilitating consensual decisions, future studies should be aimed at facilitating negotiated decisions. Implications for rehabilitation Facilitating decision-making, with the aim of obtaining agreement from all stakeholders on a return-to-work goal and their acceptance of an intervention plan that respects the worker's capacities, is important for return-to-work success. Rehabilitation professionals should constantly be on the lookout for potential conflicts, which may either complicate the reach of an agreement between the stakeholders or constrain return-to-work possibilities. Rehabilitation professionals should also be constantly watching for workers' and employers' return-to-work concerns, as they may change during work rehabilitation, potentially challenging a reached agreement.

Improving capacity for evidence-based practice in South East Asia: evaluating the role of research fellowships in the SEA-ORCHID Project

PubMed Central

2010-01-01

Background Fellowships are a component of many professional education programs. They provide opportunities to develop skills and competencies in an environment where time is protected and resources and technical support are more readily available. The SEA-ORCHID fellowships program aimed to increase capacity for evidence-based practice and research synthesis, and to encourage fellows to become leaders in these areas. Methods Fellows included doctors, nurses, midwives and librarians working in the maternal and neonatal areas of nine hospitals in South East Asia. Fellowships were undertaken in Australia and involved specific outputs related to evidence-based practice or research synthesis. Training and support was tailored according to the type of output and the fellow's experience and expertise. We evaluated the fellowships program quantitatively and qualitatively through written evaluations, interviews and follow-up of fellowship activities. Results During 2006-07, 23 fellows from Thailand, Indonesia, Malaysia and the Philippines undertook short-term fellowships (median four weeks) in Australia. The main outputs were drafts of Cochrane systematic reviews, clinical practice guidelines and protocols for randomised trials, and training materials to support evidence-based practice. Protocols for Cochrane systematic reviews were more likely to be completed than other outcomes. The fellows identified several components that were critical to the program's overall success; these included protected time, tailored training, and access to technical expertise and resources. On returning home, fellows identified a lack of time and limited access to the internet and evidence-based resources as barriers to completing their outputs. The support of colleagues and senior staff was noted as an important enabler of progress, and research collaborators from other institutions and countries were also important sources of support. Conclusions The SEA-ORCHID fellowships program provided protected time to work on an output which would facilitate evidence-based practice. While the fellows faced substantial barriers to completing their fellowship outputs once they returned home, these fellowships resulted in a greater understanding, enthusiasm and skills for evidence-based practice. The experience of the SEA-ORCHID fellowships program may be useful for other initiatives aiming to build capacity in evidence-based practice. PMID:20492706

Time course of upper limb function and return-to-work post-radiotherapy in young adults with breast cancer: a pilot randomized control trial on effects of targeted exercise program.

PubMed

Ibrahim, Marize; Muanza, Thierry; Smirnow, Nadia; Sateren, Warren; Fournier, Beatrice; Kavan, Petr; Palumbo, Michael; Dalfen, Richard; Dalzell, Mary-Ann

2017-12-01

Breast cancer (BC) diagnosis in young adults (YA) is rising, and both disease and treatments are aggressive in this population. Evidence supports the use of physical activity in reducing shoulder dysfunction, which is common among BC survivors. A pilot randomized clinical trial was performed to determine the effectiveness of a 12-week post-radiation exercise program in minimizing upper extremity dysfunction in YA with BC. Participants were randomized to either an exercise arm or a control arm receiving standard care. Data was collected over six time points using: the Disability of Arm, Shoulder, and Hand (DASH); the Metabolic Equivalent of Task-hours per week (MET-hours/week), and a post hoc questionnaire on return to work. In total, 59 young women participated in the study (n = 29 exercise; n = 30 control). No statistically significant differences were found in overall DASH results between groups; however, those who underwent total mastectomy had residual upper limb dysfunction (p < 0.05). Both groups returned to pre-diagnosis activity levels by 18 months. Final evaluation showed that 86% of the women returned to work, and 89% resumed prior work activities with a decrease of 8.5 h/week. Although the short-term targeted exercise program had no effect on long-term upper limb function post-radiation, timing and program specificity may require consideration of tissue healing post-radiation and surgery type. The majority of participants returned to work, however not returning to pre-diagnosis work hours. Exercise interventions alone may not reverse the long-term sequelae of breast cancer treatment and allow young adult patients to return to work.

Returning HEU Fuel from the Czech Republic to Russia

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

Michael Tyacke; Dr. Igor Bolshinsky

In December 1999, representatives from the United States, Russian Federation, and International Atomic Energy Agency began working on a program to return Russian supplied, highly enriched, uranium fuel stored at foreign research reactors to Russia. Now, under the Global Threat Reduction Initiative’s Russian Research Reactor Fuel Return Program, this effort has repatriated over 800 kg of highly enriched uranium to Russia from over 10 countries. In May 2004, the “Agreement Between the Government of the United States of America and the Government of the Russian Federation Concerning Cooperation for the Transfer of Russian Produced Research Reactor Nuclear Fuel to themore » Russian Federation” was signed. This agreement provides legal authority for the Russian Research Reactor Fuel Return Program and establishes parameters whereby eligible countries may return highly enriched uranium spent and fresh fuel assemblies and other fissile materials to Russia. On December 8, 2007, one of the largest shipments of highly enriched uranium spent nuclear fuel was successfully made from a Russian-designed nuclear research reactor in the Czech Republic to the Russian Federation. This accomplishment is the culmination of years of planning, negotiations, and hard work. The United States, Russian Federation, and the International Atomic Energy Agency have been working together. In February 2003, Russian Research Reactor Fuel Return Program representatives met with the Nuclear Research Institute in Rež, Czech Republic, and discussed the return of their highly enriched uranium spent nuclear fuel to the Russian Federation for reprocessing. Nearly 5 years later, the shipment was made. This article discusses the planning, preparations, coordination, and cooperation required to make this important international shipment.« less

Global Health Education in Gastroenterology Fellowship: A National Survey.

PubMed

Jirapinyo, Pichamol; Hunt, Rachel S; Tabak, Ying P; Proctor, Deborah D; Makrauer, Frederick L

2016-12-01

Interest in global health (GH) education is increasing across disciplines. To assess exposure to and perception of GH training among gastroenterology fellows and program directors across the USA. Design: Electronic survey study. The questionnaire was circulated to accredited US gastroenterology fellowship programs, with the assistance of the American Gastroenterological Association. Gastroenterology program directors and fellows. The questionnaire was returned by 127 respondents (47 program directors, 78 fellows) from 55 training programs (36 % of all training programs). 61 % of respondents had prior experience in GH. 17 % of programs offered GH curriculum with international elective (13 %), didactic (9 %), and research activity (7 %) being the most common. Fellows had adequate experience managing hepatitis B (93 %), cholangiocarcinoma (84 %), and intrahepatic duct stones (84 %). 74, 69 and 68 % reported having little to no experience managing hepatitis E, tuberculosis mesenteritis, or epidemic infectious enteritis, respectively. Most fellows would participate in an elective in an underserved area locally (81 %) or a 4-week elective abroad (71 %), if available. 44 % of fellows planned on working or volunteering abroad after fellowship. Barriers to establishing GH curriculum included funding (94 %), scheduling (88 %), and a lack of standardized objectives (78 %). Lack of interest, however, was not a concern. Fellows (49 %), more than faculty (29 %) (χ 2  = 21.9; p = 0.03), believed that GH education should be included in fellowship curriculum. Program directors and trainees recognize the importance of GH education. However, only 17 % of ACGME-approved fellowship programs offer the opportunity. Global health curriculum may enhance gastroenterology training.

Early Learning: Readiness for School. Annotated Bibliography

ERIC Educational Resources Information Center

Southern Regional Education Board (SREB), 2014

2014-01-01

Current research seeks to determine if today's pre-K programs provide strong returns on investment similar to the returns from the classic 1960's High/Scope Perry Preschool Program and 1970's North Carolina Abecedarian Project. These were known for the positive academic effects that children experienced as they moved through school. Policy-makers…

34 CFR 682.417 - Determination of Federal funds or assets to be returned.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION FEDERAL FAMILY EDUCATION LOAN (FFEL) PROGRAM Administration of the Federal Family Education Loan Programs by a Guaranty Agency § 682.417 Determination of... 34 Education 3 2010-07-01 2010-07-01 false Determination of Federal funds or assets to be returned...

Comparison between goal programming and cointegration approaches in enhanced index tracking

NASA Astrophysics Data System (ADS)

Lam, Weng Siew; Jamaan, Saiful Hafizah Hj.

2013-04-01

Index tracking is a popular form of passive fund management in stock market. Passive management is a buy-and-hold strategy that aims to achieve rate of return similar to the market return. Index tracking problem is a problem of reproducing the performance of a stock market index, without purchasing all of the stocks that make up the index. This can be done by establishing an optimal portfolio that minimizes risk or tracking error. An improved index tracking (enhanced index tracking) is a dual-objective optimization problem, a trade-off between maximizing the mean return and minimizing the tracking error. Enhanced index tracking aims to generate excess return over the return achieved by the index. The objective of this study is to compare the portfolio compositions and performances by using two different approaches in enhanced index tracking problem, which are goal programming and cointegration. The result of this study shows that the optimal portfolios for both approaches are able to outperform the Malaysia market index which is Kuala Lumpur Composite Index. Both approaches give different optimal portfolio compositions. Besides, the cointegration approach outperforms the goal programming approach because the cointegration approach gives higher mean return and lower risk or tracking error. Therefore, the cointegration approach is more appropriate for the investors in Malaysia.

The Return of the Prodigal Son: The Experience of Support Agents on Their Return from Teachers' Centers to School

ERIC Educational Resources Information Center

Arencibia, J. Santiago; Moreno, Juan Manuel

2005-01-01

This paper presents the results of a two-year qualitative inquiry, carried out in Spain, on a rather neglected side of external support to schools: the personal and professional experience of external support agents when they go back to teaching. These ex-advisers are career teachers who return 'home' to school after having left it to serve for…

Health Status and Experience of the Migrant Workers Returned from Spain to Colombia: A Qualitative Approach.

PubMed

Zapata-Villa, Carolina; Agudelo-Suárez, Andrés A; Cardona-Arango, Doris; Ronda-Pérez, Elena

2017-12-14

This study aims to understand the migratory experience and the employment, work and health conditions of the returned migrants from Spain to Colombia. A qualitative study was conducted by means of 23 semi-structured interviews with Colombian returned migrant workers. Qualitative narrative content analysis was performed using Atlas.Ti software. Main findings are represented by nine categories emerged from the participants' discourses: (1) impact of the economic crisis on work and employment conditions in Spain, (2) economic crisis and return, (3) characteristics of returnees, (4) perception of the returnees about Colombia, (5) the role of social support networks, (6) employment and working conditions in Colombia, (7) health and wellbeing, (8) future plans and expectations, (9) the experience of being immigrant. Adjustment difficulties in participants are evidenced by the return migration process and the conditions of the social, political and economic system in Colombia. Return migration represents the reconfiguration of personal and working lives of this population. This situation requires the development of global policies and strategies in public health to facilitate the adaptation of these people.

Autonomy support and need satisfaction in prevocational programs on care farms: The self-determination theory perspective.

PubMed

Ellingsen-Dalskau, Lina H; Morken, Margrete; Berget, Bente; Pedersen, Ingeborg

2015-01-01

Mental health problems are leading causes for early and prolonged withdrawal from the workforce. Green work on care farms represents a prevocational training program intended to stimulate return to work for people with mental health problems. Research suggests that care farms may improve mental health, but there is still little knowledge of the subjective perspective of clients in green work programs. To gain a deeper and broader understanding of the individual experiences of people with mental health problems participating in green work on care farms in Norway. A hermeneutic phenomenological research design was applied. Ten semi-structured interviews were conducted. The self-determination theory (SDT) was adapted to gain a deeper understanding of the themes that emerged in the analysis process of the interviews. Five main themes materialize describing participants' experiences within the green work program. The main themes consist of (1) structure and flexibility, (2) understanding and acknowledgement, (3) guidance and positive feedback, (4) nature and animals, and (5) reflections on personal functioning and the future. The main themes identified indicate a high degree of autonomy support and need satisfaction within the care farm context, which according to SDT can facilitate good human functioning, and well-being.

Why Do Staff Return?

ERIC Educational Resources Information Center

Magnuson, Connie

1992-01-01

Surveyed 211 returning staff from 25 camps and interviewed 19 returning staff to study factors that influence a counselor's decision to return to camp. Examined the following dimensions of motivation and hygiene factors: (1) stimulation or inspiration; (2) personal; (3) job-related experience; (4) living conditions and camp life; (5) camp…

Perceived value and outcomes of residency projects.

PubMed

Murphy, J E; Downhour, N

2001-05-15

Residency program directors' attitudes toward residency projects were studied. A questionnaire about the residency project experience was mailed in January 2000 to 446 pharmacy practice residency program and specialty residency program directors in the program database of the American Society of Health-System Pharmacists. Recipients responded to opinion statements on a 5-point scale. Responses to the opinion statements were separated into seven categories for analysis. A total of 278 usable questionnaires were returned, for a raw response rate of 63.6%. During the preceding three years, residency directors had served as primary advisors on 917 projects; 171 had served as advisor on at least one of every type of project allowed in the accreditation standards. Of the 917 projects, 364 were presented at national professional meetings, 124 were published, and 484 were believed to have resulted in a positive change in pharmacy services. There were no significant differences in total response scores among any of the subgroups analyzed. There was strong agreement that residency projects were valuable and should continue to be part of the residency program experience. The directors' views of the importance of original research as a project option were more neutral. Overall residency program directors had positive perceptions of the value of residency projects to both residents and institutions and believed that they should continue to be a requirement of residency programs.

Gastroenterology training and career choices: a prospective longitudinal study of the impact of gender and of managed care.

PubMed

Arlow, Freda L; Raymond, Patricia L; Karlstadt, Robyn G; Croitoru, Raquel; Rybicki, Benjamin A; Sastri, Suriya V

2002-02-01

We aimed to determine if gender differences exist in the selection and training of female and male gastroenterology fellows. One hundred seventy-six of 218 training program directors returned an 18-question survey about their programs, including leave policies, training, and prevalence of female faculty. Two cohorts of graduating trainees from 1993 and 1995 (N = 393) returned anonymous surveys regarding their training program experiences, demographics, and business training. Female gastroenterology trainees are more likely to choose programs according to parental leave policies (p < 0.05), female faculty (0.2990 correlation coefficient), and "family reasons" (p < 0.04) than the male trainees. Female trainees were more likely to remain childless (p < 0.001) or have fewer children at the end of training despite marital status not unlike their male colleagues. Female trainees altered their family planning because of training program restrictions (20% vs 7%, p < 0.001). They perceived gender discrimination (39%) and sexual harassment (19%) during gastroenterology training. Trainees of both sexes had mentorship during training (65% vs 71%, ns); female trainees were more likely to have an opposite sex mentor (71% vs 3.4%) despite an almost 50% prevalence of female full-time and clinical faculty. Female trainees were apt to be less trained in advanced endoscopy (p < 0.005). Trainees of both sexes were influenced by the changing health care environment in career choice (49% vs 42%, ns); neither gender felt adequately prepared for the business aspects of gastroenterology. Alterations in gastroenterology training are needed to attract qualified female applicants. New graduates of both sexes lack practice management education.

BP Reg Experiment Operations

NASA Image and Video Library

2015-04-07

ISS043E091755 (04/07/2015) --- Expedition 43 Commander Terry Virts is seen here working inside of the Columbus laboratory on the Blood Pressure Regulation (BP Reg) experiment. Astronauts returning from long-duration space flights risk experiencing dizziness or fainting when they stand immediately after returning to Earth. This has an important health risk as it reduces the potential for astronauts to safely escape from an emergency situation. BP Reg will help researchers develop appropriate countermeasures so that astronauts returning from long-duration space flights will have very low risk of experiencing dizziness or fainting when they return to Earth.

BP Reg Experiment Operations

NASA Image and Video Library

2015-04-07

ISS043E091740 (04/07/2015) --- Expedition 43 Commander Terry Virts is seen here working inside of the Columbus laboratory on the Blood Pressure Regulation (BP Reg) experiment. Astronauts returning from long-duration space flights risk experiencing dizziness or fainting when they stand immediately after returning to Earth. This has an important health risk as it reduces the potential for astronauts to safely escape from an emergency situation. BP Reg will help researchers develop appropriate countermeasures so that astronauts returning from long-duration space flights will have very low risk of experiencing dizziness or fainting when they return to Earth.

KSC-2011-7040

NASA Image and Video Library

2011-09-19

CAPE CANAVERAL, Fla. – Astronauts from Space Shuttle Atlantis’ STS-135 mission return to the Training Auditorium at NASA’s Kennedy Space Center for the traditional post-flight crew return presentation. Crew members autograph mementos for attendees following a presentation about the astronauts' experiences on the mission. Seated from left are Mission Specialist Sandra Magnus and Pilot Doug Hurley. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

KSC-2011-7035

NASA Image and Video Library

2011-09-19

CAPE CANAVERAL, Fla. – Astronauts from space shuttle Atlantis’ STS-135 mission return to the Training Auditorium at NASA’s Kennedy Space Center for the traditional post-flight crew return presentation. Commander Chris Ferguson (with microphone) shares a personal story about his experiences. With him are (from left) Mission Specialist Sandra Magnus and Pilot Doug Hurley. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

KSC-2011-7038

NASA Image and Video Library

2011-09-19

CAPE CANAVERAL, Fla. – Astronauts from Space Shuttle Atlantis’ STS-135 mission return to the Training Auditorium at NASA’s Kennedy Space Center for the traditional post-flight crew return presentation. Commander Chris Ferguson, Pilot Doug Hurley and Mission Specialist Sandra Magnus share personal stories about their experiences. Also on stage is Bob Cabana, Kennedy Space Center’s Director. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

KSC-2011-7037

NASA Image and Video Library

2011-09-19

CAPE CANAVERAL, Fla. – Astronauts from space shuttle Atlantis’ STS-135 mission return to the Training Auditorium at NASA’s Kennedy Space Center for the traditional post-flight crew return presentation. Pilot Doug Hurley shares a personal story about his experiences. With him are (on left) Mission Specialist Sandra Magnus and (on right) Commander Chris Ferguson. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

KSC-2011-7036

NASA Image and Video Library

2011-09-19

CAPE CANAVERAL, Fla. – Astronauts from space shuttle Atlantis’ STS-135 mission return to the Training Auditorium at NASA’s Kennedy Space Center for the traditional post-flight crew return presentation. Having completed their successful 13-day mission to the International Space Station, (from left) Mission Specialist Sandra Magnus, Pilot Doug Hurley and Commander Chris Ferguson share personal stories of their experiences. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

KSC-2011-7041

NASA Image and Video Library

2011-09-19

CAPE CANAVERAL, Fla. – Astronauts from Space Shuttle Atlantis’ STS-135 mission return to the Training Auditorium at NASA’s Kennedy Space Center for the traditional post-flight crew return presentation. Crew members autograph mementos for attendees following a presentation about the astronauts' experiences on the mission. Seated from left are Commander Chris Ferguson, Mission Specialist Sandra Magnus and Pilot Doug Hurley. STS-135 Mission Specialist Rex Walheim was unable to attend the Kennedy event. In July 2011, Atlantis and its crew delivered to the International Space Station the Raffaello multi-purpose logistics module packed with more than 9,400 pounds of spare parts, equipment and supplies that will sustain station operations for the next year. STS-135 was the 33rd and final flight for Atlantis and the final mission of the Space Shuttle Program. For more information, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Jim Grossmann

Promoting Success in the Physical Sciences: The University of Wisconsin's Physics Learning Program

NASA Astrophysics Data System (ADS)

Nossal, S. M.; Jacob, A. T.

2002-05-01

The Physics Learning Program at the University of Wisconsin-Madison provides small group, academic and mentoring support for students enrolled in algebra-based introductory physics courses. Those students accepted into our program are potentially at-risk academically in their physics course or for feeling isolated at the University. They include, among others, students who have not taken high school physics, returning adults, minority students, students with disabilities, and students with English as a second language. A core component of the program is the peer-lead teaching and mentoring groups that match upper level undergraduate physics majors with students potentially at-risk in introductory physics. The tutors receive ongoing training and supervision throughout the year. The program has expanded over the years to include staff tutors, the majority of whom are scientists who seek additional teaching experience. The Physics Peer Mentor Tutor Program is run in collaboration with a similar chemistry program at the University of Wisconsin's Chemistry Learning Center. We will describe our Physics Learning Programs and discuss some of the challenges, successes, and strategies used to work with our tutors and students.

Returning nurses to the workforce: developing a fast track back program.

PubMed

Burns, Helen K; Sakraida, Teresa J; Englert, Nadine C; Hoffmann, Rosemary L; Tuite, Patricia; Foley, Susan M

2006-01-01

Fast Track Back: Re-entry into Nursing Practice program. Describes the development, implementation, and evaluation of a state-of-the-art re-entry program facilitating the return of licensed nonpracticing RNs to the workforce through a quality education program that retools them for the workforce in the areas of pharmacology, skill development using the latest technology, practice standards, and nursing issues. The program consists of didactic content taught via classroom, Internet, skills laboratory, and high fidelity human simulated technology and a clinical component. The program is a mechanism that enables re-entry nurses to improve skills and competencies necessary to practice in today's healthcare environment.

Development of a Countermeasure to Mitigate Postflight Locomotor Dysfunction

NASA Technical Reports Server (NTRS)

Bloomberg, J. J.; Mulavara, A. P.; Peters, B. T.; Cohen, H. S.; Richards, J. T.; Miller, C. A.; Brady, R.; Warren, L. E.; Ruttley, T. M.

2006-01-01

Astronauts returning from space flight experience locomotor dysfunction following their return to Earth. Our laboratory is currently developing a gait adaptability training program that is designed to facilitate recovery of locomotor function following a return to a gravitational environment. The training program exploits the ability of the sensorimotor system to generalize from exposure to multiple adaptive challenges during training so that the gait control system essentially learns to learn and therefore can reorganize more rapidly when faced with a novel adaptive challenge. Evidence for the potential efficacy of an adaptive generalization gait training program can be obtained from numerous studies in the motor learning literature which have demonstrated that systematically varying the conditions of training enhances the ability of the performer to learn and retain a novel motor task. These variable practice training approaches have been used in applied contexts to improve motor skills required in a number of different sports. The central nervous system (CNS) can produce voluntary movement in an almost infinite number of ways. For example, locomotion can be achieved with many different combinations of joint angles, muscle activation patterns and forces. The CNS can exploit these degrees of freedom to enhance motor response adaptability during periods of adaptive flux like that encountered during a change in gravitational environment. Ultimately, the functional goal of an adaptive generalization countermeasure is not necessarily to immediately return movement patterns back to normal. Rather the training regimen should facilitate the reorganization of available sensory and motor subsystems to achieve safe and effective locomotion as soon as possible after long duration space flight. Indeed, this approach has been proposed as a basic feature underlying effective neurological rehabilitation. We have previously confirmed that subjects participating in an adaptive generalization training program using a variety of visuomotor distortions and throwing as the dependent measure can learn to enhance their ability to adapt to a novel sensorimotor environment (Roller et al., 2001). Importantly, this increased adaptability was retained even one month after completion of the training period. Adaptive generalization has been observed in a variety of other tasks requiring sensorimotor transformations including manual control tasks and reaching (Bock et al., 2001, Seidler, 2003) and obstacle avoidance during walking (Lam and Dietz, 2004). Taken together, the evidence suggests that a training regimen exposing crewmembers to variation in locomotor conditions, with repeated transitions among states, may enhance their ability to learn how to reassemble appropriate locomotor patterns upon return from microgravity. We believe exposure to this type of training will extend crewmembers locomotor behavioral repertoires, facilitating the return of functional mobility after long duration space flight. In other words, our proposed training protocol will compel subjects to develop new behavioral solutions under varying sensorimotor demands. Over time subjects will learn to create appropriate locomotor solution more rapidly enabling acquisition of mobility sooner after long-duration space flight. A gait adaptability training program can be superimposed on nominal treadmill exercise activities thus ensuring that no additional crew time is required to perform this type of training regimen and that it can be implemented with current in-flight exercise systems available on the International Space Station.

Endoscopic training in gastroenterology fellowship: adherence to core curriculum guidelines.

PubMed

Jirapinyo, Pichamol; Imaeda, Avlin B; Thompson, Christopher C

2015-12-01

The Gastroenterology Core Curriculum and American Society of Gastrointestinal Endoscopy provide guidelines for endoscopic training. Program adherence to these recommendations is unclear. This study aims to assess endoscopic training experience during fellowship. Questionnaire study. The questionnaire was circulated to US fellowship programs, with the assistance of the American Gastroenterological Association. Graduating third-year fellows. Seventy-three fellows returned the questionnaire. Nearly all fellows met the required numbers for esophagoduodenoscopy (98%) and colonoscopy (100%), with fewer meeting requirements for PEG (73%) and non-variceal hemorrhage (75%). The majority of fellows did not meet minimum numbers for variceal banding (40%), esophageal dilation (43%), capsule endoscopy (42%). Fellows rated training in cognitive aspects of endoscopy as 3.86 [1 (inadequate), 5 (excellent)] and reported greatest emphasis on interpreting endoscopic findings and least on virtual colonography. Quality indicators of endoscopy received little emphasis (rating of 3.04; p = 0.00001), with adenoma detection rate being least emphasized. Fifty-six percent of fellows reported having routine endoscopy conferences. Half of the programs have endoscopic simulators, with 15% of fellows being required to use simulation. Following direct hands-on experience, fellows rated external endoscopy courses (64%) as the next most useful experience. Many fellows do not meet required numbers for several endoscopic procedures, and quality indicators receive little emphasis during training. Most programs do not provide simulation training or hold regular endoscopy conferences. Fellowship programs should perform internal audits and make feasible adjustments. Furthermore, it may be time for professional societies to revisit training guidelines.

Cost-effectiveness of a participatory return-to-work intervention for temporary agency workers and unemployed workers sick-listed due to musculoskeletal disorders: design of a randomised controlled trial

PubMed Central

2010-01-01

Background Within the working population there is a vulnerable group: workers without an employment contract and workers with a flexible labour market arrangement, e.g. temporary agency workers. In most cases, when sick-listed, these workers have no workplace/employer to return to. Also, for these workers access to occupational health care is limited or even absent in many countries. For this vulnerable working population there is a need for tailor-made occupational health care, including the presence of an actual return-to-work perspective. Therefore, a participatory return-to-work program has been developed based on a successful return-to-work intervention for workers, sick-listed due to low back pain. The objective of this paper is to describe the design of a randomised controlled trial to study the (cost-)effectiveness of this newly developed participatory return-to-work program adapted for temporary agency workers and unemployed workers, sick-listed due to musculoskeletal disorders, compared to usual care. Methods/Design The design of this study is a randomised controlled trial with one year of follow-up. The study population consists of temporary agency workers and unemployed workers sick-listed between 2 and 8 weeks due to musculoskeletal disorders. The new return-to-work program is a stepwise program aimed at making a consensus-based return-to-work implementation plan with the possibility of a (therapeutic) workplace to return-to-work. Outcomes are measured at baseline, 3, 6, 9 and 12 months. The primary outcome measure is duration of the sickness benefit period after the first day of reporting sick. Secondary outcome measures are: time until first return-to-work, total number of days of sickness benefit during follow-up; functional status; intensity of musculoskeletal pain; pain coping; and attitude, social influence and self-efficacy determinants. Cost-benefit is evaluated from an insurer's perspective. A process evaluation is part of this study. Discussion For sick-listed workers without an employment contract there can be gained a lot by improving occupational health care, including return-to-work guidance, and by minimising the 'labour market handicap' by creating a return-to-work perspective. In addition, reduction of sickness absence and work disability, i.e. a reduction of disability claims, may result in substantial benefits for the Dutch Social Security System. Trial registration Trial registration number: NTR1047. PMID:20346183

Critical soft landing technology issues for future US space missions

NASA Technical Reports Server (NTRS)

Macha, J. M.; Johnson, D. W.; Mcbride, D. D.

1992-01-01

A programmatic need for research and development to support parachute-based landing systems has not existed since the end of the Apollo missions in the mid-1970s. Now, a number of planned space programs require advanced landing capabilities for which the experience and technology base does not currently exist. New requirements for landing on land with controllable, gliding decelerators and for more effective impact attenuation devices justify a renewal of the landing technology development effort that existed during the Mercury, Gemini, and Apollo programs. A study was performed to evaluate the current and projected national capability in landing systems and to identify critical deficiencies in the technology base required to support the Assured Crew Return Vehicle and the Two-Way Manned Transportation System. A technology development program covering eight landing system performance issues is recommended.

Vacuum to Antimatter-Rocket Interstellar Explorer System (VARIES): A Proposed Program for an Interstellar Rendezvous and Return Architecture

NASA Astrophysics Data System (ADS)

Obousy, R.

While interstellar missions have been explored in the literature, one mission architecture has not received much attention, namely the interstellar rendezvous and return mission that could be accomplished on timescales comparable with a working scientist's career. Such a mission would involve an initial boost phase followed by a coasting phase to the target system. Next would be the deceleration and rendezvous phase, which would be followed by a period of scientific data gathering. Finally, there would be a second boost phase, aimed at returning the spacecraft back to the solar system, and subsequent coasting and deceleration phases upon return to our solar system. Such a mission would represent a precursor to a future manned interstellar mission; which in principle could safely return any astronauts back to Earth. In this paper a novel architecture is proposed that would allow for an unmanned interstellar rendezvous and return mission. The approach utilized for the Vacuum to Antimatter-Rocket Interstellar Explorer System (VARIES) would lead to system components and mission approaches that could be utilized for autonomous operation of other deep-space probes. Engineering solutions for such a mission will have a significant impact on future exploration and sample return missions for the outer planets. This paper introduces the general concept, with a mostly qualitative analysis. However, a full research program is introduced, and as this program progresses, more quantitative papers will be released.

Return to work in sick-listed cancer survivors with job loss: design of a randomised controlled trial.

PubMed

van Egmond, Martine P; Duijts, Saskia F A; Vermeulen, Sylvia J; van der Beek, Allard J; Anema, Johannes R

2015-02-18

Despite long-term or permanent health problems, cancer survivors are often motivated to return to work. For cancer survivors who have lost their job, return to work can be more challenging compared to employed survivors, as they generally find themselves in a more vulnerable social and financial position. Cancer survivors with job loss may therefore be in need of tailored return to work support. However, there is a lack of return to work intervention programs specifically targeting these cancer survivors. The number of cancer survivors with job loss in developed countries is rising due to, amongst others, increases in the incidence and survivor rate of cancer, the retirement age and the proportion of flexible employment contracts. Hence, we consider it important to develop a tailored return to work intervention program for cancer survivors with job loss, and to evaluate its effectiveness compared to usual care. This study employs a two-armed randomised controlled trial with a follow-up period of 12 months. The study population (n = 164) will be recruited from a national sample of cancer survivors (18-60 years), who have been sick-listed for 12-36 months. Participants will be randomised by using computerized blocked randomisation (blocks of four). All participants will receive usual care as provided by the Dutch Social Security Agency. Additionally, participants in the intervention group will receive a tailored return to work intervention program, which includes vocational rehabilitation and supportive psychosocial components, as well as (therapeutic) placement at work. The primary outcome measure is duration until sustainable return to work; the secondary outcome measure is rate of return to work. Other parameters include, amongst others, fatigue, coping strategy and quality of life. We will perform Cox regression analyses to estimate hazard ratios for time to sustainable return to work. The hypothesis of this study is that a tailored approach for cancer survivors with job loss is more effective, regarding return to work, compared to usual care. The results of this study will provide insight into the ways in which return to work can be facilitated for cancer survivors with job loss. Netherlands Trial Register: NTR3562 .

Constructing a Theory of Individual Space: Understanding Transnational Migration through the Experience of Return Chinese Immigrants from Canada in Beijing

ERIC Educational Resources Information Center

Ding, Yueya

2015-01-01

Drawing on life history research, this study critically examines the transnational experiences of return Chinese immigrants from Canada in Beijing. Through the accounts of their experiences, it explores different integration and reintegration strategies, including self-adjustment, lifelong learning and flexible citizenship. A native concept of…

Student degree program and attitudes toward gays and lesbians in the military: is there a connection?

PubMed

Wallenberg, Joanna; Anspach, Audrey; Leon, Ana M

2011-01-01

Individuals routinely experience discrimination based on sexual orientation. Since the implementation of Don't Ask, Don't Tell in 1994, over 13,000 military personnel have been discharged from the U.S. military on the basis of sexual orientation. As helping professionals, social workers will often provide services to returning gay and lesbian veterans. Therefore, social work programs must ensure that students develop positive attitudes toward and understanding of the needs presented by this population. Little is known about whether a specific degree program can be a predictor of student attitude toward gay and lesbian individuals in the military. Eighty-nine graduate students completed the Attitudes Toward Homosexuals in the Military (ATHM) scale, and scores were compared between two graduate degree programs: Social Work and Business Administration. A statistically significant relationship was found between degree program and ATHM scores. Implications for policy, practice and research related to gay and lesbian veterans are discussed.

Age-26 Cost-Benefit Analysis of the Child-Parent Center Early Education Program

PubMed Central

Reynolds, Arthur J.; Temple, Judy A.; White, Barry A.; Ou, Suh-Ruu; Robertson, Dylan L.

2013-01-01

We conducted a cost-benefit analysis of the Child-Parent Center (CPC) early childhood intervention. Using data collected up to age 26 on health and well-being, the study is the first adult economic analysis of a sustained large-scale and publicly-funded intervention. As part of the Chicago Longitudinal Study, a complete cohort of 900 low-income children who enrolled in 20 CPCs beginning at age 3 were compared to 500 well-matched low-income children who participated in the usual educational interventions for the economically disadvantaged in Chicago schools. School-age services were provided up to age 9 (third grade). Findings indicated that the three components of CPC had economic benefits in 2007 dollars that exceeded costs. The preschool program provided a total return to society of $10.83 per dollar invested (net benefits per participant of $83,708). Benefits to the public (other than program participants and families) were $7.20 per dollar invested. The primary sources of benefits were increased earnings and tax revenues, averted criminal justice system and victim costs, and savings for child welfare, special education, and grade retention. The school-age program had a societal return of $3.97 per dollar invested and a $2.11 public return. The extended intervention program (4 to 6 years of participation) had a societal return of $8.24 and public return of $5.21. Estimates were robust across a wide range of discount rates and alternative assumptions, and were consistent with the results of Monte Carlo simulations. Males, 1-year preschool participants, and children from higher risk families had greater economic benefits. Findings provide strong evidence that sustained early childhood programs can contribute to well-being for individuals and society. PMID:21291448

49 CFR 40.305 - How does the return-to-duty process conclude?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 1 2011-10-01 2011-10-01 false How does the return-to-duty process conclude? 40.305 Section 40.305 Transportation Office of the Secretary of Transportation PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Substance Abuse Professionals and the Return-to-Duty...

49 CFR 40.305 - How does the return-to-duty process conclude?

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 1 2012-10-01 2012-10-01 false How does the return-to-duty process conclude? 40.305 Section 40.305 Transportation Office of the Secretary of Transportation PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Substance Abuse Professionals and the Return-to-Duty...

49 CFR 40.305 - How does the return-to-duty process conclude?

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 1 2013-10-01 2013-10-01 false How does the return-to-duty process conclude? 40.305 Section 40.305 Transportation Office of the Secretary of Transportation PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Substance Abuse Professionals and the Return-to-Duty...

49 CFR 40.305 - How does the return-to-duty process conclude?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false How does the return-to-duty process conclude? 40.305 Section 40.305 Transportation Office of the Secretary of Transportation PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Substance Abuse Professionals and the Return-to-Duty...

49 CFR 40.305 - How does the return-to-duty process conclude?

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 1 2014-10-01 2014-10-01 false How does the return-to-duty process conclude? 40.305 Section 40.305 Transportation Office of the Secretary of Transportation PROCEDURES FOR TRANSPORTATION WORKPLACE DRUG AND ALCOHOL TESTING PROGRAMS Substance Abuse Professionals and the Return-to-Duty...

Everywoman's Guide to College.

ERIC Educational Resources Information Center

Gray, Eileen

Information and advice in this guide focuses on the emotional, financial, and academic realities of women returning to school. Chapter One examines the opportunities available today, including such topics as special programs for returning women and the societal factors causing women to return to school. In Chapter Two the decision-making process…

Returning Gospel values to nursing education. Catholic educators and institutions must make explicit the values on which their practices are based.

PubMed

Lane, J A

1993-06-01

Although Catholic nursing education in the United States has traditionally instilled Gospel values in students, pressures from a secular culture are making it increasingly difficult to sustain this heritage. As the twenty-first century approaches, Catholic educators and healthcare administrators need to ask themselves whether Christian values still serve as the explicit basis of nursing service and education at their institutions. They must also ask what distinguishes graduates of Catholic nursing programs from those of other programs. The percentage of schools that are Catholic has remained roughly the same during the past 30 years, but in many cases these schools no longer instill Christian values. Although most programs offer courses in ethics, philosophy, and religion, few provide the value-laden experiences of the past. In fact, many instructors avoid addressing questions of values or ethics because they believe doing so would be a form of indoctrination. Catholic nursing education, like Catholic higher education in general, is becoming increasingly secular. To return Christian values to nursing practice and education, leaders need first to instill a sense of self-worth in nursing staff by letting them know they are valued and their efforts are appreciated. Leaders also need to emphasize the good their institutions do for their communities and make explicit the values on which their practices are based.

A formative evaluation of the SWITCH® obesity prevention program: print versus online programming.

PubMed

Welk, Gregory J; Chen, Senlin; Nam, Yoon Ho; Weber, Tara E

2015-01-01

SWITCH® is an evidence-based childhood obesity prevention program that works through schools to impact parenting practices. The present study was designed as a formative evaluation to test whether an online version of SWITCH® would work equivalently as the established print version. Ten elementary schools were matched by socio-economic status and randomly assigned to receive either the print (n = 5) or online (n = 5) version. A total of 211 children from 22, 3(rd) grade classrooms were guided through the 4 month program by a team of program leaders working in cooperation with the classroom teachers. Children were tasked with completing weekly SWITCH® Trackers with their parents to monitor goal setting efforts in showing positive Do (≥60 minutes of moderate-to-vigorous physical activity), View (≤2 hours of screen time), and Chew (≥5 servings of fruits and vegetables) behaviors on each day. A total of 91 parents completed a brief survey to assess project-specific interactions with their child and the impact on their behaviors. The majority of parents (93.2%) reported satisfactory experiences with either the online or print SWITCH® program. The return rate for the SWITCH® Trackers was higher (42.5% ± 11%) from the print schools compared to the online schools (27.4% ± 10.9%). District program managers rated the level of teacher engagement in regards to program facilitation and the results showed a higher Trackers return rate in the highly engaged schools (38.5% ± 13.3%) than the lowly engaged schools (28.6 ± 11.9%). No significant differences were observed in parent/child interactions or reported behavior change (ps > .05) suggesting the equivalence in intervention effect for print and online versions of the SWITCH® program. The findings support the utility of the online SWITCH® platform but school-based modules are needed to facilitate broader school engagement by classroom teachers and PE teachers.

Ongoing Recovery Basic Information Tool (ORBIT)

NASA Technical Reports Server (NTRS)

Oberg, Donald

1993-01-01

The Federal Drug Free Work Place Program (DFWP) has now matured to the point of being able to return employees to sensitive testing designated positions (TDP) after completion of treatment of their addiction. The known tendency of addicted individuals to suffer multiple relapses prior to their final recovery has resulted in several positive urine tests (relapses) occurring among those Federal employees who have already completed treatment and who have been returned to TDP's. The very real potential for further relapses occurring after additional employees return to TDP's will be a critical factor in the ultimate success of the DFWP and in the public's impression of the program's effectiveness. In response to this concern, NASA has begun development of its Ongoing Recovery Basic Information Tool (ORBIT) instrument. The aim of the NASA ORBIT is to provide Employee Assistance Program (EAP) professionals with an advanced clinical tool which will be helpful in supporting recovery from substance abuse and which will allow more accurate determinations of when clients may be successfully returned to sensitive positions.

Planetary exploration through year 2000: An augmented program. Part two of a report by the Solar System Exploration Committee of the NASA Advisory Council

NASA Technical Reports Server (NTRS)

1986-01-01

In 1982, the NASA Solar System Exploration Committee (SSEC) published a report on a Core Program of planetary missions, representing the minimum-level program that could be carried out in a cost effective manner, and would yield a continuing return of basic scientific results. This is the second part of the SSEC report, describing missions of the highest scientific merit that lie outside the scope of the previously recommended Core Program because of their cost and technical challenge. These missions include the autonomous operation of a mobile scientific rover on the surface of Mars, the automated collection and return of samples from that planet, the return to Earth of samples from asteroids and comets, projects needed to lay the groundwork for the eventual utilization of near-Earth resources, outer planet missions, observation programs for extra-solar planets, and technological developments essential to make these missions possible.

Estimating the net benefit of a specialized return-to-work program for workers on short-term disability related to a mental disorder: an example exploring investment in collaborative care.

PubMed

Dewa, Carolyn S; Hoch, Jeffrey S

2014-06-01

This article estimates the net benefit for a company incorporating a collaborative care model into its return-to-work program for workers on short-term disability related to a mental disorder. Employing a simple decision model, the net benefit and uncertainty were explored. The breakeven point occurs when the average short-term disability episode is reduced by at least 7 days. In addition, 85% of the time, benefits could outweigh costs. Model results and sensitivity analyses indicate that organizational benefits can be greater than the costs of incorporating a collaborative care model into a return-to-work program for workers on short-term disability related to a mental disorder. The results also demonstrate how the probability of a program's effectiveness and the magnitude of its effectiveness are key factors that determine whether the benefits of a program outweigh its costs.

Robust portfolio selection based on asymmetric measures of variability of stock returns

NASA Astrophysics Data System (ADS)

Chen, Wei; Tan, Shaohua

2009-10-01

This paper addresses a new uncertainty set--interval random uncertainty set for robust optimization. The form of interval random uncertainty set makes it suitable for capturing the downside and upside deviations of real-world data. These deviation measures capture distributional asymmetry and lead to better optimization results. We also apply our interval random chance-constrained programming to robust mean-variance portfolio selection under interval random uncertainty sets in the elements of mean vector and covariance matrix. Numerical experiments with real market data indicate that our approach results in better portfolio performance.

Apollo experience report: Development of guidance targeting techniques for the command module and launch vehicle

NASA Technical Reports Server (NTRS)

Yencharis, J. D.; Wiley, R. F.; Davis, R. S.; Holmes, Q. A.; Zeiler, K. T.

1972-01-01

The development of the guidance targeting techniques for the Apollo command module and launch vehicle is discussed for four types of maneuvers: (1) translunar injection, (2) translunar midcourse, (3) lunar orbit insertion, and (4) return to earth. The development of real-time targeting programs for these maneuvers and the targeting procedures represented are discussed. The material is intended to convey historically the development of the targeting techniques required to meet the defined target objectives and to illustrate the solutions to problems encountered during that development.

Saturn Apollo Program

NASA Image and Video Library

1969-01-01

The Apollo 12 three-man crew pictured left to right are: Astronauts Charles Conrad, Spacecraft Commander; Richard F. Gordon, pilot of the Command Module `Yankee Clipper'; and Alan L. Bean, pilot of the Lunar Module `Intrepid'. Activities of astronauts Conrad and Bean on the lunar soil included setting out experiments, finding the unmarned Surveyor 3 that landed on the Moon on April 19, 1967, and collecting 75 pounds (34 kilograms) of rock samples. The second mission of the manned lunar landing and return to Earth, Apollo 12 lifted off on November 14, 1969.

Saturn Apollo Program

NASA Image and Video Library

1969-11-14

This image depicts the liftoff of the Apollo 12 on November 14, 1969. The second mission of the marned lunar landing and return to Earth, Apollo 12, carried a crew of three astronauts: Alan L. Bean, pilot of the Lunar Module, Intrepid; Richard Gordon, pilot of the Command Module, Yankee Clipper; and Spacecraft Commander Charles Conrad. Activities of astronauts Conrad and Bean on the lunar soil included setting out experiments, finding the unmanned Surveyor 3 that landed on the Moon on April 19, 1967, and collecting 75 pounds (34 kilograms) of rock samples.

Does Human Capital Raise Earnings for Immigrants in the Low-Skill Labor Market?

PubMed Central

HALL, MATTHEW; FARKAS, GEORGE

2008-01-01

We use monthly Survey of Income and Program Participation data from 1996–1999 and 2001–2003 to estimate the determinants of differentiation in intercepts and slopes for age/earnings profiles of low-skill immigrant and native male workers. Our findings provide further depth of understanding to the “mixed” picture of earnings determination in the low-skill labor market that has been reported by others. On the positive side, many immigrants are employed in similar occupations and industries as natives. Both groups show substantial wage gains over time and generally receive similar returns to years of schooling completed. Immigrants also receive substantial returns to acculturation, measured as age at arrival and English language skill. These results cast doubt on the strong version of segmented labor market theory, in which low-skill immigrants are permanently consigned to dead-end jobs with no wage appreciation. On the negative side, immigrants earn approximately 24% less than natives and are less likely to occupy supervisory and managerial jobs. Latino immigrants receive lower returns to education than do white immigrants. Furthermore, age at arrival and language ability do not explain the lower returns to education experienced by Latino immigrants. These results suggest that Latino immigrants in particular may suffer from barriers to mobility and/or wage discrimination. Whether these negative labor market experiences occur primarily for illegal immigrants remains unknown. PMID:18939664

Does human capital raise earnings for immigrants in the low-skill labor market?

PubMed

Hall, Matthew; Farkas, George

2008-08-01

We use monthly Survey of Income and Program Participation data from 1996-1999 and 2001-2003 to estimate the determinants of differentiation in intercepts and slopes for age/earnings profiles of low-skill immigrant and native male workers. Our findings provide further depth of understanding to the "mixed"picture of earnings determination in the low-skill labor market that has been reported by others. On the positive side, many immigrants are employed in similar occupations and industries as natives. Both groups show substantial wage gains over time and generally receive similar returns to years of schooling completed. Immigrants also receive substantial returns to acculturation, measured as age at arrival and English language skill. These results cast doubt on the strong version of segmented labor market theory, in which low-skill immigrants are permanently consigned to dead-end jobs with no wage appreciation. On the negative side, immigrants earn approximately 24% less than natives and are less likely to occupy supervisory and managerial jobs. Latino immigrants receive lower returns to education than do white immigrants. Furthermore, age at arrival and language ability do not explain the lower returns to education experienced by Latino immigrants. These results suggest that Latino immigrants in particular may suffer from barriers to mobility and/or wage discrimination. Whether these negative labor market experiences occur primarily for illegal immigrants remains unknown.

Mobility, strength, and fitness after a graded activity program for patients with subacute low back pain. A randomized prospective clinical study with a behavioral therapy approach.

PubMed

Lindström, I; Ohlund, C; Eek, C; Wallin, L; Peterson, L E; Nachemson, A

1992-06-01

Patients with nonspecific mechanical low back pain (n = 103), examined by an orthopaedic surgeon and a social worker, were randomized to an activity group (n = 51) and a control group (n = 52). Patients with defined orthopaedic, medical, or psychiatric diagnoses were excluded before randomization. No patients were excluded due to place of birth or difficulties in speaking or understanding the Swedish language. The purpose of the study was to compare mobility, strength and fitness after traditional care and after traditional care plus a graded activity program with a behavioral therapy approach. A graded activity program, with a behavioral therapy approach was given under the guidance of a physical therapist. The endpoint of the graded activity program was return to work. This program significantly increased mobility, strength, and fitness more than could be explained by only a time recovery effect, especially in males. The patients in the activity group returned to work earlier than did the patients in the control group. Spinal rotation, abdominal muscle endurance time and lifting capacity were significantly correlated to rate of return to work. Traditional care plus a graded activity program were superior to only traditional care, evaluated in terms of mobility, strength and fitness. The graded activity program proved to be a successful method of restoring occupational function and facilitating return to work in subacute low back pain patients. The patients in the graded activity program learned that it is safe to move, while regaining function.

Strategies in disability management. Corporate disability management programs implemented at the work site.

PubMed

Kalina, C M

1999-10-30

Managers are challenged to demonstrate all programs as economically essential to the business, generating an appreciable return on investment. Further challenge exists to blend and integrate clinical and business objectives in program development. Disability management programs must be viewed as economically essential to the financial success of the business to assure management support for clinical interventions and return-to-work strategies essential for a successful program. This paper discusses a disability management program integrating clinical and business goals and objectives in return-to-work strategies to effect positive clinical, social-cultural, and business results. Clinical, educational, social, and economic challenges in the development, implementation, and continued management of a disability program at a large corporation with multiple global work sites are defined. Continued discussion addresses the effective clinical interventions and educational strategies utilized successfully within the workplace environment in response to each defined challenge. A multiple disciplinary team approach, clinical and business outcome measures, and quality assurance indicators are discussed as major program components. This article discusses a successful program approach focusing on business process and methodology. These parameters are used to link resources to strategy, developing a product for implementing and managing a program demonstrating economic value added through effective clinical medical case management.

34 CFR 685.306 - Payment of a refund or return of title IV, HEA program funds to the Secretary.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 3 2010-07-01 2010-07-01 false Payment of a refund or return of title IV, HEA program funds to the Secretary. 685.306 Section 685.306 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF POSTSECONDARY EDUCATION, DEPARTMENT OF EDUCATION WILLIAM D. FORD...

Return on Investment: A Cost-Effectiveness Measure for the Texas' Workforce System.

ERIC Educational Resources Information Center

Norris, Davy N.; King, Christopher T.

Texas is developing a return-on-investment (ROI) measure to assess the cost-effectiveness of work force programs. Emphasis is on issues related to conducting cross-program ROI analysis at the level of the Local Workforce Development Board (LWDB) in career or one-stop centers. To make the most appropriate and effective use of ROI, the following…

Determining the Economic Returns on Investment in Selected Occupational Education Programs: Executive Summary.

ERIC Educational Resources Information Center

Mills, Edward; And Others

A study was conducted in New York State to quantify the investment made in selected occupational programs at public two-year colleges and the returns from this investment to graduates, employers, and the state government. A survey was mailed to a representative sample of New York State employers with 100 or more employees, covering areas of…

Measuring Social Return on Investment for Community Schools: A Case Study

ERIC Educational Resources Information Center

Martinez, Laura; Hayes, Cheryl D.

2013-01-01

Social return on investment (SROI) offers a new strategy to measure and communicate the value of outcomes achieved by programs that provide social, health, and education services to children and their families. It can be a powerful tool for demonstrating the monetary value of programs and services and for communicating that value in a way that can…

Serving Those Who Serve: Meeting the Complex Needs of Students Returning Home from War

ERIC Educational Resources Information Center

Veislind, Emili

2013-01-01

As community colleges across the country strive to improve completion rates and serve a growing number of students returned home from war, the need for programs that meet the unique needs of veterans--including job training, social acclimation, referral programs for mental health counseling, and academic tutoring, to name a few--is more pressing…

Wind Factor Simulation Model: User’s Manual.

DTIC Science & Technology

1980-04-01

computer program documentation; com- puterized simulation; equivalent headwind technique; great circle; great circle distance; great circle equation ; great... equation of a great circle. Program listing and flow chart are included. iv UNCLASSIFIED SECURITY CLASSIFICATION OF THIS PAGE(WIh.n Date EnItrd) USER’S...THE EQUATOR . 336 C 337 NTRIFG = 0 338 C 339 C END OF FUNCTION ICONV I 1. RETURN TO MAIN PROGRAM . 340 C 42 341 RETURN 34? C 343 C 344 C 345 C * PART II

Portfolio optimization using fuzzy linear programming

NASA Astrophysics Data System (ADS)

Pandit, Purnima K.

2013-09-01

Portfolio Optimization (PO) is a problem in Finance, in which investor tries to maximize return and minimize risk by carefully choosing different assets. Expected return and risk are the most important parameters with regard to optimal portfolios. In the simple form PO can be modeled as quadratic programming problem which can be put into equivalent linear form. PO problems with the fuzzy parameters can be solved as multi-objective fuzzy linear programming problem. In this paper we give the solution to such problems with an illustrative example.

A participatory supportive return to work program for workers without an employment contract, sick-listed due to a common mental disorder: an economic evaluation alongside a randomized controlled trial.

PubMed

Lammerts, Lieke; van Dongen, Johanna M; Schaafsma, Frederieke G; van Mechelen, Willem; Anema, Johannes R

2017-02-02

Mental disorders are associated with high costs for productivity loss, sickness absence and unemployment. A participatory supportive return to work (RTW) program was developed in order to improve RTW among workers without an employment contract, sick-listed due to a common mental disorder. The program contained a participatory approach, integrated care and direct placement in a competitive job. The aim of this study was to evaluate the cost-effectiveness and cost-utility of this new program, compared to usual care. In addition, its return on investment was evaluated. An economic evaluation was conducted alongside a 12-month randomized controlled trial. A total of 186 participants was randomly allocated to the new program (n = 94) or to usual care (n = 92). Effect measures were the duration until sustainable RTW in competitive employment and quality-adjusted life years (QALYs) gained. Costs included intervention costs, medical costs and absenteeism costs. Registered data of the Dutch Social Security Agency were used to assess the duration until sustainable RTW, intervention costs and absenteeism costs. QALYs and medical costs were assessed using three- or six-monthly questionnaires. Missing data were imputed using multiple imputations. Cost-effectiveness analysis and cost-utility analysis were conducted from the societal perspective. A return on investment analysis was conducted from the social insurer's perspective. Various sensitivity analyses were performed to assess the robustness of the results. The new program had no significant effect on the duration until sustainable RTW and QALYs gained. Intervention costs and medical costs were significantly higher in the intervention group. From the societal perspective, the maximum probability of cost-effectiveness for duration until sustainable RTW was 0.64 at a willingness to pay of about €10 000/day, and 0.27 for QALYs gained, regardless of the willingness to pay. From the social insurer's perspective, the probability of financial return was 0.18. From the societal perspective, the new program was neither cost-effective in improving sustainable RTW nor in gaining QALYs. From the social insurer's perspective, the program did not result in a positive financial return. Therefore, the present study provided no evidence to support its implementation. The trial was listed at the Dutch Trial Register (NTR) under NTR3563 on August 7, 2012.

Women and men who have served in Afghanistan/Iraq: coming home.

PubMed

Beder, Joan; Coe, Ray; Sommer, Darren

2011-01-01

The experience of war changes people - some will acknowledge that the changes are positive and some will feel the opposite or a combination, but that it changes a person cannot be disputed. For those who return, the experience of reintegration to civilian life or as a respite before redeployment can present numerous challenges. The research presented in this article reports the findings on interviews with over 800 service members who had returned from either Afghanistan or Iraq. The Post Deployment Reintegration Scale was used to refine the areas that respondents identified as positive or negative in their reintegration experience. Implications for practice with returning service members are noted.

The Student Returns: Challenges of the Returning Student.

ERIC Educational Resources Information Center

Marino, Carrie A.

According to a 1994 analysis of returning students, as many as 43% of all college students are currently over the age of 24. This influx of returning students demands a new look at existing pedagogical practices. The changing demographics of the classroom turn age and life experience into a consideration for pedagogy alongside race, class, and…

A Study of the Perception Toward School Teachers and Self of the Return Migrant Student.

ERIC Educational Resources Information Center

Prewitt-Diaz, Joseph O.; Seilhamer, E. Stella

Previous research suggests that most Puerto Rican students who have spent some years in the United States and then returned to Puerto Rico generally experience cultural adjustment problems, language difficulties, low self-esteem, and identity crises. This study compared attitudes of Puerto Rican return migrant students (those who have returned to…

Demographic and Predeparture Factors Associated With Drinking and Alcohol-Related Consequences for College Students Completing Study Abroad Experiences

PubMed Central

Pedersen, Eric R.; Skidmore, Jessica R.; Aresi, Giovanni

2014-01-01

Objective: Study abroad students are at-risk for increased and problematic drinking behavior. As few efforts have been made to examine this at-risk population, we predicted drinking and alcohol-related consequences abroad from predeparture and site-specific factors. Participants: The sample consisted of 339 students completing study abroad programs. Method: Participants filled out online measures at predeparture, abroad, and at post-return. Results: We found drinking and consequences abroad were predicted by a number of factors including demographics (e.g., younger age, male sex, Greek affiliation, White ethnicity), student factors (e.g. low GPA, major area of study), study abroad site factors (e.g., apartment living abroad, study in Europe), predeparture levels of drinking and consequences, sensation seeking, and goals related to social gathering. Conclusions: Findings can be used to inform campus policies for admission to study abroad programs as well as assist in the development of interventions targeted toward preventing risk for students during abroad experiences. PMID:24499190

The Things They Are Still Carrying

ERIC Educational Resources Information Center

Reader, William Walter

2017-01-01

Much research about the transition experiences of military combat veterans returning to civilian life and college emphasizes the role of identity development and post-secondary institutional support for veteran students during their time of transition. Contemporary discourse tends to frame return experience through the lens of post-traumatic…

Portfolio theory and cost-effectiveness analysis: a further discussion.

PubMed

Sendi, Pedram; Al, Maiwenn J; Rutten, Frans F H

2004-01-01

Portfolio theory has been suggested as a means to improve the risk-return characteristics of investments in health-care programs through diversification when costs and effects are uncertain. This approach is based on the assumption that the investment proportions are not subject to uncertainty and that the budget can be invested in toto in health-care programs. In the present paper we develop an algorithm that accounts for the fact that investment proportions in health-care programs may be uncertain (due to the uncertainty associated with costs) and limited (due to the size of the programs). The initial budget allocation across programs may therefore be revised at the end of the investment period to cover the extra costs of some programs with the leftover budget of other programs in the portfolio. Once the total budget is equivalent to or exceeds the expected costs of the programs in the portfolio, the initial budget allocation policy does not impact the risk-return characteristics of the combined portfolio, i.e., there is no benefit from diversification anymore. The applicability of portfolio methods to improve the risk-return characteristics of investments in health care is limited to situations where the available budget is much smaller than the expected costs of the programs to be funded.

Residency characteristics that matter most to plastic surgery applicants: a multi-institutional analysis and review of the literature.

PubMed

Sinno, Sammy; Mehta, Karan; Squitieri, Lee; Ranganathan, Kavitha; Koeckert, Michael S; Patel, Ashit; Saadeh, Pierre B; Thanik, Vishal

2015-06-01

The National Residency Matching Program Match is a very unique process in which applicants and programs are coupled to each other based on a ranking system. Although several studies have assessed features plastic surgery programs look for in applicants, no study in the present plastic surgery literature identifies which residency characteristics are most important to plastic surgery applicants. Therefore, we sought to perform a multi-institutional assessment as to which factors plastic surgery residency applicants consider most important when applying for residency. A validated and anonymous questionnaire containing 37 items regarding various program characteristics was e-mailed to 226 applicants to New York University, Albany, University of Michigan, and University of Southern California plastic surgery residency programs. Applicants were asked to rate each feature on a scale from 1 to 10, with 10 being the most important. The 37 variables were ranked by the sum of the responses. The median rating and interquartile range as well as the mean for each factor was then calculated. A Wilcoxon signed rank test was used to compare medians in rank order. A total of 137 completed questionnaires were returned, yielding a 61% response rate. The characteristics candidates considered most important were impressions during the interview, experiences during away rotations, importance placed on resident training/support/mentoring by faculty, personal experiences with residents, and the amount of time spent in general surgery. The characteristics candidates considered least important were second-look experiences, compensation/benefits, program reputation from Internet forums, accessibility of program coordinator, opportunity for laboratory research, and fellowship positions available at the program. Applicants value personal contact and time spent in general surgery when selecting residency programs. As the number of integrated programs continues to grow, programs will benefit from learning what factors their applicants value most.

Who among patients with acquired brain injury returned to work after occupational rehabilitation? The rapid-return-to-work-cohort-study.

PubMed

Aas, Randi Wågø; Haveraaen, Lise Aasen; Brouwers, Evelien P M; Skarpaas, Lisebet Skeie

2017-07-20

Acquired brain injury (ABI) is known to be severely disabling. On average, 40% of employees return to work (RTW) within two years after injury. There is, however, limited research on what might contribute to successful RTW. To examine factors that might impact the time-to first RTW for patients with ABI, participating in a RTW-program. The study was designed as a cohort study of patients on sick leave due to mild or moderate ABI (n = 137). The mean age of the patients was 51 years, and 58% were men. The most common diagnoses were stroke (75%) and traumatic brain injury (12%). Data were collected through questionnaires, and combined with register data on sickness absence. Survival analyses were used to analyse the effect of different variables on time to first RTW (full or partial), at one- and two-year follow-up. Generally, women (HR = 0.447; CI: 0.239-0.283) had higher RTW-rates than men, and patients with non-comorbid impairments returned to work earlier than patients with multiple impairments. Although not statistically significant, receiving individual consultations and participating in group-sessions were generally associated with a delayed RTW at both follow-up-times. The only service-related factor significantly associated with delayed RTW was meetings with the social insurance office (HR = 0.522; CI: 0.282-0.965), and only at one-year follow-up. Women and patients with non-comorbid impairments returned to work earlier than men and patients with multiple impairments. There seems to be an association between intense and long-lasting participation in the RTW program and prolonged time-to first-RTW, even after controlling for level of cognitive impairments and comorbidity. Implications for Rehabilitation Acquired brain injury (ABI) is known to be severely disabling, and persons with ABI often experience difficulties in regard to returning to work. This study provides information on prognostic factors that might contribute to return to work (RTW) for patients with acquired brain injury, both at the individual level, but also in regard to service and timing characteristics. Knowledge about such factors provide rehabilitation professionals with information about effective service components that might help patients with ABI to RTW, and thus makes it possible to adapt and adjust the services to the patient's situation. Furthermore, having more knowledge on factors that contribute to RTW gives clinics the opportunity to select patients that might benefit the most from these services, thereby making them more effective.

Geology of Potential Landing Sites for Martian Sample Returns

NASA Technical Reports Server (NTRS)

Greeley, Ronald

2003-01-01

This project involved the analysis of potential landing sites on Mars. As originally proposed, the project focused on landing sites from which samples might be returned to Earth. However, as the project proceeded, the emphasis shifted to missions that would not include sample return, because the Mars Exploration Program had deferred sample returns to the next decade. Subsequently, this project focused on the study of potential landing sites for the Mars Exploration Rovers.

Impact of seasonal forecast use on agricultural income in a system with varying crop costs and returns: an empirically-grounded simulation

NASA Astrophysics Data System (ADS)

Gunda, T.; Bazuin, J. T.; Nay, J.; Yeung, K. L.

2017-03-01

Access to seasonal climate forecasts can benefit farmers by allowing them to make more informed decisions about their farming practices. However, it is unclear whether farmers realize these benefits when crop choices available to farmers have different and variable costs and returns; multiple countries have programs that incentivize production of certain crops while other crops are subject to market fluctuations. We hypothesize that the benefits of forecasts on farmer livelihoods will be moderated by the combined impact of differing crop economics and changing climate. Drawing upon methods and insights from both physical and social sciences, we develop a model of farmer decision-making to evaluate this hypothesis. The model dynamics are explored using empirical data from Sri Lanka; primary sources include survey and interview information as well as game-based experiments conducted with farmers in the field. Our simulations show that a farmer using seasonal forecasts has more diversified crop selections, which drive increases in average agricultural income. Increases in income are particularly notable under a drier climate scenario, when a farmer using seasonal forecasts is more likely to plant onions, a crop with higher possible returns. Our results indicate that, when water resources are scarce (i.e. drier climate scenario), farmer incomes could become stratified, potentially compounding existing disparities in farmers’ financial and technical abilities to use forecasts to inform their crop selections. This analysis highlights that while programs that promote production of certain crops may ensure food security in the short-term, the long-term implications of these dynamics need careful evaluation.

Energy Return on Investment - Fuel Recycle

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

Halsey, W; Simon, A J; Fratoni, M

2012-06-06

This report provides a methodology and requisite data to assess the potential Energy Return On Investment (EROI) for nuclear fuel cycle alternatives, and applies that methodology to a limited set of used fuel recycle scenarios. This paper is based on a study by Lawrence Livermore National Laboratory and a parallel evaluation by AREVA Federal Services LLC, both of which were sponsored by the DOE Fuel Cycle Technologies (FCT) Program. The focus of the LLNL effort was to develop a methodology that can be used by the FCT program for such analysis that is consistent with the broader energy modeling community,more » and the focus of the AREVA effort was to bring industrial experience and operational data into the analysis. This cooperative effort successfully combined expertise from the energy modeling community with expertise from the nuclear industry. Energy Return on Investment is one of many figures of merit on which investment in a new energy facility or process may be judged. EROI is the ratio of the energy delivered by a facility divided by the energy used to construct, operate and decommission that facility. While EROI is not the only criterion used to make an investment decision, it has been shown that, in technologically advanced societies, energy supplies must exceed a minimum EROI. Furthermore, technological history shows a trend towards higher EROI energy supplies. EROI calculations have been performed for many components of energy technology: oil wells, wind turbines, photovoltaic modules, biofuels, and nuclear reactors. This report represents the first standalone EROI analysis of nuclear fuel reprocessing (or recycling) facilities.« less

A descriptive study of past experiences with weight-loss treatment.

PubMed

Burke, Lora E; Steenkiste, Ann; Music, Edvin; Styn, Mindi A

2008-04-01

Overweight and obesity affect more than 60% of the adult population in the United States. Most adults who are overweight have a history of previous weight-loss treatment. Exploring individuals' past experiences with weight-loss treatment may allow improvements to the current approach to treatment. To examine individuals' prior experiences with weight-loss treatment, their treatment preferences, and what they found to be most and least satisfying. Cross-sectional descriptive study. Individuals (N=155) who had registered for a weight-loss study wait list and met standard criteria for a weight-loss program (aged 18 to 55 years and body mass index between 25 and 42). Questionnaire packets were mailed to participants. Descriptive analyses of the participants' past history with weight-loss treatment, treatment preference, self-efficacy, therapeutic efficacy, barriers to adherence to weight-loss treatment, barriers to healthy eating, and experiences associated with following a low-fat diet. One hundred ten participants (71%) returned completed questionnaire packets. The sample (82% white, 84% female, aged 42.6+/-8.5 years, and body mass index 33.5+/-5.3) was representative of those who seek weight-loss treatment in research settings. Participants were, on average, aged 21.1+/-8.9 years when they first tried a weight-loss program; 96.3% had tried to lose weight since that first time. The two most frequently tried programs were doing it on their own (93.5%) and commercial programs (70.8%). Barriers included having trouble controlling what I eat when hungry (71.3%), difficulty motivating myself to eat appropriately (66.2%), and using food as a reward (59.3%). Preferred weight-loss regimens were doing it on their own (30.6%) and a research program (22.4%). Participants were not seeking their preferred treatment. These data can be used to improve weight-loss programs by tailoring programs to meet the needs and preferences of participants.

Patient satisfaction with the endoscopy experience and willingness to return in a central Canadian health region.

PubMed

Loftus, Russell; Nugent, Zoann; Graff, Lesley A; Schumacher, Frederick; Bernstein, Charles N; Singh, Harminder

2013-01-01

Patient experiences with endoscopy visits within a large central Canadian health region were evaluated to determine the relationship between the visit experience and the patients' willingness to return for future endoscopy, and to identify the factors associated with patients' willingness to return. A self-report survey was distributed to 1200 consecutive individuals undergoing an upper and⁄or lower gastrointestinal endoscopy at any one of the six hospital-based endoscopy facilities in the region. The Spearman correlation coefficient was used to assess the association between the patients' overall rating of the visits and willingness to return for repeat procedures under similar medical circumstances. Logistic regression analyses were performed to identify the factors associated with willingness to return for repeat endoscopy and overall satisfaction (rating) of the visit. A total of 529 (44%) individuals returned the questionnaire, with 45% rating the visit as excellent and 56% indicating they were extremely likely to return for repeat endoscopy. There was a low moderate correlation between overall rating of the visit and patients' willingness to return for repeat endoscopy (r=0.30). The factors independently associated with patient willingness to return for repeat endoscopy included perceived technical skills of the endoscopists (OR 2.7 [95% CI 1.3 to 5.5]), absence of pain during the procedure (OR 2.2 [95% CI 1.3 to 3.6]) and history of previous endoscopy (OR 2.4 [95% CI 1.4 to 4.1]). In contrast, the independent factors associated with the overall rating of the visit included information provided pre- and postprocedure, wait time before and on the day of the visit, and the physical environment. To facilitate patient return for needed endoscopy, it is important to assess patients' willingness to return because positive behavioural intent is not simply a function of satisfaction with the visit.

The Biotechnology Facility for International Space Station

NASA Technical Reports Server (NTRS)

Goodwin, Thomas; Lundquist, Charles; Hurlbert, Katy; Tuxhorn, Jennifer

2004-01-01

The primary mission of the Cellular Biotechnology Program is to advance microgravity as a tool in basic and applied cell biology. The microgravity environment can be used to study fundamental principles of cell biology and to achieve specific applications such as tissue engineering. The Biotechnology Facility (BTF) will provide a state-of-the-art facility to perform cellular biotechnology research onboard the International Space Station (ISS). The BTF will support continuous operation, which will allow performance of long-duration experiments and will significantly increase the on-orbit science throughput. With the BTF, dedicated ground support, and a community of investigators, the goals of the Cellular Biotechnology Program at Johnson Space Center are to: Support approximately 400 typical investigator experiments during the nominal design life of BTF (10 years). Support a steady increase in investigations per year, starting with stationary bioreactor experiments and adding rotating bioreactor experiments at a later date. Support at least 80% of all new cellular biotechnology investigations selected through the NASA Research Announcement (NRA) process. Modular components - to allow sequential and continuous experiment operations without cross-contamination Increased cold storage capability (+4 C, -80 C, -180 C). Storage of frozen cell culture inoculum - to allow sequential investigations. Storage of post-experiment samples - for return of high quality samples. Increased number of cell cultures per investigation, with replicates - to provide sufficient number of samples for data analysis and publication of results in peer-reviewed scientific journals.

Developing Substance Use Programming for Person-Oriented Recovery and Treatment (SUPPORT): protocol for a pilot randomized controlled trial.

PubMed

Watson, Dennis P; Ray, Bradley; Robison, Lisa; Xu, Huiping; Edwards, Rhiannon; Salyers, Michelle P; Hill, James; Shue, Sarah

2017-01-01

There is a lack of evidence-based substance use disorder treatment and services targeting returning inmates. Substance Use Programming for Person-Oriented Recovery and Treatment (SUPPORT) is a community-driven, recovery-oriented approach to substance abuse care which has the potential to address this service gap. SUPPORT is modeled after Indiana's Access to Recovery program, which was closed due to lack of federal support despite positive improvements in clients' recovery outcomes. SUPPORT builds on noted limitations of Indiana's Access to Recovery program. The ultimate goal of this project is to establish SUPPORT as an effective and scalable recovery-oriented system of care. A necessary step we must take before launching a large clinical trial is pilot testing the SUPPORT intervention. The pilot will take place at Public Advocates in Community Re-Entry (PACE), nonprofit serving individuals with felony convictions who are located in Marion County, Indiana (Indianapolis). The pilot will follow a basic parallel randomized design to compare clients receiving SUPPORT with clients receiving standard services. A total of 80 clients within 3 months of prison release will be recruited to participate and randomly assigned to one of the two intervention arms. Quantitative measures will be collected at multiple time points to understand SUPPORT's impact on recovery capital and outcomes. We will also collect qualitative data from SUPPORT clients to better understand their program and post-discharge experiences. Successful completion of this pilot will prepare us to conduct a multi-site clinical trial. The ultimate goal of this future work is to develop an evidence-based and scalable approach to treating substance use disorder among persons returning to society after incarceration. ClinicalTrials.gov (Clinical Trials ID: NCT03132753 and Protocol Number: 1511731907). Registered 28 April 2017.

Using blackmail, bribery, and guilt to address the tragedy of the virtual intellectual commons

NASA Astrophysics Data System (ADS)

Griffith, P. C.; Cook, R. B.; Wilson, B. E.; Gentry, M. J.; Horta, L. M.; McGroddy, M.; Morrell, A. L.; Wilcox, L. E.

2008-12-01

One goal of the NSF's vision for 21st Century Cyberinfrastructure is to create a virtual intellectual commons for the scientific community where advanced technologies perpetuate transformation of this community's productivity and capabilities. The metadata describing scientific observations, like the first paragraph of a news story, should answer the questions who? what? why? where? when? and how?, making them discoverable, comprehensible, contextualized, exchangeable, and machine-readable. Investigators who create good scientific metadata increase the scientific value of their observations within such a virtual intellectual commons. But the tragedy of this commons arises when investigators wish to receive without giving in return. The authors of this talk will describe how they have used combinations of blackmail, bribery, and guilt to motivate good behavior by investigators participating in two major scientific programs (NASA's component of the Large-scale Biosphere-Atmosphere Experiment in Amazonia; and the US Climate Change Science Program's North American Carbon Program).

Orion Heat Shield Manufacturing Producibility Improvements for the EM-1 Flight Test Program

NASA Technical Reports Server (NTRS)

Koenig, William J.; Stewart, Michael; Harris, Richard F.

2018-01-01

This paper describes how the ORION program is incorporating improvements in the heat shield design and manufacturing processes reducing programmatic risk and ensuring crew safety in support of NASA's Exploration missions. The approach for the EFT-1 heat shield utilized a low risk Apollo heritage design and manufacturing process using an Avcoat TPS ablator with a honeycomb substrate to provide a one piece heat shield to meet the mission re-entry heating environments. The EM-1 mission will have additional flight systems installed to fly to the moon and return to Earth. Heat shield design and producibility improvements have been incorporated in the EM-1 vehicle to meet deep space mission requirements. The design continues to use the Avcoat material, but in a block configuration to enable improvements in consistant and repeatable application processes using tile bonding experience developed on the Space Shuttle Transportation System Program.

Developing and Implementing a Social Media Program While Optimizing Return on Investment--An MBA Program Case Study

ERIC Educational Resources Information Center

Gilfoil, David M.; Aukers, Steven M.; Jobs, Charles G.

2015-01-01

Over the past decade, Web 2.0 has brought a wealth of opportunities for improving marketing effectiveness; social media platforms, in particular, have proven to be exceptional tools for realizing growth potential. The big question for businesses used to be how to measure and report financial return on investment (ROI) for social media ad spend to…

Effect of High School Completion of the Agricultural Education Program on the Rate of Return on Investment for the Commonwealth of Virginia

ERIC Educational Resources Information Center

Bevins, Phillip Scott

2010-01-01

This research study sought to determine the effect high school completion of the agricultural career and technical education program has on the rate of return on investment by public schools in Virginia. The research questions guiding this study included: (1) Were students able to find employment related to the agricultural career and technical…

Return and profitability of space programs. Information - the main product of flights in space

NASA Astrophysics Data System (ADS)

Nikolova, Irena

The basic branch providing global information, as a product on the market, is astronautics and in particular aero and space flights. Nowadays economic categories like profitability, return, and self-financing are added to space information. The activity in the space information service market niche is an opportunity for realization of high economic efficiency and profitability. The present report aims at examining the possibilities for return and profitability of space programs. Specialists in economics from different countries strive for defining the economic effect of implementing space technologies in the technical branches on earth. Still the priorities here belong to government and insufficient market organization and orientation is apparent. Attracting private investors and searching for new mechanisms of financing are the factors for increasing economic efficiency and return of capital invested in the mentioned sphere. Return of utilized means is an economically justified goal, a motive for a bigger enlargement of efforts and directions for implementing the achievements of astronautics in the branches of economy on earth.

The needs of the science teachers of Shenyang area, Northeast China

NASA Astrophysics Data System (ADS)

Zhao, Chao

Purpose of the study. The purpose of this research was to survey those individuals teaching science in the middle schools of the Shenyang area, Northeast China. Specifically, the study attempted to differentiate between rural and nonrural teachers with respect to demographic differences, problem areas, instructional activities, and perceived needs. Procedure. A 100-item survey was used to collect data for this study. The sample consisted of 224 science teachers (Rural 114, nonrural 110) who taught at least science class in 1996--97 academic year in a middle school of Shenyang area, Northeast China. Frequencies and percentages presented the needs of the teachers. The differences between rural and nonrural groups were analyzed by Chi Square statistics. Findings. Almost three quarters (74.9%) of returns were younger than 41, and 43.9% of returns held no degree. Significant differences were fond between rural and nonrural groups according to age, classroom experience, school enrollment, lab activities, motivating students to learn science, using science test data bank, peer tutoring and evaluating your own instructional effectiveness as a science teacher. Rural and nonrural teachers shared 10 of 14 greatest needs. Conclusions. Teacher in-service program designers need to establish academic training programs which lead to entry level degrees and certificates and improve young teacher's instructional skills. Increased efforts should be given to meet the perceived needs addressed in this study in order to improve teachers' teaching and students' learning. Lack of person energy or motivation and program fail to meet teachers' needs were considered as barriers of attending inservice programs.

Opinion polls and the U.S. civil space program

NASA Technical Reports Server (NTRS)

Kraemer, Sylvia K.

1993-01-01

The conclusions that can be drawn from public opinion polls depend a great deal on what usually does not appear on the newspaper page or television screen. Subtle biases can result from the population interviewed, the time of day individuals were called, how a particular question was asked, or how the answer was interpreted. Examples are the 1961 Gallop Poll, the survey done for Rockwell International by the firm of Yankelovich, Skelly and White/Clancy Shulman, and the one done by Jon D. Miller of the International Center for the Advancement of Scientific Literacy. There is more to learn from opinion polls than that a good proportion of adult Americans support the space program. We can learn that social and economic security are not competing goals with space, but interdependent goals. If we want to increase public support for space, we must increase the number of Americans who have the economic freedom to take an interest in something besides getting by, day after day. We can also learn that the majority of those who support the space program can distinguish between the bread and circuses of space travel. They are content to experience extraordinary adventures in the movie theaters; for their tax dollars they want real return in expended scientific knowledge and understanding. Finally, we can learn that we need to increase that return, not just for scientific careers, but for the ordinary people who pay our bills and for their children, our children. Ultimately, the space program is for them, as all investments in the future must be.

Opinion polls and the U.S. civil space program

NASA Astrophysics Data System (ADS)

Kraemer, Sylvia K.

1993-11-01

The conclusions that can be drawn from public opinion polls depend a great deal on what usually does not appear on the newspaper page or television screen. Subtle biases can result from the population interviewed, the time of day individuals were called, how a particular question was asked, or how the answer was interpreted. Examples are the 1961 Gallop Poll, the survey done for Rockwell International by the firm of Yankelovich, Skelly and White/Clancy Shulman, and the one done by Jon D. Miller of the International Center for the Advancement of Scientific Literacy. There is more to learn from opinion polls than that a good proportion of adult Americans support the space program. We can learn that social and economic security are not competing goals with space, but interdependent goals. If we want to increase public support for space, we must increase the number of Americans who have the economic freedom to take an interest in something besides getting by, day after day. We can also learn that the majority of those who support the space program can distinguish between the bread and circuses of space travel. They are content to experience extraordinary adventures in the movie theaters; for their tax dollars they want real return in expended scientific knowledge and understanding. Finally, we can learn that we need to increase that return, not just for scientific careers, but for the ordinary people who pay our bills and for their children, our children. Ultimately, the space program is for them, as all investments in the future must be.

Return Migration: A Study of College Graduates Returning to Rural U.S. Homes

ERIC Educational Resources Information Center

Mahoney, Elizabeth D.

2009-01-01

The purpose of this study is to explore perceptions of return migration experiences and gain knowledge from rural residents who have left to obtain a college education and start careers in non-rural areas, and who then returned to their rural hometowns with the social and economic benefits of a college education, and other valuable resources. This…

Stock optimizing in choice when a token deposit is the operant.

PubMed

Widholm, J J; Silberberg, A; Hursh, S R; Imam, A A; Warren-Boulton, F R

2001-11-01

Each of 2 monkeys typically earned their daily food ration by depositing tokens in one of two slots. Tokens deposited in one slot dropped into a bin where they were kept (token kept). Deposits to a second slot dropped into a bin where they could be obtained again (token returned). In Experiment 1, a fixed-ratio (FR) 5 schedule that provided two food pellets was associated with each slot. Both monkeys preferred the token-returned slot. In Experiment 2, both subjects chose between unequal FR schedules with the token-returned slot always associated with the leaner schedule. When the FRs were 2 versus 3 and 2 versus 6, preferences were maintained for the token-returned slot; however, when the ratios were 2 versus 12, preference shifted to the token-kept slot. In Experiment 3, both monkeys chose between equal-valued concurrent variable-interval variable-interval schedules. Both monkeys preferred the slot that returned tokens. In Experiment 4, both monkeys chose between FRs that typically differed in size by a factor of 10. Both monkeys preferred the FR schedule that provided more food per trial. These data show that monkeys will choose so as to increase the number of reinforcers earned (stock optimizing) even when this preference reduces the rate of reinforcement (all reinforcers divided by session time).

Groundbreaking Mars Sample Return for Science and Human Exploration

NASA Technical Reports Server (NTRS)

Cohen, Barbara; Draper, David; Eppler, Dean; Treiman, Allan

2012-01-01

Partnerships between science and human exploration have recent heritage for the Moon (Lunar Precursor Robotics Program, LPRP) and nearearth objects (Exploration Precursor Robotics Program, xPRP). Both programs spent appreciable time and effort determining measurements needed or desired before human missions to these destinations. These measurements may be crucial to human health or spacecraft design, or may be desired to better optimize systems designs such as spacesuits or operations. Both LPRP and xPRP recommended measurements from orbit, by landed missions and by sample return. LPRP conducted the Lunar Reconnaissance Orbiter (LRO) and Lunar Crater Observation and Sensing Satellite (LCROSS) missions, providing high-resolution visible imagery, surface and subsurface temperatures, global topography, mapping of possible water ice deposits, and the biological effects of radiation [1]. LPRP also initiated a landed mission to provide dust and regolith properties, local lighting conditions, assessment of resources, and demonstration of precision landing [2]. This mission was canceled in 2006 due to funding shortfalls. For the Moon, adequate samples of rocks and regolith were returned by the Apollo and Luna programs to conduct needed investigations. Many near-earth asteroids (NEAs) have been observed from the Earth and several have been more extensively characterized by close-flying missions and landings (NEAR, Hayabusa, Rosetta). The current Joint Robotic Precursor Activity program is considering activities such as partnering with the New Frontiers mission OSIRIS-Rex to visit a NEA and return a sample to the Earth. However, a strong consensus of the NEO User Team within xPRP was that a dedicated mission to the asteroid targeted by humans is required [3], ideally including regolith sample return for more extensive characterization and testing on the Earth.

Evolving the SP-100 reactor in order to boost large payloads to GEO and to low lunar orbit via nuclear-electric propulsion

NASA Technical Reports Server (NTRS)

English, Robert E.

1991-01-01

In striving to reduce exploration cost and exploration risks, a crucial aspect of the plans is program continuity, i.e., the continuing application of a given technology over a long period so that experience will accumulate from extended testing here on Earth and from a diversity of applications in space. An integrated view needs to be formed of the missions SEI will carry out, near term as well as far, and of the ways in which these missions can mutually support one another. Near term programs should be so constituted as to provide for the long term missions both the enabling technologies and the accumulation of experience they need. In achieving this, missions in Earth orbit should both evolve and show the technologies crucial to long term missions on the lunar surface, and the program for the lunar labs should evolve and show the enabling technologies for exploration of the surface of Mars and for flights of human beings to Mars and return. In the near term, the program for the Space Station should be directed and funded to develop and demonstrate the solar Brayton power plant that will be most useful as the power generator for the SP-100 nuclear reactor.

Evolving the SP-100 reactor in order to boost large payloads to GEO and to low lunar orbit via nuclear-electric propulsion

NASA Technical Reports Server (NTRS)

English, Robert E.

1991-01-01

In striving to reduce exploration cost and exploration risks, a crucial aspect of the plans is program continuity, i.e., the continuing application of a given technology over a long period so that experience will accumulate from extended testing here on earth and from a diversity of applications in space. An integrated view needs to be formed of the missions SEI will carry out, near term as well as far, and of the ways in which these missions can mutually support one another. Near term programs should be so constituted as to provide for the long term missions both the enabling technologies and the accumulation of experience they need. In achieving this, missions in earth orbit should both evolve and show the technologies crucial to long term missions on the lunar surfaces, and the program for the lunar labs should evolve and show the enabling technologies for exploration of the surface of Mars and for flights of human beings to Mars and return. In the near term, the program for the Space Station should be directed and funded to develop and demonstrate the solar Brayton power plant that will be most useful as the power generator for the SP-100 nuclear reactor.

Therapeutic horse back riding of a spinal cord injured veteran: a case study.

PubMed

Asselin, Glennys; Penning, Julius H; Ramanujam, Savithri; Neri, Rebecca; Ward, Constance

2012-01-01

To determine an incomplete spinal cord injured veteran's experience following participation in a therapeutic horseback riding program. Following the establishment of a nationwide therapeutic riding program for America's wounded service veterans in 2007, a Certified Rehabilitation Registered Nurse from the Michael E. DeBakey Veteran Affairs Medical Center worked with an incomplete spinal cord injured veteran who participated in the Horses for Heroes program. This program resulted in many benefits for the veteran, including an increase in balance, muscle strength, and self-esteem. A physical, psychological, and psychosocial benefit of therapeutic horseback riding is shown to have positive results for the spinal cord injured. Therapeutic riding is an emerging field where the horse is used as a tool for physical therapy, emotional growth, and learning. Veterans returning from the Iraq/Afghanistan war with traumatic brain injuries, blast injuries, depression, traumatic amputations, and spinal cord injuries may benefit from this nurse-assisted therapy involving the horse. © 2012 Association of Rehabilitation Nurses.

Physical activity and experience of total knee replacement in patients one to four years postsurgery in the dominican republic: a qualitative study.

PubMed

Stenquist, Derek S; Elman, Scott A; Davis, Aileen M; Bogart, Laura M; Brownlee, Sarah A; Sanchez, Edward S; Santiago, Adianez; Ghazinouri, Roya; Katz, Jeffrey N

2015-01-01

Musculoskeletal disorders are the second leading cause of years lived with disability globally. Total knee replacement (TKR) offers patients with advanced arthritis relief from pain and the opportunity to return to physical activity. We investigated the impact of TKR on physical activity for patients in a developing nation. As part of the Operation Walk Boston surgical mission program, we interviewed 18 Dominican patients (78% women) who received TKR about their level of physical activity after surgery. Qualitative interviews were conducted in Spanish, and English transcripts were analyzed using content analysis. Most patients found that TKR increased their participation in physical activities in several life domains, such as occupational or social pursuits. Some patients limited their own physical activities due to uncertainty about medically appropriate levels of joint use and postoperative physical activity. Many patients noted positive effects of TKR on mood and mental health. For most patients in the study, religion offered a framework for understanding their receipt of and experience with TKR. Our findings underscore the potential of TKR to permit patients in the developing world to return to physical activities. This research also demonstrates the influence of patients' education, culture, and religion on patients' return to physical activity. As the global burden of musculoskeletal disease increases, it is important to characterize the impact of activity limitation on patients' lives in diverse settings and the potential for surgical intervention to ease the burden of chronic arthritis. Copyright © 2015 by the American College of Rheumatology.

Asset securitization and rate of return: A study on letters of guarantee

NASA Astrophysics Data System (ADS)

Wu, Binghui

2018-01-01

Using the theory of asset securitization, we analyze the feasibility of the securitization of letters of guarantee in theory. In the process of constructing the model of rate of return of securities backed by letters of guarantee, we propose two indices: the risk probability of asset-backed securities and the loss rate of asset-backed securities to analyze the cash flow of securities. On the basis of no arbitrage principle, the expression of rate of return of securities backed by letters of guarantee is put forward. In order to study the relationship between the rate of return of securities and other influential factor in the model, a simulation experiment is designed. The experiment results show that (i) an increasing risk probability of cash flow or a short maturity date also make the return rate of securities increase and (ii) the return rate of securities is higher in economic boom than that in economic recession when other parameters remain unchanged.

Aerodynamic design guidelines and computer program for estimation of subsonic wind tunnel performance

NASA Technical Reports Server (NTRS)

Eckert, W. T.; Mort, K. W.; Jope, J.

1976-01-01

General guidelines are given for the design of diffusers, contractions, corners, and the inlets and exits of non-return tunnels. A system of equations, reflecting the current technology, has been compiled and assembled into a computer program (a user's manual for this program is included) for determining the total pressure losses. The formulation presented is applicable to compressible flow through most closed- or open-throat, single-, double-, or non-return wind tunnels. A comparison of estimated performance with that actually achieved by several existing facilities produced generally good agreement.

One Model for Scientist Involvement in K-12 Education: Teachers Experiencing Antarctica and the Arctic Program

NASA Astrophysics Data System (ADS)

Meese, D.; Shipp, S. S.; Porter, M.; Bruccoli, A.

2002-12-01

Scientists involved in the NSF-funded Teachers Experiencing Antarctica and the Arctic (TEA) Program integrate a K-12 science teacher into their polar field project. Objectives of the program include: having the science teacher immersed in the experience of research; 2) through the teacher, leveraging the research experience to better inform teaching practices; and 3) sharing the experience with the broader educational and general community. The scientist - or qualified team member - stays involved with the teacher throughout the program as a mentor. Preparation of the teacher involves a week-long orientation presented by the TEA Program, and a two week pre-expedition visit at the scientist's institution. Orientation acquaints teachers with program expectations, logistical information, and an overview of polar science. While at the scientist's institution, the teacher meets the team, prepares for the field, and strengthens content knowledge. In the field, the teacher is a team member and educational liaison, responding to questions from students and colleagues by e-mail, and posting electronic journals describing the research experience. Upon return, the teachers work closely with colleagues to bring the experience of research into classrooms through creation of activities, design of longer-term student investigations, and presentations at scientific, educational, and community meetings. Interaction with the scientific team continues with a visit by the scientist to the teacher's classrooms, collaboration on presentations at scientific meetings, and consultation on classroom activities. In some cases, the teacher may participate in future expeditions. The involvement by scientists in mentor relationships, such as those of the TEA Program, is critical to improving science education. Many teachers of science have not had the opportunity to participate in field research, which offers valuable first-hand experience about the nature of science, as well as about specific content. The value to the scientist lies in deepening the understanding of current science education, increasing exposure to new ways to communicate information, and developing a path to having the research shared with the classroom and community via the TEA teacher's outreach. This long-term interaction between a scientist and a teacher can result in meaningful impact through increasing depth of understanding - not just about science content, but about the process of science. Equipped with this understanding based on experience, the teacher can multiply the impact with colleagues and students.

Development of an HIV Postexposure Prophylaxis (PEP) Protocol for Trainees Engaging in Academic Global Health Experiences.

PubMed

Arora, Gitanjli; Hoffman, Risa M

2017-11-01

Global health (GH) education programs have become increasingly common in U.S. medical schools and graduate medical education programs, with growing numbers of medical students, residents, and fellows participating in clinical experiences in settings with high HIV prevalence and limited resources. However, there are no guidelines for provision of HIV postexposure prophylaxis (PEP) to trainees engaging in these academic GH experiences. Faculty of the Global Health Education Programs (GHEP) at the David Geffen School of Medicine at UCLA and GH partner institutions recognized the need for PEP access for trainees engaged in GH experiences. In 2013-2014, key UCLA faculty collaborated in the development of the UCLA GHEP PEP Protocol, which includes provision of PEP medications to trainees prior to departure, an on-call infectious disease/HIV specialist to advise trainees who have exposures, and a system for following up with exposed trainees while on the GH rotation and after their return. Between February 2014 and September 2016, 112 medical students and 110 residents received education on the PEP protocol during their predeparture orientation. The protocol was used for 28 exposures (27 occupational, 1 nonoccupational), with PEP recommended in 3 occupational cases (all needlesticks) and the single nonoccupational case. There were no reported HIV seroconversions. The authors plan to formally evaluate the PEP protocol, conduct a qualitative assessment with trainees and both UCLA and GH partner faculty, and discuss best practices with institutions across the United States and with GH partners.

Qigong in Injured Military Service Members.

PubMed

Reb, Anne Marie; Saum, Nancy Seaby; Murphy, Deborah Ann; Breckenridge-Sproat, Sara Todd; Su, Xiaogang; Bormann, Jill Ellen

2017-03-01

Wounded, ill, and injured (WII) Military Service members experience significant stress and are at risk for developing chronic conditions including posttraumatic stress disorder and depression. Qigong, a meditative movement practice, may positively affect their ability to engage in successful rehabilitation. We assessed the feasibility of Qigong practice in WII Service members returning from combat; effects on stress, sleep, and somatic symptoms; satisfaction; and participants' experience with the practice. Single-group, pre- and posttest, mixed methods approach. Twenty-six WII were enrolled. The program was designed to include 20 classes over 10 weeks. Participants completed self-report questionnaires, practice logs, and an exit interview. Average attendance was 8.14 classes ( SD = 4.9); mean engagement was 5.7 ( SD = 3.5) weeks. Participants endorsed a high level of satisfaction with the practice. Qualitative themes included coping with stress; feeling more resilient and empowered; improvement in symptoms including sleep and physical function; and factors affecting practice. Participant-reported facilitators included accessibility and portability of the practice; barriers included scheduling conflicts and personal challenges. Participants recommended offering shorter programs with flexible scheduling options, increasing program awareness, and including significant others in future classes. Qigong was safe, portable, and easily adapted for WII Service members.

An evaluation of the Well at Dell health management program: health risk change and financial return on investment.

PubMed

Musich, Shirley; McCalister, Tre'; Wang, Sara; Hawkins, Kevin

2015-01-01

To investigate the effectiveness of the Well at Dell comprehensive health management program in delivering health care and productivity cost savings relative to program investment (i.e., return on investment). A quasi-experimental design was used to quantify the financial impact of the program and nonexperimental pre-post design to evaluate change in health risks. Ongoing worksite health management program implemented across multiple U.S. locations. Subjects were 24,651 employees with continuous medical enrollment in 2010-2011 who were eligible for 2011 health management programming. Incentive-driven, outcomes-based multicomponent corporate health management program including health risk appraisal (HRA)/wellness, lifestyle management, and disease management coaching programs. Medical, pharmacy, and short-term disability pre/post expenditure trends adjusted for demographics, health status, and baseline costs. Self-reported health risks from repeat HRA completers. Analysis: Propensity score-weighted and multivariate regression-adjusted comparison of baseline to post trends in health care expenditures and productivity costs for program participants and nonparticipants (i.e., difference in difference) relative to programmatic investment. The Well at Dell program achieved an overall return on investment of 2.48 in 2011. Most of the savings were realized from the HRA/wellness component of the program. Cost savings were supported with high participation and significant health risk improvement. An incentive-driven, well-managed comprehensive corporate health management program can continue to achieve significant health improvement while promoting health care and productivity cost savings in an employee population.

Evaluating an employee wellness program.

PubMed

Mukhopadhyay, Sankar; Wendel, Jeanne

2013-12-01

What criteria should be used to evaluate the impact of a new employee wellness program when the initial vendor contract expires? Published academic literature focuses on return-on-investment as the gold standard for wellness program evaluation, and a recent meta-analysis concludes that wellness programs can generate net savings after one or two years. In contrast, surveys indicate that fewer than half of these programs report net savings, and actuarial analysts argue that return-on-investment is an unrealistic metric for evaluating new programs. These analysts argue that evaluation of new programs should focus on contract management issues, such as the vendor's ability to: (i) recruit employees to participate and (ii) induce behavior change. We compute difference-in-difference propensity score matching estimates of the impact of a wellness program implemented by a mid-sized employer. The analysis includes one year of pre-implementation data and three years of post-implementation data. We find that the program successfully recruited a broad spectrum of employees to participate, and it successfully induced short-term behavior change, as manifested by increased preventive screening. However, the effects on health care expenditures are positive (but insignificant). If it is unrealistic to expect new programs to significantly reduce healthcare costs in a few years, then focusing on return-on-investment as the gold standard metric may lead to early termination of potentially useful wellness programs. Focusing short-term analysis of new programs on short-term measures may provide a more realistic evaluation strategy.

The Development of a Model Design to Assess Instruction in Farm Management in Terms of Economic Returns and the Understanding of Economic Principles.

ERIC Educational Resources Information Center

Rolloff, John August

The records of 27 farm operators participating in farm business analysis programs in 5 Ohio schools were studied to develop and test a model for determining the influence of the farm business analysis phase of vocational agriculture instruction in farm management. Economic returns were measured as ratios between 1965 program inputs and outputs…

Mental Health Issues in Recently Returning Women Veterans: Implications for Practice

ERIC Educational Resources Information Center

Carlson, Bonnie E.; Stromwall, Layne K.; Lietz, Cynthia A.

2013-01-01

Increasing numbers of women are found in the military, and they are now performing roles very similar to those of male service members. More returning servicewomen and veterans have been exposed to stressful and traumatic experiences, such as combat and difficult living circumstances, and military sexual trauma is common. These experiences have…

Restrictions into Opportunities: How Boundaries in the Life Course Can Shape Educational Pathways

ERIC Educational Resources Information Center

ahmed Shafi, Adeela; Rose, Jo

2014-01-01

This study explores relationships between experiences in initial education, subsequent life experiences/opportunities and the decision to return to education later in life. Semi-structured interviews with seven female returners to education, focused initially upon the women's perceptions of their aspirations and motivations at various ages, how…

Enhancing Returning Adult Students' Educational Experience through Intergenerational Collaborative Learning

ERIC Educational Resources Information Center

Hast, Shawn E.

2013-01-01

This study addressed the need to enhance returning adult students' (RAS) educational experience by improving their relationship with traditional students. The purpose of this study was to examine, based upon Schlossberg's transition theory, the interpersonal relationship between RAS and traditional students at a community college that…

The Effects of Expectancy on Inhibition of Return

ERIC Educational Resources Information Center

Gabay, Shai; Henik, Avishai

2008-01-01

This research examined the influence of cue temporal predictability on inhibition of return (IOR). In exogenous attention experiments, the cue that summons attention is non-informative as to where the target will appear. However, it is predictive as to when it will appear. Because in most experiments there are equal numbers of trials for each…

Inhibition of Return and Object-Based Attentional Selection

ERIC Educational Resources Information Center

List, Alexandra; Robertson, Lynn C.

2007-01-01

Visual attention research has revealed that attentional allocation can occur in space- and/or object-based coordinates. Using the direct and elegant design of R. Egly, J. Driver, and R. Rafal (1994), the present experiments tested whether space- and object-based inhibition of return (IOR) emerge under similar time courses. The experiments were…

Returning to Work after the Onset of Illness: Experiences of Right Hemisphere Stroke Survivors

ERIC Educational Resources Information Center

Koch, Lynn; Egbert, Nichole; Coeling, Harriet; Ayers, Denise

2005-01-01

Experiences of right hemisphere stroke survivors in their attempts to return to work after the onset of stroke were explored through an interdisciplinary qualitative investigation. Key findings indicate that (a) participants experienced an array of functional limitations that precipitated employment changes; (b) employment changes had a…

Returning to work - a long-term process reaching beyond the time frames of multimodal non-specific back pain rehabilitation.

PubMed

Hellman, Therese; Jensen, Irene; Bergström, Gunnar; Busch, Hillevi

2015-01-01

To explore and describe health professionals' experience of working with return to work (RTW) in multimodal rehabilitation for people with non-specific back pain. An interview study using qualitative content analysis. Fifteen participants were interviewed, all were working with multimodal rehabilitation for people with non-specific back pain in eight different rehabilitation units. The participants experienced RTW as a long-term process reaching beyond the time frames of the multimodal rehabilitation (MMR). Their attitudes and, their patients' condition, impacted on their work which focused on psychological and physical well-being as well as participation in everyday life. They often created an action plan for the RTW process, however the responsibility for its realisation was transferred to other actors. The participants described limited interventions in connection with patients' workplaces. Recommended support in the RTW process in MMR comprises the provision of continuous supervision of vocational issues for the health care professionals, the development of guidelines and a checklist for how to work in close collaboration with patients' workplaces and employers, the provision of long-term follow-up in relation to the patients' work, and the development of proper interventions in order to promote transitions between all the different actors involved. Rehabilitation programs targeting return to work (RTW) for people with non-specific back pain needs to include features concretely focusing on vocational issues. Health and RTW is often seen as a linear process in which health comes before RTW. Rehabilitation programs could be tailored to better address the reciprocal relationship between health and work, in which they are interconnected and affect each other. The RTW process is reaching beyond the time frames of the multimodal rehabilitation but further support from the patients are asked for. The rehabilitation programs needs to be designed to provide long-term follow-up in relation to the patients' work.

The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator Has a Role in Predicting Discharge to Post-Acute Care in Total Joint Arthroplasty.

PubMed

Goltz, Daniel E; Baumgartner, Billy T; Politzer, Cary S; DiLallo, Marcus; Bolognesi, Michael P; Seyler, Thorsten M

2018-01-01

Patient demand and increasing cost awareness have led to the creation of surgical risk calculators that attempt to predict the likelihood of adverse events and to facilitate risk mitigation. The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator is an online tool available for a wide variety of surgical procedures, and has not yet been fully evaluated in total joint arthroplasty. A single-center, retrospective review was performed on 909 patients receiving a unilateral primary total knee (496) or hip (413) arthroplasty between January 2012 and December 2014. Patient characteristics were entered into the risk calculator, and predicted outcomes were compared with observed results. Discrimination was evaluated using the receiver-operator area under the curve (AUC) for 90-day readmission, return to operating room (OR), discharge to skilled nursing facility (SNF)/rehab, deep venous thrombosis (DVT), and periprosthetic joint infection (PJI). The risk calculator demonstrated adequate performance in predicting discharge to SNF/rehab (AUC 0.72). Discrimination was relatively limited for DVT (AUC 0.70, P = .2), 90-day readmission (AUC 0.63), PJI (AUC 0.67), and return to OR (AUC 0.59). Risk score differences between those who did and did not experience discharge to SNF/rehab, 90-day readmission, and PJI reached significance (P < .01). Predicted length of stay performed adequately, only overestimating by 0.2 days on average (rho = 0.25, P < .001). The American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator has fair utility in predicting discharge to SNF/rehab, but limited usefulness for 90-day readmission, return to OR, DVT, and PJI. Although length of stay predictions are similar to actual outcomes, statistical correlation remains relatively weak. Copyright © 2017 Elsevier Inc. All rights reserved.

A Realistic View of Returning to the Classroom after Cancer. Survival: A Double Entendre

ERIC Educational Resources Information Center

Zimmer, Heidi S.

2012-01-01

Returning to work after cancer treatment provides its own set of challenges. The purpose of this research paper is to inform cancer survivors of the reality of returning to work after treatment. From personal experience and stories from others getting back to a "normal" life is a large part of the recovery from cancer. Returning to work can be the…

Sample Handling Considerations for a Europa Sample Return Mission: An Overview

NASA Technical Reports Server (NTRS)

Fries, M. D.; Calaway, M. L.; Evans, C. A.; McCubbin, F. M.

2015-01-01

The intent of this abstract is to provide a basic overview of mission requirements for a generic Europan plume sample return mission, based on NASA Curation experience in NASA sample return missions ranging from Apollo to OSIRIS-REx. This should be useful for mission conception and early stage planning. We will break the mission down into Outbound and Return legs and discuss them separately.

Job Coaching and Success in Gaining and Sustaining Employment Among Homeless People

PubMed Central

Ford, Rebecca; Willmot, Anne; Hagan, Stephanie; Siegrist, Johannes

2014-01-01

Objective: People who are homeless experience many barriers that affect their ability to gain and sustain work. In this study, we investigate whether personal job coaching support contributes toward employment success. Methods: The short- and long-term employment outcomes of 2,480 clients participating in a labor market program were analyzed. Results: Clients being supported by a job coach have significantly higher chances of gaining employment than those not being supported. This holds particularly true for the youngest age-group. Furthermore, results also indicate that job coaching improves clients’ chances of successfully sustaining employment. Conclusions: Personal approaches and individual coaching seem to be promising strategies in social work practice and specifically in return to work programs for people who have experienced homelessness. PMID:27630516

Clinical and Morphological Changes Following 2 Rehabilitation Programs for Acute Hamstring Strain Injuries: A Randomized Clinical Trial

PubMed Central

SILDER, AMY; SHERRY, MARC A.; SANFILIPPO, JENNIFER; TUITE, MICHAEL J.; HETZEL, SCOTT J.; HEIDERSCHEIT, BRYAN C.

2013-01-01

STUDY DESIGN Randomized, double-blind, parallel-group clinical trial. OBJECTIVES To assess differences between a progressive agility and trunk stabilization rehabilitation program and a progressive running and eccentric strengthening rehabilitation program in recovery characteristics following an acute hamstring injury, as measured via physical examination and magnetic resonance imaging (MRI). BACKGROUND Determining the type of rehabilitation program that most effectively promotes muscle and functional recovery is essential to minimize reinjury risk and to optimize athlete performance. METHODS Individuals who sustained a recent hamstring strain injury were randomly assigned to 1 of 2 rehabilitation programs: (1) progressive agility and trunk stabilization or (2) progressive running and eccentric strengthening. MRI and physical examinations were conducted before and after completion of rehabilitation. RESULTS Thirty-one subjects were enrolled, 29 began rehabilitation, and 25 completed rehabilitation. There were few differences in clinical or morphological outcome measures between rehabilitation groups across time, and reinjury rates were low for both rehabilitation groups after return to sport (4 of 29 subjects had reinjuries). Greater craniocaudal length of injury, as measured on MRI before the start of rehabilitation, was positively correlated with longer return-to-sport time. At the time of return to sport, although all subjects showed a near-complete resolution of pain and return of muscle strength, no subject showed complete resolution of injury as assessed on MRI. CONCLUSION The 2 rehabilitation programs employed in this study yielded similar results with respect to hamstring muscle recovery and function at the time of return to sport. Evidence of continuing muscular healing is present after completion of rehabilitation, despite the appearance of normal physical strength and function on clinical examination. LEVEL OF EVIDENCE Therapy, level 1b–. J Orthop Sports Phys Ther 2013;43(5):284-299. Epub 13 March 2013. doi:10.2519/jospt.2013.4452 PMID:23485730

Mars Rover Sample Return mission study

NASA Technical Reports Server (NTRS)

Bourke, Roger D.

1989-01-01

The Mars Rover/Sample Return mission is examined as a precursor to a manned mission to Mars. The value of precursor missions is noted, using the Apollo lunar program as an example. The scientific objectives of the Mars Rover/Sample Return mission are listed and the basic mission plans are described. Consideration is given to the options for mission design, launch configurations, rover construction, and entry and lander design. Also, the potential for international cooperation on the Mars Rover/Sample Return mission is discussed.

Parents Returning to Work: Evaluation of Grant Recipient Outcomes 2004-05, 2005-06

ERIC Educational Resources Information Center

Ferrier, Fran; Kellock, Peter; Burke, Gerald

2007-01-01

The Parents Returning to Work Program (PRTW) is a Victorian government initiative which commenced in 2003. It provides grants to assist eligible parents who wish to return to paid employment after a period of caring for children to participate in training that will increase their work skills and job prospects. This evaluation aimed to review the…

Expanding NASA and Roscosmos Scientific Collaboration on the International Space Station

NASA Technical Reports Server (NTRS)

Hasbrook, Pete

2016-01-01

The International Space Station (ISS) is a world-class laboratory orbiting in space. NASA and Roscosmos have developed a strong relationship through the ISS Program Partnership, working together and with the other ISS Partners for more than twenty years. Since 2013, based on a framework agreement between the Program Managers, NASA and Roscosmos are building a joint program of collaborative research on ISS. This international collaboration is developed and implemented in phases. Initially, members of the ISS Program Science Forum from NASA and TsNIIMash (representing Roscosmos) identified the first set of NASA experiments that could be implemented in the "near term". The experiments represented the research categories of Technology Demonstration, Microbiology, and Education. Through these experiments, the teams from the "program" and "operations" communities learned to work together to identify collaboration opportunities, establish agreements, and jointly plan and execute the experiments. The first joint scientific activity on ISS occurred in January 2014, and implementation of these joint experiments continues through present ISS operations. NASA and TsNIIMash have proceeded to develop "medium term" collaborations, where scientists join together to improve already-proposed experiments. A major success is the joint One-Year Mission on ISS, with astronaut Scott Kelly and cosmonaut Mikhail Kornienko, who returned from ISS in March, 2016. The teams from the NASA Human Research Program and the RAS Institute for Biomedical Problems built on their considerable experience to design joint experiments, learn to work with each other's protocols and processes, and share medical and research data. New collaborations are being developed between American and Russian scientists in complex fluids, robotics, rodent research and space biology, and additional human research. Collaborations are also being developed in Earth Remote Sensing, where scientists will share data from imaging systems mounted on ISS as well as other orbiting spacecraft to improve our understanding of the Earth and its climate. NASA and Roscosmos continue to encourage international scientific cooperation and expanded use of the ISS Laboratory. "Long-term", larger collaborations will achieve scientific objectives that no single national science team or agency can achieve on its own. The joint accomplishments achieved so far have paved the way for a stronger international scientific community and improved results and benefits from ISS.

X-38 Program Status/Overview

NASA Technical Reports Server (NTRS)

Anderson, Brian L.

2001-01-01

The X-38 Project consists of a series of experimental vehicles designed to provide the technical "blueprint" for the International Space Station's (ISS) Crew Return Vehicle (CRV). There are three atmospheric vehicles and one space flight vehicle in the program. Each vehicle is designed as a technical stepping stone for the next vehicle, with each new vehicle being more complex and advanced than it's predecessor. The X-38 project began in 1995 at the Johnson Space Center (JSC) in Houston, Texas at the direction of the NASA administrator. From the beginning, the project has had the CRY design validation as its ultimate goal. The CRY has three basic missions that drive the design that must be proven during the course of the X-38 Project: a) Emergency return of an ill or injured crew member. b) Emergency return of an entire ISS crew due to the inability of ISS to sustain life c) Planned return of an entire ISS crew due to the inability to re-supply the ISS or return the crew. The X-38 project must provide the blueprint for a vehicle that provides the capability for human return from space for all three of these design missions.

A Proposed Return-to-Sport Program for Patients With Midportion Achilles Tendinopathy: Rationale and Implementation.

PubMed

Silbernagel, Karin Grävare; Crossley, Kay M

2015-11-01

Synopsis Achilles tendinopathy is a common overuse injury in athletes involved in running and jumping activities and sports. The intervention with the highest level of evidence is exercise therapy, and it is recommended that all patients initially be treated with exercise for at least 3 months prior to considering other treatment options. Recovery from Achilles tendinopathy can take up to a year, and there is a high propensity for recurrence, especially during the return-to-sport phase. The extent of the tendon injury, the age and sex of the athlete, the magnitude of pain/symptoms, the extent of impairments, and the demands of the sport all need to be considered when planning for return to sport. This clinical commentary describes an approach to return to sport for patients with midportion Achilles tendinopathy. The aim of the return-to-sport program is to facilitate the decision-making process in returning an athlete with midportion Achilles tendinopathy back to full sport participation and to minimize the chances for recurrence of the injury. J Orthop Sports Phys Ther 2015;45(11):876-886. Epub 21 Sep 2015. doi:10.2519/jospt.2015.5885.

A Discordance Weighting Approach Estimating Occupational and Income Returns to Education.

PubMed

Andersson, Matthew A

2018-04-23

Schooling differences between identical twins are often utilized as a natural experiment to estimate returns to education. Despite longstanding doubts about the truly random nature of within-twin-pair schooling discordance, such discordance has not yet been understood comprehensively, in terms of diverse between- and within-family peer, academic, familial, social, and health exposures. Here, a predictive analysis using national U.S. midlife twin data shows that within-pair schooling differences are endogenous to a variety of childhood exposures. Using discordance propensities, returns to education under a true natural experiment are simulated. Results for midlife occupation and income reveal differences in estimated returns to education that are statistically insignificant, suggesting that twin-based estimates of causal effects are robust. Moreover, identical and fraternal twins show similar levels of discordance endogeneity and similar responses to propensity weighting, suggesting that the identical twins may not provide demonstrably better leverage in the causal identification of educational returns.

Experience with Canada's First Policy on Concussion Education and Management in Schools.

PubMed

Hachem, Laureen D; Kourtis, George; Mylabathula, Swapna; Tator, Charles H

2016-07-01

In response to the rising incidence of concussions among children and adolescents, the province of Ontario recently introduced the Ontario Policy/Program Memorandum on Concussions (PPM No. 158) requiring school boards to develop a concussion protocol. As this is the first policy of its kind in Canada, the impact of the PPM is not yet known. An electronic survey was sent to all high school principals in the Toronto District School Board 1 year after announcement of the PPM. Questions covered extent of student, parent, and staff concussion education along with concussion management protocols. Of 109 high school principals contacted, 39 responded (36%). Almost all schools provided concussion education to students (92%), with most education delivered through physical education classes. Nearly all schools had return to play (92%) and return to learn (77%) protocols. Although 85% of schools educated staff on concussions, training was aimed at individuals involved in sports/physical education. Only 43.6% of schools delivered concussion education to parents, and many principals requested additional resources in this area. One year after announcement of the PPM, high schools in the Toronto District School Board implemented significant student concussion education programs and management protocols. Staff training and parent education required further development. A series of recommendations are provided to aid in future concussion policy development.

Cargo Commercial Orbital Transportation Services Environmental Control and Life Support Integration

NASA Technical Reports Server (NTRS)

Duchesne, Stephanie; Thacker, Karen; Williams, Dave

2012-01-01

The International Space Station s (ISS) largest crew and cargo resupply vehicle, the Space Shuttle, retired in 2011. To help augment ISS resupply and return capability, NASA announced a project to promote the development of Commercial Orbital Transportation Services (COTS) for the ISS in January of 2006. By December of 2008, NASA entered into space act agreements with SpaceX and Orbital Sciences Corporation for COTS development and ISS Commercial Resupply Services (CRS). The intent of CRS is to fly multiple resupply missions each year to ISS with SpaceX s Dragon vehicle providing resupply and return capabilities and Orbital Science Corporation s Cygnus vehicle providing resupply capability to ISS. The ISS program launched an integration effort to ensure that these new commercial vehicles met the requirements of the ISS vehicle and ISS program needs. The Environmental Control and Life Support System (ECLSS) requirements cover basic cargo vehicle needs including maintaining atmosphere, providing atmosphere circulation, and fire detection and suppression. The ISS-COTS integration effort brought unique challenges combining NASA s established processes and design knowledge with the commercial companies new initiatives and limited experience with human space flight. This paper will discuss the ISS ECLS COTS integration effort including challenges, successes, and lessons learned.

Commercial Orbital Transportation Cargo Services Environmental Control and Life Support Integration

NASA Technical Reports Server (NTRS)

Duchesne, Stephanie; Williams, Dave; Orozco, Nicole; Philistine, Cynthia

2010-01-01

The International Space Station s (ISS) largest crew and cargo resupply vehicle, the Space Shuttle, will retire in 2011. To help augment ISS resupply and return capability, NASA announced a project to promote the development of Commercial Orbital Transportation Services (COTS) for the ISS in January of 2006. By December of 2008, NASA entered into space act agreements with SpaceX and Orbital Sciences Corporation for COTS development and ISS Commercial Resupply Services (CRS). The intent of CRS is to fly multiple resupply missions each year to ISS with SpaceX s Dragon vehicle providing resupply and return capabilities and Orbital Science Corporation s Cygnus vehicle providing resupply capability to ISS. The ISS program launched an integration effort to ensure that these new commercial vehicles met the requirements of the ISS vehicle and ISS program needs. The Environmental Control and Life Support System (ECLSS) requirements cover basic cargo vehicle needs including maintaining atmosphere, providing atmosphere circulation, and fire detection and suppression. The ISS-COTS integration effort brought unique challenges combining NASA s established processes and design knowledge with the commercial companies new initiatives and limited experience with human space flight. This paper will discuss the ISS ECLS COTS integration effort including challenges, successes, and lessons learned.

Simply delivered meals: a tale of collaboration.

PubMed

Martin, Sarah L; Connelly, Nancy; Parsons, Cassandra; Blackstone, Katlyn

2018-06-01

Western medicine is undergoing a transition toward transparency of quality and costs, and healthcare systems are striving to achieve the Triple Aim, a framework for improving the patient experience of care, improving the health of populations, and reducing the per capita cost of healthcare. Meanwhile, there is growing recognition of the impact of social determinants of health and a new federal requirement for nonprofit hospitals to implement prevention strategies. A specialized meal delivery program called Simply Delivered for ME (SDM) was formed in an effort to improve care and reduce 30-day hospital readmission rates.The Maine Medical Center (MMC) partnered with the Southern Maine Agency on Aging to offer SDM on a voluntary basis to high-risk Medicare patients already enrolled in the Community-based Care Transition Program (CCTP) at MMC. We report the results of the 2-year intervention in terms of 30-day hospital readmission rates and cost measures (ie, return on investment and cost savings).Of the 622 MMC patients who received SDM during the 24 months, the 30-day readmission rate was 10.3% (compared with the 16.6% 30-day rate of hospital readmission at baseline [ie, before the adoption of CCTP]) for all-cause readmissions. The cost savings for reduced readmissions were $212,160. The return on investment was 387%, or a benefit-cost ratio of $3.87 for every $1.00 spent on meals. Programs such as SDM may reduce the rate of hospital readmission among high-risk older adults and, thereby, yield lower healthcare costs.

The Skylab Medical Operations Project: Recommendations to Improve Crew Health and Performance for Future Exploration Missions

NASA Technical Reports Server (NTRS)

Polk, James D.; Duncan, James M.; Davis, Jeffrey R.; Williams, Richard S.; Lindgren, Kjell N.; Mathes, Karen L.; Gillis, David B.; Scheuring, Richard A.

2009-01-01

From May of 1973 to February of 1974, the National Aeronautics and Space Administration conducted a series of three manned missions to the Skylab space station, a voluminous vehicle largely descendant of Apollo hardware, and America s first space station. The crewmembers of these three manned missions spent record breaking durations of time in microgravity (28 days, 59 days and 84 days, respectively) and gave the U.S. space program its first experiences with long-duration space flight. The program overcame a number of obstacles (including a significant crippling of the Skylab vehicle) to conduct a lauded scientific program that encompassed life sciences, astronomy, solar physics, materials sciences and Earth observation. Skylab has more to offer than the results of its scientific efforts. The operations conducted by the Skylab crews and ground personnel represent a rich legacy of operational experience. As we plan for our return to the moon and the subsequent manned exploration of Mars, it is essential to utilize the experiences and insights of those involved in previous programs. Skylab and SMEAT (Skylab Medical Experiments Altitude Test) personnel have unique insight into operations being planned for the Constellation Program, such as umbilical extra-vehicular activity and water landing/recovery of long-duration crewmembers. Skylab was also well known for its habitability and extensive medical suite; topics which deserve further reflection as we prepare for lunar habitation and missions beyond Earth s immediate sphere of influence. The Skylab Medical Operations Summit was held in January 2008. Crewmembers and medical personnel from the Skylab missions and SMEAT were invited to participate in a two day summit with representatives from the Constellation Program medical operations community. The purpose of the summit was to discuss issues pertinent to future Constellation operations. The purpose of this document is to formally present the recommendations of the Skylab and SMEAT participants.

Brownfields opportunity -- A product of a probusiness USEPA

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

Anderson, K.E.

Brownfields are former industrial facilities, office buildings or other properties that have been abandoned or are no longer in use. They may be returned as a beneficial asset of a company with prudent planning and by completing selected activities. The tangible economic impacts of a Brownfield property often result in lost taxes and lost jobs. In order to return a Brownfield property to beneficial use various activities are involved, which may include the services provided by many or all of the following: attorneys, financiers, insurance firms, business planners and operators, and environmental consultants. The melding of these diverse resources formore » a specific project must be determined on a case-by-case basis in a flexible manner. Consistent with the desire of much of the populace to return Brownfields to meaningful assets, the US Environmental Protection Agency (USEPA) has now adopted a practical, profitable and reasonably low-risk program termed the Brownfields Incentive. Included in the Brownfields Incentive program are more reasonable, yet safe, cleanup levels. Additionally, this program provides specific protection for Brownfields participants from fines, sanctions and legal actions. Consistent with the USEPA`s program, approximately 40 states have also initiated or are planning to initiate Brownfields programs. It is obvious that programs exist at the Federal and State levels to enable the reasonable redevelopment of existing abandoned or vacant properties. The ability to form a team of professionals to redevelop a Brownfield property is required. A proper team of professionals, each performing activities required to return the property to a functioning status, will assure the success of a Brownfield project.« less

What will it take for disease management to demonstrate a return on investment? New perspectives on an old theme.

PubMed

Linden, Ariel Linden

2006-04-01

Disease management programs are expected (and usually contractually required) to reduce total costs in the diseases they manage. To discuss the appropriateness of using utilization indexes in lieu of cost and the importance of reviewing utilization trends to determine whether sufficient opportunity exists for a program to be financially effective; and to conduct an analysis to determine the number of admissions that must be reduced for a program to achieve various levels of return on investment. Descriptive. Historical inpatient cost trends, discharges per 10,000 population, the mean length of stay, and emergency department visits per 10,000 population for acute myocardial infarction, congestive heart failure, asthma, and diabetes mellitus are presented. A "number-needed-to-decrease" analysis is performed to determine the number of admissions or emergency department visits that must be reduced to meet varying levels of return on investment. (1) Hospital days per 10,000 population for these conditions trended downward, while costs during the same period escalated. (2) Discharge and emergency department visit rates per 10,000 population were flat and low during the observation period, while the mean length of stay declined. Results of the number-needed-to-decrease analysis suggest that disease management programs will have to decrease admissions 10% to 30% to cover program fees alone. A review of historical utilization trends and a number-needed-to-decrease analysis should be conducted before disease management program implementation to determine whether sufficient opportunity exists to reduce utilization to levels that will ensure a positive return on investment.

Uncertain programming models for portfolio selection with uncertain returns

NASA Astrophysics Data System (ADS)

Zhang, Bo; Peng, Jin; Li, Shengguo

2015-10-01

In an indeterminacy economic environment, experts' knowledge about the returns of securities consists of much uncertainty instead of randomness. This paper discusses portfolio selection problem in uncertain environment in which security returns cannot be well reflected by historical data, but can be evaluated by the experts. In the paper, returns of securities are assumed to be given by uncertain variables. According to various decision criteria, the portfolio selection problem in uncertain environment is formulated as expected-variance-chance model and chance-expected-variance model by using the uncertainty programming. Within the framework of uncertainty theory, for the convenience of solving the models, some crisp equivalents are discussed under different conditions. In addition, a hybrid intelligent algorithm is designed in the paper to provide a general method for solving the new models in general cases. At last, two numerical examples are provided to show the performance and applications of the models and algorithm.

Listening to the customer: implementing a patient satisfaction measurement system.

PubMed

Cohen, L; Delaney, P; Boston, P

1994-01-01

Patient satisfaction is an important issue in positioning ambulatory medical services. An effective patient satisfaction measurement program not only helps hospital managers improve the quality of clinical and administrative activities, but also helps the hospital remain viable in increasingly competitive markets. A method for the design and measurement of patient satisfaction with outpatient Endoscopy Lab services is described in this article. The survey focuses on the sequence of events experienced by the patient. Outcome measures of primary interest include global patient satisfaction and the likelihood of using the service again if given a choice. Analysis of patient responses shows that global satisfaction with the outpatient experience is positively associated with service return intention. Additional analysis shows that facility cleanliness, privacy and nurse attention are most strongly associated with global patient satisfaction. Results underscore the importance of various service attributes on patient satisfaction and return intention and of the need to further expand the uses of patient satisfaction measurement in the outpatient Endoscopy Lab.

Beagle to the Moon: An Experiment Package to Measure Polar Ice and Volatiles in Permanently Shadowed Areas or Beneath the Lunar Surface

NASA Technical Reports Server (NTRS)

Gibson, E. K.; McKay, D. S.; Pillinger, C. T.; Wright, I. P.; Sims, M. R.; Richter, L.

2007-01-01

Near the beginning of the next decade we will see the launch of scientific payloads to the lunar surface to begin laying the foundations for the return to the moon in the Vision for Space Exploration. Shortly thereafter, astronauts will return to the lunar surface and have the ability to place scientific packages on the surface that will provide information about lunar resources and compositions of materials in permanently shadowed regions of the moon (1). One of the important questions which must be answered early in the program is whether there are lunar resources which would facilitate "living off the land" and not require the transport of resources and consumables from Earth (2). The Beagle science package is the ideal payload (3) to use on the lunar surface for determining the nature of hydrogen, water and lunar volatiles found in the polar regions which could support the Vision for Space Exploration

Developing Personalized Sensorimotor Adaptability Countermeasures for Spaceflight

NASA Technical Reports Server (NTRS)

Mulavara, A. P.; Seidler, R. D.; Peters, B.; Cohen, H. S.; Wood, S.; Bloomberg, J. J.

2016-01-01

Astronauts experience sensorimotor disturbances during their initial exposure to microgravity and during the re-adaptation phase following a return to an Earth-gravitational environment. Interestingly, astronauts who return from spaceflight show substantial differences in their abilities to readapt to a gravitational environment. The ability to predict the manner and degree to which individual astronauts would be affected would improve the effectiveness of countermeasure training programs designed to enhance sensorimotor adaptability. In this paper we will be presenting results from our ground-based study that show how behavioral, brain imaging and genomic data may be used to predict individual differences in sensorimotor adaptability to novel sensorimotor environments. This approach will allow us to better design and implement sensorimotor adaptability training countermeasures against decrements in post-mission adaptive capability that are customized for each crewmember's sensory biases, adaptive capacity, brain structure, functional capacities, and genetic predispositions. The ability to customize adaptability training will allow more efficient use of crew time during training and will optimize training prescriptions for astronauts to ensure expected outcomes.

Patients' discharge experiences: returning home after open-heart surgery.

PubMed

Lapum, Jennifer; Angus, Jan E; Peter, Elizabeth; Watt-Watson, Judy

2011-01-01

This study explored patients' narratives of technology in heart surgery and recovery. A narrative inquiry was conducted with a sample of 16 individuals. Interviews were completed 2 to 4 days after transfer from cardiovascular intensive care, and 4 to 6 weeks after discharge. Participants completed journals between these 2 time periods. Discharge and the return home were highlighted as key transitions. These transitions were driven by a technological script that included teachings and texts provided upon discharge. Complicating participants' narratives were their own personal dramas and self-characterizations of vulnerability, as they struggled to incorporate this script into the particularities of their daily lives. Comprehensive conceptualizations of technology that involve the associated logics and pathways of recovery provide deep insights into patients' stories of recovery from heart surgery. It is salient that discharge programs consider the ways that technology enters into patients' narratives, and also consider dialogical approaches to communication, education, and supportive interventions that are offered at multiple intervals and continue in the home. Copyright © 2011 Elsevier Inc. All rights reserved.

The National Astronomy Consortium: Lessons learned from a program to support underrepresented students in pursuing STEM careers

NASA Astrophysics Data System (ADS)

Mills, Elisabeth A.; Sheth, Kartik; Giles, Faye; Strolger, Louis-Gregory; Brisbin, Drew; Boyd, Patricia T.; Benjamin, Robert A.; NAC Consortium

2016-01-01

The National Astronomy Consortium (NAC) is a program partnering physics and astronomy departments in majority and minority-serving institutions across the country. The primary aim of this program is to support traditionally underrepresented students interested in pursuing a career in STEM through a 9-10 week summer astronomy research project and a year of additional mentoring after they return to their home institution. Students are also given an opportunity to apply for a second year in this program, often at a different site. In addition to providing research and professional experience, the NAC also seeks to strengthen ties between the majority and minority-serving institutions in order to better serve these students throughout their careers. I will report on lessons learned from the second year of hosting a cohort at the National Radio Astronomy Observatory in Socorro, NM. I will discuss the program structure during and after the summer, mentoring challenges, and ways that these challenges were addressed, including organizing a series of guest speakers and connecting students with a broader community of remote mentors.

Impact of a comprehensive population health management program on health care costs.

PubMed

Grossmeier, Jessica; Seaverson, Erin L D; Mangen, David J; Wright, Steven; Dalal, Karl; Phalen, Chris; Gold, Daniel B

2013-06-01

Assess the influence of participation in a population health management (PHM) program on health care costs. A quasi-experimental study relied on logistic and ordinary least squares regression models to compare the costs of program participants with those of nonparticipants, while controlling for differences in health care costs and utilization, demographics, and health status. Propensity score models were developed and analyses were weighted by inverse propensity scores to control for selection bias. Study models yielded an estimated savings of $60.65 per wellness participant per month and $214.66 per disease management participant per month. Program savings were combined to yield an integrated return-on-investment of $3 in savings for every dollar invested. A PHM program yielded a positive return on investment after 2 years of wellness program and 1 year of integrated disease management program launch.

Formation of the portfolio of high-rise construction projects on the basis of optimization of «risk-return» rate

NASA Astrophysics Data System (ADS)

Uvarova, Svetlana; Kutsygina, Olga; Smorodina, Elena; Gumba, Khuta

2018-03-01

The effectiveness and sustainability of an enterprise are based on the effectiveness and sustainability of its portfolio of projects. When creating a production program for a construction company based on a portfolio of projects and related to the planning and implementation of initiated organizational and economic changes, the problem of finding the optimal "risk-return" ratio of the program (portfolio of projects) is solved. The article proposes and approves the methodology of forming a portfolio of enterprise projects on the basis of the correspondence principle. Optimization of the portfolio of projects on the criterion of "risk-return" also contributes to the company's sustainability.

A review of return to sport concerns following injury rehabilitation: practitioner strategies for enhancing recovery outcomes.

PubMed

Podlog, Leslie; Dimmock, James; Miller, John

2011-02-01

Evidence suggests that competitive athletes returning to sport following injury rehabilitation may experience a range of psychosocial concerns. The purpose of this paper is to review some of the psychosocial stresses common among returning athletes and to provide practitioner strategies for enhancing recovery outcomes. Findings are based on a database search of Sport Discus, Psychinfo, and Medline using sport injury, fear of re-injury, return to full activity. Salient apprehensions among athletes' returning to sport following injury were found to include: anxieties associated with re-injury; concerns about an inability to perform to pre-injury standards; feelings of isolation, a lack of athletic identity and insufficient social support; pressures to return to sport; and finally, self-presentational concerns about the prospect of appearing unfit, or lacking in skill in relation to competitors. The results suggest that athletes returning to sport from injury may experience concerns related to their sense of competence, autonomy and relatedness. Given its focus on competence, autonomy and relatedness issues, self-determination theory (SDT) is offered as a framework for understanding athlete concerns in the return to sport from injury. Practical suggestions for sport medicine practitioners, researchers and applied sport psychology specialists seeking to address athlete issues are provided using an SDT perspective. Copyright © 2010 Elsevier Ltd. All rights reserved.

Navigation Concepts for NASA's Constellation Program and Human Missions to the Moon

NASA Technical Reports Server (NTRS)

Moreau, Michael C.

2008-01-01

This viewgraph presentation provides an overview of the Constellation Program, and its goal of returning human presence to the moon. Particular attention is given to the navigation concepts, in terms of the flight to the Moon, the landing on the moon, travel on the surface and the return flight to Earth. Finally the development of new navigation, and communication techniques that will enable the exploration beyond the Moon are reviewed.

NASA's Microgravity Science Research Program

NASA Technical Reports Server (NTRS)

1996-01-01

The ongoing challenge faced by NASA's Microgravity Science Research Program is to work with the scientific and engineering communities to secure the maximum return from our Nation's investments by: assuring that the best possible science emerges from the science community for microgravity investigations; ensuring the maximum scientific return from each investigation in the most timely and cost-effective manner; and enhancing the distribution of data and applications of results acquired through completed investigations to maximize their benefits.

Consumer Law Guide

DTIC Science & Technology

1994-06-01

Consumer Finance Act by making short-term advances to customers who write personal checks in return for substantially smaller amounts of on-the-spot case...practices lawsuit with H&R Block, Inc. forcing tax return company to advertise its "Rapid Refund" program is actually a loan program charging customers ...home equity loans/lines of credit/home improvement loans, etc.) 2. A consumer can have only 9M principal dwelling at a time (includes mobile homes

Estimating Return on Investment in Translational Research: Methods and Protocols

PubMed Central

Trochim, William; Dilts, David M.; Kirk, Rosalind

2014-01-01

Assessing the value of clinical and translational research funding on accelerating the translation of scientific knowledge is a fundamental issue faced by the National Institutes of Health and its Clinical and Translational Awards (CTSA). To address this issue, the authors propose a model for measuring the return on investment (ROI) of one key CTSA program, the clinical research unit (CRU). By estimating the economic and social inputs and outputs of this program, this model produces multiple levels of ROI: investigator, program and institutional estimates. A methodology, or evaluation protocol, is proposed to assess the value of this CTSA function, with specific objectives, methods, descriptions of the data to be collected, and how data are to be filtered, analyzed, and evaluated. This paper provides an approach CTSAs could use to assess the economic and social returns on NIH and institutional investments in these critical activities. PMID:23925706

Social Return on Investment: A New Approach to Understanding and Advocating for Value in Healthcare.

PubMed

Laing, Catherine M; Moules, Nancy J

2017-12-01

To determine whether the methodology of social return on investment (SROI) could be a way in which the value of a healthcare-related program (children's cancer camp) could be captured, evaluated, and communicated. The value of healthcare goes beyond what can be captured in financial terms; however, this is the most common type of value that is measured. The SROI methodology accounts for a broader concept of value by measuring social, environmental, and economic outcomes and uses monetary values to represent them. The steps/stages of an SROI analysis were applied to the context of a children's camp for this article. Applying the SROI methodology to this healthcare-related program was feasible and provided insight and understanding related to the impacts of this program. Because of SROI's flexibility, it is a tool that has great potential in a healthcare environment and for leaders to evaluate programmatic return on investment.

Estimating return on investment in translational research: methods and protocols.

PubMed

Grazier, Kyle L; Trochim, William M; Dilts, David M; Kirk, Rosalind

2013-12-01

Assessing the value of clinical and translational research funding on accelerating the translation of scientific knowledge is a fundamental issue faced by the National Institutes of Health (NIH) and its Clinical and Translational Awards (CTSAs). To address this issue, the authors propose a model for measuring the return on investment (ROI) of one key CTSA program, the clinical research unit (CRU). By estimating the economic and social inputs and outputs of this program, this model produces multiple levels of ROI: investigator, program, and institutional estimates. A methodology, or evaluation protocol, is proposed to assess the value of this CTSA function, with specific objectives, methods, descriptions of the data to be collected, and how data are to be filtered, analyzed, and evaluated. This article provides an approach CTSAs could use to assess the economic and social returns on NIH and institutional investments in these critical activities.

Cardiovascular adaptations in weightlessness: The influence of in-flight exercise programs on the cardiovascular adjustments during weightlessness and upon returning to Earth

NASA Technical Reports Server (NTRS)

Bennett, C. H.

1981-01-01

The effect of in-flight exercise programs on astronauts' cardiovascular adjustments during spaceflight weightlessness and upon return to Earth was studied. Physiological changes in muscle strength and volume, cardiovascular responses during the application of lower body negative pressure, and metabolic activities during pre-flight and flight tests were made on Skylab crewmembers. The successful completion of the Skylab missions showed that man can perform submaximal and maximal aerobic exercise in the weightless enviroment without detrimental trends in any of the physiologic data. Exercise tolerance during flight was unaffected. It was only after return to Earth that a tolerance decrement was noted. The rapid postflight recovery of orthostatic and exercise tolerance following two of the three Skylab missions appeared to be directly related to total in-flight exercise as well as to the graded, regular program of exercise performed during the postflight debriefing period.

Sample Return Propulsion Technology Development Under NASA's ISPT Project

NASA Technical Reports Server (NTRS)

Anderson, David J.; Dankanich, John; Hahne, David; Pencil, Eric; Peterson, Todd; Munk, Michelle M.

2011-01-01

Abstract In 2009, the In-Space Propulsion Technology (ISPT) program was tasked to start development of propulsion technologies that would enable future sample return missions. Sample return missions can be quite varied, from collecting and bringing back samples of comets or asteroids, to soil, rocks, or atmosphere from planets or moons. As a result, ISPT s propulsion technology development needs are also broad, and include: 1) Sample Return Propulsion (SRP), 2) Planetary Ascent Vehicles (PAV), 3) Multi-mission technologies for Earth Entry Vehicles (MMEEV), and 4) Systems/mission analysis and tools that focuses on sample return propulsion. The SRP area includes electric propulsion for sample return and low cost Discovery-class missions, and propulsion systems for Earth Return Vehicles (ERV) including transfer stages to the destination. Initially the SRP effort will transition ongoing work on a High-Voltage Hall Accelerator (HIVHAC) thruster into developing a full HIVHAC system. SRP will also leverage recent lightweight propellant-tanks advancements and develop flight-qualified propellant tanks with direct applicability to the Mars Sample Return (MSR) mission and with general applicability to all future planetary spacecraft. ISPT s previous aerocapture efforts will merge with earlier Earth Entry Vehicles developments to form the starting point for the MMEEV effort. The first task under the Planetary Ascent Vehicles (PAV) effort is the development of a Mars Ascent Vehicle (MAV). The new MAV effort will leverage past MAV analysis and technology developments from the Mars Technology Program (MTP) and previous MSR studies. This paper will describe the state of ISPT project s propulsion technology development for future sample return missions.12

Vasovagal Syncope and Blood Donor Return: Examination of the Role of Experience and Affective Expectancies

ERIC Educational Resources Information Center

Olatunji, Bunmi O.; Etzel, Erin N.; Ciesielski, Bethany G.

2010-01-01

Vasovagal sensations (e.g., dizziness, nausea, and fainting) are one of the main reasons people find blood donation unpleasant. A better understanding of predictors of vasovagal sensations during blood donation could inform interventions designed to increase donor return rates. The present investigation examined the extent to which experience with…

Returning to Study in Higher Education in Ghana: Experiences of Mature Undergraduate Women

ERIC Educational Resources Information Center

Adu-Yeboah, Christine; Forde, Linda Dzama

2011-01-01

This study was based on the assumption that in Ghana, women who return late to higher education combine domestic and academic work and, in the process, experience tensions and difficulties in the face of cultural and academic prejudice. It employed an interpretive qualitative research approach via narrative interviews with eight mature…

Can Professional Environments in Schools Promote Teacher Development? Explaining Heterogeneity in Returns to Teaching Experience

ERIC Educational Resources Information Center

Kraft, Matthew A.; Papay, John P.

2014-01-01

Although wide variation in teacher effectiveness is well established, much less is known about differences in teacher improvement over time. We document that average returns to teaching experience mask large variation across individual teachers and across groups of teachers working in different schools. We examine the role of school context in…

Examining Treatment-Seeking College Students with and without Military Experience and Trauma Histories

ERIC Educational Resources Information Center

Johnson, Matthew C.; Graceffo, James M.; Hayes, Jeffrey A.; Locke, Benjamin D.

2014-01-01

An increasing number of veterans are returning from war, many with mental health problems. Some of these returning veterans will enroll in college, and it is important that campus counseling centers can meet the needs of this population. This study examined psychological distress among students with and without military experience. Results…

25-year analysis of a dental undergraduate research training program (BSc Dent) at the University of Manitoba Faculty of Dentistry.

PubMed

Scott, J E; de Vries, J; Iacopino, A M

2008-12-01

Research in the context of the dental school has traditionally been focused on institutional/faculty accomplishments and generating new knowledge to benefit the profession. Only recently have significant efforts been made to expand the overall research programming into the formal dental curriculum, to provide students with a baseline exposure to the research and critical thinking processes, encourage evidence-based decision-making, and stimulate interest in academic/research careers. Various approaches to curriculum reform and the establishment of multiple levels of student research opportunities are now part of the educational fabric of many dental schools worldwide. Many of the preliminary reports regarding the success and vitality of these programs have used outcomes measures and metrics that emphasize cultural changes within institutions, student research productivity, and student career preferences after graduation. However, there have not been any reports from long-standing programs (a minimum of 25 years of cumulative data) that describe dental school graduates who have had the benefit of research/training experiences during their dental education. The University of Manitoba Faculty of Dentistry initiated a BSc Dent program in 1980 that awarded a formal degree for significant research experiences taking place within the laboratories of the Faculty-based researchers and has continued to develop and expand this program. The success of the program has been demonstrated by the continued and increasing demands for entry, the academic achievements of the graduates, and the numbers of graduates who have completed advanced education/training programs or returned to the Faculty as instructors. Analysis of our long-term data validates many recent hypotheses and short-term observations regarding the benefits of dental student research programs. This information may be useful in the design and implementation of dental student research programs at other dental schools.

Payments for carbon sequestration to alleviate development pressure in a rapidly urbanizing region

USGS Publications Warehouse

Smith, Jordan W.; Dorning, Monica; Shoemaker, Douglas A.; Méley, Andréanne; Dupey, Lauren; Meentemeyer, Ross K.

2017-01-01

The purpose of this study was to determine individuals' willingness to enroll in voluntary payments for carbon sequestration programs through the use of a discrete choice experiment delivered to forest owners living in the rapidly urbanizing region surrounding Charlotte, North Carolina. We examined forest owners' willingness to enroll in payments for carbon sequestration policies under different levels of financial incentives (annual revenue), different contract lengths, and different program administrators (e.g., private companies versus a state or federal agency). We also examined the influence forest owners' sense of place had on their willingness to enroll in hypothetical programs. Our results showed a high level of ambivalence toward participating in payments for carbon sequestration programs. However, both financial incentives and contract lengths significantly influenced forest owners' intent to enroll. Neither program administration nor forest owners' sense of place influenced intent to enroll. Although our analyses indicated that payments from carbon sequestration programs are not currently competitive with the monetary returns expected from timber harvest or property sales, certain forest owners might see payments for carbon sequestration programs as a viable option for offsetting increasing tax costs as development encroaches and property values rise.

Why do some apheresis donors donate blood just once?

PubMed

Ringwald, J; Lange, N; Rabe, C; Zimmermann, R; Strasser, E; Hendelmeier, M; Strobel, J; Eckstein, R

2007-11-01

More knowledge about the reasons for non-return of blood donors (BD) would enable blood donation services (BDS) to improve the efficacy of recruitment and retention programmes. We interviewed returning (RBD) and non-returning apheresis BDs (NRBD) of our university hospital-based BDS. A questionnaire was sent to 1218 individuals who passed the initial health check with no more than one subsequent blood donation. A similar questionnaire was answered by 235 randomly incoming RBDs. We asked for age, sex, profession, education level, motives to donate blood and, if applicable, reasons for non-return. These data were compared between NRBDs and RBDs and were analysed in relationship to the reasons for non-return. We received 267 answered questionnaires (21.9%). As 32 individuals indicated that they had been permanently deferred and 47 BDs had donated blood elsewhere, 188 NRBDs remained for further analysis. We found more women than men among NRBDs. Medical professions were less likely to return than students and trainees. Individuals motivated by personal experience, remuneration or a free health check were more likely to return than others. Whereas logistic reasons were of highest relevance for non-return in general, women indicated anxiety of blood donation as reason for non-return more often than men. Reducing women's anxiety of blood donation, reminding medical professions more intensively on blood donation and appealing to personal experience or a free health check may be the most promising approaches to increase BDs' return rates.

The Medical Mission and Modern Core Competency Training: A 10-Year Follow-Up of Resident Experiences in Global Plastic Surgery.

PubMed

Yao, Caroline A; Swanson, Jordan; McCullough, Meghan; Taro, Trisa B; Gutierrez, Ricardo; Bradshaw, Allison; Campbell, Alex; Magee, William P; Magee, William P

2016-09-01

The emphasis on cultural competency for physicians and surgeons is increasingly important, as communication with both patients and other providers significantly affects individual and system-wide outcomes. International surgical training has been shown to improve leadership skills, cultural competency, and technical proficiency of participants in short-term follow-up. This study explores the long-term impact of international surgical mission experiences on developing participants' core competencies, professional outcomes, and commitment to global health. All 208 plastic and reconstructive surgeons who completed the Operation Smile Regan/Stryker fellowship programs between 2006 and 2015 were surveyed electronically. One hundred sixty-five surveys were returned, for an overall response rate of 79.3 percent. The majority of participants reported that the fellowship positively impacted all six Accreditation Council for Graduate Medical Education core competencies. Most participants who were attending physicians at the time of the survey were practicing general plastic surgery, with 42 percent in an academic/teaching environment, 32 percent in assistant/associate professor positions, and 6 percent in either a program director or department chairman position. The majority currently volunteer on local or international missions, and all respondents would consider volunteering again. Carefully structured and rigorously proctored programs such as the Regan/Stryker Fellowship offer plastic surgery residents the opportunity to gain valuable professional and personal experiences that benefit them long after their service experience. Programs of this nature can not only effectively improve cultural competency of physicians, but also positively influence their attitudes toward leadership and direct that potential to meet the growing need for surgical care in low- and middle-income countries.

How do line managers experience and handle the return to work of employees on sick leave due to work-related stress? A one-year follow-up study.

PubMed

Ladegaard, Yun; Skakon, Janne; Elrond, Andreas Friis; Netterstrøm, Bo

2017-08-28

To examine how line managers experience and manage the return to work process of employees on sick leave due to work-related stress and to identify supportive and inhibiting factors. Semi-structured interviews with 15 line managers who have had employees on sick leave due to work-related stress. The grounded theory approach was employed. Even though managers may accept the overall concept of work-related stress, they focus on personality and individual circumstances when an employee is sick-listed due to work-related stress. The lack of a common understanding of stress creates room for this focus. Line managers experience cross-pressure, discrepancies between strategic and human-relationship perspectives and a lack of organizational support in the return to work process. Organizations should aim to provide support for line managers. Research-based knowledge and guidelines on work-related stress and return to work process are essential, as is the involvement of coworkers. A commonly accepted definition of stress and a systematic risk assessment is also important. Cross-pressure on line managers should be minimized and room for adequate preventive actions should be provided as such an approach could support both the return to work process and the implementation of important interventions in the work environment. Implication for rehabilitation Organizations should aim to provide support for line managers handling the return to work process. Cross-pressure on line managers should be minimized and adequate preventive actions should be provided in relation to the return to work process. Research-based knowledge and guidelines on work-related stress and return to work are essential. A common and formal definition of stress should be emphasized in the workplace.

Can I be a student again? How medical graduates make the decision to return to dental school prior to a career in oral and maxillofacial surgery.

PubMed

Tahim, A S; Payne, K F B; Goodson, A M C; Cabot, L B; Fan, K

2014-05-01

Oral and maxillofacial surgery (OMFS) trainees in the UK have traditionally completed their dental undergraduate studies prior to returning to medical school. Recently, there have been increasing numbers of medical graduates who return to dental school before embarking on OMFS specialist training. There is limited research into the career motivation within this group and little guidance on how they may integrate the dental undergraduate course into their postgraduate training path. This study aims to evaluate these factors in more detail. Questionnaires and focus groups were used to evaluate prior surgical experience of qualified medics who return to dental school with the intention of pursuing a career in OMFS, along with the factors that affect the timing of their return to dental school. The average age of medical graduates entering dental school decreased during the study period. The average number of months each cohort of students spent as a practicing doctor prior to starting dentistry also reduced. Postgraduate experience in OMFS was highly variable, but the numbers of students who received alternative exposure to OMFS, such as undergraduate special study modules, medical school elective or taster weeks, increased. The key barriers that were carefully considered by these trainees before returning to university included the perceived increase in the length of training, trainees' prior surgical experience, financial implications and the impact on quality of life. A trainee's decision to return to study dentistry is a multifactorial process. Understanding when trainees decide to return to sit their dental degree is vital not only to provide guidance for future trainees but also to assist future workforce planning, thus aiding training, education and development within OMFS. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

NASA's J-2X Engine Builds on the Apollo Program for Lunar Return Missions

NASA Technical Reports Server (NTRS)

Snoddy, Jimmy R.

2006-01-01

In January 2006, NASA streamlined its U.S. Vision for Space Exploration hardware development approach for replacing the Space Shuttle after it is retired in 2010. The revised CLV upper stage will use the J-2X engine, a derivative of NASA s Apollo Program Saturn V s S-II and S-IVB main propulsion, which will also serve as the Earth Departure Stage (EDS) engine. This paper gives details of how the J- 2X engine effort mitigates risk by building on the Apollo Program and other lessons learned to deliver a human-rated engine that is on an aggressive development schedule, with first demonstration flight in 2010 and human test flights in 2012. It is well documented that propulsion is historically a high-risk area. NASA s risk reduction strategy for the J-2X engine design, development, test, and evaluation is to build upon heritage hardware and apply valuable experience gained from past development efforts. In addition, NASA and its industry partner, Rocketdyne, which originally built the J-2, have tapped into their extensive databases and are applying lessons conveyed firsthand by Apollo-era veterans of America s first round of Moon missions in the 1960s and 1970s. NASA s development approach for the J-2X engine includes early requirements definition and management; designing-in lessons learned from the 5-2 heritage programs; initiating long-lead procurement items before Preliminary Desi& Review; incorporating design features for anticipated EDS requirements; identifying facilities for sea-level and altitude testing; and starting ground support equipment and logistics planning at an early stage. Other risk reduction strategies include utilizing a proven gas generator cycle with recent development experience; utilizing existing turbomachinery ; applying current and recent main combustion chamber (Integrated Powerhead Demonstrator) and channel wall nozzle (COBRA) advances; and performing rigorous development, qualification, and certification testing of the engine system, with a philosophy of "test what you fly, and fly what you test". These and other active risk management strategies are in place to deliver the J-2X engine for LEO and lunar return missions as outlined in the U.S. Vision for Space Exploration.

Private Returns to Vocational Education and Training Qualifications. A National Vocational Education and Training Research and Evaluation Program Report

ERIC Educational Resources Information Center

Long, Michael; Shah, Chandra

2008-01-01

This report presents estimates of the private rates of return for students studying for vocational education and training (VET) qualifications in Australia. Estimates of rates of return are commonly used by governments, businesses and others to compare the merits of different forms of investment where costs or benefits or both are distributed over…

Preparation of the Second Shipment of Spent Nuclear Fuel from the Ustav Jaderneho Vyzkumu Rez (UJV Rez), a.s., Czech Republic to the Russian Federation for Reprocessing - 13478

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

Trtilek, Radek; Podlaha, Josef

After more than 50 years of operation of the LVR-15 research reactor operated by the UJV Rez, a. s. (formerly Nuclear Research Institute - NRI), a large amount of the spent nuclear fuel (SNF) of Russian origin has been accumulated. In 2005 UJV Rez, a. s. jointed the Russian Research Reactor Fuel Return (RRRFR) program under the United States (US) - Russian Global Threat Reduction Initiative (GTRI) and started the process of SNF shipment from the LVR-15 research reactor back to the Russian Federation (RF). In 2007 the first shipment of SNF was realized. In 2011, preparation of the secondmore » shipment of spent fuel from the Czech Republic started. The experience obtained from the first shipment will be widely used, but some differences must be taken into the account. The second shipment will be realized in 2013 and will conclude the return transport of all, both fresh and spent, high-enriched nuclear fuel from the Czech Republic to the Russian Federation. After the shipment is completed, there will be only low-enriched nuclear fuel on the territory of the Czech Republic, containing maximum of 20% of U-235, which is the conventionally recognized limit between the low- and high-enriched nuclear materials. The experience (technical, organizational, administrative, logistic) obtained from the each SNF shipment as from the Czech Republic as from other countries using the Russian type research reactors are evaluated and projected onto preparation of next shipment of high enriched nuclear fuel back to the Russian Federation. The results shown all shipments provided by the UJV Rez, a. s. in the frame of the GTRI Program have been performed successfully and safely. It is expected the experience and results will be applied to preparation and completing of the Chinese Miniature Neutron Source Reactors (MNSR) Spent Nuclear Fuel Repatriation in the near future. (authors)« less

Attitudes towards disability management: A survey of employees returning to work and their supervisors.

PubMed

Busse, Jason W; Dolinschi, Roman; Clarke, Andrew; Scott, Liz; Hogg-Johnson, Sheilah; Amick, Benjamin C; Rivilis, Irina; Cole, Donald

2011-01-01

Return to work after a leave on disability is a common phenomenon, but little is known about the attitudes of employees or their supervisors towards the disability management process. We report on employee and supervisor feedback from one disability management experience. 389 consecutive employees from the Ontario offices of a single private Canadian insurance company returning to work from short-term disability, and their supervisors. We surveyed employees and their supervisors about their experience with, and attitudes towards, the disability management process. Of those surveyed, 88 employees and 75 supervisors provided data (response rates of 22.6% and 19.3% respectively). The majority of respondents (79.1% of employees and supervisors) endorsed positive attitudes towards their disability management experience. More than 25% of employees disagreed with the following three items: case managers contributed to recovery, case managers removed barriers to recovery, and sufficient support was provided in the return to work process. More than 25% of employees and managers reported that a commitment to modify an unhelpful work situation was not followed through. The majority of participating employees returning to work from short-term disability, and their supervisors, reported a high level of satisfaction with the disability management process. Areas that may benefit from attention include some aspects of case manager-employee interaction and ensuring that support during the return to work process is provided, including modification to work situations when appropriate.

Phobos Sample Return: Next Approach

NASA Astrophysics Data System (ADS)

Zelenyi, Lev; Martynov, Maxim; Zakharov, Alexander; Korablev, Oleg; Ivanov, Alexey; Karabadzak, George

The Martian moons still remain a mystery after numerous studies by Mars orbiting spacecraft. Their study cover three major topics related to (1) Solar system in general (formation and evolution, origin of planetary satellites, origin and evolution of life); (2) small bodies (captured asteroid, or remnants of Mars formation, or reaccreted Mars ejecta); (3) Mars (formation and evolution of Mars; Mars ejecta at the satellites). As reviewed by Galimov [2010] most of the above questions require the sample return from the Martian moon, while some (e.g. the characterization of the organic matter) could be also answered by in situ experiments. There is the possibility to obtain the sample of Mars material by sampling Phobos: following to Chappaz et al. [2012] a 200-g sample could contain 10-7 g of Mars surface material launched during the past 1 mln years, or 5*10-5 g of Mars material launched during the past 10 mln years, or 5*1010 individual particles from Mars, quantities suitable for accurate laboratory analyses. The studies of Phobos have been of high priority in the Russian program on planetary research for many years. Phobos-88 mission consisted of two spacecraft (Phobos-1, Phobos-2) and aimed the approach to Phobos at 50 m and remote studies, and also the release of small landers (long-living stations DAS). This mission implemented the program incompletely. It was returned information about the Martian environment and atmosphere. The next profect Phobos Sample Return (Phobos-Grunt) initially planned in early 2000 has been delayed several times owing to budget difficulties; the spacecraft failed to leave NEO in 2011. The recovery of the science goals of this mission and the delivery of the samples of Phobos to Earth remain of highest priority for Russian scientific community. The next Phobos SR mission named Boomerang was postponed following the ExoMars cooperation, but is considered the next in the line of planetary exploration, suitable for launch around 2022. A possible scenario of the Boomerang mission includes the approach to Deimos prior to the landing of Phobos. The needed excess ΔV w.r.t. simple scenario (elliptical orbit à near-Phobos orbit) amounts to 0.67 km s-1 (1.6 vs 0.93 km s-1). The Boomerang mission basically repeats the Phobos-SR (2011) architecture, where the transfer-orbiting spacecraft lands on the Phobos surface and a small return vehicle launches the return capsule to Earth. We consider the Boomerang mission as an important step in Mars exploration and a direct precursor of Mars Sample Return. The following elements of the Boomerang mission might be directly employed, or serve as the prototypes for the Mars Sample return in future: Return vehicle, Earth descent module, Transfer-orbital spacecraft. We urge the development of this project for its high science value and recognize its elements as potential national contribution to an international Mars Sample Return project. Galimov E.M., Phobos sample return mission: scientific substantiation, Solar System Res., v.44, No.1, pp5-14, 2010. Chappaz L., H.J. Melosh, M. Vaguero, and K.C. Howell, Material transfer from the surface of Mars to Phobos and Deimos, 43rd Lunar and planetary Science Conference, paper 1422, 2012.

Analysis of System-Wide Investment in the National Airspace System: A Portfolio Analytical Framework and an Example

NASA Technical Reports Server (NTRS)

Bhadra, Dipasis; Morser, Frederick R.

2006-01-01

In this paper, the authors review the FAA s current program investments and lay out a preliminary analytical framework to undertake projects that may address some of the noted deficiencies. By drawing upon the well developed theories from corporate finance, an analytical framework is offered that can be used for choosing FAA s investments taking into account risk, expected returns and inherent dependencies across NAS programs. The framework can be expanded into taking multiple assets and realistic values for parameters in drawing an efficient risk-return frontier for the entire FAA investment programs.

Pediatric Cancer Genetics Research and an Evolving Preventive Ethics Approach for Return of Results after Death of the Subject.

PubMed

Scollon, Sarah; Bergstrom, Katie; McCullough, Laurence B; McGuire, Amy L; Gutierrez, Stephanie; Kerstein, Robin; Parsons, D Williams; Plon, Sharon E

2015-01-01

The return of genetic research results after death in the pediatric setting comes with unique complexities. Researchers must determine which results and through which processes results are returned. This paper discusses the experience over 15 years in pediatric cancer genetics research of returning research results after the death of a child and proposes a preventive ethics approach to protocol development in order to improve the quality of return of results in pediatric genomic settings. © 2015 American Society of Law, Medicine & Ethics, Inc.

Financing commercial RLVs: Considering government incentives

NASA Astrophysics Data System (ADS)

Greenberg, Joel S.

1997-01-01

There appears to be a national goal to achieve a commercial space transportation industry that provides launch services utilizing a fleet of reusable launch vehicles (RLVs). Because of the combination of large required investment, inadequate rate of return, and perceived high risk, industry has indicated that this goal may not be achievable without government support. What form of government support will likely be necessary? Government programs and policies can effect private sector investment decisions by reducing risk perceptions, reducing capital requirements, and increasing expected rates of return. Different programs and policies will have different impacts. For example, tax policies will affect expected return on investment but are likely to have little or no effect on risk perceptions and magnitude of required investment, whereas anchor tenancy is likely to alter risk perceptions and may increase expected rates of return. This paper is concerned with the development of an approach that may be used to identify packages of government incentives that may be required to influence private sector investment decisions so as to achieve the desired goal of a commercial space transportation industry that provides launch services utilizing a fleet of RLVs. The paper discusses the relationship of government incentive programs and policies to the RLV investment decision.

Advanced Cosmic-Ray Composition Experiment for Space Station (ACCESS): ACCESS Accommodation Study Report

NASA Technical Reports Server (NTRS)

Wilson, Thomas L. (Editor); Wefel, John P. (Editor)

1999-01-01

In 1994 NASA Administrator selected the first high-energy particle physics experiment for the Space Station, the Alpha Magnetic Spectrometer (AMS), to place a magnetic spectrometer in Earth orbit and search for cosmic antimatter. A natural consequence of this decision was that NASA would begin to explore cost-effective ways through which the design and implementation of AMS might benefit other promising payload experiments. The first such experiment to come forward was Advanced Cosmic-Ray Composition Experiment for Space Station (ACCESS) in 1996. It was proposed as a new mission concept in space physics to attach a cosmic-ray experiment of weight, volume, and geometry similar to the AMS on the International Space Station (ISS), and replace the latter as its successor when the AMS is returned to Earth. This was to be an extension of NASA's suborbital balloon program, with balloon payloads serving as the precursor flights and heritage for ACCESS. The balloon programs have always been a cost-effective NASA resource since the particle physics instrumentation for balloon and space applications are directly related. The next step was to expand the process, pooling together expertise from various NASA centers and universities while opening up definition of the ACCESS science goals to the international community through the standard practice of peer review. This process is still ongoing, and the accommodation study presented here will discuss the baseline definition of ACCESS as we understand it today.

Radiology resident recruitment: A study of the impact of web-based information and interview day activities.

PubMed

Deloney, Linda A; Perrot, L J; Lensing, Shelly Y; Jambhekar, Kedar

2014-07-01

Residency recruitment is a critical and expensive process. A program's Web site may improve recruitment, but little is known about how applicants use program sites or what constitutes optimal content. The importance of an interview day and interactions with a program's residents has been described, but candidate preferences for various activities and schedules have not been widely reported. We investigated contemporary use and perceived utility of information provided on radiology program Web sites, as well as preferences for the interview day experience. Using an anonymous cross-sectional survey, we studied 111 candidates who were interviewed between November 1, 2012 and January 19, 2013 for a diagnostic radiology residency position at our institution. Participation in this institutional review board-approved study was entirely voluntary, and no identifying information was collected. Responses were sealed and not analyzed until after the match. A total of 70 candidates returned a completed survey (63% response rate). Optimal content considered necessary for a "complete" Web site was identified. The most important factor in deciding where to apply was geographical connection to a program. "AuntMinnie" was the most popular source of program information on social media. Candidates overwhelmingly preferred one-on-one faculty interviews but had no preference between a Saturday and weekday schedule. The ideal interview experience should include a "meet and greet" with residents off campus and a personal interview with the program director. The overall "feel" or "personality" of the program was critical to a candidate's rank order decision. Our findings offer insight into what factors make programs appealing to radiology applicants. This information will be useful to medical educators engaged in career counseling and recruitment. Copyright © 2014 AUR. Published by Elsevier Inc. All rights reserved.

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

Hess, J.W.

An aircraft battle-damage repair (BDR) program is described that provides for the assessment and repair of battle damage and the return of badly damaged aircraft to their home bases. The program methodology is based on the use of time-saving temporary repairs and associated training and materials provision. BDR is shown to require knowledge of damage mechanisms and specifications for the minimum effective requirements for BDR support, and the method can facilitate the return of 50 percent of damaged aircraft within 24 hours.

2005 Earth-Mars Round Trip

NASA Technical Reports Server (NTRS)

2000-01-01

This paper presents, in viewgraph form, the 2005 Earth-Mars Round Trip. The contents include: 1) Lander; 2) Mars Sample Return Project; 3) Rover; 4) Rover Size Comparison; 5) Mars Ascent Vehicle; 6) Return Orbiter; 7) A New Mars Surveyor Program Architecture; 8) Definition Study Summary Result; 9) Mars Surveyor Proposed Architecture 2003, 2005 Opportunities; 10) Mars Micromissions Using Ariane 5; 11) Potential International Partnerships; 12) Proposed Integrated Architecture; and 13) Mars Exploration Program Report of the Architecture Team.

Estimating the Return of Persons Living With HIV/AIDS to New Orleans: Methods for Conducting Disease Surveillance in the Wake of a Natural Disaster

PubMed Central

Robinson, William T.; Wendell, Debbie; Gruber, DeAnn; Foxhood, Joseph; Scalco, M. Beth; Zapata, Amy

2008-01-01

Hurricane Katrina disrupted HIV/AIDS surveillance by invalidating the New Orleans, La, surveillance and population data on persons living with HIV/AIDS. We describes 2 methods—population return and HIV surveillance data—to estimate the return of the infected population to New Orleans. It is estimated that 58% to 64% of 7068 persons living with HIV/AIDS returned by summer 2006. Although developed for HIV planning, these methods could be used with other disease surveillance programs. PMID:18309138

How Should School Districts Shape Teacher Salary Schedules? Linking School Performance to Pay Structure in Traditional Compensation Schemes

ERIC Educational Resources Information Center

Grissom, Jason A.; Strunk, Katharine O.

2012-01-01

This study examines the relative distribution of salary schedule returns to experience for beginning and veteran teachers. We argue that districts are likely to benefit from structuring salary schedules with greater experience returns early in the teaching career. To test this hypothesis, we match salary data to school-level student performance…

Microgravity Testing of a Surface Sampling System for Sample Return from Small Solar System Bodies

NASA Technical Reports Server (NTRS)

Franzen, M. A.; Preble, J.; Schoenoff, M.; Halona, K.; Long, T. E.; Park, T.; Sears, D. W. G.

2004-01-01

The return of samples from solar system bodies is becoming an essential element of solar system exploration. The recent National Research Council Solar System Exploration Decadal Survey identified six sample return missions as high priority missions: South-Aitken Basin Sample Return, Comet Surface Sample Return, Comet Surface Sample Return-sample from selected surface sites, Asteroid Lander/Rover/Sample Return, Comet Nucleus Sample Return-cold samples from depth, and Mars Sample Return [1] and the NASA Roadmap also includes sample return missions [2] . Sample collection methods that have been flown on robotic spacecraft to date return subgram quantities, but many scientific issues (like bulk composition, particle size distributions, petrology, chronology) require tens to hundreds of grams of sample. Many complex sample collection devices have been proposed, however, small robotic missions require simplicity. We present here the results of experiments done with a simple but innovative collection system for sample return from small solar system bodies.

A theory-informed, process-oriented Resident Scholarship Program

PubMed Central

Thammasitboon, Satid; Darby, John B.; Hair, Amy B.; Rose, Karen M.; Ward, Mark A.; Turner, Teri L.; Balmer, Dorene F.

2016-01-01

Background The Accreditation Council for Graduate Medical Education requires residency programs to provide curricula for residents to engage in scholarly activities but does not specify particular guidelines for instruction. We propose a Resident Scholarship Program that is framed by the self-determination theory (SDT) and emphasize the process of scholarly activity versus a scholarly product. Methods The authors report on their longitudinal Resident Scholarship Program, which aimed to support psychological needs central to SDT: autonomy, competence, and relatedness. By addressing those needs in program aims and program components, the program may foster residents’ intrinsic motivation to learn and to engage in scholarly activity. To this end, residents’ engagement in scholarly processes, and changes in perceived autonomy, competence, and relatedness were assessed. Results Residents engaged in a range of scholarly projects and expressed positive regard for the program. Compared to before residency, residents felt more confident in the process of scholarly activity, as determined by changes in increased perceived autonomy, competence, and relatedness. Scholarly products were accomplished in return for a focus on scholarly process. Conclusions Based on our experience, and in line with the SDT, supporting residents’ autonomy, competence, and relatedness through a process-oriented scholarship program may foster the curiosity, inquisitiveness, and internal motivation to learn that drives scholarly activity and ultimately the production of scholarly products. PMID:27306995

A theory-informed, process-oriented Resident Scholarship Program.

PubMed

Thammasitboon, Satid; Darby, John B; Hair, Amy B; Rose, Karen M; Ward, Mark A; Turner, Teri L; Balmer, Dorene F

2016-01-01

The Accreditation Council for Graduate Medical Education requires residency programs to provide curricula for residents to engage in scholarly activities but does not specify particular guidelines for instruction. We propose a Resident Scholarship Program that is framed by the self-determination theory (SDT) and emphasize the process of scholarly activity versus a scholarly product. The authors report on their longitudinal Resident Scholarship Program, which aimed to support psychological needs central to SDT: autonomy, competence, and relatedness. By addressing those needs in program aims and program components, the program may foster residents' intrinsic motivation to learn and to engage in scholarly activity. To this end, residents' engagement in scholarly processes, and changes in perceived autonomy, competence, and relatedness were assessed. Residents engaged in a range of scholarly projects and expressed positive regard for the program. Compared to before residency, residents felt more confident in the process of scholarly activity, as determined by changes in increased perceived autonomy, competence, and relatedness. Scholarly products were accomplished in return for a focus on scholarly process. Based on our experience, and in line with the SDT, supporting residents' autonomy, competence, and relatedness through a process-oriented scholarship program may foster the curiosity, inquisitiveness, and internal motivation to learn that drives scholarly activity and ultimately the production of scholarly products.

Mid-Air Retrieval of Heavy, Earth-Returning Space Systems

NASA Technical Reports Server (NTRS)

Kelly, John W.; Brierly, Gregory T.; Cruz, Josue; Lowry, Allen; Fogleman, Lynn; Johnson, Brian; Peterson, Kristina; Gibson, Ian; Neave, Matthew D.; Streetman, Brett;

Student Apprenticeship Linkage in Vocational Education.

ERIC Educational Resources Information Center

Alabama State Dept. of Education, Montgomery. Div. of Vocational Education Services.

The Student Apprenticeship Linkage Program bridges skill training programs in secondary schools with high technology apprenticeship training programs in industry. The program returns quality to Alabama's Vocational Education System and meets work force needs of business and industry. The program has eight objectives: demonstrate a model for…

75 FR 24704 - Agency Forms Undergoing Paperwork Reduction Act Review

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-05

... readily accessible source of data, the CDC EHDI program developed a survey to be used annually that... Intervention (EHDI) programs with quality improvement activities and provide information that will be helpful... Program State Program Coordinators Contacted 57 1 10/60 EHDI Program State Program Coordinators Who Return...

Development of New Transportation/Storage Cask System for Use by DOE Russian Research Reactor Fuel Return Program

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

Michael Tyacke; Frantisek Svitak; Jiri Rychecky

2010-04-01

The United States, the Russian Federation, and the International Atomic Energy Agency (IAEA) have been working together on a program called the Russian Research Reactor Fuel Return (RRRFR) Program. The purpose of this program is to return Soviet or Russian supplied high-enriched uranium (HEU) fuel currently stored at Russian-designed research reactors throughout the world to Russia. To accommodate transport of the HEU spent nuclear fuel (SNF), a new large-capacity transport/storage cask system was specially designed for handling and operations under the unique conditions for these research reactor facilities. This new cask system is named the ŠKODA VPVR/M cask. The design,more » licensing, testing, and delivery of this new cask system are the results of a significant international cooperative effort by several countries and involved numerous private and governmental organizations. This paper contains the following sections: (1) Introduction/Background; (2) VPVR/M Cask Description; (3) Ancillary Equipment, (4) Cask Licensing; (5) Cask Demonstration and Operations; (6) IAEA Procurement, Quality Assurance Inspections, Fabrication, and Delivery; and, (7) Summary and Conclusions.« less

Development of a New Transportation/Storage Cask System for Use by the DOE Russian Research Reactor Fuel Return Program

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

Michael J. Tyacke; Frantisek Svitak; Jiri Rychecky

2007-10-01

The United States, the Russian Federation, and the International Atomic Energy Agency (IAEA) have been working together on a program called the Russian Research Reactor Fuel Return (RRRFR) Program. The purpose of this program is to return Soviet or Russian-supplied high-enriched uranium (HEU) fuel, currently stored at Russian-designed research reactors throughout the world, to Russia. To accommodate transport of the HEU spent nuclear fuel (SNF), a new large-capacity transport/storage cask system was specially designed for handling and operations under the unique conditions at these research reactor facilities. This new cask system is named the ŠKODA VPVR/M cask. The design, licensing,more » testing, and delivery of this new cask system result from a significant international cooperative effort by several countries and involved numerous private and governmental organizations. This paper contains the following sections: 1) Introduction; 2) VPVR/M Cask Description; 3) Ancillary Equipment, 4) Cask Licensing; 5) Cask Demonstration and Operations; 6) IAEA Procurement, Quality Assurance Inspections, Fabrication, and Delivery; and, 7) Conclusions.« less

Study of the National Science Foundation's South Pole Station as an analogous data base for the logistical support of a Moon laboratory

NASA Technical Reports Server (NTRS)

Hickam, H. H., Jr.

1993-01-01

The day will come when the United States will want to return to the Earth's Moon. When that occurs, NASA may look to the Apollo program for technical and inspirational guidance. The Apollo program, however, was designed to be an end to itself--the landing of a man on the Moon and his return safely within the decade of the 1960's. When that was accomplished, the program folded because it was not self-sustaining. The next time we return to the Moon, we should base our planning on a program that is designed to be a sustained effort for an indefinite period. It is the thrust of this report that the South Pole Station of the National Science Foundation can be used to develop analogs for the construction, funding, and logistical support of a lunar base. Other analogs include transportation and national efforts versus international cooperation. A recommended lunar base using the South Pole Station as inspiration is provided, as well as details concerning economical construction of the base over a 22-year period.

The dilemma and reality of transplant tourism: an ethical perspective for liver transplant programs.

PubMed

Schiano, Thomas D; Rhodes, Rosamond

2010-02-01

Transplant programs are likely to encounter increasing numbers of patients who return after receiving an organ transplant abroad. These patients will require ongoing medical care to monitor their immunosuppression and to provide treatment when the need arises. Transplant societies have condemned transplantation with organs purchased abroad and with organs procured from executed prisoners in China. Nevertheless, transplant programs require guidance on how to respond to the needs of returning transplant tourists and to the needs of patients who may choose to become transplant tourists. This discussion presents a case that raised such issues in our program. It goes on to offer reasons for considering a program's responses in terms of the most relevant principles of medical ethics, namely beneficence and nonjudgmental regard.

Return to the Moon: A New Strategic Evaluation

NASA Technical Reports Server (NTRS)

Lowman, Paul D., Jr.

1999-01-01

This paper reviews the value of a new lunar program, initially robotic and eventually manned, in the light of developments since the 1991 Synthesis Group study of the Space Exploration Initiative. The objective is to evaluate a return to the Moon in comparison to proposed Mars programs as a focus for American space exploration with humans in the next century. The Moon is demonstrably accessible, hospitable, useful, and interesting. Lunar programs are inherently faster and less risky from a programmatic viewpoint than comparable Mars programs such as Mars Direct. The dominant reason for a resumption of manned lunar missions, focussed on a single site such as Grimaldi, is to rebuild the infrastructure for missions beyond earth orbit, the last of which was in 1972. A transitional program, corresponding to the 10 Gemini missions that bridged the gap between Mercury and Apollo, was considered absolutely essential by the Synthesis Group. Further justification for a return to the Moon is the demonstrated feasibility of a robotic lunar observatory, concentrating on optical and infrared interferometry. Many unsolved scientific questions about the Moon itself remain, and could be investigated using telerobotic lunar rovers even before the return of humans. Mars is unquestionably more interesting scientifically and far more hospitable for long-term colonization. A new lunar program would be the most effective possible preparation for the human exploration, settlement, and eventually the terraforming of Mars. Lunar and Mars programs are complementary, not competitive. Both can be justified in the most fundamental terms as beginning the dispersal of the human species against uncontrollable natural disasters, cometary or asteroidal impacts in particular, to which mankind is vulnerable while confined to a single planet. Three specific programs are recommended for the 2001-2010 period: Ice Prospectors, to evaluate polar ice or hydrogen deposits; a robotic lunar observatory; and a manned lunar base and observatory.

Return to the Moon: A New Strategic Evaluation

NASA Technical Reports Server (NTRS)

Lowman, Paul D., Jr.

1999-01-01

This paper reviews the value of a new lunar program, initially robotic and eventually manned, in the light of developments since the 1991 Synthes Group study of the Space Exploration Initiative. The objective is to evaluate a return to the Moon in comparison to proposed Mars programs as a focus for American space exploration with humans in the next century. The Moon is demonstrably accessible, hospitable, useful, and interesting. Lunar programs are inherently faster and less risky from a programmatic viewpoint than comparable Mars programs such as Mars Direct. The dominant reason for a resumption of manned lunar missions, focused on a single site such as Grimaldi, is to rebuild the infrastructure for missions beyond Earth orbit, the last of which was in 1972. A transitional program, corresponding to the 10 Gemini missions that bridged the gap between Mercury and Apollo, was considered absolutely essential by the Synthesis Group. Further justification for a return to the Moon is the demonstrated feasibility of a robotic lunar observatory, concentrating on optical and infrared interferometry. Many unsolved scientific questions about the Moon itself remain, and could be investigated using telerobotic lunar rovers even before the return of humans. Mars is unquestionably more interesting scientifically and far more hospitable for long-term colonization. A new lunar program would be the most effective possible preparation for the human exploration, settlement and eventually the terraforming of Mars. Lunar and Mars programs are complementary, not competitive. Both can be justified in the most fundamental terms as beginning the dispersal of the human species against uncontrollable natural disasters, cometary or asteroidal impacts in particular, to which mankind is vulnerable while confined to a single planet. Three specific programs are recommended for the 2001-2010 period: Ice Prospectors, to evaluate polar ice or hydrogen deposits; a robotic lunar observatory; and a manned lunar base and observatory.

THE MATERIALS ON INTERNATIONAL SPACE STATION EXPERIMENT (MISSE): FIRST RESULTS FROM MSFC INVESTIGATIONS

NASA Technical Reports Server (NTRS)

Finckenor, Miria

2006-01-01

Marshall Space Flight Center worked with the Air Force Research Laboratory, Naval Research Laboratory, Langley Research Center, Glenn Research Center, the Jet Propulsion Laboratory, Johnson Space Center, Boeing, Lockheed Martin, TRW, the Aerospace Corporation, Triton Systems, AZ Technology, Alion (formerly IITRI), ENTECH, and L'Garde to bring together the first external materials exposure experiment on International Space Station (ISS). MISSE re-uses hardware from the MEEP flown on the Russian space station Mir. MISSE has returned a treasure trove of materials data that will be useful not only for ISS but also for programs as diverse as the new Crew Exploration Vehicle, the James Webb Telescope, the Lunar Surface Access Module, the Robotic Lunar Exploration Program, High Altitude Airships, and solar sails. MISSE-1 and -2 (Figure 1) were attached to the Quest airlock on ISS for 4 years and were retrieved during STS-114. MISSE-3 and -4 were bumped fr-om STS-114 and are currently slated for deployment during STS-121. MISSE-5 (Figure 2) was deployed during STS-114.

Development of the Potassium-Argon Laser Experiment (KArLE) Instrument for In Situ Geochronology

NASA Technical Reports Server (NTRS)

Cohen, Barbara A.; Li, Z.-H.; Miller, J. S.; Brinckerhoff, W. B.; Clegg, S. M.; Mahaffy, P. R.; Swindle, T. D.; Wiens, R. C.

2012-01-01

Absolute dating of planetary samples is an essential tool to establish the chronology of geological events, including crystallization history, magmatic evolution, and alteration. Traditionally, geochronology has only been accomplishable on samples from dedicated sample return missions or meteorites. The capability for in situ geochronology is highly desired, because it will allow one-way planetary missions to perform dating of large numbers of samples. The success of an in situ geochronology package will not only yield data on absolute ages, but can also complement sample return missions by identifying the most interesting rocks to cache and/or return to Earth. In situ dating instruments have been proposed, but none have yet reached TRL 6 because the required high-resolution isotopic measurements are very challenging. Our team is now addressing this challenge by developing the Potassium (K) - Argon Laser Experiment (KArLE) under the NASA Planetary Instrument Definition and Development Program (PIDDP), building on previous work to develop a K-Ar in situ instrument [1]. KArLE uses a combination of several flight-proven components that enable accurate K-Ar isochron dating of planetary rocks. KArLE will ablate a rock sample, determine the K in the plasma state using laser-induced breakdown spectroscopy (LIBS), measure the liberated Ar using quadrupole mass spectrometry (QMS), and relate the two by the volume of the ablated pit using an optical method such as a vertical scanning interferometer (VSI). Our preliminary work indicates that the KArLE instrument will be capable of determining the age of several kinds of planetary samples to +/-100 Myr, sufficient to address a wide range of geochronology problems in planetary science.

Developing leaders via experience: the role of developmental challenge, learning orientation, and feedback availability.

PubMed

Derue, D Scott; Wellman, Ned

2009-07-01

Prior research offers limited insight into the types of work experiences that promote leadership skill development and the ways that the person and context shape the developmental value of these experiences. In this article, the authors develop a series of hypotheses linking leadership skill development to features of the experience (developmental challenge), person (learning orientation), and context (feedback availability). Based on 225 on-the-job experiences across 60 managers, their results demonstrate that the relationship between developmental challenge and leadership skill development exhibits a pattern of diminishing returns. However, access to feedback can offset the diminishing returns associated with high levels of developmental challenge.

The International Space Station: Operations and Assembly - Learning From Experiences - Past, Present, and Future

NASA Technical Reports Server (NTRS)

Fuller, Sean; Dillon, William F.

2006-01-01

As the Space Shuttle continues flight, construction and assembly of the International Space Station (ISS) carries on as the United States and our International Partners resume the building, and continue to carry on the daily operations, of this impressive and historical Earth-orbiting research facility. In his January 14, 2004, speech announcing a new vision for America s space program, President Bush ratified the United States commitment to completing construction of the ISS by 2010. Since the launch and joining of the first two elements in 1998, the ISS and the partnership have experienced and overcome many challenges to assembly and operations, along with accomplishing many impressive achievements and historical firsts. These experiences and achievements over time have shaped our strategy, planning, and expectations. The continual operation and assembly of ISS leads to new knowledge about the design, development and operation of systems and hardware that will be utilized in the development of new deep-space vehicles needed to fulfill the Vision for Exploration and to generate the data and information that will enable our programs to return to the Moon and continue on to Mars. This paper will provide an overview of the complexity of the ISS Program, including a historical review of the major assembly events and operational milestones of the program, along with the upcoming assembly plans and scheduled missions of the space shuttle flights and ISS Assembly sequence.

Experience of a patient with an extracorporeal ventricular assist system who participated in a sleepover program.

PubMed

Gon, Shigeyoshi; Suematsu, Yoshihito; Morizumi, Sei; Shimizu, Tsuyoshi

2011-09-01

A 19-year-old woman suffered fulminant myocarditis owing to a mycoplasma infection and was inserted with an intra-aortic balloon pump and a percutaneous cardiopulmonary support. Antibiotics and gamma globulin were administered, however, the patient's cardiac function did not recover, and the TOYOBO ventricular assist device (VAD) was implanted. She had rehabilitation training such as maintaining a standing position at the bedside and walking in the hospital, and a hospital outing program to a family restaurant was conducted two times with the VAD. The patient wished to attend the coming-of-age ceremony in Tachikawa city, which is 3 h away from our hospital by car. Therefore, we planned the program including a night stay at her home. The patient and her family fully understood the risks and wished to participate in the sleepover program. In preparing for the sleepover, the patient and her family learned to operate the VAD, and she was able to move to the lavatory and through the house with the help of only her family. A physician and a clinical engineer stayed at her house for infusion of antibiotics and management of sudden changes. There was no adverse event. In Japan, the community support of patients with VAD is not yet established, and we hope that our experience becomes a help to support return to society for patients with VAD.

SCARLET Photovoltaic Concentrator Array Selected for Flight Under NASA's New Millennium Program

NASA Technical Reports Server (NTRS)

Piszczor, Michael F., Jr.

1997-01-01

The NASA Lewis Research Center continues to demonstrate its expertise in the development and implementation of advanced space power systems. For example, during the past year, the NASA New Millennium Program selected the Solar Concentrator Array with Refractive Linear Element Technology (SCARLET) photovoltaic array as the power system for its Deep Space-1 (DS-1) mission. This Jet Propulsion Laboratory (JPL) managed DS-1 mission, which represents the first operational flight of a photovoltaic concentrator array, will provide a baseline for the use of this technology in a variety of future government and commercial applications. SCARLET is a joint NASA Lewis/Ballistic Missile Defense Organization program to develop advanced photovoltaic array technology that uses a unique refractive concentrator design to focus sunlight onto a line of photovoltaic cells located below the optical element. The general concept is based on previous work conducted at Lewis under a Small Business Innovation Research (SBIR) contract with AEC-Able Engineering, Inc., for the Multiple Experiments to Earth Orbit and Return (METEOR) spacecraft. The SCARLET II design selected by the New Millennium Program is a direct adaptation of the smaller SCARLET I array built for METEOR. Even though SCARLET I was lost during a launch failure in October 1995, the hardware (designed, built, and flight qualified within 6 months) provided invaluable information and experience that led to the selection of this technology as the primary power source for DS-1.

The creation of a synchronous learning environment to support a study abroad program for nursing majors at a traditional liberal arts university.

PubMed

Folse, Victoria N; Jarvis, Carolyn M; Swanlund, Susan L; Timan, Mitzi Runyard

2015-01-01

In response to an increased need for Spanish-speaking and culturally competent nurses, a small private undergraduate-only liberal arts university implemented a semester-long study abroad program for nursing majors in Barcelona, Spain. Prior to the creation of this program, study abroad for nursing students was limited because of prelicensure requirements and limitations of a traditional nursing curriculum. Students studying in Spain enroll in four courses--including two core nursing courses delivered using Polycom hardware and telepresence software by nursing faculty who remain in the United States, a Spanish language course, and one general education course taught either by the University's Spain Director or by an experienced Spanish professor. Participants live with host families and participate in clinical and community observational experiences in Spanish health care agencies. Students then complete direct patient care requirements upon return to the United States. To our knowledge, no other undergraduate-only institution offers a semester-long study abroad experience for nursing majors embedded within the curriculum using synchronous learning; we believe our Spain program, which is in its fourth year being open to nursing majors, is truly an innovative approach to establish cultural competence for undergraduate nursing majors that could serve as a model for other schools of nursing and health disciplines. Copyright © 2015 Elsevier Inc. All rights reserved.

Launching to the Moon, Mars, and Beyond

NASA Technical Reports Server (NTRS)

Sumrall, John P.

2007-01-01

America is returning to the Moon in preparation for the first human footprint on Mars, guided by the U.S. Vision for Space Exploration. This presentation will discuss NASA's mission today, the reasons for returning to the Moon and going to Mars, and how NASA will accomplish that mission. The primary goals of the Vision for Space Exploration are to finish the International Space Station, retire the Space Shuttle, and build the new spacecraft needed to return people to the Moon and go to Mars. Unlike the Apollo program of the 1960s, this phase of exploration will be a journey, not a race. In 1966, the NASA's budget was 4 percent of federal spending. Today, with 6/10 of 1 percent of the budget, NASA must incrementally develop the vehicles, infrastructure, technology, and organization to accomplish this goal. Fortunately, our knowledge and experience are greater than they were 40 years ago. NASA's goal is a return to the Moon by 2020. The Moon is the first step to America's exploration of Mars. Many questions about the Moon's history and how its history is linked to that of Earth remain even after the brief Apollo explorations of the 1960s and 1970s. This new venture will carry more explorers to more diverse landing sites with more capable tools and equipment. The Moon also will serve as a training ground in several respects before embarking on the longer, more perilous trip to Mars. The journeys to the Moon and Mars will require a variety of vehicles, including the Ares I Crew Launch Vehicle, the Ares V Cargo Launch Vehicle, the Orion Crew Exploration Vehicle, and the Lunar Surface Access Module. The architecture for the lunar missions will use one launch to ferry the crew into orbit on the Ares I and a second launch to orbit the lunar lander and the Earth Departure Stage to send the lander and crew vehicle to the Moon. In order to reach the Moon and Mars within a lifetime and within budget, NASA is building on proven hardware and decades of experience derived from the Apollo Saturn, Space Shuttle, and contemporary commercial launch vehicle programs. Less than one year after the Exploration Launch Projects Office was formed at NASA's Marshall Space Flight Center, engineers are testing engine components, firing test rocket motors, refining vehicle designs in wind tunnel tests, and building hardware for the first flight test of Ares I, scheduled for spring 2009. The Vision for Exploration will require this nation to develop tools, machines, materials, and processes never before invented, technologies and capabilities that can be turned over to the private sector to benefit nearly all aspects of life on Earth. This new pioneering venture, as did the Apollo Program before it, will contribute to America's economic leadership, national security, and technological global competitiveness and serve as an inspiration for all its citizens.

Consideration of sample return and the exploration strategy for Mars

NASA Technical Reports Server (NTRS)

Bogard, D. C.; Duke, M. B.; Gibson, E. K.; Minear, J. W.; Nyquist, L. E.; Phinney, W. C.

1979-01-01

The scientific rationale and requirements for a Mars surface sample return were examined and the experience gained from the analysis and study of the returned lunar samples were incorporated into the science requirements and engineering design for the Mars sample return mission. The necessary data sets for characterizing Mars are presented. If further analyses of surface samples are to be made, the best available method is for the analysis to be conducted in terrestrial laboratories.

Advanced Cosmic Ray Composition Experiment for Space Station (ACCESS)

NASA Technical Reports Server (NTRS)

Wilson, Thomas L.; Wefel, John P.

1999-01-01

In 1994 the first high-energy particle physics experiment for the Space Station, the Alpha Magnetic Spectrometer (AMS), was selected by NASA's Administrator as a joint collaboration with the U.S. Department of Energy (DOE). The AMS program was chartered to place a magnetic spectrometer in Earth orbit and search for cosmic antimatter. A natural consequence of this decision was that NASA would begin to explore cost-effective ways through which the design and implementation of AMS might benefit other promising payload experiments which were evolving from the Office of Space Science. The first such experiment to come forward was ACCESS in 1996. It was proposed as a new mission concept in space physics to place a cosmic-ray experiment of weight, volume, and geometry similar to the AMS on the ISS, and replace the latter as its successor when the AMS is returned to Earth. This was to be an extension of NASA's sub-orbital balloon program, with balloon payloads serving as the precursor flights and heritage for ACCESS. The balloon programs have always been a cost-effective NASA resource since the particle physics instrumentation for balloon and space applications are directly related. The next step was to expand the process, pooling together expertise from various NASA centers and universities while opening up definition of the ACCESS science goals to the international community through the standard practice of peer-review. This process is still on-going and the Accommodation Study presented here will discuss the baseline definition of ACCESS as we understand it today. Further detail on the history, scope, and background of the study is provided in Appendix A.

Identifying Return-Current Losses in Flare Hard X-ray Spectra

NASA Technical Reports Server (NTRS)

Holman, Gordon D.

2011-01-01

I will report on theoretical studies and a data analysis program aimed at identifying and physically interpreting breaks in hard X-ray spectra resulting from return-current energy losses, as well as heating of the flare plasma resulting from these losses.

Integrity of the National Resident Matching Program for Radiation Oncology: National Survey of Applicant Experiences

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

Holliday, Emma B.; Thomas, Charles R., E-mail: thomasch@ohsu.edu; Kusano, Aaron S.

Purpose: The aim of this study was to examine the experiences of radiation oncology applicants and to evaluate the prevalence of behaviors that may be in conflict with established ethical standards. Methods and Materials: An anonymous survey was sent to all 2013 applicants to a single domestic radiation oncology residency program through the National Resident Matching Program (NRMP). Questions included demographics, survey of observed behaviors, and opinions regarding the interview and matching process. Descriptive statistics were presented. Characteristics and experiences of respondents who matched were compared with those who did not match. Results: Questionnaires were returned by 87 of 171more » applicants for a 51% response rate. Eighty-two questionnaires were complete and included for analysis. Seventy-eight respondents (95.1%) reported being asked at least 1 question in conflict with the NRMP code of conduct. When asked where else they were interviewing, 64% stated that this query made them uncomfortable. Forty-five respondents (54.9%) reported unsolicited post-interview contact by programs, and 31 (37.8%) felt pressured to give assurances. Fifteen respondents (18.3%) reported being told their rank position or that they were “ranked to match” prior to Match day, with 27% of those individuals indicating this information influenced how they ranked programs. Half of respondents felt applicants often made dishonest or misleading assurances, one-third reported that they believed their desired match outcome could be improved by deliberately misleading programs, and more than two-thirds felt their rank position could be improved by having faculty from their home institutions directly contact programs on their behalf. Conclusions: Radiation oncology applicants report a high prevalence of behaviors in conflict with written NRMP policies. Post-interview communication should be discouraged in order to enhance fairness and support the professional development of future radiation oncologists.« less

Whakawhanaungatanga: the importance of culturally meaningful connections to improve uptake of pulmonary rehabilitation by Māori with COPD - a qualitative study.

PubMed

Levack, William Mm; Jones, Bernadette; Grainger, Rebecca; Boland, Pauline; Brown, Melanie; Ingham, Tristram R

2016-01-01

Pulmonary rehabilitation is known to improve function and quality of life for people with chronic obstructive pulmonary disease (COPD). However, little research has been conducted on the influence of culture on experiences of pulmonary rehabilitation. This study examined factors influencing uptake of pulmonary rehabilitation by Māori with COPD in New Zealand. Grounded theory nested within kaupapa Māori methodology. Transcripts were analyzed from interviews and focus groups with 15 Māori and ten New Zealand non-Māori invited to attend pulmonary rehabilitation for COPD. Māori participants had either attended a mainstream hospital-based program, a community-based program designed "by Māori, for Māori", or had experienced both. Several factors influencing uptake of pulmonary rehabilitation were common to all participants regardless of ethnicity: 1) participants' past experiences (eg, of exercise; of health care systems), 2) attitudes and expectations, 3) access issues (eg, time, transport, and conflicting responsibilities), and 4) initial program experiences. These factors were moderated by the involvement of family and peers, interactions with health professionals, the way information on programs was presented, and by new illness events. For Māori, however, several additional factors were also identified relating to cultural experiences of pulmonary rehabilitation. In particular, Māori participants placed high value on whakawhanaungatanga: the making of culturally meaningful connections with others. Culturally appropriate communication and relationship building was deemed so important by some Māori participants that when it was absent, they felt strongly discouraged to attend pulmonary rehabilitation. Only the more holistic services offered a program in which they felt culturally safe and to which they were willing to return for ongoing rehabilitation. Lack of attention to cultural factors in the delivery of pulmonary rehabilitation may be a barrier to its uptake by indigenous, minority ethnic groups, such as New Zealand Māori. Indigenous-led or culturally responsive health care interventions for COPD may provide a solution to this issue.

SU-F-E-12: Elective International Rotations in Medical Physics Residency Programs

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

Brown, D; Mundt, A; Einck, J

Purpose: The purpose of this educational program is to motivate talented, intelligent individuals to become stakeholders in the global effort to improve access to radiotherapy. Methods: The need to improve global access to radiotherapy has been clearly established and several organizations are making substantial progress in securing funding and developing plans to achieve this worthwhile goal. The incorporation of elective international rotations in residency programs may provide one possible mechanism to promote and support this future investment. We recently incorporated an elective 1-month international rotation into our CAMPEP accredited Medical Physics residency program, with our first rotation taking place inmore » Vietnam. A unique aspect of this rotation was that it was scheduled collaboratively with our Radiation Oncology residency program such that Radiation Oncology and Medical Physics residents traveled to the same clinic at the same time. Results: We believe the international rotation substantially enhances the educational experience, providing additional benefits to residents by increasing cross-disciplinary learning and offering a shared learning experience. The combined international rotation may also increase benefit to the host institution by modeling positive multidisciplinary working relationships between Radiation Oncologists and Medical Physicists. Our first resident returned with several ideas designed to improve radiotherapy in resource-limited settings – one of which is currently being pursued in collaboration with a vendor. Conclusion: The elective international rotation provides a unique learning experience that has the potential to motivate residents to become stakeholders in the global effort to improve access to radiotherapy. What better way to prepare the next generation of Medical Physicists to meet the challenges of improving global access to radiotherapy than to provide them with training experiences that motivate them to be socially conscious and equip them with the clinical and problem solving skills required to deliver effective treatments in resource limited settings?.« less

Knowledge of tuberculosis among drug users. Relationship to return rates for tuberculosis screening at a syringe exchange.

PubMed

Salomon, N; Perlman, D C; Friedmann, P; Perkins, M P; Ziluck, V; Jarlais, D C; Paone, D

1999-04-01

Tuberculosis is an important health issue among drug users. We sought to evaluate active drug users' (DUs) knowledge of tuberculosis (TB) and to assess the relationship between TB knowledge and attitudes and tuberculin skin test (TST) return rates at a syringe exchange program. DUs were recruited at a syringe exchange program in New York City, were interviewed and offered TSTs, and received $15.00 upon returning for TST reading. The questionnaire evaluated knowledge of TB transmission, prevention, and treatment. From March 13, 1995 to January 31, 1996, 610 of 650 (94%) of DUs approached agreed to participate. Of these, 80% had previous TSTs within the past 2 years and 20% were known to be HIV infected. Almost all knew that TB is contagious and more than two thirds knew that TB is treatable and that TB preventive therapy existed. However, fewer than half knew that HIV-related TB could be treated, 30% thought TB could be treated without a medical doctor, and the majority (70%) thought a reactive TST implied infectivity. The rate of return for TST reading was 93%. In multivariate analysis, those who knew that HIV-related TB was curable were more likely to return for TST reading (odds ratio 2.0; 95% confidence interval 1.04 to 3.95; p = .03). The high acceptance and return rates suggest that TB services can be incorporated into syringe exchange programs. However, several important gaps in TB knowledge existed in this population at high risk of TB, which may impact on adherence and which support the need for TB education for drug users.

Maternal perspectives on postpartum return to the workplace.

PubMed

Nichols, Mary R; Roux, Gayle M

2004-01-01

To describe maternal perceptions about postpartum return to the workplace. The research framework was McCubbin and McCubbin's Resiliency Model of Family Stress, Adjustment, and Adaptation. Employed, postpartum women, who resided in six different states, were recruited from day care and primary care settings to participate in this descriptive study. Seventy-four employed, married women, who returned to the workplace within one year after childbirth. As part of a larger study, perceptions about combining multiple roles after return to the workplace are the focus for this report. Participants responded to open-ended questions about their return to the workplace during the first months after giving birth. Content analysis of those responses resulted in two major categories, Resiliency Challenges: Negative Aspects (role conflict/overload, family stress, family/child issues, finances, psychosocial issues) and Resiliency Building: Positive Aspects (social support, maternal role satisfaction, positive adaptation, career role satisfaction). The data support the premise that employed women view returning to the workforce as having more challenges than they expected because the experience was viewed as being mostly negative. Preparing for return to the workplace is an important, but neglected, topic that needs to be addressed and defined more clearly in the literature. Therefore, future research is needed to identify resources and interventions that will help women experience fewer challenges associated with postpartum employment.

The future of human spaceflight.

PubMed

Reichert, M

2001-01-01

After the Apollo Moon program, the international space station represents a further milestone of humankind in space, International follow-on programs like a manned return to the Moon and a first manned Mars Mission can be considered as the next logical step. More and more attention is also paid to the topic of future space tourism in Earth orbit, which is currently under investigation in the USA, Japan and Europe due to its multibillion dollar market potential and high acceptance in society. The wide variety of experience, gained within the space station program, should be used in order to achieve time and cost savings for future manned programs. Different strategies and roadmaps are investigated for space tourism and human missions to the Moon and Mars, based on a comprehensive systems analysis approach. By using DLR's software tool FAST (Fast Assessment of Space Technologies), different scenarios will be defined, optimised and finally evaluated with respect to mission architecture, required technologies, total costs and program duration. This includes trajectory analysis, spacecraft design on subsystem level, operations and life cycle cost analysis. For space tourism, an expected evolutionary roadmap will be described which is initiated by short suborbital tourism and ends with visionary designs like the Space Hotel Berlin and the Space Hotel Europe concept. Furthermore the potential space tourism market, its economic meaning as well as the expected range of the costs of a space ticket (e.g. $50,000 for a suborbital flight) will be analysed and quantified. For human missions to the Moon and Mars, an international 20 year program for the first decades of the next millennium is proposed, which requires about $2.5 Billion per year for a manned return to the Moon program and about $2.6 Billion per year for the first 3 manned Mars missions. This is about the annual budget, which is currently spend by the USA only for the operations of its Space Shuttle fleet which generally proofs the affordability of such ambitious programs after the build-up of the International Space Station, when corresponding budget might become again available. c 2001. Elsevier Science Ltd. All rights reserved.

The future of human spaceflight

NASA Astrophysics Data System (ADS)

Reichert, M.

2001-08-01

After the Apollo Moon program, the international space station represents a further milestone of humankind in space. International follow-on programs like a manned return to the Moon and a first manned Mars Mission can be considered as the next logical step. More and more attention is also paid to the topic of future space tourism in Earth orbit, which is currently under investigation in the USA, Japan and Europe due to its multibillion dollar market potential and high acceptance in society. The wide variety of experience, gained within the space station program, should be used in order to achieve time and cost savings for future manned programs. Different strategies and roadmaps are investigated for space tourism and human missions to the Moon and Mars, based on a comprehensive systems analysis approach. By using DLR's software tool FAST ( Fast Assessment of Space Technologies), different scenarios will be defined, optimised and finally evaluated with respect to mission architecture, required technologies, total costs and program duration. This includes trajectory analysis, spacecraft design on subsystem level, operations and life cycle cost analysis. For space tourism, an expected evolutionary roadmap will be described which is initiated by short suborbital tourism and ends with visionary designs like the Space Hotel Berlin and the Space Hotel Europe concept. Furthermore the potential space tourism market, its economic meaning as well as the expected range of the costs of a space ticket (e.g. 50,000 for a suborbital flight) will be analysed and quantified. For human missions to the Moon and Mars, an international 20 year program for the first decades of the next millennium is proposed, which requires about 2.5 Billion per year for a manned return to the Moon program and about $2.6 Billion per year for the first 3 manned Mars missions. This is about the annual budget, which is currently spend by the USA only for the operations of its Space Shuttle fleet which generally proofs the affordability of such ambitious programs after the build-up of the International Space Station, when corresponding budget might become again available.

Applicant Interview Experiences and Postinterview Communication of the 2016 Radiation Oncology Match Cycle

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

Berriochoa, Camille; Ward, Matthew C.; Weller, Michael A.

Purpose: To characterize applicant interview experiences at radiation oncology residency programs during the 2016 match cycle and to assess applicant opinions regarding postinterview communication (PIC) after recent attention to gamesmanship noted in prior match cycles. Methods and Materials: An anonymous, institutional review board–approved, 29-question survey was deployed following the rank order list deadline to all 2016 radiation oncology residency applicants applying to a single institution. Results: Complete surveys were returned by 118 of 210 applicants, for a 56% response rate. Regarding possible match violation questions, 84% of respondents were asked at least once about where else they were interviewing (occurredmore » at a median of 20% of program interviews); 51% were asked about marital status (6% of interviews); and 22% were asked about plans to have children (1% of interviews). Eighty-three percent of applicants wrote thank-you notes, with 55% reporting fear of being viewed unfavorably if such notes were not communicated. Sixty percent of applicants informed a program that they had ranked a program highly; 53% felt this PIC strategy would improve their standing on the rank order list, yet 46% reported feeling distressed by this obligation. A majority of applicants stated that they would feel relieved if programs explicitly discouraged PIC (89%) and that it would be preferable if programs prohibited applicants from notifying the program of their rank position (66%). Conclusions: Potential match violations occur at a high rate but are experienced at a minority of interviews. Postinterview communication occurs frequently, with applicants reporting resultant distress. Respondents stated that active discouragement of both thank-you notes/e-mails and applicants' notification to programs of their ranking would be preferred.« less

Interrupting violence: how the CeaseFire Program prevents imminent gun violence through conflict mediation.

PubMed

Whitehill, Jennifer M; Webster, Daniel W; Frattaroli, Shannon; Parker, Elizabeth M

2014-02-01

Cities are increasingly adopting CeaseFire, an evidence-based public health program that uses specialized outreach workers, called violence interrupters (VIs), to mediate potentially violent conflicts before they lead to a shooting. Prior research has linked conflict mediation with program-related reductions in homicides, but the specific conflict mediation practices used by effective programs to prevent imminent gun violence have not been identified. We conducted case studies of CeaseFire programs in two inner cities using qualitative data from focus groups with 24 VIs and interviews with eight program managers. Study sites were purposively sampled to represent programs with more than 1 year of implementation and evidence of program effectiveness. Staff with more than 6 months of job experience were recruited for participation. Successful mediation efforts were built on trust and respect between VIs and the community, especially high-risk individuals. In conflict mediation, immediate priorities included separating the potential shooter from the intended victim and from peers who may encourage violence, followed by persuading the parties to resolve the conflict peacefully. Tactics for brokering peace included arranging the return of stolen property and emphasizing negative consequences of violence such as jail, death, or increased police attention. Utilizing these approaches, VIs are capable of preventing gun violence and interrupting cycles of retaliation.

Return to work for severely injured survivors of the Christchurch earthquake: influences in the first 2 years.

PubMed

Nunnerley, Joanne; Dunn, Jennifer; McPherson, Kathryn; Hooper, Gary; Woodfield, Tim

2016-01-01

This study looked at the influences on the return to work (RTW) in the first 2 years for people severely injured in the 22 February 2011 Christchurch earthquake. We used a constructivist grounded theory approach using semi-structured interviews to collect data from 14 people injured in the earthquake. Analysis elicited three themes that appeared to influence the process of RTW following the Christchurch earthquake. Living the earthquake experience, the individual's experiences of the earthquake and how their injury framed their expectations; rebuilding normality, the desire of the participants to return to life as it was; while dealing with the secondary effects of the earthquake includes the earthquake specific effects which were both barriers and facilitators to returning to work. The consequences of the earthquake impacted on experience, process and outcome of RTW for those injured in the Christchurch Earthquake. Work and RTW appeared key tools to enhance recovery after serious injury following the earthquake. The altered physical, social and economic environment must be considered when working on the return to work (RTW) of individuals with earthquake injuries. Providing tangible emotional and social support so injured earthquake survivors feel safe in their workplace may facilitate RTW. Engaging early with employers may assist the RTW of injured earthquake survivors.

Negative Public Attitudes Towards Cancer Survivors Returning to Work: A Nationwide Survey in Korea.

PubMed

Shim, Hye-Young; Shin, Ji-Yeon; Kim, Jong Heun; Kim, So-Young; Yang, Hyung-Kook; Park, Jong-Hyock

2016-04-01

Early diagnosis and an improved survival rate have emerged as important issues for cancer survivors returning to work during the prime of their working life. This study investigated the attitudes of the general public towards cancer survivors returning to work in Korea and attempted to identify the factors influencing this negative attitude. A general public perception survey regarding cancer survivors returning to work, targeting 2,000 individuals between 40-70 years of age, was conducted as face-to-face home visit. The public expressed a negative attitude towards cancer survivors returning to work, in terms of both perception and acceptance. Negative perception was higher among those in metropolitan areas compared with urban/rural areas (odds ratio [OR], 1.71), with monthly incomes < $2,000 compared with > $4,000 (OR, 1.54), and with patient care experience compared with those without (OR, 1.41). Negative acceptance was higher among those with monthly incomes < $2,000 compared with > $4,000 (OR, 1.71) and those with patient care experience compared with those without (OR, 1.54). The common factors between acceptance and perception that influenced negative attitude included area of residence, patient care experience, and monthly income. This study identified negative attitudes towards cancer survivors returning to work in South Korea and the factors influencing the reintegration of cancer survivors into society. It is necessary to promote community awareness and intervention activities to enable access to community, social, and individual units for the social reintegration of cancer survivors.

STS-70 Space Shuttle Mission Report - September 1995

NASA Technical Reports Server (NTRS)

Fricke, Robert W., Jr.

1995-01-01

The STS-70 Space Shuttle Program Mission Report summarizes the Payload activities as well as the Orbiter, External Tank (ET), Solid Rocket Booster (SRB), Reusable Solid Rocket Motor (RSRM), and the Space Shuttle main engine (SSME) systems performance during the seventieth flight of the Space Shuttle Program, the forty-fifth flight since the return-to-flight, and the twenty-first flight of the Orbiter Discovery (OV-103). In addition to the Orbiter, the flight vehicle consisted of an ET that was designated ET-71; three SSMEs that were designated as serial numbers 2036, 2019, and 2017 in positions 1, 2, and 3, respectively; and two SRBs that were designated 81-073. The RSRMs, designated RSRM-44, were installed in each SRB and were designated as 36OL044A for the left SRB, and 36OL044B for the right SRB. The primary objective of this flight was to deploy the Tracking and Data Relay Satellite-G/Inertial Upper Stage (TDRS-G/IUS). The secondary objectives were to fulfill the requirements of the Physiological and Anatomical Rodent Experiment/National Institutes of Health-Rodents (PARE/NIH-R); Bioreactor Demonstration System (BDS); Commercial Protein Crystal Growth (CPCG) experiment; Space Tissue Loss/National Institutes of Health - Cells (STL/NIH-C) experiment; Biological Research in Canisters (BRIC) experiment; Shuttle Amateur Radio Experiment-2 (SAREX-2); Visual Function Tester-4 (VFT-4); Hand-Held, Earth-Oriented, Real-Time, Cooperative, User-Friendly Location-Targeting and Environmental System (HERCULES); Microencapsulation in Space-B (MIS-B) experiment; Window Experiment (WINDEX); Radiation Monitoring Equipment-3 (RME-3); and the Military Applications of Ship Tracks (MAST) payload.

Effective Dementia Education and Training for the Health and Social Care Workforce: A Systematic Review of the Literature

PubMed Central

Surr, Claire A.; Gates, Cara; Irving, Donna; Oyebode, Jan; Smith, Sarah Jane; Parveen, Sahdia; Drury, Michelle; Dennison, Alison

2017-01-01

Ensuring an informed and effective dementia workforce is of international concern; however, there remains limited understanding of how this can be achieved. This review aimed to identify features of effective dementia educational programs. Critical interpretive synthesis underpinned by Kirkpatrick’s return on investment model was applied. One hundred and fifty-two papers of variable quality were included. Common features of more efficacious educational programs included the need for educational programs to be relevant to participants’ role and experience, involve active face-to-face participation, underpin practice-based learning with theory, be delivered by an experienced facilitator, have a total duration of at least 8 hours with individual sessions of 90 minutes or more, support application of learning in practice, and provide a structured tool or guideline to guide care practice. Further robust research is required to develop the evidence base; however, the findings of this review have relevance for all working in workforce education. PMID:28989194

[Accelerated postoperative recovery after colorectal surgery].

PubMed

Alfonsi, P; Schaack, E

2007-01-01

Accelerated recovery programs are clinical pathways which outline the stages, and streamline the means, and techniques aiming toward the desired end a rapid return of the patient to his pre-operative physical and psychological status. Recovery from colo-rectal surgery may be slowed by the patient's general health, surgical stress, post-surgical pain, and post-operative ileus. Both surgeons and anesthesiologists participate throughout the peri-operative period in a clinical pathway aimed at minimizing these delaying factors. Key elements of this pathway include avoidance of pre-operative colonic cleansing, early enteral feeding, and effective post-operative pain management permitting early ambulation (usually via thoracic epidural anesthesia). Pre-operative information and motivation of the patient is also a key to the success of this accelerated recovery program. Studies of such programs have shown decreased duration of post-operative ileus and hospital stay without an increase in complications or re-admissions. The elements of the clinical pathway must be regularly re-evaluated and updated according to local experience and published data.

Effective Dementia Education and Training for the Health and Social Care Workforce: A Systematic Review of the Literature.

PubMed

Surr, Claire A; Gates, Cara; Irving, Donna; Oyebode, Jan; Smith, Sarah Jane; Parveen, Sahdia; Drury, Michelle; Dennison, Alison

2017-10-01

Ensuring an informed and effective dementia workforce is of international concern; however, there remains limited understanding of how this can be achieved. This review aimed to identify features of effective dementia educational programs. Critical interpretive synthesis underpinned by Kirkpatrick's return on investment model was applied. One hundred and fifty-two papers of variable quality were included. Common features of more efficacious educational programs included the need for educational programs to be relevant to participants' role and experience, involve active face-to-face participation, underpin practice-based learning with theory, be delivered by an experienced facilitator, have a total duration of at least 8 hours with individual sessions of 90 minutes or more, support application of learning in practice, and provide a structured tool or guideline to guide care practice. Further robust research is required to develop the evidence base; however, the findings of this review have relevance for all working in workforce education.

Our Strength in Families (OSIDF): A Web-Based Interactive Coping Skills and Resiliency Program for Military Families

DTIC Science & Technology

2006-03-01

away) o Can learn to value partner more, rekindle relationship Page 19 o May return refreshed for parenting role after leaving and returning - can...emotional, and behavioral changes in partner b. Both positive (e.g., strengthen relationships, return from separation/deployment refreshed for parenting ... role , learn better communication and new helpful family rituals, learn to value partner more) and negative changes (e.g., intimacy reduced, numbing

The socio-economic impact of the involuntary mass return to Yemen in 1990.

PubMed

Van Hear, N

1994-01-01

800,000 Yemen nationals were forced to leave Saudi Arabia, Kuwait, and other countries in the region during the Gulf War. Their mass return to Yemen followed immediately after reunification of North and South Yemen. Analysis reveals that the term "migrant worker" is a misnomer and obscures the variations in wealth, residence, and status. Returnees had variable lengths of stay abroad, number of dependents or family members abroad or at home, types of occupation, ownership of assets, frequency of visits to the community of origin, and remittances. The range of long-term migrants included wealthy merchants and bankers, middle level service and retail workers, and poor workers in the informal sector. The common thread is that all suffered some decline in standard of living. The return was less disruptive for short-term migrants. Some long-term residents no longer had social and economic ties to Yemen, and some had no experience living in Yemen. About 33% were estimated to be without ties to home communities. The decline in remittances from abroad affected foreign exchange receipts. The country shifted from labor scarcity to unemployment conditions. The infrastructure in housing, education, and social services was strained. The one-time influx of capital was short-lived. Returnees comprised about 7% of the total population. The feared upheaval politically and economically did not occur. Suggested improvements for future mass resettlement include offering shanty dwellers a supplemental feeding program, a means of obtaining secure housing, and increased infrastructure. The long-term benefits of encouraging a return to agriculture should have been more widely promoted.

Perceived control in rhesus monkeys (Macaca mulatta) - Enhanced video-task performance

NASA Technical Reports Server (NTRS)

Washburn, David A.; Hopkins, William D.; Rumbaugh, Duane M.

1991-01-01

This investigation was designed to determine whether perceived control effects found in humans extend to rhesus monkeys (Macaca mulatta) tested in a video-task format, using a computer-generated menu program, SELECT. Choosing one of the options in SELECT resulted in presentation of five trials of a corresponding task and subsequent return to the menu. In Experiments 1-3, the animals exhibited stable, meaningful response patterns in this task (i.e., they made choices). In Experiment 4, performance on tasks that were selected by the animals significantly exceeded performance on identical tasks when assigned by the experimenter under comparable conditions (e.g., time of day, order, variety). The reliable and significant advantage for performance on selected tasks, typically found in humans, suggests that rhesus monkeys were able to perceive the availability of choices.

Building a chiropractic academy of educators: A needs assessment of selected faculty educators

PubMed Central

Tunning, Michael J.; Derby, Dustin C.; Krell-Mares, Kelly A.; Barber, Michelle R.

2017-01-01

Objective: Professional demands have led to health-care educator specialization in research or patient care. The academy movement is an avenue that attempts to return prestige and importance to improved instruction. The authors performed a needs analysis of selected faculty at 3 chiropractic colleges to assess the need for, and willingness to participate in, an academy of educators program. Methods: An expert-developed, pretested survey was deployed using SurveyMonkey. Analysis of variance and regression analysis were used to address 3 research questions related to the academy of educators program. Results: The study achieved a 53% response rate and reflected that an overwhelming majority of chiropractic faulty members (89%) reported the need for an academy of educators. The study found no significant differences between faculty ranks, years of experience, and participation willingness. Conclusion: A structured approach, such as an academy, to foster professional teaching development may create positive outcomes for an institution. Faculty educators were willing to engage in an efficient program that may improve teaching methods and create opportunities for collaborative working relationships, which signals the potential for wide acceptance of the program. PMID:28768113

Adequacy of patient pools to support predoctoral students' achievement of competence in pediatric dentistry in U.S. dental schools.

PubMed

Casamassimo, Paul S; Seale, N Sue

2015-06-01

The aim of this study was to characterize the current status of predoctoral pediatric dentistry patient pools in U.S. dental schools and compare their status to that in 2001. A 2014 survey of school clinic-based and community-based dental patient pools was developed, piloted, and sent to pediatric predoctoral program directors in 57 U.S. dental schools via SurveyMonkey. Two follow-up contacts were made to increase the response rate. A total of 49 surveys were returned for a response rate of 86%. The responding program directors reported that their programs' patient pools had declined in number and had changed in character with more diversity and fewer procedures. They attributed the changes to competition, cost, and location of the dental school. The respondents reported that community-based dental education clinical sites continued to provide additional service experiences for dental students, with contributions varying by the nature of the site. A large number of the respondents felt that their graduates lacked some basic pediatric dentistry clinical skills and were not ready for independent practice with children. The results of this study suggest that the predoctoral pediatric dentistry patient pool has changed and general dentists may be graduating with inadequate experiences to practice dentistry for children.

KSC-98pc639

NASA Image and Video Library

1998-05-26

The Alpha Magnetic Spectrometer (AMS) experiment and four Get Away Special (GAS) payload canisters are secure in Discovery's payload bay shortly before the payload bay doors are closed for the flight of STS-91 at Launch Pad 39A. Launch is planned for June 2 with a window opening around 6:10 p.m. EDT. The AMS experiment is the first of a new generation of space-based experiments which will use particles, instead of light, to study the Universe and will search for both antimatter and "dark matter," as well as measure normal matter cosmic and gamma rays. The GAS Program, initiated to provide extremely low-cost access to space, is managed by the Shuttle Small Payloads Project at NASA's Goddard Space Flight Center. Eight GAS experiments will be conducted on STS-91. The mission will also feature the ninth Shuttle docking with the Russian Space Station Mir, the first Mir docking for Discovery, the conclusion of Phase I of the joint U.S.-Russian International Space Station Program, and the first flight of the new Space Shuttle super lightweight external tank. The STS-91 flight crew includes Commander Charles Precourt; Pilot Dominic Gorie; and Mission Specialists Wendy B. Lawrence; Franklin Chang-Diaz, Ph.D.; Janet Kavandi, Ph.D.; and Valery Ryumin, with the Russian Space Agency. Andrew Thomas, Ph.D., will be returning to Earth with the crew after living more than four months aboard Mir

TRAINING OLDER WORKERS FOR TECHNOLOGY-BASED EMPLOYMENT.

PubMed

Lee, Chin Chin; Czaja, Sara J; Sharit, Joseph

2009-01-01

An increasingly aging workforce and advances in technology are changing work environments and structures. The continued employability of older adults, particularly those of lower socioeconomic status (SES), requires them to participate in training programs to ensure their competence in today's workplace. Focus groups with 37 unemployed adults (51-76 years old) were conducted to gather information about barriers and obstacles for returning to work, training needs and formats, work experiences, and perceptions of the characteristics of an ideal job. Overall, results indicated that participants experienced age discrimination and lack of technology skills. They also expressed a desire to receive additional training on technology and a preference for classroom training.

System Data Bases In European Satellites Programs: Lessons Learned and Recommendations

NASA Astrophysics Data System (ADS)

Passot, X.; Denuault, D.; Guiral, Ph.; Kerjean, L.; Lebreton, D.; Lecrvain, C.; Valera, S.

2007-08-01

This paper is intended for European space eningeers who must design or interact with all or part of a system database, hereafter referred to as 'SDB'. The document presents the objectives of a system database (SDB), describes the development of an SDB project from the specification stage until operations, and preovides recommendations so that an effective system can be obtained. As part of return on experience, the document gives an overview of exisiting systems in the European space industry. To prepare the new systems, it presents the services to be provided, the tools available and the emerging standars towards which SDBs must converge.

An investigation of the feasibility of active boundary layer thickening for aircraft drag reduction

NASA Technical Reports Server (NTRS)

Ash, R. L.; Koodalattupuram, C.

1986-01-01

The feasibility of using a forward mounted windmilling propeller to extract momentum from the flow around an axisymmetric body to reduce total drag has been studied. Numerical calculations indicate that a net drag reduction is possible when the energy extracted is returned to an aft mounted pusher propeller. However, net drag reduction requires very high device efficiencies. Results of an experimental program to study the coupling between a propeller wake and a turbulent boundary layer are also reported. The experiments showed that a complex coupling exists and simple modes for the flow field are not sufficiently accurate to predict total drag.

The physician-cosmonaut tasks in stabilizing the crew members health and increasing an effectiveness of their preparation for returning to Earth

NASA Astrophysics Data System (ADS)

Polyakov, V. V.

During a final 4-month stage of I-year space flight of cosmonauts Titov and Manarov, a physician, Valery Polyakov was included on a crew for the purpose of evaluating their health, correcting physical status to prepare for the spacecraft reentry and landing operations. The complex program of scientific investigations and experiments performed by a physician included an evaluation of adaptation reactions of the human body at different stages of space mission using clinicophysiological and biochemical methods; testing of alternative regimes of exercises and new countermeasures to prevent an unfavorable effect of long-term weightlessness.

Creating REAL MEN: description of an intervention to reduce drug use, HIV risk, and rearrest among young men returning to urban communities from jail.

PubMed

Daniels, Jessie; Crum, Martha; Ramaswamy, Megha; Freudenberg, Nicholas

2011-01-01

This article describes the life circumstances and risk behaviors of 552 adolescent males returning home from jail. Most young men reported several sources of support in their lives and many had more tolerant views toward women and intimate relationships than portrayed in mainstream media. They also reported high levels of marijuana and alcohol use, risky sexual behavior, and prior arrests. Investigators designed the Returning Educated African American and Latino Men to Enriched Neighborhoods (REAL MEN) program, a jail and community program to reduce drug use, HIV risk, and rearrest. By helping participants examine alternative paths to manhood and consider racial/ethnic pride as a source of strength, REAL MEN addressed the assets of these young men as well as their challenges. Our findings suggest that interventions that emphasize the assets of these young men may be better able to engage them than programs that seek to impose adult values.

Inside Maine’s Medicine Cabinet: Findings From the Drug Enforcement Administration's Medication Take-Back Events

PubMed Central

Malinowski, Alexandra; Ochs, Leslie; Jaramillo, Jeanie; McCall, Kenneth; Sullivan, Meghan

2015-01-01

Objectives. We evaluated the quantity and type of medications obtained in unused-medications return programs and the proportion of medication waste. Methods. We analyzed data collected in 11 Maine cities in 2011 to 2013 during 6 Drug Enforcement Administration (DEA) national medication take-back events. Pharmacy doctoral student volunteers collected data under the supervision of law enforcement, independent of the DEA. Data entry into the Pharmaceutical Collection Monitoring System, through its interface with Micromedex, allowed for analysis of medication classification, controlled substance category, therapeutic class, and percentage of medication waste (units returned/units dispensed). Results. Medication take-back events resulted in return of 13 599 individual medications from 1049 participants. We cataloged 553 019 units (capsules, tablets, milliliters, patches, or grams), representing 69.7% medication waste. Noncontrolled prescription medications accounted for 56.4% of returns, followed by over-the-counter medications (31.4%) and controlled prescription medications (9.1%). Conclusions. The significant quantities of medications, including controlled substances, returned and high degree of medication waste emphasize the need for medication collection programs to further public health research and improve health in our communities. PMID:25393189

Strategies to Address Unmet Needs and Facilitate Return to Learn Guideline Adoption Following Concussion

ERIC Educational Resources Information Center

Lyons, Vivian H.; Moore, Megan; Guiney, Roxanne; Ayyagari, Rajiv C.; Thompson, Leah; Rivara, Frederick P.; Fleming, Robin; Crawley, Deborah; Harper, Dawn; Vavilala, Monica S.

2017-01-01

Background: Many students do not receive return to learn (RTL) services upon return to academics following a concussion. Methods: Using a mixed-methods approach, we conducted a survey of RTL practices and experiences in Washington State schools between January 2015 and June 2015. We then held a statewide summit of RTL stakeholders and used a…

Productivity of Mizuna Cultivated in the Space Greenhouse Onboard the Russian Module of the Iss

NASA Astrophysics Data System (ADS)

Levinskikh, Margarita; Sychev, Vladimir; Podolsky, Igor; Bingham, Gail; Moukhamedieva, Lana

As stipulated by the science program of research into the processes of growth, development, metabolism and reproduction of higher plants in microgravity in view of their potential use in advanced life support systems, five experiments on Mizuna plants (Brassica rapa var. nipponisica) were performed using the Lada space greenhouse onboard the ISS Russian Module (RM) during Expeditions ISS-5, 17 and 20-22. One of the goals of the experiments was to evaluate the productivity of Mizuna plants grown at different levels of ISS RM air contamination. Mizuna plants were cultivated for 31 - 36 days when exposed to continuous illumination. The root growing medium was made of Turface enriched with a controlled release fertilizer Osmocote. In the course of the flight experiments major parameters of plant cultivation, total level of ISS RM air contamination and plant microbiological status were measured. The grown plants were returned to Earth as fresh or frozen samples. After the three last vegetation cycles the plants were harvested, packed and frozen at -80 0C in the MELFI freezer on the ISS U.S. Module and later returned to Earth onboard Space Shuttle. It was found that the productivity and morphometric (e.g., plant height and mass, number of leaves) parameters of the plants grown in space did not differ from those seen in ground controls. The T coefficient, which represents the total contamination level of ISS air), was 4 (ISS-5), 22 (ISS-17), 55 (ISS-20), 22 (ISS-21) and 28 (ISS-22) versus the norm of no more than 5. In summary, a significant increase in the total contamination level of the ISS RM air did not reduce the productivity of the leaf vegetable plant used in the flight experiments.

Airline return-on-investment model for technology evaluation. [computer program to measure economic value of advanced technology applied to passenger aircraft

NASA Technical Reports Server (NTRS)

1974-01-01

This report presents the derivation, description, and operating instructions for a computer program (TEKVAL) which measures the economic value of advanced technology features applied to long range commercial passenger aircraft. The program consists of three modules; and airplane sizing routine, a direct operating cost routine, and an airline return-on-investment routine. These modules are linked such that they may be operated sequentially or individually, with one routine generating the input for the next or with the option of externally specifying the input for either of the economic routines. A very simple airplane sizing technique was previously developed, based on the Brequet range equation. For this program, that sizing technique has been greatly expanded and combined with the formerly separate DOC and ROI programs to produce TEKVAL.

Return to the Moon: A New Strategic Evaluation

NASA Technical Reports Server (NTRS)

Lowman, Paul D., Jr.

1999-01-01

This paper reviews the value of a new lunar program, initially robotic and eventually manned, in the light of developments since the 1991 Synthes Group study of the Space Exploration Initiative. The objective is to evaluate a return to the Moon in comparison to proposed Mars programs as a focus for American space exploration with humans in the next century. The Moon is demonstrably accessible, hospitable, useful, and interesting. Lunar programs are inherently faster and less risky from a programmatic viewpoint than comparable Mars programs such as Mars Direct. The dominant reason for a resumption of manned lunar missions, focused on a single site such as Grimaldi, is to rebuild the infrastructure for missions beyond Earth orbit, the last of which was in 1972. A transitional prograrr@ corresponding to the 10 Gemini missions that bridged the gap between Mercury and Apollo, was considered absolutely essential by the Synthesis Group. Further justification for a return to the Moon is the demonstrated feasibility of a robotic lunar observatory, concentrating on optical and infrared interferometry. Many unsolved scientific questions about the Moon itself remain, and could be investigated using telerobotic lunar rovers even before the return of humans. Mars is unquestionably more interesting scientifically and far more hospitable for long-term colonization. A new lunar program would be the most effective possible preparation for the human exploration, settlement and eventually the terraforming of Mars. Lunar and Mars programs are complementary, not competitive. Both can be justified in the most fundamental terms as beginning the dispersal of the human species against uncontrollable natural disasters, cometary or asteroidal impacts in particular, to which mankind is vulnerable while confined to a single planet. Three specific programs are recommended for the 2001-2010 period: Ice Prospectors, to evaluate polar ice or hydrogen deposits; a robotic lunar observatory; and a manned lunar base and observatory.

STS-67 Space Shuttle mission report

NASA Technical Reports Server (NTRS)

Fricke, Robert W., Jr.

1995-01-01

The STS-67 Space Shuttle Program Mission Report provides the results of the orbiter vehicle performance evaluation during this sixty-eighth flight of the Shuttle Program, the forty-third flight since the return to flight, and the eighth flight of the Orbiter vehicle Endeavour (OV-105). In addition, the report summarizes the payload activities and the performance of the External Tank (ET), Solid Rocket Booster (SRB), Reusable Solid Rocket Motor (RSRM), and the Space Shuttle Main Engines (SSME). The serial numbers of the other elements of the flight vehicle were ET-69 for the ET; 2012, 2033, and 2031 for SSME's 1, 2, and 3, respectively; and Bl-071 for the SRB's. The left-hand RSRM was designated 360W043A, and the right-hand RSRM was designated 360L043B. The primary objective of this flight was to successfully perform the operations of the ultraviolet astronomy (ASTRO-2) payload. Secondary objectives of this flight were to complete the operations of the Protein Crystal Growth - Thermal Enclosure System (PCG-TES), the Protein Crystal Growth - Single Locker Thermal Enclosure System (PCG-STES), the Commercial Materials Dispersion Apparatus ITA Experiments (CMIX), the Shuttle Amateur Radio Experiment-2 (SAREX-2), the Middeck Active Control Experiment (MACE), and two Get-Away Special (GAS) payloads.

Mars Sample Return: The Critical Need for Planning a Meaningful and Participatory Public Engagement Program

NASA Astrophysics Data System (ADS)

Klug Boonstra, S.

2018-04-01

The Mars Sample Return campaign offers the prospect of an historical leap forward in the understanding of the science of Mars, and an unprecedented opportunity to engage our citizenry in one of the enduring questions of humanity, "Are we alone?".

Supporting Immigrant Families' Access to Prekindergarten

ERIC Educational Resources Information Center

Gelatt, Julia; Adams, Gina; Huerta, Sandra

2014-01-01

In recent years, many states have expanded their state-funded prekindergarten programs, drawing on evidence that public investments in early childhood education bring substantial returns in children's educational trajectories and a more skilled future workforce. Evidence also suggests that returns to early education may be larger for children of…

77 FR 3102 - Procedures for Implementing the National Environmental Policy Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-23

... from solar system bodies (such as asteroids, comets, planets, dwarf planets, and planetary moons.../program which would return samples to Earth from solar system bodies (such as asteroids, comets, planets, dwarf planets, and planetary moons), which would likely receive a Restricted Earth Return categorization...

River water quality management considering agricultural return flows: application of a nonlinear two-stage stochastic fuzzy programming.

PubMed

Tavakoli, Ali; Nikoo, Mohammad Reza; Kerachian, Reza; Soltani, Maryam

2015-04-01

In this paper, a new fuzzy methodology is developed to optimize water and waste load allocation (WWLA) in rivers under uncertainty. An interactive two-stage stochastic fuzzy programming (ITSFP) method is utilized to handle parameter uncertainties, which are expressed as fuzzy boundary intervals. An iterative linear programming (ILP) is also used for solving the nonlinear optimization model. To accurately consider the impacts of the water and waste load allocation strategies on the river water quality, a calibrated QUAL2Kw model is linked with the WWLA optimization model. The soil, water, atmosphere, and plant (SWAP) simulation model is utilized to determine the quantity and quality of each agricultural return flow. To control pollution loads of agricultural networks, it is assumed that a part of each agricultural return flow can be diverted to an evaporation pond and also another part of it can be stored in a detention pond. In detention ponds, contaminated water is exposed to solar radiation for disinfecting pathogens. Results of applying the proposed methodology to the Dez River system in the southwestern region of Iran illustrate its effectiveness and applicability for water and waste load allocation in rivers. In the planning phase, this methodology can be used for estimating the capacities of return flow diversion system and evaporation and detention ponds.

Scholarship support for Indian students in the health sciences: an alternative method to address shortages in the underserved area

PubMed Central

Weiss, Lawrence D.; Wiese, William H.; Goodman, Alan B.

1980-01-01

The University of New Mexico Area Health Education Center was established in conjunction with the Navajo Health Authority to begin health manpower development immediately in the Navajo Nation and surrounding areas (a territory approximately the size of West Virginia). To this end, a student support program was established at the Navajo Health Agency to recruit and support Indian students with scholarships, to provide them with culturally based counseling, and to reinforce the students' intentions of ultimately returning to serve Indian people. No payback penalties or other forms of coercion were used in this program to encourage students to return to the underserved Indian areas. From October 1973 through September 1977, 124 students graduated with 125 degrees or certificates in all aspects of health care. Of these 124 students, 76 were employed. The remaining were continuing their education, unemployed, untraceable, or deceased. Of the 76 employed, 61 were from tribes within the Navajo Nation; of these 61, 56 returned to their area to serve Indians. This return rate to an underserved area is substantially better than anticipated from a review of programs that employ a variety of coercive methods to encourage recipients of loans to settle in specific underserved areas after the necessary training. PMID:7384409

Does feeling respected influence return to work? Cross-sectional study on sick-listed patients' experiences of encounters with social insurance office staff.

PubMed

Lynöe, Niels; Wessel, Maja; Olsson, Daniel; Alexanderson, Kristina; Helgesson, Gert

2013-03-23

Previous research shows that how patients perceive encounters with healthcare staff may affect their health and self-estimated ability to return to work. The aim of the present study was to explore long-term sick-listed patients' encounters with social insurance office staff and the impact of these encounters on self-estimated ability to return to work. A random sample of long-term sick-listed patients (n = 10,042) received a questionnaire containing questions about their experiences of positive and negative encounters and item lists specifying such experiences. Respondents were also asked whether the encounters made them feel respected or wronged and how they estimated the effect of these encounters on their ability to return to work. Statistical analysis was conducted using 95% confidence intervals (CI) for proportions, and attributable risk (AR) with 95% CI. The response rate was 58%. Encounter items strongly associated with feeling respected were, among others: listened to me, believed me, and answered my questions. Encounter items strongly associated with feeling wronged were, among others: did not believe me, doubted my condition, and questioned my motivation to work. Positive encounters facilitated patients' self-estimated ability to return to work [26.9% (CI: 22.1-31.7)]. This effect was significantly increased if the patients also felt respected [49.3% (CI: 47.5-51.1)]. Negative encounters impeded self-estimated ability to return to work [29.1% (CI: 24.6-33.6)]; when also feeling wronged return to work was significantly further impeded [51.3% (CI: 47.1-55.5)]. Long-term sick-listed patients find that their self-reported ability to return to work is affected by positive and negative encounters with social insurance office staff. This effect is further enhanced by feeling respected or wronged, respectively.

Return-to-work challenges following a work-related mild TBI: The injured worker perspective.

PubMed

Mansfield, Elizabeth; Stergiou-Kita, Mary; Cassidy, John David; Bayley, Mark; Mantis, Steve; Kristman, Vicki; Kirsh, Bonnie; Gomez, Manuel; Jeschke, Mark G; Vartanian, Oshin; Moody, Joel; Colantonio, Angela

2015-01-01

To explore how individuals with work-related mild traumatic brain injury (wrMTBI) experience return-to-work (RTW) processes when returning to the workplace where the injury occurred. RTW experiences were explored using in-depth interviews and an inductive analytic approach. Qualitative analysis guided by the research question moved through phases of line-by-line and thematic coding through which categories and the interaction between categories emerged. Twelve workers diagnosed with a wrMTBI reported on their RTW experiences following wrMTBIs that occurred 3-5 years prior to the time of the interview. Participants perceived employer and workers' compensation factors as profoundly influencing their RTW experiences. Participants consistently reported that employers and workers' compensation representatives had an inadequate understanding of wrMTBI sequelae. Six of 12 participants were re-injured following their wrMTBI, with three of these injuries occurring at work. Employers, co-workers and workers' compensation representatives should be aware of wrMTBI sequelae so injured workers can receive appropriate supports and both stigmatization and re-injury can be mitigated. Greater attention to the structural and social elements of workplace and compensation environments could inform strategies to break down barriers to successful return-to-work following a wrMTBI.

Return-to-work challenges following a work-related mild TBI: The injured worker perspective.

PubMed

Mansfield, Elizabeth; Stergiou-Kita, Mary; Cassidy, John David; Bayley, Mark; Mantis, Steve; Kristman, Vicki; Kirsh, Bonnie; Gomez, Manuel; Jeschke, Mark G; Vartanian, Oshin; Moody, Joel; Colantonio, Angela

2015-08-07

To explore how individuals with work-related mild traumatic brain injury (wrMTBI) experience return-to-work (RTW) processes when returning to the workplace where the injury occurred. RTW experiences were explored using in-depth interviews and an inductive analytic approach. Qualitative analysis guided by the research question moved through phases of line-by-line and thematic coding through which categories and the interaction between categories emerged. Twelve workers diagnosed with a wrMTBI reported on their RTW experiences following wrMTBIs that occurred 3-5 years prior to the time of the interview. Participants perceived employer and workers' compensation factors as profoundly influencing their RTW experiences. Participants consistently reported that employers and workers' compensation representatives had an inadequate understanding of wrMTBI sequelae. Six of 12 participants were re-injured following their wrMTBI, with three of these injuries occurring at work. Employers, co-workers and workers' compensation representatives should be aware of wrMTBI sequelae so injured workers can receive appropriate supports and both stigmatization and re-injury can be mitigated. Greater attention to the structural and social elements of workplace and compensation environments could inform strategies to break down barriers to successful return-to-work following a wrMTBI.

An Examination of the Broader Effects of Warzone Experiences on Returning Iraq/Afghanistan Veterans’ Psychiatric Health

PubMed Central

Kimbrel, Nathan A.; DeBeer, Bryann B.; Meyer, Eric C.; Silvia, Paul J.; Beckham, Jean C.; Young, Keith A.; Morissette, Sandra B.

2015-01-01

The objective of the present research was to test the hypotheses that: (1) Iraq/Afghanistan war veterans experience a wide range of psychiatric symptomatology (e.g., obsessive-compulsive symptoms, hypochondriasis, somatization); and (2) General psychiatric symptomatology among Iraq/Afghanistan war veterans is associated with their warzone experiences. To achieve this objective, Iraq/Afghanistan war veterans (N = 155) completed a screening questionnaire that assessed a wide range of psychiatric symptoms along with a measure of warzone experiences. As expected, returning veterans reported significant elevations across a wide range of clinical scales. Approximately three-fourths screened positive on at least one clinical subscale, and a third screened positive on five or more. In addition, nearly all of these conditions were associated with veterans’ warzone experiences (average r = 0.36); however, this association was much stronger among veterans with PTSD (average r = 0.33) than among veterans without PTSD (average r = 0.15). We also observed that approximately 18% of the variance in total psychiatric symptomatology was attributable to warzone experiences above and beyond the effects of childhood trauma and demographic factors. Taken together, these findings suggest that returning veterans experience a broad array of psychiatric symptoms that are strongly associated with their warzone experiences. PMID:25541538

COLLIDE: Collisions into Dust Experiment

NASA Technical Reports Server (NTRS)

Colwell, Joshua E.

1999-01-01

The Collisions Into Dust Experiment (COLLIDE) was completed and flew on STS-90 in April and May of 1998. After the experiment was returned to Earth, the data and experiment were analyzed. Some anomalies occurred during the flight which prevented a complete set of data from being obtained. However, the experiment did meet its criteria for scientific success and returned surprising results on the outcomes of very low energy collisions into powder. The attached publication, "Low Velocity Microgravity Impact Experiments into Simulated Regolith," describes in detail the scientific background, engineering, and scientific results of COLLIDE. Our scientific conclusions, along with a summary of the anomalies which occurred during flight, are contained in that publication. We offer it as our final report on this grant.

The Impact of Intrapreneurial Programs on Fortune 500 Manufacturing Firms.

ERIC Educational Resources Information Center

Marcus, Melissa H.; Tesolowski, Dennis G.; Isbell, Clinton H.

2000-01-01

A survey of 100 manufacturing firms in 10 Standard Industrial Classification areas found that intrapreneurial programs did not significantly affect sales, profits, or returns to investors. Electronics and computer companies and the most dominant intrapreneurial programs. (SK)

Streptococcal sore throat followup program in a hospital clinic, New York City.

PubMed Central

Kaufman, A; Murray, D; Starita, L; Brickner, P W

1975-01-01

To improve followup and treatment of patients with streptococcal sore throat at St. Vincent's Hospital and Medical Center, New York City, a simple and inexpensive method was devised for recalling and treating untreated patients with positive throat cultures and culturing household contacts. The program was conducted by a clinic nurse and a secretary, with only occasional assistance from a physician. All services were free for those without Medicaid coverage. The secretary sent notification letters to all patients with positive cultures urging them to return for treatment and emphasizing the need for their contacts to come for screening. The secretary, trained in the throat culturing technique, also performed the laboratory work on the cultures from contacts. The clinic nurse swabbed the throats of all contacts and administered treatment, according to a standing-order protocol, to all with culture-proved streptococcal sore throat. A comparison of initially untreated patients with positive cultures seen 3 months before and 6 months after the program was started revealed that 46 percent returned for treatment after the notification letter was sent; before the program only 21 percent returned for treatment. No attempt had been made to reach household contacts before the program began. The rate of streptococcal sore throat in contacts was 14 percent, and in the clinic patients it was 11 percent during the first 6 months of the program. Images p369-a p371-a PMID:808824

Type 2 diabetes patients’ preferences and willingness to pay for lifestyle programs: a discrete choice experiment

PubMed Central

2013-01-01

Background Participation rates of lifestyle programs among type 2 diabetes mellitus (T2DM) patients are less than optimal around the globe. Whereas research shows notable delays in the development of the disease among lifestyle program participants. Very little is known about the relative importance of barriers for participation as well as the willingness of T2DM patients to pay for participation in such programs. The aim of this study was to identify the preferences of T2DM patients with regard to lifestyle programs and to calculate participants’ willingness to pay (WTP) as well as to estimate the potential participation rates of lifestyle programs. Methods A Discrete Choice Experiment (DCE) questionnaire assessing five different lifestyle program attributes was distributed among 1250 Dutch adults aged 35–65 years with T2DM, 391 questionnaires (31%) were returned and included in the analysis. The relative importance of the program attributes (i.e., meal plan, physical activity (PA) schedule, consultation structure, expected program outcome and out-of-pocket costs) was determined using panel-mixed logit models. Based on the retrieved attribute estimates, patients’ WTP and potential participation rates were determined. Results The out-of-pocket costs (β = −0.75, P < .001), consultation structure (β = −0.46, P < .001) and expected outcome (β = 0.72, P < .001) were the most important factors for respondents when deciding whether to participate in a lifestyle program. Respondents were willing to pay €128 per year for individual instead of group consultation and €97 per year for 10 kilograms anticipated weight loss. Potential participation rates for different lifestyle-program scenarios ranged between 48.5% and 62.4%. Conclusions When deciding whether to participate in a lifestyle program, T2DM patients are mostly driven by low levels of out-of-pocket costs. Thereafter, they prefer individual consultation and high levels of anticipated outcomes with respect to weight loss. PMID:24289831

The relationship between return on investment and quality of study methodology in workplace health promotion programs.

PubMed

Baxter, Siyan; Sanderson, Kristy; Venn, Alison J; Blizzard, C Leigh; Palmer, Andrew J

2014-01-01

To determine the relationship between return on investment (ROI) and quality of study methodology in workplace health promotion programs. Data were obtained through a systematic literature search of National Health Service Economic Evaluation Database (NHS EED), Database of Abstracts of Reviews of Effects (DARE), Health Technology Database (HTA), Cost Effectiveness Analysis (CEA) Registry, EconLit, PubMed, Embase, Wiley, and Scopus. Included were articles written in English or German reporting cost(s) and benefit(s) and single or multicomponent health promotion programs on working adults. Return-to-work and workplace injury prevention studies were excluded. Methodological quality was graded using British Medical Journal Economic Evaluation Working Party checklist. Economic outcomes were presented as ROI. ROI was calculated as ROI = (benefits - costs of program)/costs of program. Results were weighted by study size and combined using meta-analysis techniques. Sensitivity analysis was performed using two additional methodological quality checklists. The influences of quality score and important study characteristics on ROI were explored. Fifty-one studies (61 intervention arms) published between 1984 and 2012 included 261,901 participants and 122,242 controls from nine industry types across 12 countries. Methodological quality scores were highly correlated between checklists (r = .84-.93). Methodological quality improved over time. Overall weighted ROI [mean ± standard deviation (confidence interval)] was 1.38 ± 1.97 (1.38-1.39), which indicated a 138% return on investment. When accounting for methodological quality, an inverse relationship to ROI was found. High-quality studies (n = 18) had a smaller mean ROI, 0.26 ± 1.74 (.23-.30), compared to moderate (n = 16) 0.90 ± 1.25 (.90-.91) and low-quality (n = 27) 2.32 ± 2.14 (2.30-2.33) studies. Randomized control trials (RCTs) (n = 12) exhibited negative ROI, -0.22 ± 2.41(-.27 to -.16). Financial returns become increasingly positive across quasi-experimental, nonexperimental, and modeled studies: 1.12 ± 2.16 (1.11-1.14), 1.61 ± 0.91 (1.56-1.65), and 2.05 ± 0.88 (2.04-2.06), respectively. Overall, mean weighted ROI in workplace health promotion demonstrated a positive ROI. Higher methodological quality studies provided evidence of smaller financial returns. Methodological quality and study design are important determinants.

Intensive care nurses' knowledge of pressure ulcers: development of an assessment tool and effect of an educational program.

PubMed

Tweed, Carol; Tweed, Mike

2008-07-01

Critically ill patients are at high risk for pressure ulcers. Successful prevention of pressure ulcers requires that caregivers have adequate knowledge of this complication. To assess intensive care nurses' knowledge of pressure ulcers and the impact of an educational program on knowledge levels. A knowledge assessment test was developed. A cohort of registered nurses in a tertiary referral hospital in New Zealand had knowledge assessed 3 times: before an educational program, within 2 weeks after the program, and 20 weeks later. Multivariate analysis was performed to determine if attributes such as length of time since qualifying or level of intensive care unit experience were associated with test scores. The content and results of the assessment test were evaluated. Completion of the educational program resulted in improved levels of knowledge. Mean scores on the assessment test were 84% at baseline and 89% following the educational program. The mean baseline score did not differ significantly from the mean 20-week follow-up score of 85%. No association was detected between demographic data and test scores. Content validity and standard setting were verified by using a variety of methods. Levels of knowledge to prevent and manage pressure ulcers were good initially and improved with an educational program, but soon returned to baseline.

Longer Nature-Based Rehabilitation May Contribute to a Faster Return to Work in Patients with Reactions to Severe Stress and/or Depression

PubMed Central

Grahn, Patrik; Pálsdóttir, Anna María; Ottosson, Johan; Jonsdottir, Ingibjörg H.

2017-01-01

The global burden of depression and stress-related mental disorders is substantial, and constitutes a major need for effective rehabilitation. Can nature-based rehabilitation help people return to work? Objective: To study if the length of a nature-based rehabilitation program affects the outcome with regard to return to work one year after the onset of the program, in a group of patients with long-term reactions to severe stress and/or depression. Methods: A prospective, quasi-experimental study comparing results from 8-, 12-, and 24-week periods of rehabilitation. The rehabilitation of 106 participants was carried out by a multimodal rehabilitation team in a specially designed rehabilitation garden. Return to work data were collected before the intervention and one year after the start of rehabilitation. In addition, data were collected regarding self-assessed occupational competence, personal control, and sense of coherence. As many as 68% of the participants returned to work or participated in job training or work-oriented measures, full- or part-time, after one year. Participants with a longer period of rehabilitation reported better results on occupational competence, and were more likely to participate in paid work, full-time or part-time, one year after rehabilitation. Study outcomes indicate that a longer rehabilitation period in a rehabilitation garden increases the possibility of a return to paid work. PMID:29076997

Longer Nature-Based Rehabilitation May Contribute to a Faster Return to Work in Patients with Reactions to Severe Stress and/or Depression.

PubMed

Grahn, Patrik; Pálsdóttir, Anna María; Ottosson, Johan; Jonsdottir, Ingibjörg H

2017-10-27

The global burden of depression and stress-related mental disorders is substantial, and constitutes a major need for effective rehabilitation. Can nature-based rehabilitation help people return to work? To study if the length of a nature-based rehabilitation program affects the outcome with regard to return to work one year after the onset of the program, in a group of patients with long-term reactions to severe stress and/or depression. A prospective, quasi-experimental study comparing results from 8-, 12-, and 24-week periods of rehabilitation. The rehabilitation of 106 participants was carried out by a multimodal rehabilitation team in a specially designed rehabilitation garden. Return to work data were collected before the intervention and one year after the start of rehabilitation. In addition, data were collected regarding self-assessed occupational competence, personal control, and sense of coherence. As many as 68% of the participants returned to work or participated in job training or work-oriented measures, full- or part-time, after one year. Participants with a longer period of rehabilitation reported better results on occupational competence, and were more likely to participate in paid work, full-time or part-time, one year after rehabilitation. Study outcomes indicate that a longer rehabilitation period in a rehabilitation garden increases the possibility of a return to paid work.

Organic and inorganic geochemistry of samples returned from Mars

NASA Technical Reports Server (NTRS)

Kotra, R. K.; Johnson, R. G.

1988-01-01

Although a tremendous amount of knowledge can be obtained by in situ experiments on Mars, greater benefits will be realized with the sample return mission from the perspective of exobiology. Sampling techniques are briefly discussed.

Returning from the War Zone: A Guide for Military Personnel

MedlinePlus

Hed Returning from the War Zone AGuide for Military Personnel Welcome home! Thank you for your service ... here in the U.S. Your experiences in the military and during deployment have helped make you more ...

Family-friendly policies: general nurses' preferences and experiences.

PubMed

Robinson, Sarah; Davey, Barbara; Murrells, Trevor

2003-01-01

While European Union policy emphasises that one of the aims of family-friendly working arrangements is to increasing gender equality, in the UK the focus has been primarily on workforce retention. Drawing on a study of Registered General Nurses who returned to work after breaks for maternity leave, this paper considers their preferences and experiences in light of current UK family-friendly policies and the implications of the findings for increasing gender equality. Questionnaires were completed by respondents in three regional health authorities and focused on the four to eight year period after qualification. The following topics were investigated: views about length of maternity break and reasons for returning to work sooner than preferred; hours sought after a return and hours obtained; the availability of preferred patterns of work and of flexible hours; retention of grade on return; the availability and use of workplace crèches, and childcare arrangements when children were unwell.

Orion Optical Navigation for Loss of Communication Lunar Return Contingencies

NASA Technical Reports Server (NTRS)

Getchius, Joel; Hanak, Chad; Kubitschek, Daniel G.

2010-01-01

The Orion Crew Exploration Vehicle (CEV) will replace the Space Shuttle and serve as the next-generation spaceship to carry humans back to the Moon for the first time since the Apollo program. For nominal lunar mission operations, the Mission Control Navigation team will utilize radiometric measurements to determine the position and velocity of Orion and uplink state information to support Lunar return. However, in the loss of communications contingency return scenario, Orion must safely return the crew to the Earth's surface. The navigation design solution for this loss of communications scenario is optical navigation consisting of lunar landmark tracking in low lunar orbit and star- horizon angular measurements coupled with apparent planetary diameter for Earth return trajectories. This paper describes the optical measurement errors and the navigation filter that will process those measurements to support navigation for safe crew return.

COMPREHENSIVE STRENGTH TRAINING PROGRAM FOR A RECREATIONAL SENIOR GOLFER 11-MONTHS AFTER A ROTATOR CUFF REPAIR

PubMed Central

Meira, Erik P.; En Gilpin, Hui; Brunette, Meredith

2011-01-01

Background and Purpose: Golf is a popular sport played by hundreds of thousands of individuals of all ages and of varying skill levels. An orthopedic or sports-related injury and/or surgery may limit an individual's sport participation, require him/her to complete a course of rehabilitation, and initiate (or resume) a sport-specific training program. Unlike the availability of evidence to guide postsurgical rehabilitation and sport-specific training of athletes from sports other than golf, there have only been two reports describing outcomes after surgery and for golfers. The purpose of this case report is to present a post-rehabilitation return to sport-training program for a recreational golfer 11-months after a rotator cuff repair. Case Description: The subject, a 67-year old female, injured her right shoulder requiring a rotator cuff repair 11-months prior to her participation in a golf fitness training program. The subject participated in six training sessions over seven week period consisting of general strengthening exercises (including exercises for the rotator cuff), exercises for the core, plyometrics, and power exercises. Outcomes: The subject made improvements in power and muscular endurance of the core. She was able to resume golf at the completion of the training program. Discussion: The subject was able to make functional improvements and return to golf after participation in a comprehensive strength program. Additional studies are necessary to improve program design for golfers who wish to return to sport after shoulder surgery. PMID:22163096

Soil and Crop management: Lessons from the laboratory biosphere 2002-2004

NASA Astrophysics Data System (ADS)

Silverstone, S.; Nelson, M.; Alling, A.; Allen, J.

During the years 2002 and 2003, three closed system experiments were carried out in the "Laboratory Biosphere" facility located in Santa Fe, New Mexico. The program involved experimentation with "Hoyt" Soy Beans, USU Apogee Wheat and TU-82-155 sweet potato using a 5.37 m2 soil planting bed which was 30 cm deep. The soil texture, 40% clay, 31% sand and 28% silt (a clay loam), was collected from an organic farm in New Mexico to avoid chemical residues. Soil management practices involved minimal tillage, mulching and returning crop residues to the soil after each experiment. Between experiment #2 and #3, the top 15 cm of the soil was amended using a mix of peat moss, green sand, humates and pumice to improve soil texture, lower soil pH and increase nutrient availability. Soil analyses for all three experiments are presented to show how the soils have changed with time and how the changes relate to crop selection and rotation, soil selection and management, water management and pest control. The experience and information gained from these experiments are being applied to the future design of the Mars On Earth facility.

Establishing a new medical school: Botswana's experience.

PubMed

Mokone, Gaonyadiwe G; Kebaetse, Maikutlo; Wright, John; Kebaetse, Masego B; Makgabana-Dintwa, Oarabile; Kebaabetswe, Poloko; Badlangana, Ludo; Mogodi, Mpho; Bryant, Katie; Nkomazana, Oathokwa

2014-08-01

Having adequate numbers of qualified human resources for health is essential for any effective health care system. However, there is a global shortage of skilled health care workers, especially in Sub-Saharan African countries. This shortage is exacerbated by a disproportionately high rate of infectious diseases, the burden of emerging chronic, noncommunicable diseases, and the emigration of medical doctors. Botswana has also experienced this critical shortage of doctors for many years. To address the shortage, the country in the 1990 s embarked on an aggressive program to train its students at foreign medical schools. Despite intensified training, many graduates have not returned. As a result, the country decided to establish a medical school within Botswana. The newly established school was awarded a grant from the Medical Education Partnership Initiative, which has helped to accelerate the school's development. This paper describes the authors' experiences, highlighting curriculum, staffing, infrastructure approaches, key successes, and challenges encountered. The paper concludes by proposing solutions. The authors' experiences and the lessons learned can inform colleagues in other countries considering similar endeavors.

To catch a childs's imagination: Educational overview of CAN DO G-324

NASA Technical Reports Server (NTRS)

Nicholson, J. H.

1986-01-01

The experience has shown that a GAS experiment can be a valuable education tool. It can return results far in excess of the resources invested. The best estimate on the financial investment per student indicates that it is somewhat less than the cost of a school lunch. That's a bargain in a time when educational bargains are hard to come by. To reach this goal means reaching far beyond the students who could possibly design or fly experiments in a single canister. The greatest value of CAN DO is that it serves as a catalyst and inspiration for other activities. To not reach out would have turned it into an overblown, expensive science fair project for a few exceptional students. To fully exploit the benefit of a GAS canister, you should build on a well established science enrichment program. As part of a comprehensive plan, a GAS can be one of the most motivating educational tools available.

Educated Prisoners Are Less Likely to Return to Prison

ERIC Educational Resources Information Center

Vacca, James S.

2004-01-01

Since 1990, the literature has shown that prisoners who attend educational programs while they are incarcerated are less likely to return to prison following their release. Studies in several states have indicated that recidivism rates have declined where inmates have received an appropriate education. Furthermore, the right kind of educational…

The Trend toward Retirement Jobs

ERIC Educational Resources Information Center

Buddy, Juanita Warren

2008-01-01

Many library media specialists are deciding to return to the workplace after retiring from full-time employment. This article focuses on general information about the trend of retirees acquiring retirement jobs, how and why retired library media specialists return to work, their perceptions of challenges facing library media programs, and advice…

34 CFR 668.165 - Notices and authorizations.

Code of Federal Regulations, 2013 CFR

2013-07-01

... student's account at the institution with Direct Loan, FFEL, Federal Perkins Loan, or TEACH Grant Program... disbursement TEACH Grant, or TEACH Grant disbursement and have the loan proceeds returned to the holder of that loan, the TEACH Grant proceeds returned to the Secretary. However, if the institution releases a check...

34 CFR 668.165 - Notices and authorizations.

Code of Federal Regulations, 2010 CFR

2010-07-01

... student's account at the institution with Direct Loan, FFEL, Federal Perkins Loan, or TEACH Grant Program... disbursement TEACH Grant, or TEACH Grant disbursement and have the loan proceeds returned to the holder of that loan, the TEACH Grant proceeds returned to the Secretary. However, if the institution releases a check...

34 CFR 668.165 - Notices and authorizations.

Code of Federal Regulations, 2012 CFR

2012-07-01

... student's account at the institution with Direct Loan, FFEL, Federal Perkins Loan, or TEACH Grant Program... disbursement TEACH Grant, or TEACH Grant disbursement and have the loan proceeds returned to the holder of that loan, the TEACH Grant proceeds returned to the Secretary. However, if the institution releases a check...

34 CFR 668.165 - Notices and authorizations.

Code of Federal Regulations, 2014 CFR

2014-07-01

... student's account at the institution with Direct Loan, FFEL, Federal Perkins Loan, or TEACH Grant Program... disbursement TEACH Grant, or TEACH Grant disbursement and have the loan proceeds returned to the holder of that loan, the TEACH Grant proceeds returned to the Secretary. However, if the institution releases a check...

34 CFR 668.165 - Notices and authorizations.

Code of Federal Regulations, 2011 CFR

2011-07-01

... student's account at the institution with Direct Loan, FFEL, Federal Perkins Loan, or TEACH Grant Program... disbursement TEACH Grant, or TEACH Grant disbursement and have the loan proceeds returned to the holder of that loan, the TEACH Grant proceeds returned to the Secretary. However, if the institution releases a check...

Exploring Literate Lives: Returning to the Field

ERIC Educational Resources Information Center

Henderson, Robyn; Woods, Annette

2016-01-01

The challenges of conducting lengthy fieldwork in today's busy academic world have impacted the types of research that are able to be carried out. In particular, traditional educational ethnography has become problematic for research beyond initial doctoral research programs. This article analyzes data collected during a return to the field of a…

46 CFR 5.205 - Return or issuance of a credential or endorsement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... on incompetence due to drug abuse, the deposit agreement shall provide that the credential or endorsement will not be returned until the person: (1) Successfully completes a bona fide drug abuse... drug abuse monitoring program. (c) Where the voluntary deposit is based on incompetence due to alcohol...

46 CFR 5.205 - Return or issuance of a credential or endorsement.

Code of Federal Regulations, 2013 CFR

2013-10-01

... on incompetence due to drug abuse, the deposit agreement shall provide that the credential or endorsement will not be returned until the person: (1) Successfully completes a bona fide drug abuse... drug abuse monitoring program. (c) Where the voluntary deposit is based on incompetence due to alcohol...

46 CFR 5.205 - Return or issuance of a credential or endorsement.

Code of Federal Regulations, 2014 CFR

2014-10-01

... on incompetence due to drug abuse, the deposit agreement shall provide that the credential or endorsement will not be returned until the person: (1) Successfully completes a bona fide drug abuse... drug abuse monitoring program. (c) Where the voluntary deposit is based on incompetence due to alcohol...

46 CFR 5.205 - Return or issuance of a credential or endorsement.

Code of Federal Regulations, 2012 CFR

2012-10-01

... on incompetence due to drug abuse, the deposit agreement shall provide that the credential or endorsement will not be returned until the person: (1) Successfully completes a bona fide drug abuse... drug abuse monitoring program. (c) Where the voluntary deposit is based on incompetence due to alcohol...

46 CFR 5.205 - Return or issuance of a credential or endorsement.

Code of Federal Regulations, 2011 CFR

2011-10-01

... on incompetence due to drug abuse, the deposit agreement shall provide that the credential or endorsement will not be returned until the person: (1) Successfully completes a bona fide drug abuse... drug abuse monitoring program. (c) Where the voluntary deposit is based on incompetence due to alcohol...

Return to Play

ERIC Educational Resources Information Center

Mangan, Marianne

2013-01-01

Call it physical activity, call it games, or call it play. Whatever its name, it's a place we all need to return to. In the physical education, recreation, and dance professions, we need to redesign programs to address the need for and want of play that is inherent in all of us.

Formulating a return-to-work decision for employees with major depressive disorders: occupational therapists’ experiences

PubMed Central

Ramano, Enos

2016-01-01

Background Major depressive disorder (MDD) is worldwide one of the most concerning health problems as it is associated with reduced work productivity and permanent disability. Occupational therapists are often called upon to make a return-to-work decision on employees with MDD in order to facilitate continued employment. Sustaining employment is in alignment with achieving the Millennium Development Goal 1: Eradicating extreme poverty, as it is known that people suffering from mental health disorders are frequently denied employment opportunities leading to reduced financial resources and therefore possible poverty. Aim This study described occupational therapists’ experiences of formulating a return-to-work decision on employees with MDD. It formed part of a larger study. Setting Occupational therapists working in vocational rehabilitation or mental health in South Africa with a postgraduate qualification in vocational rehabilitation or mental health participated in the study. Method A qualitative research design was used. Two separate focus groups explored 11 occupational therapists’ experiences of formulating a return-to-work decision on employees with MDD. Ethics clearance number: S34/2007. Results Seven themes emerged, which were, (1) the biographical profile of the employee, (2) point of view of employer, (3) point of view of employee, (4) point of view of occupational therapist, (5) declaring the employee as temporary incapacitated, (6) declaring the employee as permanently incapacitated and (7) employee’s level of motivation. Conclusion Occupational therapists ought to have sound knowledge, skill, experience and the ability to collaborate with employees and employers in formulating a return-to-work decision. PMID:27380839

An innovative approach to address homelessness in regional Australia: Participant evaluation of a co-payment model.

PubMed

Jacups, S; Rogerson, B; Kinchin, I

2018-03-01

Homelessness is not only about lack of secure housing, it is sometimes caused by simple reasons such as lack of money to travel home. The purpose of this study was to investigate whether the participant co-funded assistance program ('Return to Country' [R2C]), when offered to low socio-economic individuals experiencing homelessness, represented an effective use of scarce resources. In northern Australia, a remote and sparsely populated area, Indigenous persons who travel to regional centres cannot always afford airfares home; they therefore become stranded away from their 'country' leading to rapidly deteriorating health, isolation and separation from family and kin. The R2C program was designed to facilitate travel for persons who were temporarily stranded and were voluntarily seeking to return home. The program provided operational support and funding (participants co-funded AU$99) to participants to return home. Using a descriptive, case series research design, university researchers independently evaluated the R2C program using semi-structured interviews with 37 participants. An investment of AU$970 per participant in the program with partial co-payment was associated with high participant acceptability and satisfaction in-line with harms reduction around substance and criminal abuse, which is suggestive of long-term success for the model. Findings from this study can contribute to the development of best practice guidelines and policies that specifically address the needs of this unique population of stranded persons, who are seeking to return home. The acceptance of the co-payment model can be adopted by policy makers involved in homelessness prevention in other locations in Australia or internationally as an add-on service provision to mainstream housing support. Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Consequences of a restrictive syringe exchange policy on utilization patterns of a syringe exchange program in Baltimore, Maryland: Implications for HIV risk

PubMed Central

Sherman, Susan G.; Patel, Shivani A.; Ramachandran, Daesha V.; Galai, Noya; Chaulk, Patrick; Serio-Chapman, Chris; Gindi, Renee M.

2016-01-01

Background Syringe distribution policies continue to be debated in many jurisdictions throughout the U.S. The Baltimore Needle and Syringe Exchange Program (NSP) operated under a 1-for-1 syringe exchange policy from its inception in 1994 through 1999, when it implemented a restrictive policy (2000–2004) that dictated less than 1-for-1 exchange for non-program syringes. Methods Data were derived from the Baltimore NSP, which prospectively collected data on all client visits. We examined the impact of this restrictive policy on program-level output measures (i.e., distributed:returned syringe ratio, client volume) before, during, and after the restrictive exchange policy. Through multiple logistic regression, we examined correlates of less than 1-for-1 exchange ratios at the client-level before and during the restrictive exchange policy periods. Results During the restrictive policy period, the average annual program-level ratio of total syringes distributed:returned dropped from 0.99 to 0.88, with a low point of 0.85 in 2000. There were substantial decreases in the average number of syringes distributed, syringes returned, the total number of clients, and new clients enrolling during the restrictive compared to the preceding period. During the restrictive period, 33,508 more syringes were returned to the needle exchange than were distributed. In the presence of other variables, correlates of less than 1-for-1 exchange ratio were being white, female, and less than 30 years old. Discussion With fewer clean syringes in circulation, restrictive policies could increase the risk of exposure to HIV among IDUs and the broader community. The study provides evidence to the potentially harmful effects of such policies. PMID:25919590

Exploring factors facilitating adults with spinal cord injury rejoining the workforce: a pilot study.

PubMed

Wilbanks, Susan R; Ivankova, Nataliya V

2015-01-01

Return-to-work (RTW) rates after spinal cord injury (SCI) in the USA are very low and are continuing to decline. Previous research has attempted to identify factors facilitating RTW; however, the phenomenon of RTW involves many personal factors and predicting RTW success remains difficult. The purpose of this pilot study was to explore the factors facilitating adults with SCI rejoining the workforce in an urban area in order to identify items that may be emphasized in the rehabilitation process. The study was completed using qualitative methods. Four adults who had acquired a traumatic SCI in adulthood and were currently employed participated. Their experiences in RTW after injury were collected via semi-structured interviews and photography of assistive devices. The most common facilitating factor was motivation, with family and rehabilitation professionals serving as extrinsic motivators. Other facilitators were resources and perceived benefits. Motivation and resources were important facilitators, including rehabilitation professional's personal influence and therapies, and resource assistance from state agencies. The results indicate that practitioners can play an important role in influencing RTW, and resources from state agencies are helpful when individuals know how to access and utilize them. Assistive technology supports successful return to work after SCI. Motivation strongly influences return to work after SCI and can be influenced by rehabilitation professionals, family and community members. Patients should be well informed about how to access assistance programs such as vocational rehabilitation.

Status of the French Mars Exploration Program

NASA Astrophysics Data System (ADS)

Bonneville, R.; Counil, J.-L.; Rocard, F.

2002-01-01

The French Mars exploration initiative named PREMIER (Programme de Retour d'Echantillons Martiens et Installation d'Expériences en Réseau) is a long term, multiform co- operative program including as its two main components : - the development with a consortium of European partners (Finland, Germany, Belgium) and the deployment of a network of 4 small Mars ground stations for performing geophysical measurements (NetLander project) ; - a participation to the future Mars Sample Return mission (MSR) in cooperation with NASA including the development and the operation of the orbiter vehicle of this mission. Its additional elements are : - instrument contributions to ESA's Mars Express mission ; - payload contributions to the orbiters and landers &rovers of the future missions to Mars, and especially to NASA's "smart lander" mission dedicated to in situ investigations. This program wants to ensure the complementarity between its three poles : (i) global investigations from the orbit, (ii) landed science with both network science (NetLanders) and in situ investigations, and (iii) sample return. A major step in the PREMIER program will be the 2007 orbiter mission ; this precursor vehicle developed by CNES and launched by Ariane 5 in September 2007 will first deliver the 4 NetLanders at Mars and then will be inserted in Mars orbit. This orbiter will perform technological tests aiming at preparing the future Mars Sample Return mission, it will ensure a telecommunication relay function for the NetLanders and it will be used for an additional orbital science mission. While the NetLanders will study the internal structure of Mars and its climate, with the goal to operate a full Martian year, the primary objectives of the orbital science mission will be complementary of those of the NetLanders, with an emphasis on the study of the Martian atmosphere. In a first phase, the orbiter will be on a 500 km x 500 km circular, near polar, Sun-synchronous orbit around 12 am local time, which is optimal for the NetLander relay. In a second phase, the orbit will be lowered around 350 km for the benefit of the orbital science. A very low periapsis phase (170 km x 1000 km) is foreseen for some experiments. The nominal mission will end in September 2011, with the hope of an extended mission beyond this date.

A measure for the promotion of mountain ecological villages in South Korea: focus on the national mountain ecological village investigation of 2014.

PubMed

Choi, Soo Im; Kang, Hag Mo; Kim, Hyun; Lee, Chang Heon; Lee, Chong Kyu

2016-01-01

Although South Korean mountain villages occupy 44 and 55 % of land and forest areas, respectively, these villages account for only 3 % of the national population and they suffer from a declining workforce owing to aging, wage inflation, and low forestry productivity. As a result, the South Korean government implemented a mountain ecological village development project from 1995 to 2013 in 312 of the 4972 mountain villages and investigated project performance in 2014. The present study establishes a measure for the promotion of mountain ecological villages by comparing the situation before and after the project. The analysis found a threefold increase in the inflow of farm/rural-returning and multicultural households compared with before the project, while the average income per farm, local product sales, and experience tourism revenue also grew remarkably every year. In addition, households utilizing forest resources increased by about 30 %, but 45.8 % of the 312 villages had no long-term plan for village development and villagers experienced low satisfaction with job creation and village income. A systematic revision of agroforestry production and forest administration is needed to define the characteristics of farm/rural-returning populations clearly, reorganize urban-rural exchange and experience programs, and reinforce tangible/intangible cultural assets and religious traditions.

Negative Public Attitudes Towards Cancer Survivors Returning to Work: A Nationwide Survey in Korea

PubMed Central

Shim, Hye-Young; Shin, Ji-Yeon; Kim, Jong Heun; Kim, So-Young; Yang, Hyung-Kook; Park, Jong-Hyock

2016-01-01

Purpose Early diagnosis and an improved survival rate have emerged as important issues for cancer survivors returning to work during the prime of their working life. This study investigated the attitudes of the general public towards cancer survivors returning to work in Korea and attempted to identify the factors influencing this negative attitude. Materials and Methods A general public perception survey regarding cancer survivors returning to work, targeting 2,000 individuals between 40-70 years of age, was conducted as face-to-face home visit. Results The public expressed a negative attitude towards cancer survivors returning to work, in terms of both perception and acceptance. Negative perception was higher among those in metropolitan areas compared with urban/rural areas (odds ratio [OR], 1.71), with monthly incomes < $2,000 compared with > $4,000 (OR, 1.54), and with patient care experience compared with those without (OR, 1.41). Negative acceptance was higher among those with monthly incomes < $2,000 compared with > $4,000 (OR, 1.71) and those with patient care experience compared with those without (OR, 1.54). The common factors between acceptance and perception that influenced negative attitude included area of residence, patient care experience, and monthly income. Conclusion This study identified negative attitudes towards cancer survivors returning to work in South Korea and the factors influencing the reintegration of cancer survivors into society. It is necessary to promote community awareness and intervention activities to enable access to community, social, and individual units for the social reintegration of cancer survivors. PMID:26044157

Experiences and concerns about 'returning to work' for women breast cancer survivors: a literature review.

PubMed

Tiedtke, Corine; de Rijk, Angelique; Dierckx de Casterlé, Bernadette; Christiaens, Marie-Rose; Donceel, Peter

2010-07-01

To explore how female breast cancer patients experience work incapacity during the treatment and return-to-work phases and how interactions between patients and stakeholders affect this experience. Database search for full text articles published between January 1995 and January 2008 that focused on employed female breast cancer patients, factors related to work incapacity, and returning to work. Only results based on self-report data were included. Studies focusing on treatment, financial factors, rate of return, or absence were excluded. Six articles met the inclusion criteria. Women with breast cancer receive varied reactions but little advice about returning to work. Women were primarily concerned with disclosing the diagnosis to their employer and to relatives. Uncertainties about physical appearance, ability to work, and possible job loss affected the women's decisions about working during the treatment phase. After treatment, most women wanted to regain their 'normal life', but concentration and arm or fatigue problems potentially interfered. Although supportive work environments were helpful, the individual needs of women differed. Employers and employees need to find a balance in defining accommodating work. Many women received favourable support, but some reported feeling discriminated against. Many women re-evaluated the role of work in their lives after being confronted with breast cancer. Work adjustments could help women to keep their jobs during illness and recovery. To resolve women's concerns about returning to work, employers, physicians, and insurance institutions should consider increasing and improving communication with breast cancer patients and playing a more active and supportive role. Copyright (c) 2009 John Wiley & Sons, Ltd.

The economics of surgical laser technology in veterinary practice.

PubMed

Irwin, James R

2002-05-01

A decision to invest in and develop laser technology should only be made after a thorough investigation and comparison of the available types, vendors, available features, and purchasing options. A sound marketing program must then be used for introducing laser technology to the staff, clients, and colleagues. Without adhering to such a program, a practice will [figure: see text] not experience the necessary profitability following the purchase of a laser. Staff enthusiasm and support will dwindle, and ultimately the laser investment will be viewed unfavorably. When marketed properly, however, the investment in a surgical laser will provide outstanding profitability. The return on investment can be provided by using the support staff for client education, by offering laser technology for routine elective procedures and complex procedures, and by adhering strictly to a fee schedule. Add that to the truly remarkable results obtained using laser surgical techniques, a practice will be greatly enhanced.

Biowaste monitoring system for shuttle

NASA Technical Reports Server (NTRS)

Fogal, G. L.; Sauer, R. L.

1975-01-01

The acquisition of crew biomedical data has been an important task on all manned space missions from Project Mercury through the recently completed Skylab Missions. The monitoring of metabolic wastes from the crew is an important aspect of this activity. On early missions emphasis was placed on the collection and return of biowaste samples for post-mission analysis. On later missions such as Skylab, equipment for inflight measurement was also added. Life Science experiments are being proposed for Shuttle missions which will require the inflight measurement and sampling of metabolic wastes. In order to minimize the crew impact associated with these requirements, a high degree of automation of these processes will be required. This paper reviews the design and capabilities of urine biowaste monitoring equipment provided on past-manned space programs and defines and describes the urine volume measurement and sampling equipment planned for the Shuttle Orbiter program.

In-vivo job development training among peer providers of homeless veterans supported employment programs.

PubMed

Gao, Ni; Dolce, Joni; Rio, John; Heitzmann, Carma; Loving, Samantha

2016-06-01

This column describes a goal-oriented, time-limited in vivo coaching/training approach for skills building among peer veterans vocational rehabilitation specialists of the Homeless Veteran Supported Employment Program (HVSEP). Planning, implementing, and evaluating the training approach for peer providers was intended, ultimately, to support veterans in their goal of returning to community competitive employment. The description draws from the training experience that aimed to improve the ability of peer providers to increase both rates of employment and wages of the homeless veterans using their services. Training peers using an in vivo training approach provided a unique opportunity for the veterans to improve their job development skills with a focus to support employment outcomes for the service users. Peers who received training also expressed that learning skills through an in vivo training approach was more engaging than typical classroom trainings. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Understanding the Workforce Outcomes of Education

ERIC Educational Resources Information Center

Mullin, Christopher M.

2012-01-01

The need for educational programs to show their return on investment is exemplified in the intense debate surrounding gainful employment programs--defined as programs that lead to gainful employment in a recognized occupation and theoretically differ from programs that offer education in the liberal arts or prepare students for further education.…

ACHP GUIDANCE ON PROGRAM COMMENTS AS A PROGRAM ALTERNATIVE

Science.gov Websites

usual case-by-case basis. Format of this Guidance The following table identifies the steps in the adequate monitoring of issued program comments. Following the table, the ACHP has developed a series of following subject line: "RE: ACHP Program Comment Guidance." Return to Top

Observations, Ideas, and Opinions: Systems Engineering and Integration for Return to Flight

NASA Technical Reports Server (NTRS)

Gafka, George K.

2006-01-01

This presentation addresses project management and systems engineering and integration challenges for return to flight, focusing on the Thermal Protection System Tile Repair Project (TRP). The program documentation philosophy, communication with program requirements flow and philosophy and planned deliverables and documentation are outlined. The development of TRP 'use-as-is' analytical tools is also highlighted and emphasis is placed on the use flight history to assess pre-flight and real-time risk. Additionally, an overview is provided of the repair procedure, including an outline of the logistics deployment chart.

Integrated Solar System Exploration Education and Public Outreach: Theme, Products and Activities

NASA Technical Reports Server (NTRS)

Lowes, Leslie; Lindstrom, Marilyn; Stockman, Stephanie; Scalice, Daniela; Allen, Jaclyn; Tobola, Kay; Klug, Sheri; Harmon, Art

2004-01-01

NASA's Solar System Exploration Program is entering an unprecedented period of exploration and discovery. Its goal is to understand the origin and evolution of the solar system and life within it. SSE missions are operating or in development to study the far reaches of our solar system and beyond. These missions proceed in sequence for each body from reconnaissance flybys through orbiters and landers or rovers to sample returns. SSE research programs develop new instruments, analyze mission data or returned samples, and provide experimental or theoretical models to aid in interpretation.

STS-73 Landing - Front view prior to Main Gear Touchdown

NASA Technical Reports Server (NTRS)

1995-01-01

The orbiter Columbia returns to Earth, laden with microgravity research samples accumulated over a nearly 16-day spaceflight. Columbia touched down on the first landing opportunity at KSC's Shuttle Landing Facility, Runway 33, at 6:45 a.m. EST. Mission STS-73 marked the second flight of the U.S. Microgravity Laboratory (USML-2). The seven crew members assigned to STS-73 split into two teams to conduct around-the-clock microgravity research in a Spacelab module located in the orbiter payload bay as well as in the orbiter middeck. The mission commander is Kenneth D. Bowersox; Kent V. Rominger is the pilot. Kathryn C. Thornton is the payload commander, and the two mission specialists are Catherine G. Coleman and Michael E. Lopez- Alegria. To obtain the best results from the many experiments conducted during the mission, two payload specialists, Albert Sacco Jr. and Fred W. Leslie, also were assigned to the crew. The STS-73 mission will become the second longest in Shuttle program history, and Columbia -- loaded with research samples and USML-2 hardware -- weighs the most of any orbiter upon return.

Battery Systems for X-38 Crew Return Vehicle (CRV) and Deorbit Propulsion Stage (DPS)

NASA Technical Reports Server (NTRS)

Darcy, Eric

1998-01-01

A 28V 32 Ah cell Li/MnO2 and a 28V NiMH battery systems for the Deorbit Propulsion Stage (DPS) and the X-38 Crew Return Vehicle (CRV) are developed in Friwo-Silforkraft, Germany with the following objectives and approach: Provide safe battery designs for lowest volume and cost, and within schedule; Take advantage of less complex requests for V201 vs OPS CRV to simplify design and reduce cost; Use only existing commercial cell designs as building blocks for larger battery; Derive battery designs from the ASTRO-SPAS design which is the largest lithium battery design with Shuttle flight experience; Place maximum amount of battery energy on DPS; DPS battery is non rechargeable; and CRV batteries are rechargeable. This paper contains the following sections: a brief introduction on CRV requirements, CRV advantages over Soyuz, and X-38 programs; Battery objectives and approach; Battery requirements and groundrules (performance, on-orbit operation, etc); Design trades, solutions, redundancy plan, and margins; Envelope, size, and mass; Interfaces (structural, electrical & thermal); and Deviation from OPS CRV.

Firm Efficiency and Returns-to-Scale in the Honey Bee Pollination Services Industry.

PubMed

Jones Ritten, Chian; Peck, Dannele; Ehmke, Mariah; Patalee, M A Buddhika

2018-04-03

While the demand for pollination services have been increasing, continued declines in honey bee, Apis mellifera L. (Hymenoptera: Apidae), colonies have put the cropping sector and the broader health of agro-ecosystems at risk. Economic factors may play a role in dwindling honey bee colony supply in the United States, but have not been extensively studied. Using data envelopment analysis (DEA), we measure technical efficiency, returns to scale, and factors influencing the efficiency of those apiaries in the northern Rocky Mountain region participating in the pollination services market. We find that, although over 25% of apiaries are technically efficient, many experience either increasing or decreasing returns to scale. Smaller apiaries (under 80 colonies) experience increasing returns to scale, but a lack of available financing may hinder them from achieving economically sustainable colony levels. Larger apiaries (over 1,000 colonies) experience decreasing returns to scale. Those beekeepers may have economic incentivizes to decrease colony numbers. Using a double bootstrap method, we find that apiary location and off-farm employment influence apiary technical efficiency. Apiaries in Wyoming are found to be more efficient than those in Utah or Montana. Further, engagement in off-farm employment increases an apiary's technical efficiency. The combined effects of efficiency gains through off-farm employment and diseconomies of scale may explain, in part, the historical decline in honey bee numbers.

Preferences for support services among adolescents and young adults with cancer or a blood disorder: a discrete choice experiment.

PubMed

Goodall, Stephen; King, Madeleine; Ewing, Jane; Smith, Narelle; Kenny, Patricia

2012-10-01

Life-threatening illnesses in young people are traumatic for patients and their families. Support services can help patients and families deal with various non-medical impacts of diagnosis, disease and treatment. The aim of this study was to determine which types of support are most valued by adolescents and young adults (AYA) with cancer or blood disorders and their families. A discrete choice experiment (DCE). Separate experiments were conducted with AYA and their carers. Completed surveys were returned by 83 patients and 78 carers. AYA preferred emotional support for themselves (either by counsellors and/or peers), emotional support for their family, financial support and assistance returning to school/work over services relating to cultural and spiritual needs. Covariate analysis indicated female AYA were more likely than males to prefer emotional support, while males were more likely to prefer assistance returning to work/school. Carers preferred emotional support for their AYA and assistance returning to school/work. Like AYA, they were indifferent about services relating to cultural and spiritual needs. Providing the types of support services that people prefer should maximise effectiveness. This study suggests that AYA patients require support services that included financial aid, assistance returning to work/study, emotional support for themselves and for their family. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

The effectiveness and cost-effectiveness of a rural employer-based wellness program.

PubMed

Saleh, Shadi S; Alameddine, Mohamad S; Hill, Dan; Darney-Beuhler, Jessica; Morgan, Ann

2010-01-01

The cost-effectiveness of employer-based wellness programs has been previously investigated with favorable financial and nonfinancial outcomes being detected. However, these investigations have mainly focused on large employers in urban settings. Very few studies examined wellness programs offered in rural settings. This paper aims to explore the effectiveness and cost-effectiveness of a rural employer-based wellness program. Six rural employers were categorized into 3 groups: a control group and 2 intervention groups with varying degrees of wellness activities. Participants were asked to complete an annual health risk assessment (HRA) that addressed 16 wellness areas. At the conclusion of 4 years, HRA and effectiveness data were utilized to examine program effectiveness and combined with program costs to estimate cost-effectiveness. The "Coaching and Referral" group-the highest in intensity of participant engagement-exhibited superior improvement in several wellness areas and in percentage of employees with good health indicators compared to the control and the Trail Marker, lower-intensity intervention groups. However, the Trail Markers had more favorable cost-effectiveness ratios. Rural worksite wellness programs have shown great potential in their effectiveness and cost-effectiveness. Such programs need not be too aggressive, tedious, and costly to generate a favorable return for employers and funders. However, employers should be encouraged to experiment with different levels of wellness program intensities until a more favorable outcome can be realized.